HESI PN EXIT: EXAM/ EXIT HESI PN,
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
A client is receiving an epidural anesthesia during labor which
observation is the most important adverse effect that the
practical nurse (PN) should assess for following the administration
of the epidural
Maternal hypotension
An older client with metastatic breast cancer is experiencing
shortness of breath as a result of a bilateral pneumonia the client
has a living will and the family is requesting hospice care which
information should the practical nurse (PN) reinforce with the
client and family regarding hospice?
• Instructions for care should be included in the clients living will
• Care can be provided in home where client resides
• Care focuses on comfort dignity and emotion support
The practical nurse (PN) is assisting in the care for a client with
acute chest pain who is being monitored for a
suspected myocardia infraction which elevated lab result should
the PN immediately report to the healthcare
provider
• B Type natriuretic peptide (BUN)
• Creatine
• Tropine 1
• Creatine kinase
,The practical nurse is providing care for an older male who has
pitting edema of the feet and ankles and is receiving
spironolactone which instructions is most important to provide the
UAP assisting with the care of the client
Maintain accurate intake and output
After change in shift report the practical nurse (PN) makes rounds
on a postoperative unit which client finding needs
immediate attention
A client who has brown, green bile draining from a t-tube after
cholecystectomy for cholelithiasis
The practical nurse is preparing a client for a bone marrow
aspiration which erythropoietic site is most likely to be
used to obtain specimen
The practical nurse is preparing a client for a bone marrow
aspiration which erythropoietic site is most likely to be
used to obtain specimen
An older female resident of a long term facility experiences
frequent episodes of urinary --- what is important for the
practical nurse to perform regularly in response to the resident
Appearance of skin on perineal area
A newborn infant is prescribed an immunization prior to discharge
what action should the practical nurse take?
Contain signed consent from mother for administration of
hepatitis B vaccine
A practical nurse (PN) is caring for a client newly diagnose with
diabetes mellitus what finding is early signs of
hypoglycemia
Tremors
,On the first day after a cesarean section a client is a primipara is
being assisted to---- gush of vaginal blood and notices
that severe blood clots are in the toilet which action should the PN
take
Check fundal consistency and continue to monitor the lochia flow
amount
The practical nurse is making a home visit to an older male adult
who was recently diagnosed onset of severe burning
pain along the right side of his trunck what action should the PN
take
Administer a prescribed PRN does of analgesic
The practical nurse (PN) is assisting a client who is multiparous in
active labor with ---- are occurring every 2 minunites
with a duration of 80 seconds she suddenly wants to have a bowel
movement what will the PN do first
Instruct the client to push with every contraction
The practical nurse is preparing to insert an older clients hearing
aids after determining check batteries to be sure
they're working properly in what order should the PN implement
from FIRST TO LAST
• Turn the hearing aid off and set the volume at low
• Line up the ear mold with the clients external auditory opening
• Gently press ear mold into ear while rotating backwards
• Rotate the ear mold slightly forward and insert in the ear canal
• Turn hearing aids on and adjust the volume for the client
An older female client who resides in a long term care facility has
a male friend who often visits her in the facility the
pn went to the clients room to administer medication and finds
the couple in bed together what action should the PN
take?
, Exit the room and quiet close the door
A primigravida client confines in the practical nurse (PN) that her
sister told her the she - because it will eliminate
fluid retention and swelling how should the PN respond
Salt foods lightly during cooking but add additional salt at the
table
Upon entering the room of an older cardiac client the practical
nurse (PN) finds the client slumped in the chair with no
visible sign--- which first action the PN should take?
Extend the client head open airway
The practical nurse (PN) is caring for a group of clients on a
postpartum unit after shift-----
Gravida 3 para 3 who delivered vaginally 3 hours ago
The practical nurse (PN) is removing the personal protective
equipment which equipment should the PN remove first
Gloves
A clients whose first child was delivered by C-section is 20 weeks
pregnant with--- (VBAC) what information is most
important for the practical nurse to obtain?
History of contracting herps simplex virus
The practical nurse notice that a client urine is pale yellow ----
complete next?
Ask the client about urinary frequency
A female client returns to her room following her initial external
ra--- observes the unlicensed assistive personal (UAP)
who has just ---- dry what action should the PN take
Document complete of post procedure skin care
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
A client is receiving an epidural anesthesia during labor which
observation is the most important adverse effect that the
practical nurse (PN) should assess for following the administration
of the epidural
Maternal hypotension
An older client with metastatic breast cancer is experiencing
shortness of breath as a result of a bilateral pneumonia the client
has a living will and the family is requesting hospice care which
information should the practical nurse (PN) reinforce with the
client and family regarding hospice?
• Instructions for care should be included in the clients living will
• Care can be provided in home where client resides
• Care focuses on comfort dignity and emotion support
The practical nurse (PN) is assisting in the care for a client with
acute chest pain who is being monitored for a
suspected myocardia infraction which elevated lab result should
the PN immediately report to the healthcare
provider
• B Type natriuretic peptide (BUN)
• Creatine
• Tropine 1
• Creatine kinase
,The practical nurse is providing care for an older male who has
pitting edema of the feet and ankles and is receiving
spironolactone which instructions is most important to provide the
UAP assisting with the care of the client
Maintain accurate intake and output
After change in shift report the practical nurse (PN) makes rounds
on a postoperative unit which client finding needs
immediate attention
A client who has brown, green bile draining from a t-tube after
cholecystectomy for cholelithiasis
The practical nurse is preparing a client for a bone marrow
aspiration which erythropoietic site is most likely to be
used to obtain specimen
The practical nurse is preparing a client for a bone marrow
aspiration which erythropoietic site is most likely to be
used to obtain specimen
An older female resident of a long term facility experiences
frequent episodes of urinary --- what is important for the
practical nurse to perform regularly in response to the resident
Appearance of skin on perineal area
A newborn infant is prescribed an immunization prior to discharge
what action should the practical nurse take?
Contain signed consent from mother for administration of
hepatitis B vaccine
A practical nurse (PN) is caring for a client newly diagnose with
diabetes mellitus what finding is early signs of
hypoglycemia
Tremors
,On the first day after a cesarean section a client is a primipara is
being assisted to---- gush of vaginal blood and notices
that severe blood clots are in the toilet which action should the PN
take
Check fundal consistency and continue to monitor the lochia flow
amount
The practical nurse is making a home visit to an older male adult
who was recently diagnosed onset of severe burning
pain along the right side of his trunck what action should the PN
take
Administer a prescribed PRN does of analgesic
The practical nurse (PN) is assisting a client who is multiparous in
active labor with ---- are occurring every 2 minunites
with a duration of 80 seconds she suddenly wants to have a bowel
movement what will the PN do first
Instruct the client to push with every contraction
The practical nurse is preparing to insert an older clients hearing
aids after determining check batteries to be sure
they're working properly in what order should the PN implement
from FIRST TO LAST
• Turn the hearing aid off and set the volume at low
• Line up the ear mold with the clients external auditory opening
• Gently press ear mold into ear while rotating backwards
• Rotate the ear mold slightly forward and insert in the ear canal
• Turn hearing aids on and adjust the volume for the client
An older female client who resides in a long term care facility has
a male friend who often visits her in the facility the
pn went to the clients room to administer medication and finds
the couple in bed together what action should the PN
take?
, Exit the room and quiet close the door
A primigravida client confines in the practical nurse (PN) that her
sister told her the she - because it will eliminate
fluid retention and swelling how should the PN respond
Salt foods lightly during cooking but add additional salt at the
table
Upon entering the room of an older cardiac client the practical
nurse (PN) finds the client slumped in the chair with no
visible sign--- which first action the PN should take?
Extend the client head open airway
The practical nurse (PN) is caring for a group of clients on a
postpartum unit after shift-----
Gravida 3 para 3 who delivered vaginally 3 hours ago
The practical nurse (PN) is removing the personal protective
equipment which equipment should the PN remove first
Gloves
A clients whose first child was delivered by C-section is 20 weeks
pregnant with--- (VBAC) what information is most
important for the practical nurse to obtain?
History of contracting herps simplex virus
The practical nurse notice that a client urine is pale yellow ----
complete next?
Ask the client about urinary frequency
A female client returns to her room following her initial external
ra--- observes the unlicensed assistive personal (UAP)
who has just ---- dry what action should the PN take
Document complete of post procedure skin care
