PN EXIT HESI/ PN EXIT HESI EXAM:
2025/2026, WITH CORRECT/ACCURATE
ANSWERS
The nurse is taking blood pressure of a client admitted with a
possible myocardial infarction. When taking the client's BP at the
brachial artery, the nurse should place theclient's arm in which
position?
At the level of the heart
What are the final parameters that produce blood pressure?
(Select all thatapply)
Heart rate
Stroke
Volume
Peripheral resistance
The PN is preparing to administer a prescription for Cefazolin
(Kefzol)600 mg IMevery six hours. The available vial is labeled,
"Cefazolin(Kefzol) 1gram," and the instructions for reconstitution
state, "For IM use, add 2 mL sterile water for injection. Total
volume after reconstitution = 2.5 mL." When reconstituted, how
many milligramsare in each mil of solution? (Enter numeric value
only)
1 g 1000 mg = 1000 mg/mL / 2.5 mL = 400 mL
,Which client information is most important for the PN to consider
when providing instructions to the unlicensed assistive personnel
about providing morning care to a postoperative client?
Urinary output of 50 mL/hour.
The PN is caring for a client with coronary artery disease who is
admitted with intermittent chest pain. The admission laboratory
results indicate elevations in troponin I and creatine
phosphokinase myoglobin isoenzyme (CK-MB) levels. What should
the PN consider the most significant risk for this client on the
second day of admission?
The lab results indicate myocardial damage, and the client is at
risk for cardiac dysrhythmias
The practical nurses (PN) notes that unlicensed assistive
personnel (UAP) is ambulating a male client who had a stroke and
has right sided weakness. The UAP is walking on the clients left
side. Which action should the PN take?
Instruct the UAP to walk on the clients affected side
The practical nurse (PN) is caring for an older client who is
receiving chemotherapy for lung cancer. Which finding is the
highest priority for the PN to report to the charge nurse?
Reference ranges: Blood urea nitrogen (BUN): [Adult 10 to 20
mg/dL or 3.6 to 7.1 mmol/L]Platelets: [150,000 to 400,000/mm3
or 150 to 400 X 10*9/L]
Blood urea nitrogen 75 mg/dL or 12.9 mmol/L
The practical nurse (PN) overhears a conversation between an
unlicensed assistive personnel (UAP) and another staff member in
the hospital cafeteria line concerning a clients reaction to being
given a diagnosis of terminal cancer. What is the best nursing
action?
,Approach the individuals involved and ask them to stop
The single mother of a child with a head injury is sitting at the
child's bedside crying when the PN enters the room. The mother
states, "Why did this happen to my child? I just can't cope with
this." How should the PN respond?
Determine if someone else can help her cope with this tragedy
A client reports feeling numbness and tingling in the extremities.
Which of the client's serum laboratory values should the practical
nurse (PN) review before reporting the finding?
Electrolytes
The practical nurse (PN) and unlicensed assistive personnel (UAP)
enter a clients room and find the client lying on the bed. The PN
determines that the client is unresponsive. Which instruction
should the PN give the UAP first?
Obtain emergency help
In completing a focused assessment of a client who has
completed treatment for Herpes zoster (shingles), what
assessment data is most important for the practical nurse to
obtain?
Pain scale.
The practical nurse (PN) is charting vital signs on a hand-written
flow sheet and realizes that an error has been made. What should
the PN do to rectify this error?
Draw one line through the entry and insert the correct information
The practical nurse (PN) is caring for a newborn whose mother
has poorly controlled type one diabetes mellitus. The PN observes
the newborn is grunting with mild sternal retractions. The PN
, should recognize the newborn is exhibiting signs of which
condition?
Patent ductus arteriosus
A client is admitted with diabetic ketoacidosis (DKA). Upon
admission, the client was drowsy and nauseated with reports of a
headache. An hour after admission, the practical nurse (PN) is
assisting with the care of the client. Which finding id most
important for the PN to report to the charge nurse?
Client is not responsive
The practical nurse (PN) is assisting with preparation of a client
for fecal diversion surgery. While inserting an indwelling urinary
catheter the client ask if the surgical opening will be visible which
action should the PN implement?
Review the client's expectations of elimination after surgery.
The practical nurse (PN) prepares to suction a client's
tracheostomy. as seen in video. What should the PN do next?
Insert the catheter into the tracheostomy
Prior to giving digoxin the practical nurse (PN) assesses that a 2
month old infant's heart rate is 120 beats/minute. Based on this
finding, which action should the PN take?
Administer the medication and document the heart rate.
The nurse is preparing to mix two medication from two different
multi dose vials, A and B. In which order should these actions be
implemented when drawing the solutions from the vials?
1. Verify the drug and dose with the label on the vial.
2. Inject the volume of air to be aspirated from each vial.
3. Aspirate the desired volume from vial A
4. Aspirate the desired volume from vial B
2025/2026, WITH CORRECT/ACCURATE
ANSWERS
The nurse is taking blood pressure of a client admitted with a
possible myocardial infarction. When taking the client's BP at the
brachial artery, the nurse should place theclient's arm in which
position?
At the level of the heart
What are the final parameters that produce blood pressure?
(Select all thatapply)
Heart rate
Stroke
Volume
Peripheral resistance
The PN is preparing to administer a prescription for Cefazolin
(Kefzol)600 mg IMevery six hours. The available vial is labeled,
"Cefazolin(Kefzol) 1gram," and the instructions for reconstitution
state, "For IM use, add 2 mL sterile water for injection. Total
volume after reconstitution = 2.5 mL." When reconstituted, how
many milligramsare in each mil of solution? (Enter numeric value
only)
1 g 1000 mg = 1000 mg/mL / 2.5 mL = 400 mL
,Which client information is most important for the PN to consider
when providing instructions to the unlicensed assistive personnel
about providing morning care to a postoperative client?
Urinary output of 50 mL/hour.
The PN is caring for a client with coronary artery disease who is
admitted with intermittent chest pain. The admission laboratory
results indicate elevations in troponin I and creatine
phosphokinase myoglobin isoenzyme (CK-MB) levels. What should
the PN consider the most significant risk for this client on the
second day of admission?
The lab results indicate myocardial damage, and the client is at
risk for cardiac dysrhythmias
The practical nurses (PN) notes that unlicensed assistive
personnel (UAP) is ambulating a male client who had a stroke and
has right sided weakness. The UAP is walking on the clients left
side. Which action should the PN take?
Instruct the UAP to walk on the clients affected side
The practical nurse (PN) is caring for an older client who is
receiving chemotherapy for lung cancer. Which finding is the
highest priority for the PN to report to the charge nurse?
Reference ranges: Blood urea nitrogen (BUN): [Adult 10 to 20
mg/dL or 3.6 to 7.1 mmol/L]Platelets: [150,000 to 400,000/mm3
or 150 to 400 X 10*9/L]
Blood urea nitrogen 75 mg/dL or 12.9 mmol/L
The practical nurse (PN) overhears a conversation between an
unlicensed assistive personnel (UAP) and another staff member in
the hospital cafeteria line concerning a clients reaction to being
given a diagnosis of terminal cancer. What is the best nursing
action?
,Approach the individuals involved and ask them to stop
The single mother of a child with a head injury is sitting at the
child's bedside crying when the PN enters the room. The mother
states, "Why did this happen to my child? I just can't cope with
this." How should the PN respond?
Determine if someone else can help her cope with this tragedy
A client reports feeling numbness and tingling in the extremities.
Which of the client's serum laboratory values should the practical
nurse (PN) review before reporting the finding?
Electrolytes
The practical nurse (PN) and unlicensed assistive personnel (UAP)
enter a clients room and find the client lying on the bed. The PN
determines that the client is unresponsive. Which instruction
should the PN give the UAP first?
Obtain emergency help
In completing a focused assessment of a client who has
completed treatment for Herpes zoster (shingles), what
assessment data is most important for the practical nurse to
obtain?
Pain scale.
The practical nurse (PN) is charting vital signs on a hand-written
flow sheet and realizes that an error has been made. What should
the PN do to rectify this error?
Draw one line through the entry and insert the correct information
The practical nurse (PN) is caring for a newborn whose mother
has poorly controlled type one diabetes mellitus. The PN observes
the newborn is grunting with mild sternal retractions. The PN
, should recognize the newborn is exhibiting signs of which
condition?
Patent ductus arteriosus
A client is admitted with diabetic ketoacidosis (DKA). Upon
admission, the client was drowsy and nauseated with reports of a
headache. An hour after admission, the practical nurse (PN) is
assisting with the care of the client. Which finding id most
important for the PN to report to the charge nurse?
Client is not responsive
The practical nurse (PN) is assisting with preparation of a client
for fecal diversion surgery. While inserting an indwelling urinary
catheter the client ask if the surgical opening will be visible which
action should the PN implement?
Review the client's expectations of elimination after surgery.
The practical nurse (PN) prepares to suction a client's
tracheostomy. as seen in video. What should the PN do next?
Insert the catheter into the tracheostomy
Prior to giving digoxin the practical nurse (PN) assesses that a 2
month old infant's heart rate is 120 beats/minute. Based on this
finding, which action should the PN take?
Administer the medication and document the heart rate.
The nurse is preparing to mix two medication from two different
multi dose vials, A and B. In which order should these actions be
implemented when drawing the solutions from the vials?
1. Verify the drug and dose with the label on the vial.
2. Inject the volume of air to be aspirated from each vial.
3. Aspirate the desired volume from vial A
4. Aspirate the desired volume from vial B
