Hesi PN Practice Exam and Questions
With Correct Verified Answers
2025/2026 Latest Update
A client requires application of an eye shield to the right eye. What
should the nurse do in order to apply tape in which direction to
anchor the shield most effectively?
A. Across the eye from the bridge of the nose to the right temple
B. Longitudinally from the right forehead to the right cheek
C. From the mid-forehead over to the right zygomatic process
D. From the right lateral forehead surface to the medial nasal crease
-Answer:-B. Longitudinally from the right forehead to the right
cheek
36 hours after delivery, the nurse determines a client's fundus is just
above the umbilicus and displaced to the right of midline. What
action should the nurse take first?
,A. Palpate the bladder for distention
B. Ask the client when her last bowel movement occurred
C. Catheterize the client and record the amount
D. Assess the amount of lochia -Answer:-A. Palpate the bladder for
distention
A client presents in the clinic because of generalized swelling after a
bee sting. What intervention should the nurse implement first?
A. Assess site of sting and remove stinger if present
B. Perform mini-mental status exam to assess level of consciousness
C. Determine respiratory status and apply a pulse oximeter
D. Attach electrodes to monitor cardiac rhythm -Answer:-C.
Determine respiratory status and apply a pulse oximeter
The nurse is administering multiple medications to a 78-year-old
client because of problems related to polypharmacy. At this client's
age, which assessment is most important for the nurse to make?
,A. Cumulative serum drug levels and toxicity
B. Synergistic actions due to simultaneous administration
C. Tolerance to drugs that have been taken for long periods of time
D. Antagonist actions of multiple medications -Answer:-A.
Cumulative serum drug levels and toxicity
In obtaining an orthostatic vital sign measurement, what action
should the nurse take first?
A. Count the client's radial pulse
B. Apply a blood pressure cuff
C. Instruct the client to lie supine
D. Assist the client to stand upright -Answer:-C. Instruct the client to
lie supine
A 3-week-old infant is admitted for surgical repair of Pyloric
Stenosis. What interventions should the nurse expect to implement
to establish hydration in the immediate postoperative period?
, A. Diaper weights and urin specific gravity
B. Gastronomy feedings in supine position
C. Nipple feedings with glucose water
D. Gavage feedings with 15mL of formula -Answer:-C. Nipple
feedings with glucose water
Urinary catheter (Foley) with a 5mL inflated balloon is being
removed by the nurse. After withdrawing 5 mL of fluid from the
balloon, the nurse begins to withdraw the catheter while the client is
in a Semi-Fowler's position. However, the nurse meets resistance
and the clients voicees discomfort. What action should the nurse
take next?
A. Attempt to withdraw additional fluid from the balloon
B. Assist the client in taking a series of deep breaths
C. Lower the head of the client's bed so the client is supine
D. Allow the client to rest before continuing to remove the catheter -
Answer:-B. Assist the client in taking a series of deep breaths
With Correct Verified Answers
2025/2026 Latest Update
A client requires application of an eye shield to the right eye. What
should the nurse do in order to apply tape in which direction to
anchor the shield most effectively?
A. Across the eye from the bridge of the nose to the right temple
B. Longitudinally from the right forehead to the right cheek
C. From the mid-forehead over to the right zygomatic process
D. From the right lateral forehead surface to the medial nasal crease
-Answer:-B. Longitudinally from the right forehead to the right
cheek
36 hours after delivery, the nurse determines a client's fundus is just
above the umbilicus and displaced to the right of midline. What
action should the nurse take first?
,A. Palpate the bladder for distention
B. Ask the client when her last bowel movement occurred
C. Catheterize the client and record the amount
D. Assess the amount of lochia -Answer:-A. Palpate the bladder for
distention
A client presents in the clinic because of generalized swelling after a
bee sting. What intervention should the nurse implement first?
A. Assess site of sting and remove stinger if present
B. Perform mini-mental status exam to assess level of consciousness
C. Determine respiratory status and apply a pulse oximeter
D. Attach electrodes to monitor cardiac rhythm -Answer:-C.
Determine respiratory status and apply a pulse oximeter
The nurse is administering multiple medications to a 78-year-old
client because of problems related to polypharmacy. At this client's
age, which assessment is most important for the nurse to make?
,A. Cumulative serum drug levels and toxicity
B. Synergistic actions due to simultaneous administration
C. Tolerance to drugs that have been taken for long periods of time
D. Antagonist actions of multiple medications -Answer:-A.
Cumulative serum drug levels and toxicity
In obtaining an orthostatic vital sign measurement, what action
should the nurse take first?
A. Count the client's radial pulse
B. Apply a blood pressure cuff
C. Instruct the client to lie supine
D. Assist the client to stand upright -Answer:-C. Instruct the client to
lie supine
A 3-week-old infant is admitted for surgical repair of Pyloric
Stenosis. What interventions should the nurse expect to implement
to establish hydration in the immediate postoperative period?
, A. Diaper weights and urin specific gravity
B. Gastronomy feedings in supine position
C. Nipple feedings with glucose water
D. Gavage feedings with 15mL of formula -Answer:-C. Nipple
feedings with glucose water
Urinary catheter (Foley) with a 5mL inflated balloon is being
removed by the nurse. After withdrawing 5 mL of fluid from the
balloon, the nurse begins to withdraw the catheter while the client is
in a Semi-Fowler's position. However, the nurse meets resistance
and the clients voicees discomfort. What action should the nurse
take next?
A. Attempt to withdraw additional fluid from the balloon
B. Assist the client in taking a series of deep breaths
C. Lower the head of the client's bed so the client is supine
D. Allow the client to rest before continuing to remove the catheter -
Answer:-B. Assist the client in taking a series of deep breaths
