HESI PN EXIT EXAM TEST BANK
All possible Questions Included
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REAL HESI PN
The practical nurse (PN) selects the ventrogluteal site to administer intramuscular (IM)
injection to an adult. Identify the site (Click the chosen location)
An elderly client who is 12 hours postoperative for a hernia repair suddenly becomes
agitated, staggers out into the corridor and demands to be set free. After assisting the client
back to bed and administering pain medication. Which intervention is best for the practical
nurse (PN) to implement?
A. Notify the healthcare provider and request a prescription for restraints to minimize the
client's danger to self.
B. Raise the side and notify the family to come sit with the client to reorientate and cooperative.
C. Administer prescribed narcotic antagonist to reverse the effects of any analgesic
accumulation.
D. Instruct a UAP to keep the upper side rails up and check on the client every 15 minutes until
the client is resting.
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The practical nurse (PN) finds a postoperative client lying in bed with an unsecured surgical
dressing as seen in the picture. After reinforcing the dressing. Which follow up assessment is
most important for the PN to implement?
A. Volume of peripheral pulses
B. Fluid volume intake and output
C. Incisional pain scale rating.
D. Vital sign measurement.
A male client attends a community support program for mentally impaired and chemical
abusing clients. The client tells the practical nurse (PN) that his drug of choice are cocaine and
heroin. What is the greatest health risk for the client?
A. Hepatitis
B. Glaucoma
C. Diabetes
D. Hypotension
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 the error?
A. Draw one line through the entry and insert the correct information.
B. Chart the correct information in the column.
C. Obliterate the entry and insert the correct information.
D. Notify the charge nurse that the entry needs to be revised.
The Charge nurse brings a #18 catheter with a 30 mL balloon to the practical nurse (PN) who is
preparing to insert a catheter in a female client who weighs 50kg. Which action should the PN
take first?
A. Ask the client if she has previously been catheterized.
B. Obtain a 30 mL syringe and a vial of sterile water.
C. Consult with the charge nurse about the catheter.
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D. Position the client and observe the urinary meatus.
The practical nurse (PN) is caring for a client newly diagnosed with diabetes mellitus (DM).
Which finding is an early sign of hypoglycemia?
A. Bradycardia
B. Tremors
C. Polyuria
D. Difficulty swallowing
While caring for a client with Gillian Barres syndrome. Which finding should the practical
nurse (PN) report to the charge nurse?
While caring for a client with Gillian Barres syndrome. Which finding should the practical
nurse (PN) report to the charge nurse?
A. Lower leg weakness/cramping
B. Irregular heart rate
C. Profuse Diaphoresis
D. Full facial flushing
A client at 39 weeks gestation is admitted in early labor. During the focused assessment the
practical nurse (PN) reviews the obstetrical history with the client who states that she has
been pregnant five times but only has two living children, both of whom were full-term. The
other three pregnancies were miscarriages during the first trimester. Which parity should the
PN document for term, premature, abortion, and living (TPAL) for the client?
A. Term 3, Premature 0, Abortion 3, Living 2
B. Term 6, Premature 3, Abortion 3, Living 2
C. Term 2, Premature 3, Abortion 3, Living 2
D. Term 2, Premature 1, Abortion 0, Living 3