2025/2026 PN HESI
EXIT V6
1. A parent tells the nurse that their 6 year-old child who normally enjoys school, has not
been doing well since the grandmother died 2 months ago. Which statement most
accurately describes thoughts on
death and dying at this age?
A) Death is personified as the bogeyman or devil
B) Death is perceived as being irreversible
C) The child feels guilty for the grandmother's death
D) The child is worried that he, too, might die
The correct answer is A: Death is personified as the bogeyman or devil
2. A 67 year-old client with non-insulin dependent diabetes should be instructed to
contact the out-patient clinic immediately if the following findings are present
A) Temperature of 37.5 degrees Celsius with painful urination
B) An open wound on their heel
C) Insomnia and daytime fatigue
D) Nausea with 2 episodes of vomiting
The correct answer is B: An open wound on their heel
3. The nurse admits an elderly Mexican-American migrant worker after an accident that
occurred during work. To facilitate communication the nurse should initially
A) Request a Spanish interpreter
B) Speak through the family or co-workers
C) Use pictures, letter boards, or monitoring
D) Assess the client's ability to speak English
The correct answer is D: Assess the client''s ability to speak English
4. In assessing a post partum client, the nurse palpates a firm fundus and observes a
constant trickle of bright red blood from the vagina. What is the most likely cause of
these findings?
A) Uterine atony
B) Genital lacerations
C) Retained placenta
D) Clotting disorder
The correct answer is B: Genital lacerations
5. The nurse notes an abrupt onset of confusion in an elderly patient. Which of the
following recently-ordered medications would most likely contribute to this change?
,A) Anticoagulant
B) Liquid antacid
C) Antihistamine
D) Cardiac glycoside
The correct answer is C: Antihistamine
6. The nurse is caring for a client with active tuberculosis who has a history of
noncompliance. Which of the following actions by the nurse would represent appropriate
care for this client?
A) Instruct the client to wear a high efficiency particulate air mask in public places.
B) Ask a family member to supervise daily compliance
C) Schedule weekly clinic visits for the client
D) Ask the health care provider to change the regimen to fewer medications
The correct answer is B: Ask a family member to supervise daily compliance
7. The nurse manager identifies that time spent by staff in charting is excessive, requiring
overtime for completion. The nurse manager states that "staff will form a task force to
investigate and develop potential solutions to the problem, and report on this at the next
staff meeting." The nurse manager's leadership style is best described as
A) Laissez-faire
B) Autocratic
C) Participative
D) Group
The correct answer is C: Participative
8. A nursing student asks the nurse manager to explain the forces that drive health care
reform. The appropriate response by the nurse manager should include
A) The escalation of fees with a decreased reimbursement percentage
B) High costs of diagnostic and end-of-life treatment procedures
C) Increased numbers of elderly and of the chronically ill of all ages
D) A steep rise in health care provider fees and in insurance premiums
The correct answer is A: The escalation of fees with a decreased reimbursement
percentage
9. A client with hepatitis A (HAV) is newly admitted to the unit. Which action would be
the priority to include in the plan of care within the initial 24 hours for this client?
A) Wear masks with shields if potential splash
B) Use disposable utensils and plates for meals
C) Wear gown and gloves during client contact
D) Provide soft easily digested food with frequent snacks
,The correct answer is C: Wear gown and gloves during client contact
10. A client fhas fbeen ftaking falprazolam f(Xanax) ffor f3 fdays. fNursing fassessment
fshould freveal fwhich fexpected feffect fof fthe fdrug?
A) Tranquilization, fnumbing fof femotions
B) Sedation, fanalgesia
C) Relief fof finsomnia fand fphobias
D) Diminished ftachycardia fand ftremors fassociated fwith
fanxiety fThe fcorrect fanswer fis fA: fTranquilization, fnumbing
fof femotions
11. The fnurse fobserves fa fstaff fmember fcaring ffor fa fclient fwith fa fleft
funilateral fmastectomy. fThe fnurse fwould fintervene fif fshe fnotices fthe fstaff
fmember fis
A) Advising fclient fto frestrict fsodium fintake
B) Taking fthe fblood fpressure fin fthe fleft farm
C) Elevating fher fleft farm fabove fheart flevel
D) Compressing fthe fdrainage fdevice
The fcorrect fanswer fis fB: fTaking fthe fblood fpressure fin fthe fleft farm
12. A f70 fyear-old fpost-operative fclient fhas felevated fserum fBUN, fHct, fCl, fand
fNa+. fCreatinine fand fK+ fare fwithin fnormal flimits. fThe fnurse fshould fperform
fadditional fassessments fto fconfirm fthat fan factual
problem fis:
A) Impaired fgas fexchange
B) Metabolic facidosis
C) Renal finsufficiency
D) Fluid fvolume fdeficit
The fcorrect fanswer fis fD: fFluid fvolume fdeficit
13. The fnurse fis fproviding ffoot fcare finstructions fto fa fclient fwith farterial finsufficiency.
fThe fnurse fwould fidentify fthe fneed ffor fadditional fteaching fif fthe fclient fstated
A) "I fcan fonly fwear fcotton fsocks."
B) "I fcannot fgo fbarefoot f around fmy fhouse."
C) "I fwill ftrim fcorns fand fcalluses fregularly."
D) "I fshould fask fa ffamily fmember fto finspect fmy ffeet fdaily."
The fcorrect fanswer fis fC: f"I fwill ftrim fcorns fand fcalluses fregularly."
14. A fwoman fwho fdelivered f5 fdays fago fand fhad fbeen fdiagnosed fwith fpreeclampsia
fcalls
, the fhospital ftriage fnurse fhotline fto fask ffor fadvice. fShe fstates f“ fI fhave fhad fthe fworst
fheadache ffor fthe fpast f2 fdays. fIt
pounds fand fby fthe fmiddle fof fthe fafternoon feverything fI flook fat flooks fwavy. fNothing
fI fhave ftaken fhelps.” fWhat fshould fthe fnurse fdo fnext?
A) Advise fthe fclient fthat fthe fswings fin fher fhormones fmay fhave fthat feffect.
fHowever, fsuggest ffor fher fto fcall fher fhealth fcare fprovider fwithin fthe fnext fday.
B) Advise fthe fclient fto fhave fsomeone fbring fher fto fthe femergency froom fas
fsoon fas fpossible
C) Ask fthe fclient fto fstay fon fthe fline, fget fthe faddress fand fsend fan fambulance fto fthe
fhome
D) Ask fwhat fthe fclient fhas ftaken? fHow foften? fAsk fabout fother fspecific fcomplaints.
fThe fcorrect fanswer fis fC: fAsk fthe fclient fto fstay fon fthe fline, fget fthe faddress fand
fsend fan fambulance fto fthe fhome
15. The fprimary fteaching ffor fa fclient ffollowing fan fextracorporeal fshock-wave
flithotripsy f(ESWL) fprocedure fis
A) Drink f3000 fto f4000 fcc fof ffluid feach fday ffor fone fmonth
B) Limit ffluid fintake fto f1000 fcc feach fday ffor fone fmonth
C) Increase fintake fof fcitrus ffruits fto fthree fservings fper fday
D) Restrict fmilk fand fdairy fproducts ffor fone fmonth
The fcorrect fanswer fis fA: fDrink f3000 fto f4000 fcc fof ffluid feach fday ffor f1 fmonth
16. A fclient fon fwarfarin ftherapy ffollowing fcoronary fartery fstent fplacement fcalls fthe
fclinic fto fask fif fhe fcan ftake fAlka-Seltzer ffor fan fupset fstomach. fWhat fis fthe fbest
fresponse fby fthe fnurse?
A) Avoid fAlka-Seltzer fbecause fit fcontains faspirin
B) Take fAlka-Seltzer fat fa fdifferent ftime fof fday fthan fthe fwarfarin
C) Select fanother fantacid fthat fdoes fnot finactivate fwarfarin
D) Use fon-half fthe frecommended fdose fof fAlka-Seltzer
The fcorrect fanswer fis fA: fAvoid fAlka-Seltzer fbecause fit fcontains faspirin
17. The fnurse fis fworking fwith fparents fto fplan fhome fcare ffor fa f2 fyear-old fwith fa
fheart fproblem. fA fpriority fnursing fintervention fwould fbe fto
A) Encourage fthe fparents fto fenroll fin fcardiopulmonary fresuscitation fclass
B) Assist fthe fparents fto fplan fquiet fplay factivities fat fhome
C) Stress fto fthe fparents fthat fthey fwill fneed frelief fcare fgivers
D) Instruct fthe fparents fto favoid fcontact fwith fpersons fwith finfection
The fcorrect fanswer fis fA: fEncourage fthe fparents fto fenroll fin fcardiopulmonary
fresuscitation fclass
EXIT V6
1. A parent tells the nurse that their 6 year-old child who normally enjoys school, has not
been doing well since the grandmother died 2 months ago. Which statement most
accurately describes thoughts on
death and dying at this age?
A) Death is personified as the bogeyman or devil
B) Death is perceived as being irreversible
C) The child feels guilty for the grandmother's death
D) The child is worried that he, too, might die
The correct answer is A: Death is personified as the bogeyman or devil
2. A 67 year-old client with non-insulin dependent diabetes should be instructed to
contact the out-patient clinic immediately if the following findings are present
A) Temperature of 37.5 degrees Celsius with painful urination
B) An open wound on their heel
C) Insomnia and daytime fatigue
D) Nausea with 2 episodes of vomiting
The correct answer is B: An open wound on their heel
3. The nurse admits an elderly Mexican-American migrant worker after an accident that
occurred during work. To facilitate communication the nurse should initially
A) Request a Spanish interpreter
B) Speak through the family or co-workers
C) Use pictures, letter boards, or monitoring
D) Assess the client's ability to speak English
The correct answer is D: Assess the client''s ability to speak English
4. In assessing a post partum client, the nurse palpates a firm fundus and observes a
constant trickle of bright red blood from the vagina. What is the most likely cause of
these findings?
A) Uterine atony
B) Genital lacerations
C) Retained placenta
D) Clotting disorder
The correct answer is B: Genital lacerations
5. The nurse notes an abrupt onset of confusion in an elderly patient. Which of the
following recently-ordered medications would most likely contribute to this change?
,A) Anticoagulant
B) Liquid antacid
C) Antihistamine
D) Cardiac glycoside
The correct answer is C: Antihistamine
6. The nurse is caring for a client with active tuberculosis who has a history of
noncompliance. Which of the following actions by the nurse would represent appropriate
care for this client?
A) Instruct the client to wear a high efficiency particulate air mask in public places.
B) Ask a family member to supervise daily compliance
C) Schedule weekly clinic visits for the client
D) Ask the health care provider to change the regimen to fewer medications
The correct answer is B: Ask a family member to supervise daily compliance
7. The nurse manager identifies that time spent by staff in charting is excessive, requiring
overtime for completion. The nurse manager states that "staff will form a task force to
investigate and develop potential solutions to the problem, and report on this at the next
staff meeting." The nurse manager's leadership style is best described as
A) Laissez-faire
B) Autocratic
C) Participative
D) Group
The correct answer is C: Participative
8. A nursing student asks the nurse manager to explain the forces that drive health care
reform. The appropriate response by the nurse manager should include
A) The escalation of fees with a decreased reimbursement percentage
B) High costs of diagnostic and end-of-life treatment procedures
C) Increased numbers of elderly and of the chronically ill of all ages
D) A steep rise in health care provider fees and in insurance premiums
The correct answer is A: The escalation of fees with a decreased reimbursement
percentage
9. A client with hepatitis A (HAV) is newly admitted to the unit. Which action would be
the priority to include in the plan of care within the initial 24 hours for this client?
A) Wear masks with shields if potential splash
B) Use disposable utensils and plates for meals
C) Wear gown and gloves during client contact
D) Provide soft easily digested food with frequent snacks
,The correct answer is C: Wear gown and gloves during client contact
10. A client fhas fbeen ftaking falprazolam f(Xanax) ffor f3 fdays. fNursing fassessment
fshould freveal fwhich fexpected feffect fof fthe fdrug?
A) Tranquilization, fnumbing fof femotions
B) Sedation, fanalgesia
C) Relief fof finsomnia fand fphobias
D) Diminished ftachycardia fand ftremors fassociated fwith
fanxiety fThe fcorrect fanswer fis fA: fTranquilization, fnumbing
fof femotions
11. The fnurse fobserves fa fstaff fmember fcaring ffor fa fclient fwith fa fleft
funilateral fmastectomy. fThe fnurse fwould fintervene fif fshe fnotices fthe fstaff
fmember fis
A) Advising fclient fto frestrict fsodium fintake
B) Taking fthe fblood fpressure fin fthe fleft farm
C) Elevating fher fleft farm fabove fheart flevel
D) Compressing fthe fdrainage fdevice
The fcorrect fanswer fis fB: fTaking fthe fblood fpressure fin fthe fleft farm
12. A f70 fyear-old fpost-operative fclient fhas felevated fserum fBUN, fHct, fCl, fand
fNa+. fCreatinine fand fK+ fare fwithin fnormal flimits. fThe fnurse fshould fperform
fadditional fassessments fto fconfirm fthat fan factual
problem fis:
A) Impaired fgas fexchange
B) Metabolic facidosis
C) Renal finsufficiency
D) Fluid fvolume fdeficit
The fcorrect fanswer fis fD: fFluid fvolume fdeficit
13. The fnurse fis fproviding ffoot fcare finstructions fto fa fclient fwith farterial finsufficiency.
fThe fnurse fwould fidentify fthe fneed ffor fadditional fteaching fif fthe fclient fstated
A) "I fcan fonly fwear fcotton fsocks."
B) "I fcannot fgo fbarefoot f around fmy fhouse."
C) "I fwill ftrim fcorns fand fcalluses fregularly."
D) "I fshould fask fa ffamily fmember fto finspect fmy ffeet fdaily."
The fcorrect fanswer fis fC: f"I fwill ftrim fcorns fand fcalluses fregularly."
14. A fwoman fwho fdelivered f5 fdays fago fand fhad fbeen fdiagnosed fwith fpreeclampsia
fcalls
, the fhospital ftriage fnurse fhotline fto fask ffor fadvice. fShe fstates f“ fI fhave fhad fthe fworst
fheadache ffor fthe fpast f2 fdays. fIt
pounds fand fby fthe fmiddle fof fthe fafternoon feverything fI flook fat flooks fwavy. fNothing
fI fhave ftaken fhelps.” fWhat fshould fthe fnurse fdo fnext?
A) Advise fthe fclient fthat fthe fswings fin fher fhormones fmay fhave fthat feffect.
fHowever, fsuggest ffor fher fto fcall fher fhealth fcare fprovider fwithin fthe fnext fday.
B) Advise fthe fclient fto fhave fsomeone fbring fher fto fthe femergency froom fas
fsoon fas fpossible
C) Ask fthe fclient fto fstay fon fthe fline, fget fthe faddress fand fsend fan fambulance fto fthe
fhome
D) Ask fwhat fthe fclient fhas ftaken? fHow foften? fAsk fabout fother fspecific fcomplaints.
fThe fcorrect fanswer fis fC: fAsk fthe fclient fto fstay fon fthe fline, fget fthe faddress fand
fsend fan fambulance fto fthe fhome
15. The fprimary fteaching ffor fa fclient ffollowing fan fextracorporeal fshock-wave
flithotripsy f(ESWL) fprocedure fis
A) Drink f3000 fto f4000 fcc fof ffluid feach fday ffor fone fmonth
B) Limit ffluid fintake fto f1000 fcc feach fday ffor fone fmonth
C) Increase fintake fof fcitrus ffruits fto fthree fservings fper fday
D) Restrict fmilk fand fdairy fproducts ffor fone fmonth
The fcorrect fanswer fis fA: fDrink f3000 fto f4000 fcc fof ffluid feach fday ffor f1 fmonth
16. A fclient fon fwarfarin ftherapy ffollowing fcoronary fartery fstent fplacement fcalls fthe
fclinic fto fask fif fhe fcan ftake fAlka-Seltzer ffor fan fupset fstomach. fWhat fis fthe fbest
fresponse fby fthe fnurse?
A) Avoid fAlka-Seltzer fbecause fit fcontains faspirin
B) Take fAlka-Seltzer fat fa fdifferent ftime fof fday fthan fthe fwarfarin
C) Select fanother fantacid fthat fdoes fnot finactivate fwarfarin
D) Use fon-half fthe frecommended fdose fof fAlka-Seltzer
The fcorrect fanswer fis fA: fAvoid fAlka-Seltzer fbecause fit fcontains faspirin
17. The fnurse fis fworking fwith fparents fto fplan fhome fcare ffor fa f2 fyear-old fwith fa
fheart fproblem. fA fpriority fnursing fintervention fwould fbe fto
A) Encourage fthe fparents fto fenroll fin fcardiopulmonary fresuscitation fclass
B) Assist fthe fparents fto fplan fquiet fplay factivities fat fhome
C) Stress fto fthe fparents fthat fthey fwill fneed frelief fcare fgivers
D) Instruct fthe fparents fto favoid fcontact fwith fpersons fwith finfection
The fcorrect fanswer fis fA: fEncourage fthe fparents fto fenroll fin fcardiopulmonary
fresuscitation fclass
