HESI -PN Exam A PRACTICE QUESTION EXAM 2025/2026 COMPLETE ACCURATE QUESTIONS WITH WELL ELABORATED ANSWERS (CORRECT VERIFIED SOLUTIONS) A NEW UPDATED VERSION |GUARANTEED PASS A+ (FULL REVISED EXAM) BRAND NEW!

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HESI -PN Exam A PRACTICE QUESTION EXAM
2025/2026 COMPLETE ACCURATE QUESTIONS
WITH WELL ELABORATED ANSWERS
(CORRECT VERIFIED SOLUTIONS) A NEW
UPDATED VERSION |GUARANTEED PASS A+
(FULL REVISED EXAM) BRAND NEW!



A nurse who has recently completed orientation is beginning work in the labor a
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nd delivery unit for the first time. When making assignments, which client shoul
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d the charge nurse assign to this new nurse?
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A.A primigravida who is 8 cm dilated after 14 hours of labor
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c B.A client scheduled for a repeat cesarean birth at 38 weeks' gestation
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c C.A client being induced for fetal demise at 20 weeks' gestation
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c D.A multiparous client who is dilated 5 cm and 50% effaced -
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c ..........ANSWER.......D

The new nurse should be assigned the least complicated client to gain experienc
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e and confidence, as well as protect client safety. Of the clients available for assig
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nment, (D) is progressing well and is the least complicated. (A, B and C) have act
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ual or potential complications and should be assigned to a more experienced nu
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rse.

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A client with human immunodeficiency virus (HIV) infection has white lesions i
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n the oral cavity that resemble milk curds. Nystatin (Mycostatin) preparation is
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prescribed as a swish and swallow. Which information is most important for the
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c nurse to provide the client?
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A.Oral hygiene should be performed before the medication. B.Antifungal
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medications are available in tablet, suppository, and liquid forms. c c c c c c c c




c C.Candida albicans is the organism that causes the white lesions in the mouth.
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c D.The dietary intake of dairy and spicy foods should be limited. -
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c ..........ANSWER.......A

HIV infection causes depression of cell-
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mediated immunity that allows an overgrowth of Candida albicans (oral monili
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asis), which appears as white, cheesy plaque or lesions that resemble milk curds
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. To ensure effective contact of the medication with the oral lesions, oral liquids
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should be consumed and oral hygiene performed before swishing the liquid My
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costatin (A). (B and C) provide the client with additional information about the
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pathogenesis and treatment of opportunistic infections, but (A) allows the clien
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t to participate in self-
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care of the oral infection. Dietary restriction of spicy foods reduces discomfort a
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ssociated with stomatitis, but restriction of dairy products is not indicated (D).
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A client who is admitted with emphysema is having difficulty breathing. In whic
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h position should the nurse place the client?
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A.High Fowler's position without a pillow behind the head
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c B.Semi-Fowler's position with a single pillow behind the head c c c c c c c c




c C.Right side-lying position with the head of the bed elevated 45 degrees
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c D.Sitting upright and forward with both arms supported on an over the be
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d table - ..........ANSWER.......D
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Adequate lung expansion is dependent on deep breaths that allow the respirato
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ry muscles to increase the longitudinal and anterior-
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posterior size of the thoracic cage. Sitting upright and leaning forward with the
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arms supported on an over the bed table (D) allows the thoracic cage to expand i
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n all four directions and reduces dyspnea. A high Fowler's position does not allo
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w maximum expansion of the posterior lobes of the lungs (A). A semi-
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Fowler's position restricts expansion of the anterior-
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posterior diameter of the thoracic cage (B). Positioning a client on the right side
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with the head of the bed elevated (C) does not facilitate lung expansion.
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A client with chronic renal insufficiency (CRI) is taking 25 mg of hydrochlorothi
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azide (HCTZ) PO and 40 mg of furosemide (Lasix) PO daily. Today, at a routine cl
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inic visit, the client's serum potassium level is 4 mEq/L. What is the most likely c
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ause of this client's potassium level?
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A.The client is noncompliant with his medications.
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c B.The client recently consumed large quantities of pears or nuts.
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c C.The client's renal function has affected his potassium level.
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c D.The client needs to be started on a potassium supplement. -
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c ..........ANSWER.......C

The client has a normalized potassium level despite diuretic use (C). The kidney
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automatically secretes 90% of potassium consumed, but in chronic renal insuffi
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ciency (CRI), less potassium is excreted than normal. Therefore, the two potassi
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um-
wasting drugs, a thiazide diuretic and loop diuretic, are not likely to affect potas
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sium levels. The normal potassium level is 3.5 to 5 mEq/L, and with a potassium
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level of 4 mEq/L, there is no reason to believe that the client is noncompliant wit
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h his treatment (A). Pears and nuts do not affect the serum potassium level (B).
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There is no need for a potassium supplement (D) because the client's potassium
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level is within the normal range.
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A registered nurse (RN) delivers telehealth services to clients via electronic com
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munication. Which nursing action creates the greatest risk for professional liabi
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lity and has the potential for a malpractice lawsuit?
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A.Participating in telephone consultations with clients c c c c c




c B.Identifying oneself by name and title to clients in telehealth communications
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c C.Sending medical records to health care providers via the Internet
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c D.Answering a client-initiated health question via electronic mail -
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c ..........ANSWER.......C