HESI PN LEADERSHIP EXIT EXAMPREP TEST
BANK ACTUAL EXAM QUESTIONS AND
DETAILED VERIFIED ANSWERS 2026
▶ The practical nurse (PN) is caring for a client with a new prescription
for fluticasone furoate nasal spray prescribed for the client's allergy
symptoms. While reinforcing instructions about self-administration of
the nasal spray, the PN should emphasize the need for the client to take
which action before self administration? Answer: Gently blow the nose.
▶ An older adult client who resides in a long-term care facility has a
friend of the opposite sex who often visits in the evenings. The practical
nurse (PN) enters the client's room to administer medications and finds
the couple in bed together. Which action should the PN take? Answer:
Exit the room and quietly close the door.
▶ Several residents of a long-term care facility are receiving eye drops
to treat glaucoma. The practical nurse (PN) should caution the
unlicensed assistive personnel (UAPs) caring for these clients to observe
for which effect because it places
the clients at risk for falls? Answer: Pupillary constriction.
,▶ Which action by a practical nurse (PN) indicates the best
understanding of the principles related to medical asepsis and effective
handwashing? Answer: Hold your hands lower than your elbows to
promote microbe removal.
▶ The practical nurse (PN) is removing the personal protective
equipment (PPE) worn when caring for a client. Which PPE should be
removed first? Answer: gloves
▶ The practical nurse (PN) palpates a client's radial pulse and notes that
the pulse disappears when light pressure is applied. How should the PN
document this finding? Answer: Thready pulse volume.
▶ The practical nurse (PN) is caring for a primigravida five hours after a
vaginal delivery. Which finding should the PN report immediately to the
charge nurse? Answer: Rubra lochia saturating three perineal pads per
hour.
▶ Following the dressing change of an abdominal surgical wound, a
client expresses concern to the practical nurse (PN) about the scar that
might result from the wound. Which response is best for the PN to
provide? Answer: Tell me more about your concerns regarding an
abdominal scar.
▶ The practical nurse (PN) is making a home visit to an older adult
client who was recently diagnosed with Herpes zoster. The client reports
,the onset of severe burning pain along the right side of the trunk. Which
action should the PN take? Answer: Administer a prescribed PRN dose
of analgesic.
▶ When preparing to change a client's sterile dressing, the practical
nurse (PN) opens a package of gauze pads as seen in the picture. Which
action should the PN take next? Answer: Pick up pads and place them
on a sterile field.
▶ A client experiences a muscle strain or sprain to the ankle. Which
intervention should the practical nurse (PN) implement for an acute soft
tissue injury? Answer: Apply ice to the injured site at 15-minute
intervals for the first 24 hours.
▶ The practical nurse (PN) is assisting the nurse with the admission
physical assessment of a client diagnosed with
pneumonia. What symptom(s) is the client most likely to exhibit?
Answer: a. Dyspnea
c. Lung crackles
e. Painful cough
▶ The practical nurse (PN) is working with a newly hired PN on a
medical-surgical unit. Which action performed by the newly hired PN
requires intervention by the PN? Answer: Posting client names and
healthcare providers on hospital room doors.
, ▶ The practical nurse (PN) is caring for a 9-month-old infant with
developmental dysplasia of the hip (DDH) after a closed
reduction and hip spica cast application. After application of the cast,
which is the most important intervention in caring for
the infant? Answer: Monitor the distal toes every 2 hours for movement,
sensation, and circulation.
▶ The practical nurse (PN) turns a client with right-sided paralysis from
a supine to a left lateral position. Which bony prominence is most likely
to manifest signs of erythema when first turned? Answer: Sacrum
▶ Which nursing intervention is most important to include in the plan of
care for a child with acute glomerulonephritis? Answer: Weigh the child
daily
▶ The practical nurse (PN) observes two unlicensed assistive personnel
(UAP) turning an older adult client who had a hip arthroplasty with
prosthesis placement four hours ago. Which observation by the PN
indicates that the UAPs need additional information about the turning
procedure? Answer: The client is told to keep both legs straight and
together while turning.
▶ An older adult female resident of a long-term care facility experiences
frequent episodes of urinary incontinence. Which focused assessment is
BANK ACTUAL EXAM QUESTIONS AND
DETAILED VERIFIED ANSWERS 2026
▶ The practical nurse (PN) is caring for a client with a new prescription
for fluticasone furoate nasal spray prescribed for the client's allergy
symptoms. While reinforcing instructions about self-administration of
the nasal spray, the PN should emphasize the need for the client to take
which action before self administration? Answer: Gently blow the nose.
▶ An older adult client who resides in a long-term care facility has a
friend of the opposite sex who often visits in the evenings. The practical
nurse (PN) enters the client's room to administer medications and finds
the couple in bed together. Which action should the PN take? Answer:
Exit the room and quietly close the door.
▶ Several residents of a long-term care facility are receiving eye drops
to treat glaucoma. The practical nurse (PN) should caution the
unlicensed assistive personnel (UAPs) caring for these clients to observe
for which effect because it places
the clients at risk for falls? Answer: Pupillary constriction.
,▶ Which action by a practical nurse (PN) indicates the best
understanding of the principles related to medical asepsis and effective
handwashing? Answer: Hold your hands lower than your elbows to
promote microbe removal.
▶ The practical nurse (PN) is removing the personal protective
equipment (PPE) worn when caring for a client. Which PPE should be
removed first? Answer: gloves
▶ The practical nurse (PN) palpates a client's radial pulse and notes that
the pulse disappears when light pressure is applied. How should the PN
document this finding? Answer: Thready pulse volume.
▶ The practical nurse (PN) is caring for a primigravida five hours after a
vaginal delivery. Which finding should the PN report immediately to the
charge nurse? Answer: Rubra lochia saturating three perineal pads per
hour.
▶ Following the dressing change of an abdominal surgical wound, a
client expresses concern to the practical nurse (PN) about the scar that
might result from the wound. Which response is best for the PN to
provide? Answer: Tell me more about your concerns regarding an
abdominal scar.
▶ The practical nurse (PN) is making a home visit to an older adult
client who was recently diagnosed with Herpes zoster. The client reports
,the onset of severe burning pain along the right side of the trunk. Which
action should the PN take? Answer: Administer a prescribed PRN dose
of analgesic.
▶ When preparing to change a client's sterile dressing, the practical
nurse (PN) opens a package of gauze pads as seen in the picture. Which
action should the PN take next? Answer: Pick up pads and place them
on a sterile field.
▶ A client experiences a muscle strain or sprain to the ankle. Which
intervention should the practical nurse (PN) implement for an acute soft
tissue injury? Answer: Apply ice to the injured site at 15-minute
intervals for the first 24 hours.
▶ The practical nurse (PN) is assisting the nurse with the admission
physical assessment of a client diagnosed with
pneumonia. What symptom(s) is the client most likely to exhibit?
Answer: a. Dyspnea
c. Lung crackles
e. Painful cough
▶ The practical nurse (PN) is working with a newly hired PN on a
medical-surgical unit. Which action performed by the newly hired PN
requires intervention by the PN? Answer: Posting client names and
healthcare providers on hospital room doors.
, ▶ The practical nurse (PN) is caring for a 9-month-old infant with
developmental dysplasia of the hip (DDH) after a closed
reduction and hip spica cast application. After application of the cast,
which is the most important intervention in caring for
the infant? Answer: Monitor the distal toes every 2 hours for movement,
sensation, and circulation.
▶ The practical nurse (PN) turns a client with right-sided paralysis from
a supine to a left lateral position. Which bony prominence is most likely
to manifest signs of erythema when first turned? Answer: Sacrum
▶ Which nursing intervention is most important to include in the plan of
care for a child with acute glomerulonephritis? Answer: Weigh the child
daily
▶ The practical nurse (PN) observes two unlicensed assistive personnel
(UAP) turning an older adult client who had a hip arthroplasty with
prosthesis placement four hours ago. Which observation by the PN
indicates that the UAPs need additional information about the turning
procedure? Answer: The client is told to keep both legs straight and
together while turning.
▶ An older adult female resident of a long-term care facility experiences
frequent episodes of urinary incontinence. Which focused assessment is
