HESI PN EXIT V5 EXAMINATION TEST 2026
FULL SOLVED QUESTIONS AND SOLUTIONS
◉ A client was admitted to the psychiatric unit after complaining to
her friends and family that neighbors have bugged her home in
order to hear all of her business. She remains aloof from other
clients, paces the floor and believes that the hospital is a house of
torture. Nursing interventions for the client should appropriately
focus on efforts to
A) Convince the client that the hospital staff is trying to help
B) Help the client to enter into group recreational activities
C) Provide interactions to help the client learn to trust staff
D) Arrange the environment to limit the client's contact with other
clients. Answer: C) Provide interactions to help the client learn to
trust staff
◉ The nurse is assessing an infant with developmental dysplasia of
the hip. Which finding would the nurse anticipate?
A) Unequal leg length
B) Limited adduction
C) Diminished femoral pulses
D) Symmetrical gluteal folds
The correct answer is A: Unequal leg length. Answer: A) Unequal leg
length
,◉ A nurse is caring for a 2 year-old child after corrective surgery for
Tetralogy of Fallot. The mother reports that the child has suddenly
begun seizing. The nurse recognizes this
problem is probably due to
A) A cerebral vascular accident
B) Postoperative meningitis
C) Medication reaction
D) Metabolic alkalosis. Answer: A) A cerebral vascular accident
◉ Following a diagnosis of acute glomerulonephritis (AGN) in their
6 year-old child, the parents remark: "We just don't know how he
caught the disease!" The nurse's response is based on an
understanding that
A) AGN is a streptococcal infection that involves the kidney tubules
B) The disease is easily transmissible in schools and camps
C) The illness is usually associated with chronic respiratory
infections
D) It is not "caught" but is a response to a previous B-hemolytic
strep infection. Answer: D) It is not "caught" but is a response to a
previous B-hemolytic strep infection
◉ A couple asks the nurse about risks of several birth control
methods. What is he most appropriate response by the nurse?
,A) Norplant is safe and may be removed easily
B) Oral contraceptives should not be used by smokers
C) Depo-Provera is convenient with few side effects
D) The IUD gives protection from pregnancy and infection. Answer:
B) Oral contraceptives should not be used by smokers
◉ A client experiences postpartum hemorrhage eight hours after the
birth of twins. Following administration of IV fluids and 500 ml of
whole blood, her hemoglobin and hematocrit are within normal
limits. She asks the nurse whether she should continue to breast
feed the infants. Which of the following is based on sound rationale?
A) "Nursing will help contract the uterus and reduce your risk of
bleeding."
B) "Breastfeeding twins will take too much energy after the
hemorrhage."
C) "The blood transfusion may increase the risks to you and the
babies."
D) "Lactation should be delayed until the "real milk" is secreted.".
Answer: A) "Nursing will help contract the uterus and reduce your
risk of bleeding."
◉ The nurse is caring for a post-surgical client at risk for developing
deep vein thrombosis. Which intervention is an effective preventive
measure?
A) Place pillows under the knees
, B) Use elastic stockings continuously
C) Encourage range of motion and ambulation
D) Massage the legs twice daily
The correct answer is C: Encourage range of motion and ambulation.
Answer: C) Encourage range of motion and ambulation
◉ The nurse is caring for a 20 lbs (9 kg) 6 month-old with a 3 day
history of diarrhea, occasional vomiting and fever. Peripheral
intravenous therapy has been initiated, with 5% dextrose in 0.33%
normal saline with 20 mEq of potassium per liter infusing at 35
ml/hr. Which finding should be reported to the health care provider
immediately?
A) 3 episodes of vomiting in 1 hour
B) Periodic crying and irritability
C) Vigorous sucking on a pacifier
D) No measurable voiding in 4 hours. Answer: D) No measurable
voiding in 4 hours
◉ Which response by the nurse would best assist the chemically
impaired client to deal with issues of guilt?
A) "Addiction usually causes people to feel guilty. Don't worry, it is a
typical response
due to your drinking behavior."
FULL SOLVED QUESTIONS AND SOLUTIONS
◉ A client was admitted to the psychiatric unit after complaining to
her friends and family that neighbors have bugged her home in
order to hear all of her business. She remains aloof from other
clients, paces the floor and believes that the hospital is a house of
torture. Nursing interventions for the client should appropriately
focus on efforts to
A) Convince the client that the hospital staff is trying to help
B) Help the client to enter into group recreational activities
C) Provide interactions to help the client learn to trust staff
D) Arrange the environment to limit the client's contact with other
clients. Answer: C) Provide interactions to help the client learn to
trust staff
◉ The nurse is assessing an infant with developmental dysplasia of
the hip. Which finding would the nurse anticipate?
A) Unequal leg length
B) Limited adduction
C) Diminished femoral pulses
D) Symmetrical gluteal folds
The correct answer is A: Unequal leg length. Answer: A) Unequal leg
length
,◉ A nurse is caring for a 2 year-old child after corrective surgery for
Tetralogy of Fallot. The mother reports that the child has suddenly
begun seizing. The nurse recognizes this
problem is probably due to
A) A cerebral vascular accident
B) Postoperative meningitis
C) Medication reaction
D) Metabolic alkalosis. Answer: A) A cerebral vascular accident
◉ Following a diagnosis of acute glomerulonephritis (AGN) in their
6 year-old child, the parents remark: "We just don't know how he
caught the disease!" The nurse's response is based on an
understanding that
A) AGN is a streptococcal infection that involves the kidney tubules
B) The disease is easily transmissible in schools and camps
C) The illness is usually associated with chronic respiratory
infections
D) It is not "caught" but is a response to a previous B-hemolytic
strep infection. Answer: D) It is not "caught" but is a response to a
previous B-hemolytic strep infection
◉ A couple asks the nurse about risks of several birth control
methods. What is he most appropriate response by the nurse?
,A) Norplant is safe and may be removed easily
B) Oral contraceptives should not be used by smokers
C) Depo-Provera is convenient with few side effects
D) The IUD gives protection from pregnancy and infection. Answer:
B) Oral contraceptives should not be used by smokers
◉ A client experiences postpartum hemorrhage eight hours after the
birth of twins. Following administration of IV fluids and 500 ml of
whole blood, her hemoglobin and hematocrit are within normal
limits. She asks the nurse whether she should continue to breast
feed the infants. Which of the following is based on sound rationale?
A) "Nursing will help contract the uterus and reduce your risk of
bleeding."
B) "Breastfeeding twins will take too much energy after the
hemorrhage."
C) "The blood transfusion may increase the risks to you and the
babies."
D) "Lactation should be delayed until the "real milk" is secreted.".
Answer: A) "Nursing will help contract the uterus and reduce your
risk of bleeding."
◉ The nurse is caring for a post-surgical client at risk for developing
deep vein thrombosis. Which intervention is an effective preventive
measure?
A) Place pillows under the knees
, B) Use elastic stockings continuously
C) Encourage range of motion and ambulation
D) Massage the legs twice daily
The correct answer is C: Encourage range of motion and ambulation.
Answer: C) Encourage range of motion and ambulation
◉ The nurse is caring for a 20 lbs (9 kg) 6 month-old with a 3 day
history of diarrhea, occasional vomiting and fever. Peripheral
intravenous therapy has been initiated, with 5% dextrose in 0.33%
normal saline with 20 mEq of potassium per liter infusing at 35
ml/hr. Which finding should be reported to the health care provider
immediately?
A) 3 episodes of vomiting in 1 hour
B) Periodic crying and irritability
C) Vigorous sucking on a pacifier
D) No measurable voiding in 4 hours. Answer: D) No measurable
voiding in 4 hours
◉ Which response by the nurse would best assist the chemically
impaired client to deal with issues of guilt?
A) "Addiction usually causes people to feel guilty. Don't worry, it is a
typical response
due to your drinking behavior."
