HESI RN Exit Exam Qs & Ans Exam,
100% Verified – PDF | Grdaed A + 2025
-2026 | Brandnew!!!
Question: The practical nurse enters a male client's room to administer routine morning
medications, and the client is on the phone. Which action is best for the PN to take?
Options:
A. Ask another nurse to go back with the medication when the client’s phone call is over
B. Wait for the client to finish the phone call and observe the client taking the medication
C. Return the medication to the drawer and document the client refused the dose
D. Leave the medication with the client to take when ready
Answer: B
Rationale: Medications should be given when the client can safely take them. Waiting
ensures the client can focus on taking the medication properly and avoids leaving it
unattended, which could lead to errors.
Question: A client is admitted to the postoperative surgical unit with two chest tubes after
a left lobectomy. The PN observes tidaling with respirations and bubbling at the prescribed
suction of 20 cm H₂O. What should the PN do?
Options:
A. Clamp the chest tube to see if the activity stops
B. Notify the RN of a malfunction
C. Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing to the chest tube
Answer: C
Rationale: Normal tidaling and bubbling indicate proper function. The priority is to
maintain system integrity to allow lung reexpansion. Clamping or altering the system
unnecessarily could cause complications.
Question: The mother of a 9-month-old child diagnosed with RSV calls asking if it is safe to
attend a first birthday party. What should the PN advise?
Options:
A. Do not expose other children, as RSV is highly contagious even without direct contact
B. The child is no longer contagious; no precautions are needed
,C. The child can attend but should wear a mask
D. Avoid children under 5 months of age around the infected child
Answer: A
Rationale: RSV is highly contagious, especially in infants. Exposing others can spread
infection, even if contact is minimal.
Question: A young adult Korean female client avoids eye contact when asked about sexual
activity. What is the PN’s best response?
Options:
A. Omit this section of the assessment form
B. Ask if she would like an interpreter to ask the question
C. Reword the question for clarity
D. Observe her response to other questions
Answer: D
Rationale: Cultural sensitivity is important. Forcing the question may increase discomfort.
Observing her response can provide nonverbal cues without pressure.
Question: During the immediate postoperative period following a total hip replacement,
which intervention is most important?
Options:
A. Encourage ambulation with walker or cane
B. Keep the hip aligned with knees abducted
C. Teach the client to sit on the edge of the bed before standing
D. Monitor urinary flow via catheter
Answer: B
Rationale: Proper hip alignment prevents dislocation, which is the priority during the
immediate postoperative period.
Question: A client confides to the PN that they are substituting herbal supplements for
prescribed blood pressure medications. How should the PN respond first?
Options:
A. Ask the client why they chose herbs instead of prescribed medication
B. Reinforce that the provider prescribed medication for a reason
C. Have the client describe complications of high blood pressure
D. Point out the risks of using herbs instead of prescribed medications
Answer: A
Rationale: Understanding the client’s rationale allows the PN to provide education and
collaborate safely on health decisions.
,Question: A disoriented resident in a long-term care facility has no ID band or picture.
What is the PN’s best action before administering medications?
Options:
A. Ask a regular staff member to confirm identity
B. Hold medication until family verifies
C. Re-orient the resident to name, place, and situation
D. Confirm room and bed numbers with medication record
Answer: D
Rationale: Proper identification is critical for medication safety. Room and bed verification
reduces the risk of errors.
Question: An adult client with 40% total body surface burns has urinary output of 20
mL/hr. Why should the PN report this immediately?
Options:
A. Poor appetite and refusing to eat
B. Systolic BP at 102
C. Painful moaning and crying
D. Urinary output of 20 mL/hr
Answer: D
Rationale: Low urine output indicates inadequate perfusion and potential hypovolemic
shock. Early intervention is critical.
Question: A 12-year-old child receiving a blood transfusion develops flushed skin and
itching 15 minutes into the infusion. What should the PN do first?
Options:
A. Apply lotion to skin
B. Stop the transfusion
C. Inspect the infusion site
D. Obtain vital signs
Answer: B
Rationale: Stopping the transfusion immediately prevents worsening of a potential
transfusion reaction. Assessment and reporting follow.
Question: A PN observes a crusted 0.7 cm lesion on an older adult client’s forehead. What
should the PN do?
Options:
, A. Report to healthcare provider
B. Apply a clear occlusive dressing
C. Apply a warm compress
D. Explain it is a normal skin change
Answer: A
Rationale: Any suspicious skin lesion should be evaluated for infection or malignancy;
reporting ensures timely care.
Question: While taking vitals of an older male client on psychotropic medications, the PN
observes uncontrollable hand movements and excessive blinking. What should the PN
review in the medical record?
Options:
A. Lorazepam prescription
B. History of Parkinson’s disease
C. Screening for tardive dyskinesia
D. Recent urine drug screen
Answer: C
Rationale: Symptoms suggest medication-induced movement disorder (tardive
dyskinesia), commonly caused by long-term psychotropic use.
Question: An elderly female client reports urinary leakage when sneezing. Which muscles
are targeted with Kegel exercises?
Options:
A. Pectoral muscles
B. Buttock muscles
C. Abdominal muscles
D. Pelvic floor muscles
Answer: D
Rationale: Kegel exercises strengthen pelvic floor muscles, improving bladder control.
Question: While providing oral care for an unconscious client, the PN positions the client
laterally and uses a basin. Which intervention is best?
Options:
A. Swab oral cavity with a washcloth
B. Use oral swabs with normal saline
C. Provide a Yankauer suction tip
D. Support the head with a small pillow
100% Verified – PDF | Grdaed A + 2025
-2026 | Brandnew!!!
Question: The practical nurse enters a male client's room to administer routine morning
medications, and the client is on the phone. Which action is best for the PN to take?
Options:
A. Ask another nurse to go back with the medication when the client’s phone call is over
B. Wait for the client to finish the phone call and observe the client taking the medication
C. Return the medication to the drawer and document the client refused the dose
D. Leave the medication with the client to take when ready
Answer: B
Rationale: Medications should be given when the client can safely take them. Waiting
ensures the client can focus on taking the medication properly and avoids leaving it
unattended, which could lead to errors.
Question: A client is admitted to the postoperative surgical unit with two chest tubes after
a left lobectomy. The PN observes tidaling with respirations and bubbling at the prescribed
suction of 20 cm H₂O. What should the PN do?
Options:
A. Clamp the chest tube to see if the activity stops
B. Notify the RN of a malfunction
C. Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing to the chest tube
Answer: C
Rationale: Normal tidaling and bubbling indicate proper function. The priority is to
maintain system integrity to allow lung reexpansion. Clamping or altering the system
unnecessarily could cause complications.
Question: The mother of a 9-month-old child diagnosed with RSV calls asking if it is safe to
attend a first birthday party. What should the PN advise?
Options:
A. Do not expose other children, as RSV is highly contagious even without direct contact
B. The child is no longer contagious; no precautions are needed
,C. The child can attend but should wear a mask
D. Avoid children under 5 months of age around the infected child
Answer: A
Rationale: RSV is highly contagious, especially in infants. Exposing others can spread
infection, even if contact is minimal.
Question: A young adult Korean female client avoids eye contact when asked about sexual
activity. What is the PN’s best response?
Options:
A. Omit this section of the assessment form
B. Ask if she would like an interpreter to ask the question
C. Reword the question for clarity
D. Observe her response to other questions
Answer: D
Rationale: Cultural sensitivity is important. Forcing the question may increase discomfort.
Observing her response can provide nonverbal cues without pressure.
Question: During the immediate postoperative period following a total hip replacement,
which intervention is most important?
Options:
A. Encourage ambulation with walker or cane
B. Keep the hip aligned with knees abducted
C. Teach the client to sit on the edge of the bed before standing
D. Monitor urinary flow via catheter
Answer: B
Rationale: Proper hip alignment prevents dislocation, which is the priority during the
immediate postoperative period.
Question: A client confides to the PN that they are substituting herbal supplements for
prescribed blood pressure medications. How should the PN respond first?
Options:
A. Ask the client why they chose herbs instead of prescribed medication
B. Reinforce that the provider prescribed medication for a reason
C. Have the client describe complications of high blood pressure
D. Point out the risks of using herbs instead of prescribed medications
Answer: A
Rationale: Understanding the client’s rationale allows the PN to provide education and
collaborate safely on health decisions.
,Question: A disoriented resident in a long-term care facility has no ID band or picture.
What is the PN’s best action before administering medications?
Options:
A. Ask a regular staff member to confirm identity
B. Hold medication until family verifies
C. Re-orient the resident to name, place, and situation
D. Confirm room and bed numbers with medication record
Answer: D
Rationale: Proper identification is critical for medication safety. Room and bed verification
reduces the risk of errors.
Question: An adult client with 40% total body surface burns has urinary output of 20
mL/hr. Why should the PN report this immediately?
Options:
A. Poor appetite and refusing to eat
B. Systolic BP at 102
C. Painful moaning and crying
D. Urinary output of 20 mL/hr
Answer: D
Rationale: Low urine output indicates inadequate perfusion and potential hypovolemic
shock. Early intervention is critical.
Question: A 12-year-old child receiving a blood transfusion develops flushed skin and
itching 15 minutes into the infusion. What should the PN do first?
Options:
A. Apply lotion to skin
B. Stop the transfusion
C. Inspect the infusion site
D. Obtain vital signs
Answer: B
Rationale: Stopping the transfusion immediately prevents worsening of a potential
transfusion reaction. Assessment and reporting follow.
Question: A PN observes a crusted 0.7 cm lesion on an older adult client’s forehead. What
should the PN do?
Options:
, A. Report to healthcare provider
B. Apply a clear occlusive dressing
C. Apply a warm compress
D. Explain it is a normal skin change
Answer: A
Rationale: Any suspicious skin lesion should be evaluated for infection or malignancy;
reporting ensures timely care.
Question: While taking vitals of an older male client on psychotropic medications, the PN
observes uncontrollable hand movements and excessive blinking. What should the PN
review in the medical record?
Options:
A. Lorazepam prescription
B. History of Parkinson’s disease
C. Screening for tardive dyskinesia
D. Recent urine drug screen
Answer: C
Rationale: Symptoms suggest medication-induced movement disorder (tardive
dyskinesia), commonly caused by long-term psychotropic use.
Question: An elderly female client reports urinary leakage when sneezing. Which muscles
are targeted with Kegel exercises?
Options:
A. Pectoral muscles
B. Buttock muscles
C. Abdominal muscles
D. Pelvic floor muscles
Answer: D
Rationale: Kegel exercises strengthen pelvic floor muscles, improving bladder control.
Question: While providing oral care for an unconscious client, the PN positions the client
laterally and uses a basin. Which intervention is best?
Options:
A. Swab oral cavity with a washcloth
B. Use oral swabs with normal saline
C. Provide a Yankauer suction tip
D. Support the head with a small pillow
