HESI EXAM uy
Exam Solution uy
HESI PN EXIT 2026 A+ GRADE ASSURED COMPLETE SOL
uy uy uy uy uy uy uy uy
UTIONS AND VERIFIED ANSWERS (F5074) uy uy uy uy
QUESTION 1 uy
The practical nurse (PN) notices that a client's urine is pale yellow, with a cloudy appea
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
rance, and has a foul odor. Which assessment should the PN complete next?
uy uy uy uy uy uy uy uy uy uy uy uy
ANSWER
Ask the client about urinary frequency
uy uy uy uy uy
QUESTION 2 uy
An older adult client who resides in a long-
uy uy uy uy uy uy uy uy
term care facility has a friend of the opposite sex who often visits in the evenings. The p
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ractical nurse (PN) enters the client's room to administer medications and finds the cou
uy uy uy uy uy uy uy uy uy uy uy uy uy
ple in bed together. Which action should the PN take?
uy uy uy uy uy uy uy uy uy
ANSWER
Exit the room and quietly close the door.
uy uy uy uy uy uy uy
QUESTION 3 uy
Which action by a practical nurse (PN) indicates the best understanding of the principle
uy uy uy uy uy uy uy uy uy uy uy uy uy
s related to medical asepsis and effective handwashing?
uy uy uy uy uy uy uy
ANSWER
Hold your hands lower than your elbows to promote microbe removal.
uy uy uy uy uy uy uy uy uy uy
QUESTION 4 uy
The practical nurse (PN) is removing the personal protective equipment (PPE) worn wh
uy uy uy uy uy uy uy uy uy uy uy uy
en caring for a client. Which PPE should be removed first?
uy uy uy uy uy uy uy uy uy uy
ANSWER
,gloves
QUESTION 5 uy
The practical nurse (PN) is caring for a primigravida five hours after a vaginal delivery.
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
Which finding should the PN report immediately to the charge nurse?
uy uy uy uy uy uy uy uy uy uy
ANSWER
Rubra lochia saturating three perineal pads per hour.
uy uy uy uy uy uy uy
QUESTION 6 uy
Following the dressing change of an abdominal surgical wound, a client expresses conce
uy uy uy uy uy uy uy uy uy uy uy uy
rn to the practical nurse (PN) about the scar that might result from the wound. Which r
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
esponse is best for the PN to provide?
uy uy uy uy uy uy uy
ANSWER
Tell me more about your concerns regarding an abdominal scar.
uy uy uy uy uy uy uy uy uy
QUESTION 7 uy
When preparing to change a client's sterile dressing, the practical nurse (PN) opens a p
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ackage of gauze pads as seen in the picture. Which action should the PN take next?
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ANSWER
Pick up pads and place them on a sterile field.
uy uy uy uy uy uy uy uy uy
QUESTION 8 uy
A client experiences a muscle strain or sprain to the ankle. Which intervention should t
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
he practical nurse (PN) implement for an acute soft tissue injury?
uy uy uy uy uy uy uy uy uy uy
ANSWER
Apply ice to the injured site at 15-minute intervals for the first 24 hours.
uy uy uy uy uy uy uy uy uy uy uy uy uy
QUESTION 9 uy
The practical nurse (PN) is assisting the nurse with the admission physical assessment
uy uy uy uy uy uy uy uy uy uy uy uy uy
of a client diagnosed with pneumonia. What symptom(s) is the client most likely to exhi
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
bit?
ANSWER
,a. Dyspnea
uy
c. Lung crackles
uy uy
e. Painful cough
uy uy
QUESTION 10 uy
The practical nurse (PN) is working with a newly hired PN on a medical-
uy uy uy uy uy uy uy uy uy uy uy uy uy
surgical unit. Which action performed by the newly hired PN requires intervention by t
uy uy uy uy uy uy uy uy uy uy uy uy uy
he PN? uy
ANSWER
Posting client names and healthcare providers on hospital room doors.
uy uy uy uy uy uy uy uy uy
QUESTION 11 uy
The practical nurse (PN) is caring for a 9-month-
uy uy uy uy uy uy uy uy
old infant with developmental dysplasia of the hip (DDH) after a closed reduction and h
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ip spica cast application. After application of the cast, which is the most important inter
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
vention in caring for the infant? uy uy uy uy uy
ANSWER
Monitor the distal toes every 2 hours for movement, sensation, and circulation.
uy uy uy uy uy uy uy uy uy uy uy
QUESTION 12 uy
The practical nurse (PN) turns a client with right-
uy uy uy uy uy uy uy uy
sided paralysis from a supine to a left lateral position. Which bony prominence is most l
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ikely to manifest signs of erythema when first turned?
uy uy uy uy uy uy uy uy
ANSWER
Sacrum
QUESTION 13 uy
Which nursing intervention is most important to include in the plan of care for a child
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
with acute glomerulonephritis?
uy uy
ANSWER
Weigh the child daily uy uy uy
QUESTION 14 uy
, An older adult female resident of a long-
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term care facility experiences frequent episodes of urinary incontinence. Which focused
uy uy uy uy uy uy uy uy uy uy u
assessment is most important for the practical nurse (PN) to perform regularly in respo
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nse to the resident's incontinence?
uy uy uy uy
ANSWER
Appearance of skin in perineal area. uy uy uy uy uy
QUESTION 15 uy
A client tells the practical nurse (PN) of being afraid about a scheduled surgery. How sh
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ould the PN respond? It is normal to have some fears before surgery.
uy uy uy uy uy uy uy uy uy uy uy uy
ANSWER
Tell me what is making you feel afraid.
uy uy uy uy uy uy uy
QUESTION 16 uy
A client with a chronic medical condition tells the practical nurse (PN) of not wanting a
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ny heroics to prolong the client's life if anything should happen. Which action should th
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
e PN take?
uy uy
ANSWER
Notify the client's healthcare provider of the client's wishes as soon as possible
uy uy uy uy uy uy uy uy uy uy uy uy
QUESTION 17 uy
The practical nurse (PN) is reviewing results of a client's urinalysis. What results indica
uy uy uy uy uy uy uy uy uy uy uy uy uy
te problems and should be reported by the PN to the healthcare provider? Select all tha
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
t apply.
uy
ANSWER
* Positive for albumin or protein. * Bacteria present * Large count of red blood cells.
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
QUESTION 18 uy
A client with paranoia is admitted to the mental health unit and immediately goes to th
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
e corner of the room and sits quietly without communicating. While approaching the cli
uy uy uy uy uy uy uy uy uy uy uy uy uy
ent, which intervention should the practical nurse (PN) implement first?
uy uy uy uy uy uy uy uy uy
ANSWER
Describe functions of the practical nurse (PN).
uy uy uy uy uy uy
Exam Solution uy
HESI PN EXIT 2026 A+ GRADE ASSURED COMPLETE SOL
uy uy uy uy uy uy uy uy
UTIONS AND VERIFIED ANSWERS (F5074) uy uy uy uy
QUESTION 1 uy
The practical nurse (PN) notices that a client's urine is pale yellow, with a cloudy appea
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
rance, and has a foul odor. Which assessment should the PN complete next?
uy uy uy uy uy uy uy uy uy uy uy uy
ANSWER
Ask the client about urinary frequency
uy uy uy uy uy
QUESTION 2 uy
An older adult client who resides in a long-
uy uy uy uy uy uy uy uy
term care facility has a friend of the opposite sex who often visits in the evenings. The p
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ractical nurse (PN) enters the client's room to administer medications and finds the cou
uy uy uy uy uy uy uy uy uy uy uy uy uy
ple in bed together. Which action should the PN take?
uy uy uy uy uy uy uy uy uy
ANSWER
Exit the room and quietly close the door.
uy uy uy uy uy uy uy
QUESTION 3 uy
Which action by a practical nurse (PN) indicates the best understanding of the principle
uy uy uy uy uy uy uy uy uy uy uy uy uy
s related to medical asepsis and effective handwashing?
uy uy uy uy uy uy uy
ANSWER
Hold your hands lower than your elbows to promote microbe removal.
uy uy uy uy uy uy uy uy uy uy
QUESTION 4 uy
The practical nurse (PN) is removing the personal protective equipment (PPE) worn wh
uy uy uy uy uy uy uy uy uy uy uy uy
en caring for a client. Which PPE should be removed first?
uy uy uy uy uy uy uy uy uy uy
ANSWER
,gloves
QUESTION 5 uy
The practical nurse (PN) is caring for a primigravida five hours after a vaginal delivery.
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
Which finding should the PN report immediately to the charge nurse?
uy uy uy uy uy uy uy uy uy uy
ANSWER
Rubra lochia saturating three perineal pads per hour.
uy uy uy uy uy uy uy
QUESTION 6 uy
Following the dressing change of an abdominal surgical wound, a client expresses conce
uy uy uy uy uy uy uy uy uy uy uy uy
rn to the practical nurse (PN) about the scar that might result from the wound. Which r
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
esponse is best for the PN to provide?
uy uy uy uy uy uy uy
ANSWER
Tell me more about your concerns regarding an abdominal scar.
uy uy uy uy uy uy uy uy uy
QUESTION 7 uy
When preparing to change a client's sterile dressing, the practical nurse (PN) opens a p
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ackage of gauze pads as seen in the picture. Which action should the PN take next?
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ANSWER
Pick up pads and place them on a sterile field.
uy uy uy uy uy uy uy uy uy
QUESTION 8 uy
A client experiences a muscle strain or sprain to the ankle. Which intervention should t
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
he practical nurse (PN) implement for an acute soft tissue injury?
uy uy uy uy uy uy uy uy uy uy
ANSWER
Apply ice to the injured site at 15-minute intervals for the first 24 hours.
uy uy uy uy uy uy uy uy uy uy uy uy uy
QUESTION 9 uy
The practical nurse (PN) is assisting the nurse with the admission physical assessment
uy uy uy uy uy uy uy uy uy uy uy uy uy
of a client diagnosed with pneumonia. What symptom(s) is the client most likely to exhi
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
bit?
ANSWER
,a. Dyspnea
uy
c. Lung crackles
uy uy
e. Painful cough
uy uy
QUESTION 10 uy
The practical nurse (PN) is working with a newly hired PN on a medical-
uy uy uy uy uy uy uy uy uy uy uy uy uy
surgical unit. Which action performed by the newly hired PN requires intervention by t
uy uy uy uy uy uy uy uy uy uy uy uy uy
he PN? uy
ANSWER
Posting client names and healthcare providers on hospital room doors.
uy uy uy uy uy uy uy uy uy
QUESTION 11 uy
The practical nurse (PN) is caring for a 9-month-
uy uy uy uy uy uy uy uy
old infant with developmental dysplasia of the hip (DDH) after a closed reduction and h
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ip spica cast application. After application of the cast, which is the most important inter
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
vention in caring for the infant? uy uy uy uy uy
ANSWER
Monitor the distal toes every 2 hours for movement, sensation, and circulation.
uy uy uy uy uy uy uy uy uy uy uy
QUESTION 12 uy
The practical nurse (PN) turns a client with right-
uy uy uy uy uy uy uy uy
sided paralysis from a supine to a left lateral position. Which bony prominence is most l
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ikely to manifest signs of erythema when first turned?
uy uy uy uy uy uy uy uy
ANSWER
Sacrum
QUESTION 13 uy
Which nursing intervention is most important to include in the plan of care for a child
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
with acute glomerulonephritis?
uy uy
ANSWER
Weigh the child daily uy uy uy
QUESTION 14 uy
, An older adult female resident of a long-
uy uy uy uy uy uy uy
term care facility experiences frequent episodes of urinary incontinence. Which focused
uy uy uy uy uy uy uy uy uy uy u
assessment is most important for the practical nurse (PN) to perform regularly in respo
y uy uy uy uy uy uy uy uy uy uy uy uy uy
nse to the resident's incontinence?
uy uy uy uy
ANSWER
Appearance of skin in perineal area. uy uy uy uy uy
QUESTION 15 uy
A client tells the practical nurse (PN) of being afraid about a scheduled surgery. How sh
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ould the PN respond? It is normal to have some fears before surgery.
uy uy uy uy uy uy uy uy uy uy uy uy
ANSWER
Tell me what is making you feel afraid.
uy uy uy uy uy uy uy
QUESTION 16 uy
A client with a chronic medical condition tells the practical nurse (PN) of not wanting a
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
ny heroics to prolong the client's life if anything should happen. Which action should th
uy uy uy uy uy uy uy uy uy uy uy uy uy uy
e PN take?
uy uy
ANSWER
Notify the client's healthcare provider of the client's wishes as soon as possible
uy uy uy uy uy uy uy uy uy uy uy uy
QUESTION 17 uy
The practical nurse (PN) is reviewing results of a client's urinalysis. What results indica
uy uy uy uy uy uy uy uy uy uy uy uy uy
te problems and should be reported by the PN to the healthcare provider? Select all tha
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
t apply.
uy
ANSWER
* Positive for albumin or protein. * Bacteria present * Large count of red blood cells.
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
QUESTION 18 uy
A client with paranoia is admitted to the mental health unit and immediately goes to th
uy uy uy uy uy uy uy uy uy uy uy uy uy uy uy
e corner of the room and sits quietly without communicating. While approaching the cli
uy uy uy uy uy uy uy uy uy uy uy uy uy
ent, which intervention should the practical nurse (PN) implement first?
uy uy uy uy uy uy uy uy uy
ANSWER
Describe functions of the practical nurse (PN).
uy uy uy uy uy uy