HESI PN Exit Exam Questions And Correct Verified Answers 3 New Updated
Version 2026 Graded A+
26
A client requires application of an eye shield to the right eye. What should the nurse do in order to apply
tape in which direction to anchor the shield most effectively?
A. Across the eye from the bridge of the nose to the right temple
B. Longitudinally from the right forehead to the right cheek
20
C. From the mid-forehead over to the right zygomatic process
D. From the right lateral forehead surface to the medial nasal crease
B. Longitudinally from the right forehead to the right cheek
am
36 hours after delivery, the nurse determines a client's fundus is just above the umbilicus and displaced
to the right of midline. What action should the nurse take first?
A. Palpate the bladder for distention
B. Ask the client when her last bowel movement occurred
C. Catheterize the client and record the amount
Ex
D. Assess the amount of lochia
A. Palpate the bladder for distention
s
A client presents in the clinic because of generalized swelling after a bee sting. What intervention should
rt
the nurse implement first?
A. Assess site of sting and remove stinger if present
B. Perform mini-mental status exam to assess level of consciousness
pe
C. Determine respiratory status and apply a pulse oximeter
D. Attach electrodes to monitor cardiac rhythm
C. Determine respiratory status and apply a pulse oximeter
Ex
The LPN/LVN is administering multiple medications to a 78-year-old client because of problems related
to polypharmacy. At this client's age, which assessment is most important for the nurse to make?
A. Cumulative serum drug levels and toxicity
B. Synergistic actions due to simultaneous administration
C. Tolerance to drugs that have been taken for long periods of time
D. Antagonist actions of multiple medications
A. Cumulative serum drug levels and toxicity
,In obtaining an orthostatic vital sign measurement, what action should the nurse take first?
A. Count the client's radial pulse
B. Apply a blood pressure cuff
C. Instruct the client to lie supine
D. Assist the client to stand upright
C. Instruct the client to lie supine
6
A 3-week-oId infant is admitted for surgical repair of Pyloric Stenosis. What interventions should the
nurse expect to implement to establish hydration in the immediate postoperative period?
2
A. Diaper weights and urine specific gravity
B. Gastronomy feedings in supine position
20
C. Nipple feedings with glucose water
D. Gavage feedings with 15mL of formula
C. Nipple feedings with glucose water
am
Urinary catheter (Foley) with a 5mL inflated balloon is being removed by the nurse. After withdrawing 5
mL of fluid from the balloon, the nurse begins to withdraw the catheter while the client is in a Semi-
Fowler's position. However, the nurse meets resistance and the clients voices discomfort. What action
should the nurse take next?
Ex
A. Attempt to withdraw additional fluid from the balloon
B. Assist the client in taking a series of deep breaths
C. Lower the head of the client's bed so the client is supine
D. Allow the client to rest before continuing to remove the catheter
ts
B. Assist the client in taking a series of deep breaths
r
The home health nurse observes an elderly male client attempt to open a child- proof medication
container. When he is unsuccessful in opening the container, he throws it across the room and curses
pe
loudly. What action should the nurse implement?
A. Transfer the medications to another bottle that is easier to open
B. Leave the client's home immediately and plan to return later
C. Ignore the outburst and demonstrate how to open the bottle
Ex
D. Describe other types of medication containers that are available
D. Describe other types of medication containers that are available
At 7AM, a Diabetic client is conscious with a serum glucose level of 50mg/dL. To manage this client's
care effectively, what should the nurse administer?
A. Orange juice
B. Glucagon
, C. 10 units of regular insulin
D. IV of 5% glucose in wvater at 100 mL/hr
A. Orange juice
A LPN/LVN is caring for a client with Multiple Sclerosis (MS) who is receiving an immunsupressant.
Which action is most important for the nurse to implement to evaluate for adverse effects from this
particular medication?
A. Observe the client's skin for bruising
26
B. Auscultate the client's bowel sounds
C. Monitor the clients intake and output
D. Note changes in the client's weight
D. Note changes in the client's weight
20
A male client with Hypercholesterolemia is being discharged with a new prescription forsimvastatin
(Zocor). The client tells the nurse that he understands it is important to have liver tests performed
periodically. How should the nurse respond? am
A. Instruct the client that the only regular testing needed is to monitor his cholesterol level
B. Teach the client that liver test are usually only done if the client reports symptoms
C. Review with the client that renal function tests are needed, rather than liver tests
D. Confirm that the client correctly understands the need to monitor liver function regularly
Ex
D. Confirm that the client correctly understands the need to monitor liver function regularly
An obese female client with a high serum cholesterol level comes to the clinic for a follow-up evaluation.
s
She tells the nurse that she is now walking 30 minutes three times per week and is eating a
rt
carbohydrate free, high protein diet in order to lose weight. What response is best for the nurse to
provide?
A. Explain to the client that her diet choice is not helpful in lowering cholesterol levels
pe
B. Discuss the importance of maintaining a target heart rate during each exercise period
C. Teach the client additional ways to lower cholesterol, including stress management
D. Praise the client for her exercise and dieting efforts and encourage her to continue with this program
A. Explain to the client that her diet choice is not helpoful in lowering cholesterol levels
Ex
A child with Chronic Asthma is scheduled for Chest Physiotherapy. When should the nurse administer
the meter-dosed inhaler (MMDI) puff of bronchodilator relative to postural drainage treatments?
A. Before postural drainage
B. During postural drainage
C. After postural drainage
D.Between treatments
C. After postural drainage
Version 2026 Graded A+
26
A client requires application of an eye shield to the right eye. What should the nurse do in order to apply
tape in which direction to anchor the shield most effectively?
A. Across the eye from the bridge of the nose to the right temple
B. Longitudinally from the right forehead to the right cheek
20
C. From the mid-forehead over to the right zygomatic process
D. From the right lateral forehead surface to the medial nasal crease
B. Longitudinally from the right forehead to the right cheek
am
36 hours after delivery, the nurse determines a client's fundus is just above the umbilicus and displaced
to the right of midline. What action should the nurse take first?
A. Palpate the bladder for distention
B. Ask the client when her last bowel movement occurred
C. Catheterize the client and record the amount
Ex
D. Assess the amount of lochia
A. Palpate the bladder for distention
s
A client presents in the clinic because of generalized swelling after a bee sting. What intervention should
rt
the nurse implement first?
A. Assess site of sting and remove stinger if present
B. Perform mini-mental status exam to assess level of consciousness
pe
C. Determine respiratory status and apply a pulse oximeter
D. Attach electrodes to monitor cardiac rhythm
C. Determine respiratory status and apply a pulse oximeter
Ex
The LPN/LVN is administering multiple medications to a 78-year-old client because of problems related
to polypharmacy. At this client's age, which assessment is most important for the nurse to make?
A. Cumulative serum drug levels and toxicity
B. Synergistic actions due to simultaneous administration
C. Tolerance to drugs that have been taken for long periods of time
D. Antagonist actions of multiple medications
A. Cumulative serum drug levels and toxicity
,In obtaining an orthostatic vital sign measurement, what action should the nurse take first?
A. Count the client's radial pulse
B. Apply a blood pressure cuff
C. Instruct the client to lie supine
D. Assist the client to stand upright
C. Instruct the client to lie supine
6
A 3-week-oId infant is admitted for surgical repair of Pyloric Stenosis. What interventions should the
nurse expect to implement to establish hydration in the immediate postoperative period?
2
A. Diaper weights and urine specific gravity
B. Gastronomy feedings in supine position
20
C. Nipple feedings with glucose water
D. Gavage feedings with 15mL of formula
C. Nipple feedings with glucose water
am
Urinary catheter (Foley) with a 5mL inflated balloon is being removed by the nurse. After withdrawing 5
mL of fluid from the balloon, the nurse begins to withdraw the catheter while the client is in a Semi-
Fowler's position. However, the nurse meets resistance and the clients voices discomfort. What action
should the nurse take next?
Ex
A. Attempt to withdraw additional fluid from the balloon
B. Assist the client in taking a series of deep breaths
C. Lower the head of the client's bed so the client is supine
D. Allow the client to rest before continuing to remove the catheter
ts
B. Assist the client in taking a series of deep breaths
r
The home health nurse observes an elderly male client attempt to open a child- proof medication
container. When he is unsuccessful in opening the container, he throws it across the room and curses
pe
loudly. What action should the nurse implement?
A. Transfer the medications to another bottle that is easier to open
B. Leave the client's home immediately and plan to return later
C. Ignore the outburst and demonstrate how to open the bottle
Ex
D. Describe other types of medication containers that are available
D. Describe other types of medication containers that are available
At 7AM, a Diabetic client is conscious with a serum glucose level of 50mg/dL. To manage this client's
care effectively, what should the nurse administer?
A. Orange juice
B. Glucagon
, C. 10 units of regular insulin
D. IV of 5% glucose in wvater at 100 mL/hr
A. Orange juice
A LPN/LVN is caring for a client with Multiple Sclerosis (MS) who is receiving an immunsupressant.
Which action is most important for the nurse to implement to evaluate for adverse effects from this
particular medication?
A. Observe the client's skin for bruising
26
B. Auscultate the client's bowel sounds
C. Monitor the clients intake and output
D. Note changes in the client's weight
D. Note changes in the client's weight
20
A male client with Hypercholesterolemia is being discharged with a new prescription forsimvastatin
(Zocor). The client tells the nurse that he understands it is important to have liver tests performed
periodically. How should the nurse respond? am
A. Instruct the client that the only regular testing needed is to monitor his cholesterol level
B. Teach the client that liver test are usually only done if the client reports symptoms
C. Review with the client that renal function tests are needed, rather than liver tests
D. Confirm that the client correctly understands the need to monitor liver function regularly
Ex
D. Confirm that the client correctly understands the need to monitor liver function regularly
An obese female client with a high serum cholesterol level comes to the clinic for a follow-up evaluation.
s
She tells the nurse that she is now walking 30 minutes three times per week and is eating a
rt
carbohydrate free, high protein diet in order to lose weight. What response is best for the nurse to
provide?
A. Explain to the client that her diet choice is not helpful in lowering cholesterol levels
pe
B. Discuss the importance of maintaining a target heart rate during each exercise period
C. Teach the client additional ways to lower cholesterol, including stress management
D. Praise the client for her exercise and dieting efforts and encourage her to continue with this program
A. Explain to the client that her diet choice is not helpoful in lowering cholesterol levels
Ex
A child with Chronic Asthma is scheduled for Chest Physiotherapy. When should the nurse administer
the meter-dosed inhaler (MMDI) puff of bronchodilator relative to postural drainage treatments?
A. Before postural drainage
B. During postural drainage
C. After postural drainage
D.Between treatments
C. After postural drainage
