HESI PN Exit Exam Questions And Correct Verified Answers New Updated Version 2026
When preparing to administer a prescribed medication to a homeless client at a community psychiatric
clinic. The client tells the nurse that the usual dosage taken is different from the dose the nurse is giving.
Which action should the nurse take?
26
A) Inform the client that he may refuse the medication and document whether or not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
20
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next healthcare team meeting. -
answer-B) Withhold the medication untilthe dosage can be confirmed.
am
The charge nurse is making assignmments for one practical nurse and three registered nurses who are
caring for neurologically compromised clients. Which client with which change in status is best to assign
to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
Ex
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40. - answer-B) Viral meningitis whose
s
temperature change from 101 S to 102F.
rt
The nurse is caring for a client with pneumonia who now develops initial signs of septic shock and multi
pe
organ failure. The healthcare provider prescribes a sepsis protocol. Which intervention is most
important for the nurse to include in the plan of care?
A) Maintain strict intake and output.
Ex
B) Keep head of bed raised 45o.
C) Excess warmth of extremities.
D) Monitor blood glucose level. - answer-A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because of writing a suicide note to a teacher at school.
On the second day of hospitalization, the nurse asked the client to meet with the treatment team. After
the team meeting, the client leaves in tears and goes to their room. Which nursing intervention is best?
,A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened. - answer-D) Go to the clients room and ask what
happened.
6
The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous once a day for a client who
2
weighs 154 pounds. The medication is available and 25,000 units per milliliter vial. How many milliliters should
the nurse administer? (Enter numerical value only.If rounding is required, round to the nearest 10th.) - answer-
20
0.6
NGN: The client is a 49-year-old male who reports flu like symptoms including fever and chest congestion for
four days. He came to the emergency department last night when he was having more difficulty breathing
am
he has a history of 1/2 pack a day cigarette smoking for 20 years. He has no significant medical or surgical
history.
Which two orders should the nurse complete first?
A) Sputum culture.
Ex
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
ts
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
r
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
pe
G) Start peripheral IV.
H) NPO. - answer-B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
Ex
NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture, start a peripheral IV infusion,
start oxygen 3 L per minute via nasal cannula, begin 0.9% sodium chloride IV infusion at 150 mL per hour,
acetaminophen 350 mg PO every six hours for temperature.
To start the client on oxygen as ordered which items should the nurse collects from the supply room?SATA
A) humidifier bottle.
,B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
26
G) Tape. - answer-D) Nasal cannula.
E) Flow meter.
20
(Which are the three most important goals?)
A) The client will remain free of skin breakdown.
B) The client will have quit smoking.
C) The client will be afebrile for 24 hours. am
D) The client will maintain oxygen saturation of 96% without supplemental oxygen.
E) The client will report pain less than 3/10. - answer-B) The client will have quit smoking.
Ex
C) The clientwill be afebrile for 24 hours.
E) The client will report pain less than 3/10.
s
The nurse has completed the diet teaching of a client who is being discharged following treatment of a leg
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wound. A high-protein diet is encouraged to promote wound healing. Which lunch toys by the client indicates
that the teaching was effective?
pe
A) A peanut butter sandwich with soda and cookies.
B) Vegetable soup, crackers, and milk.
C) A tuna fish sandwich with chips and ice cream.
Ex
D) A salad with three kinds of lettuce and fruit. - answer-C) A tuna fishsandwich with chips and ice cream.
A client with foul-smelling drainage from an incision on the upper left arm is admitted with a suspected MRSA.
Which nursing intervention should the nurse include in the plan of care? SATA.
A) Institute contact precautions for staff and visitors.
B) Use standard precautions and wear a mask.
, C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
E) Explain the purpose of a low bacteria diet. - answer-A) Institute contact precautions for staff and
visitors.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
2 6
An adult client who is admitted to the mental health unit for treatment of bipolar disorder has a slightly
slurred speech pattern and an unsteady gait. Which assessment finding is most important for the nurse
20
to report to the healthcare provider?
A) Weight loss of 10 pounds in the past month.
B) Six hours of sleep in the past three days.
C) Blood alcohol level of 0.09%. am
D) Serum lithium level of 1.6. - answer-D) Serum lithium level of 1.6.
Ex
When conducting diet teaching for a client who is on a post operative full liquid diet, which foods should
the nurse encouraged the client to eat? SATA.
A) Clear beef broth.
B) Vanilla frozen yogurt.
ts
C) Vegetable juice.
r
D) Creamy peanut butter.
pe
E) Canned fruit cocktail. - answer-A) Clear beef broth.
B) Vanilla frozen yogurt.
C) Vegetable juice.
Ex
An infant born with esophageal atresia and tracheoesophageal fistula receives a prescription for internal
feedings after corrective surgery. To promote normal growth and development of the infant, which
action should the nurse include in the plan of care? - answer-Offer a pacifier for non-Nutritive sucking
The nurse is preparing a four year-old client with a serum bilirubin level of 19 for discharge from the
hospital. When teaching the parents about home photo therapy, which instruction should the nurse
include in the discharge teaching plan?
When preparing to administer a prescribed medication to a homeless client at a community psychiatric
clinic. The client tells the nurse that the usual dosage taken is different from the dose the nurse is giving.
Which action should the nurse take?
26
A) Inform the client that he may refuse the medication and document whether or not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
20
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next healthcare team meeting. -
answer-B) Withhold the medication untilthe dosage can be confirmed.
am
The charge nurse is making assignmments for one practical nurse and three registered nurses who are
caring for neurologically compromised clients. Which client with which change in status is best to assign
to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
Ex
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40. - answer-B) Viral meningitis whose
s
temperature change from 101 S to 102F.
rt
The nurse is caring for a client with pneumonia who now develops initial signs of septic shock and multi
pe
organ failure. The healthcare provider prescribes a sepsis protocol. Which intervention is most
important for the nurse to include in the plan of care?
A) Maintain strict intake and output.
Ex
B) Keep head of bed raised 45o.
C) Excess warmth of extremities.
D) Monitor blood glucose level. - answer-A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because of writing a suicide note to a teacher at school.
On the second day of hospitalization, the nurse asked the client to meet with the treatment team. After
the team meeting, the client leaves in tears and goes to their room. Which nursing intervention is best?
,A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened. - answer-D) Go to the clients room and ask what
happened.
6
The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous once a day for a client who
2
weighs 154 pounds. The medication is available and 25,000 units per milliliter vial. How many milliliters should
the nurse administer? (Enter numerical value only.If rounding is required, round to the nearest 10th.) - answer-
20
0.6
NGN: The client is a 49-year-old male who reports flu like symptoms including fever and chest congestion for
four days. He came to the emergency department last night when he was having more difficulty breathing
am
he has a history of 1/2 pack a day cigarette smoking for 20 years. He has no significant medical or surgical
history.
Which two orders should the nurse complete first?
A) Sputum culture.
Ex
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
ts
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
r
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
pe
G) Start peripheral IV.
H) NPO. - answer-B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
Ex
NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture, start a peripheral IV infusion,
start oxygen 3 L per minute via nasal cannula, begin 0.9% sodium chloride IV infusion at 150 mL per hour,
acetaminophen 350 mg PO every six hours for temperature.
To start the client on oxygen as ordered which items should the nurse collects from the supply room?SATA
A) humidifier bottle.
,B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
26
G) Tape. - answer-D) Nasal cannula.
E) Flow meter.
20
(Which are the three most important goals?)
A) The client will remain free of skin breakdown.
B) The client will have quit smoking.
C) The client will be afebrile for 24 hours. am
D) The client will maintain oxygen saturation of 96% without supplemental oxygen.
E) The client will report pain less than 3/10. - answer-B) The client will have quit smoking.
Ex
C) The clientwill be afebrile for 24 hours.
E) The client will report pain less than 3/10.
s
The nurse has completed the diet teaching of a client who is being discharged following treatment of a leg
rt
wound. A high-protein diet is encouraged to promote wound healing. Which lunch toys by the client indicates
that the teaching was effective?
pe
A) A peanut butter sandwich with soda and cookies.
B) Vegetable soup, crackers, and milk.
C) A tuna fish sandwich with chips and ice cream.
Ex
D) A salad with three kinds of lettuce and fruit. - answer-C) A tuna fishsandwich with chips and ice cream.
A client with foul-smelling drainage from an incision on the upper left arm is admitted with a suspected MRSA.
Which nursing intervention should the nurse include in the plan of care? SATA.
A) Institute contact precautions for staff and visitors.
B) Use standard precautions and wear a mask.
, C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
E) Explain the purpose of a low bacteria diet. - answer-A) Institute contact precautions for staff and
visitors.
C) Send wound drainage for culture and sensitivity.
D) Monitor the clients white blood cell count.
2 6
An adult client who is admitted to the mental health unit for treatment of bipolar disorder has a slightly
slurred speech pattern and an unsteady gait. Which assessment finding is most important for the nurse
20
to report to the healthcare provider?
A) Weight loss of 10 pounds in the past month.
B) Six hours of sleep in the past three days.
C) Blood alcohol level of 0.09%. am
D) Serum lithium level of 1.6. - answer-D) Serum lithium level of 1.6.
Ex
When conducting diet teaching for a client who is on a post operative full liquid diet, which foods should
the nurse encouraged the client to eat? SATA.
A) Clear beef broth.
B) Vanilla frozen yogurt.
ts
C) Vegetable juice.
r
D) Creamy peanut butter.
pe
E) Canned fruit cocktail. - answer-A) Clear beef broth.
B) Vanilla frozen yogurt.
C) Vegetable juice.
Ex
An infant born with esophageal atresia and tracheoesophageal fistula receives a prescription for internal
feedings after corrective surgery. To promote normal growth and development of the infant, which
action should the nurse include in the plan of care? - answer-Offer a pacifier for non-Nutritive sucking
The nurse is preparing a four year-old client with a serum bilirubin level of 19 for discharge from the
hospital. When teaching the parents about home photo therapy, which instruction should the nurse
include in the discharge teaching plan?
