PN EXIT HESI Exam Questions and Answers Best Rated A+ Guaranteed Success New Update 2025

PN EXIT HESI Exam Questions and Answers Best Rated A+ Guaranteed Success New Update 2025 • The practical nurse (PN) is observing a client self-administering a dose if subcutaneous insulin. What step of the injection technique should the practical nurse (PN) reteach? a. Injects air into the insulin vial to displace the dose b. Selects the same site that was used for the previous injection c. Inserts the needle at a 90-degree angle to the skin surface d. Uses a circular motion when applying an alcohol pad to the site Rationale: The PN should reteach the client to rotate the NOON site to a site other than the same one used for the AM dose. Different sites used throughout the day may provide a varying rate of absorption related to activity. Intra-site rotation is recommended for the doseused during one specific time of the day. The other choices are acceptable techniques for subcutaneous injection of insulin. • The practical nurse (PN) observes a newly hired unlicensed assistive personnel (UAP) who is counting a client’s radial pulse as seen in the picture. Which action should the PNtake? a. Confirm accuracy of the pulse rate obtained by the UAP b. Instruct the UAP to report any abnormal findings c. Remind the UAP to check the clients pulse volume d. Demonstrate the correct pulse site to the UAP (follow the thumb for the radial pulse,follow the pinky for the brachial) Rationale: When checking the radial pulse, the index and middle finger should be aligned withthe thumb, for brachial pulse assessment should be aligned with the pinky finger. • The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds (4,581 grams). The infant is jittery and has a heel stick glucose level of 40 mg/dL(2.2 mmol/L or SI units) 30 minutes after birth. Based on this information, which intervention should the practical nurse (PN) implement first? a. Repeat the heel stick for glucose in one hour b. Offer nipple feedings of 10% dextrose c. Begin frequent feedings of breast milk or formula d. Assess for signs of hypocalcemia Rationale: Providing frequent feedings will reduce the infants blood glucose; we wouldn’twant to obtain another heel stick as we want to do less invasive as possible. • A client consumes 8 ounces (oz) of broth, 4 oz of apple juice, 4 ounces of flavored gelatinand 1 banana. During the same shift, this client receives 1 liter of IV fluid and voids 700 mL. How many mL total oral and IV intake should the PN document on the client’s medical record? (Enter numeric value only). 8 oz x 30 mL = 240 mL 4 oz x 30 mL = 120 mL 4 oz x 30 mL = 120 mL 1 L = 1000 mL Total intake = 1480 mL • The nurse is very busy and running late with administering medications and asks thepractical nurse (PN) to administer a medication already drawn up in an unlabeled syringe. How should the PN respond? a. “You should know that I cannot administer the medication in this syringe” b. “As long as the charge nurse checks the syringe, I can give the medication” c. “Teamwork is the best approach. I will be glad to help you get caught up” d. “I am not comfortable doing that. Is there something else I can do to help you?” Rationale: Explaining your comfortability is always okay because you don’t want to jeopardizeyour license, so offering to help with the nurse’s other workload is being. A team player. • The practical nurse (PN) is assigning care for a group of clients on the urology medicalunit. Which client should the PN assign to the unlicensed assistive personnel (UAP)? (Select all that apply.) a. Irrigate an indwelling urinary catheter for a client with bladder suspension b. Obtain a post-voided residual (PVR) volume c. Empty beside drainage unit for a client with indwelling urinary catheter d. Teach the client with fluid restrictions how to measure urine output e. Transport a urine culture sample to the laboratory Rationale: The scope of practice of UAP includes personal care such as bowel and bladder careincluding intake and output measurements. Emptying urine from bedside drainage units and transporting specimens are tasks that can be assigned to the UAP. • Which intervention should the practical nurse (PN) reinforce for a client with pruritis? a. Encourage a warm sleeping environment b. Do not take any type of tub bath c. Discourage use of skin lubricants d. Keep fingernails trimmed short Rationale: Keeping fingernails short with rough edges filed helps minimize excoriation fromscratching the pruritic (itch) area. • While administering prescription medications to an older resident in an extended care facility, the practical nurse (PN) notices that the client is having difficulty hearing. What action is most important for the PN to take? a. Speak louder so the client can hear the conversation b. Encourage the client to read the practical nurse’s lips c. Provide written instructions about how to take medications d. Determine if the client has had difficulty in the past Rationale: In the older population, presbycusis is common and results from degenerative changes in the ear with again and is often a gradual progressive, bilateral inability to hear,especially high frequency sounds. Most importantly, the PN should determine if the clientshearing problem is new or gradual, chronic condition. • The healthcare provider prescribes cefazolin 500 mg IM every 6 hours. The available vialis labeled, “Cefazolin 1 gram,” and the instructions for reconstitution state, “For IM use, add 2.5 mL sterile water for injection to provide a total volume of 3.0 mL.” After reconstitution, how many mL should be administered to the client? (enter numeric valueonly. If rounding is required, round to the nearest tenth.) 1.3 mL Rationale: 1 g 1000 mg; 500 mg/ 1000 = 0.5; 0.5 x 2.5 mL = 1.25 rounded to nearesttenth = 1.3 mL • In caring for a client with Buck’s traction, the practical nurse (PN) observes that the prescribed amount weights are hanging freely, and the traction rope is on the pulley.Which action should the PN implement first? a. Adjust the traction rope so it is free from the pulley b. Place the weights on blocks to increase their stability c. Contact the orthopedic technician to adjust the traction d. Document that the Buck’s traction is being maintained Rationale: Weights that hang freely with ropes in the pulleys indicate the traction is correctlyapplied. The PN should document the Buck’s traction is being maintained. • When a small fire breaks out in the kitchen of a long-term care facility, which task ismost important for the practical nurse (PN) to perform instead of assigning to a unlicensed assistive personnel? a. Provide blankets to each of the residents for use during evacuation b. Identify the method for transporting and evacuating each resident c. Close the doors to all of the residents’ rooms d. Offer comfort care and reassurance to each resident • The practical nurse (PN) is caring for a client with coronary artery disease who is admitted with intermittent chest pain. The admission laboratory results indicate elevations in troponin I and creatine phosphokinase myoglobulin isoenzyme (CK-MB) levels. What should the PN consider the most significant risk for this client on the secondday of admission? a. The lab results indicate myocardial damage, and the client is at risk for cardiacdysrhythmias b. The client is at risk for recurrent long-term angina pain and subsequent myocardialinfarction c. The client is at risk for pulmonary embolism, and lifestyle modifications need to beimplemented d. The lab results indicate risk factors for transient ischemic attack (TIA), and neuro-vitalsigns should be monitored Rationale: Elevations in serum troponin 1 and CK-MB indicate myocardial cell damage whichcause an instability of the myocardial call membrane and can precipitate life-threatening cardiac dysrhythmias that increase in the first 24-48 hours after a MI. Although the clients underlying pathology places the client at risk for other complications, the incidence of dysrhythmias in the immediate post-MI period is greatest. • `The practical nurse (PN) observes hematuria in the urinary catheter drainage tubing of aclient who is receiving intravenous heparin. Which action should the PN implement first? a. Obtain a urine specimen for urinalysis b. Check the client’s gums for bleeding c. Document the finding in the client’s medical record d. Irrigate the urinary catheter with sterile normal saline • The practical nurse (PN) explains the 2-week dosage prescription of prednisone to a client who has poison ivy covering multiple skin surfaces. What should the PN emphasizeabout the dosing schedule? a. Take the prednisone with meals b. Monitor oral temperature daily c. Return for blood glucose monitoring in one week d. Decrease dosage daily as prescribed • A client is receiving an anticonvulsant, diazepam, intravenously for status epilepticus.Which intervention is most important for the practical nurse (PN) to implement? a. Monitor the client’s respiratory rate and effort b. Observe the clients’ eyes for deviation to the side c. Record hourly blood pressures for the next 4 hours d. Measure hourly urinary output for the next 8 hours • The practical nurse (PN) administers filgrastim to a client with neutropenia. The clientlater complains of bone pain. Which action should the PN take? a. Reassure the client that neutropenia often causes bone pain b. Plan to administer the next dose at an alternate injection site c. Offer to administer a prescribed PRN analgesic to the client d. Prepare a variance report about the onset of pain after injection Rationale: Medullary bone pain is a side effect of filgrastim, and the PN should offer toadminister an analgesic to provide pain relief. • The practical nurse (PN) is caring for a client who has been taking nonsteroidal anti- inflammatory drug ibuprofen for arthritic pain. Which action will the PN include in thisclient plan of care? a. Give the medication on an empty stomach b. Observe for signs of gastrointestinal bleeding c. Encourage the client to wear sunblock when outside d. Monitor the blood pressure frequently Rationale: A common side effect of NSAIDs is gastrointestinal (GI) distress. The PN shouldobserve for any signs of GI bleeding, and these should be reported immediately, and the client should quit taking the medication. • The practical nurse (PN) reviews instructions for use of polyethylene glycol, a laxative,with a client scheduled for a colonoscopy. Which instruction should the PN include? a. Report the onset of watery diarrhea to the healthcare provider b. Dilute the liquid medication with fruit juice to mask the flavor c. Drink each glass of solution rapidly at regular specified time intervals d. Drink the solution with the evening meal before the scheduled exam Rationale: to produce the best effect, the client should be instructed to drink each glass (240ml) of polyethylene glycol solution rapidly and at regular intervals • The practical nurse (PN) notifies the healthcare provider about client information usingSituation, Background, Assessment, Recommendation (SBAR) technique. Which information should the PN provide first? a. A 26-year-old client b. Intravenous fluids infusing at 75 mL/hr c. Blood pressure is 80/48 mmHg d. Cholecystectomy 24 hours ago • In administering nystatin suspension to the gums of an infant with candida infection,which approach should the practical nurse (PN) use? a. Irrigate the infected area medicated solution after applying sterile gloves b. Draw up the medication in a needle-less syringe which the infant can suck c. Use a gloved finger to rub the suspension over the infected area d. Measure the prescribed amount of solution into the infant’s bottle • When obtaining a capillary blood sample for glucose measurement, which interventionshould the practical nurse (PN) implement? a. Grasp the subcutaneous tissue and pull upward b. Remove any nail polish from the fingernails c. Determine which finger was used previously d. Apply a tourniquet above the antecubital fossa Rationale: Using another site than a previously accessed finger pad reduces repeated traumato the tissue and capillary supply in the distal finger where the blood sample is taken. • The practical nurse (PN) is assisting a client to cough and deep breathe following surgery.To facilitate effective coughing, the PN should assist the client to assume which position? a. Lying prone with the head turned to one side b. Leaning forward over the bedside table c. Left-lateral with pillow between flexed knees d. Sitting on the side of bed with feet flat on the floor Rationale: Sitting upright facilitates diaphragm excursion and enhances thoracic andabdominal expansion. • An older female adult who was admitted to a long-term care facility yesterday is confused about what day of the week it is. Her history does not indicate that she wasconfused prior to admission. What action should the practical nurse (PN) take? a. Remind the client what day of the week it is b. Document the client’s loss of memory in the record c. Notify the family of the changes in the client’s condition d. Encourage the client to rest during the day Rationale: Relocation often results in confusion among elderly clients during times of adjustment to new surroundings. The PN should remind the client which day of the week it iswhen she forgets or becomes confused. The other actions are not indicated at this time for relocation or stress. • The practical nurse (PN) learns that a client who is receiving chemotherapy has developed stomatitis. Which information should the PN obtain from the client during afocused assessment? a. Frequency of bowel movements b. Blood pressure while standing c. Ability to swallow d. Urinary output Rationale: Stomatitis or inflammation of the oral mucosa can cause pain and result in difficulty in swallowing. The PN should gather information related to the client’s ability toswallow. • The practical nurse (PN) is assigned to care for a client who had an endoscopic procedure in which the local anesthetic was sprayed on the throat. Which priority actionshould the PN include in the clients plan of care? a. Instruct the client to speak b. Inquire about a sore throat c. Observe for belching d. Assess the gag reflex • A client receives ondansetron prior to a chemotherapy treatment. How should thepractical nurse evaluate the effectiveness of the medication? a. Determine if the client feels calm and relaxed before the treatment b. Monitor the client for nausea and vomiting following the treatment c. Observe the client for signs of pain or discomfort during the treatment d. Assess for changes in vital signs during and after the treatment Rationale: Ondansetron is an antiemetic administered prior to chemotherapy to prevent post-treatment nausea and vomiting. The other actions do not evaluate the desired effect of ondansetron. • When gathering data about a client with dark skin tones, which site should the practicalnurse (PN) observe? a. Finger and toenails b. Sclera and mucous membranes c. Forehead and face d. Hands and feet • An older client who had a colon resection 8 days ago is straining at stool. The practical nurse (PN) observes sudden spillage of serosanguinous drainage from the client's woundfollowed by appearance of bowel on the skin. Which complication has occurred? a. Evisceration b. Dehiscence c. Hemorrhage d. Infection Rationale: Evisceration is the complete separation of a wound with protrusion of the viscera,which usually occurs 7-10 days postoperatively. • A client who is being cared for in her home has a low serum sodium level of 125 mEq/L. To determine the cause of this value, which information should the practical nurse (PN) request from the client? a. The amount of salt substitute used in meal preparation b. The number of vegetable servings consumed daily c. The percent of processed or canned foods eaten d. The amount of ice chips and water consumed daily Rationale: An excessively low serum sodium level (normal 135-145) may be the result of water intoxication. The PN should evaluate the client’s daily consumption of ice or water.