HESI PN Exit Exam II 2026 | Questions 1–150 | Latest
Update | Exam Prep
1. What should a practical nurse do when a client questions the appearance of
their medication?
Assume the client is confused about their medication.
Dismiss the client's concerns about the medication.
Verify that the dispensed medication is the valid prescription.
Explain that the medication is likely a generic version.
2. Why is it crucial for a practical nurse to review BUN and creatinine levels
before administering nephrotoxic antibiotics?
BUN and creatinine levels indicate the presence of infection.
BUN and creatinine levels are used to assess liver function.
BUN and creatinine levels help determine the patient's hydration
status.
BUN and creatinine levels indicate kidney function, which is
essential to assess before giving nephrotoxic medications.
3. If a patient receiving vasopressin develops chest pain and dysrhythmia, what
should the nurse's immediate action be?
Notify the healthcare provider and assess the patient's vital signs.
Administer a dose of nitroglycerin immediately.
Continue the infusion and monitor for further symptoms.
Document the symptoms and wait for the next scheduled assessment.
,4. A nurse is preparing discharge instructions for a client with obesity and joint
pain. If the client is hesitant to perform active range of motion exercises, what
should the nurse suggest as an alternative?
Introduce gentle stretching exercises to improve flexibility.
Advise complete bed rest for a week.
Suggest using a wheelchair for mobility.
Recommend a high-calorie diet to gain strength.
5. Discuss how aging affects learning abilities in older adults.
Learning abilities remain unchanged with age.
Aging enhances cognitive flexibility.
Older adults learn faster than younger adults.
You may experience some difficulty with learning new things.
6. What is the primary reason the nurse should assess the boy's injury?
The mother is concerned about the boy's coordination.
The boy has a history of similar injuries.
The injury may require medical attention, as the mother mentioned
that the boy is in pain.
The boy has abrasions that are healing.
7. Which laboratory values are primarily assessed to evaluate kidney function
before administering nephrotoxic medications?
Haemoglobin and hematocrit
White blood cell count (WBC)
, Blood urea nitrogen (BUN) and creatinine
Serum calcium
8. Why is it important for the practical nurse to respond with support when a
patient expresses anger about ambulation after surgery?
Anger from patients is irrelevant to their recovery process.
Providing support helps the patient feel understood and
encourages compliance with necessary postoperative care.
The nurse must enforce the rules without considering the patient's
feelings.
Patients should always be left alone to process their emotions.
9. Why is it important for the nurse to prioritize the client's increasing confusion
when using the SBAR communication model?
Increasing confusion is a critical change in the client's condition that
requires immediate attention.
The client's medications are more important than their current state.
Fall history is irrelevant to the current assessment.
The healthcare power of attorney is the first priority in all
communications.
10. Why is it important for the practical nurse (PN) to demonstrate the correct
pulse site to the unlicensed assistive personnel (UAP)?
To allow the UAP to work independently without supervision.
To ensure accurate assessment and monitoring of the client's
health status.
To reduce the workload of the practical nurse.
, To teach the UAP about different pulse sites for future reference.
11. The nurse cares for clients in the outpatient clinic. a client relates to the nurse
"i travel only by train because I'm terrified of flying. the nurse understands
that the phobic client is most likely to respond with what intervention?
crisis intervention
systemic desensitization
insight oriented therapy
major tranquilizers
12. Why is it important for a practical nurse to verify a client's medication when
there is a discrepancy in appearance?
To ensure patient safety and confirm the correct medication is
being administered.
To reassure the client without checking the medication.
To follow hospital protocol without question.
To avoid unnecessary communication with the client.
13. Why is it important for the practical nurse to assign the remainder of
medication administration to another PN when the medication aide leaves
early?
It is a way to document the medication aide's performance.
It prevents the practical nurse from having to administer medications.
It ensures that all residents receive their medications safely and on
time.
It allows the medication aide to leave without any consequences.
Update | Exam Prep
1. What should a practical nurse do when a client questions the appearance of
their medication?
Assume the client is confused about their medication.
Dismiss the client's concerns about the medication.
Verify that the dispensed medication is the valid prescription.
Explain that the medication is likely a generic version.
2. Why is it crucial for a practical nurse to review BUN and creatinine levels
before administering nephrotoxic antibiotics?
BUN and creatinine levels indicate the presence of infection.
BUN and creatinine levels are used to assess liver function.
BUN and creatinine levels help determine the patient's hydration
status.
BUN and creatinine levels indicate kidney function, which is
essential to assess before giving nephrotoxic medications.
3. If a patient receiving vasopressin develops chest pain and dysrhythmia, what
should the nurse's immediate action be?
Notify the healthcare provider and assess the patient's vital signs.
Administer a dose of nitroglycerin immediately.
Continue the infusion and monitor for further symptoms.
Document the symptoms and wait for the next scheduled assessment.
,4. A nurse is preparing discharge instructions for a client with obesity and joint
pain. If the client is hesitant to perform active range of motion exercises, what
should the nurse suggest as an alternative?
Introduce gentle stretching exercises to improve flexibility.
Advise complete bed rest for a week.
Suggest using a wheelchair for mobility.
Recommend a high-calorie diet to gain strength.
5. Discuss how aging affects learning abilities in older adults.
Learning abilities remain unchanged with age.
Aging enhances cognitive flexibility.
Older adults learn faster than younger adults.
You may experience some difficulty with learning new things.
6. What is the primary reason the nurse should assess the boy's injury?
The mother is concerned about the boy's coordination.
The boy has a history of similar injuries.
The injury may require medical attention, as the mother mentioned
that the boy is in pain.
The boy has abrasions that are healing.
7. Which laboratory values are primarily assessed to evaluate kidney function
before administering nephrotoxic medications?
Haemoglobin and hematocrit
White blood cell count (WBC)
, Blood urea nitrogen (BUN) and creatinine
Serum calcium
8. Why is it important for the practical nurse to respond with support when a
patient expresses anger about ambulation after surgery?
Anger from patients is irrelevant to their recovery process.
Providing support helps the patient feel understood and
encourages compliance with necessary postoperative care.
The nurse must enforce the rules without considering the patient's
feelings.
Patients should always be left alone to process their emotions.
9. Why is it important for the nurse to prioritize the client's increasing confusion
when using the SBAR communication model?
Increasing confusion is a critical change in the client's condition that
requires immediate attention.
The client's medications are more important than their current state.
Fall history is irrelevant to the current assessment.
The healthcare power of attorney is the first priority in all
communications.
10. Why is it important for the practical nurse (PN) to demonstrate the correct
pulse site to the unlicensed assistive personnel (UAP)?
To allow the UAP to work independently without supervision.
To ensure accurate assessment and monitoring of the client's
health status.
To reduce the workload of the practical nurse.
, To teach the UAP about different pulse sites for future reference.
11. The nurse cares for clients in the outpatient clinic. a client relates to the nurse
"i travel only by train because I'm terrified of flying. the nurse understands
that the phobic client is most likely to respond with what intervention?
crisis intervention
systemic desensitization
insight oriented therapy
major tranquilizers
12. Why is it important for a practical nurse to verify a client's medication when
there is a discrepancy in appearance?
To ensure patient safety and confirm the correct medication is
being administered.
To reassure the client without checking the medication.
To follow hospital protocol without question.
To avoid unnecessary communication with the client.
13. Why is it important for the practical nurse to assign the remainder of
medication administration to another PN when the medication aide leaves
early?
It is a way to document the medication aide's performance.
It prevents the practical nurse from having to administer medications.
It ensures that all residents receive their medications safely and on
time.
It allows the medication aide to leave without any consequences.
