HESI PN Exit Latest Exam 2026 | Exam Prep | High-Yield
Review Guide
1. The LVN is teaching her client to care for a new ostomy appliance. What
action should the nurse implement to prevent leakage?
cut the bag opening to the measurement of the stoma size
place a 4x4 wick in the stoma opening
administer a PRN anti-diarrhea agent
apply a layer of zinc oxide to the perimeter of the stoma
2. If a terminally ill patient is experiencing severe pain, how should the hospice
care team respond based on their philosophy?
By training family members to administer pain relief medications.
By recommending treatments to postpone death.
By enhancing symptom management to improve the patient's
quality of life.
By suggesting assisted suicide options to the patient.
3. Which process is responsible for the movement of water across a
semipermeable membrane from an area of lower solute concentration to an
area of higher solute concentration?
Diffusion
Filtration
Active transport
Osmosis
,4. If a patient requires 1 gram of cefazolin (Kefzol) and the solution
concentration is 250 mg/mL, how many milliliters should be administered?
2 mL
1 mL
8 mL
4 mL
5. Describe the role of cervical mucus in the reproductive process.
Cervical mucus facilitates sperm transport through the reproductive
tract.
Cervical mucus acts as a barrier to prevent sperm entry.
Cervical mucus is responsible for ovum production.
Cervical mucus helps in the implantation of the fertilized egg.
6. What are the recommended sites for administering an intramuscular injection
in a 4-year-old child?
Vastus lateralis, Ventrogluteal, Dorsogluteal
Dorsogluteal, Deltoid, Rectus femoris
Ventrogluteal, Deltoid, Rectus femoris
Deltoid, Rectus femoris, Vastus lateralis
7. Describe how the behavior of a toddler claiming ownership of a toy reflects
Erikson's concept of Autonomy vs. Shame and Doubt.
The behavior reflects a toddler's developing sense of independence
and self-control.
The behavior indicates the toddler's need for trust and security.
, The behavior shows the toddler's ability to work with others.
The behavior suggests the toddler is learning to follow rules.
8. What nonfood item causes most choking deaths in young children?
Pacifiers
Broken rattles
Latex balloons
Buttons
9. What is the recommended way to take prednisone to minimize
gastrointestinal side effects?
Before bedtime
With a glass of water
With meals
On an empty stomach
10. Why is it important for the nurse to re-instruct the client in coughing
techniques when obtaining a specimen?
Coughing techniques are used to calm the client during the
procedure.
Coughing techniques are necessary for hydration before the
specimen collection.
Coughing techniques help ensure that the specimen is collected
effectively and accurately.
Coughing techniques prevent contamination of the specimen.
, 11. Why is it important to insert the catheter an additional inch after observing
urine flow during the insertion process?
It helps the client relax during the procedure.
It prevents the catheter from becoming dislodged.
Inserting the catheter an additional inch ensures proper placement
in the bladder.
It allows for better visualization of the urine color.
12. At what age should an infant start to consistently return smiles to their
mother?
4 months
3 months
2 months
1 month
13. If a client continues to show signs of hypoglycemia after consuming crackers
and milk, what should the nurse do next?
Encourage the client to take a walk to stimulate appetite.
Monitor the client's blood glucose levels and consider
administering glucose.
Document the incident and wait for the client to recover.
Administer another dose of insulin to stabilize levels.
14. Susan has been admitted for severe bleeding following a therapeutic
abortion. She is crying when the practical nurse comes in to assess her. What
should the practical nurse do?
Review Guide
1. The LVN is teaching her client to care for a new ostomy appliance. What
action should the nurse implement to prevent leakage?
cut the bag opening to the measurement of the stoma size
place a 4x4 wick in the stoma opening
administer a PRN anti-diarrhea agent
apply a layer of zinc oxide to the perimeter of the stoma
2. If a terminally ill patient is experiencing severe pain, how should the hospice
care team respond based on their philosophy?
By training family members to administer pain relief medications.
By recommending treatments to postpone death.
By enhancing symptom management to improve the patient's
quality of life.
By suggesting assisted suicide options to the patient.
3. Which process is responsible for the movement of water across a
semipermeable membrane from an area of lower solute concentration to an
area of higher solute concentration?
Diffusion
Filtration
Active transport
Osmosis
,4. If a patient requires 1 gram of cefazolin (Kefzol) and the solution
concentration is 250 mg/mL, how many milliliters should be administered?
2 mL
1 mL
8 mL
4 mL
5. Describe the role of cervical mucus in the reproductive process.
Cervical mucus facilitates sperm transport through the reproductive
tract.
Cervical mucus acts as a barrier to prevent sperm entry.
Cervical mucus is responsible for ovum production.
Cervical mucus helps in the implantation of the fertilized egg.
6. What are the recommended sites for administering an intramuscular injection
in a 4-year-old child?
Vastus lateralis, Ventrogluteal, Dorsogluteal
Dorsogluteal, Deltoid, Rectus femoris
Ventrogluteal, Deltoid, Rectus femoris
Deltoid, Rectus femoris, Vastus lateralis
7. Describe how the behavior of a toddler claiming ownership of a toy reflects
Erikson's concept of Autonomy vs. Shame and Doubt.
The behavior reflects a toddler's developing sense of independence
and self-control.
The behavior indicates the toddler's need for trust and security.
, The behavior shows the toddler's ability to work with others.
The behavior suggests the toddler is learning to follow rules.
8. What nonfood item causes most choking deaths in young children?
Pacifiers
Broken rattles
Latex balloons
Buttons
9. What is the recommended way to take prednisone to minimize
gastrointestinal side effects?
Before bedtime
With a glass of water
With meals
On an empty stomach
10. Why is it important for the nurse to re-instruct the client in coughing
techniques when obtaining a specimen?
Coughing techniques are used to calm the client during the
procedure.
Coughing techniques are necessary for hydration before the
specimen collection.
Coughing techniques help ensure that the specimen is collected
effectively and accurately.
Coughing techniques prevent contamination of the specimen.
, 11. Why is it important to insert the catheter an additional inch after observing
urine flow during the insertion process?
It helps the client relax during the procedure.
It prevents the catheter from becoming dislodged.
Inserting the catheter an additional inch ensures proper placement
in the bladder.
It allows for better visualization of the urine color.
12. At what age should an infant start to consistently return smiles to their
mother?
4 months
3 months
2 months
1 month
13. If a client continues to show signs of hypoglycemia after consuming crackers
and milk, what should the nurse do next?
Encourage the client to take a walk to stimulate appetite.
Monitor the client's blood glucose levels and consider
administering glucose.
Document the incident and wait for the client to recover.
Administer another dose of insulin to stabilize levels.
14. Susan has been admitted for severe bleeding following a therapeutic
abortion. She is crying when the practical nurse comes in to assess her. What
should the practical nurse do?
