HESI PN Exit Exam: Comprehensive Question Bank
With Accurate Answers Latest Update 2026 | Pass
Exam Prep
1. If a nurse needs to administer 1.3 mL of Cefazolin to a patient, how would the
nurse prepare the injection if the reconstituted solution is not available?
The nurse would dilute the Cefazolin with saline instead of sterile
water.
The nurse would administer a higher dose than prescribed.
The nurse would need to reconstitute the Cefazolin with sterile
water to achieve the correct concentration.
The nurse would administer the Cefazolin in its powdered form.
2. What specific area should a nurse examine daily to check for ecchymosis?
The patient's diet
The vital signs
The medication chart
The skin
3. If a pregnant woman is diagnosed with gestational diabetes, what measures
should be taken to monitor and potentially influence the birth weight of her
infant?
Focusing solely on medication without monitoring.
Ignoring the diagnosis as it does not affect the infant.
Only increasing physical activity without dietary changes.
Regular monitoring of blood glucose levels and dietary
, management.
4. What effect does a warm environment have on clients experiencing pruritus?
Exacerbates itching
Promotes sleep
Improves skin hydration
Reduces discomfort
5. In a clinical scenario where a patient reports severe pain post-surgery, what
should be the nurse's immediate action regarding pain management?
Ignore the patient's complaint and continue with other tasks.
Only document the pain without taking any action.
Assess the patient's pain level and administer appropriate pain
relief measures.
Suggest the patient to wait until the next shift for pain relief.
6. Unlicensed assistive personnel (UAP) include which workers?
Admission clerks, technicians, and orderlies
Housekeepers, orderlies, and certified nursing assistants
Certified nursing assistants, orderlies, attendants, and technicians
Volunteers, telemetry technicians, and hospital transporters
7. Why is it important for a nurse to notify the charge nurse when a client
expresses concerns about surgery?
It allows the nurse to avoid responsibility for the client's anxiety.
It helps the nurse to gather more information about the surgery.
It ensures that the client's concerns are addressed by the
appropriate healthcare professional.
, It prevents the client from changing their mind about the surgery.
8. What should a practical nurse do if they encounter an unlabeled syringe?
Refuse to administer medication from it
Label the syringe before use
Ask a colleague for advice
Administer the medication if it looks familiar
9. What action should a nurse take if a client has concerns regarding a surgical
procedure?
Reassure the client that everything will be fine.
Provide the client with written information about the surgery.
Schedule a follow-up appointment for the client.
Notify the charge nurse of the client's concerns.
10. In a clinical scenario, if a patient presents with weak pulse volume, what
nursing intervention should be prioritized?
Evaluate the patient's circulatory status and consider further
assessment.
Increase the patient's fluid intake without assessment.
Perform a neurological assessment first.
Administer a pain medication immediately.
11. What is an important consideration when administering IV medications?
Placing the IV catheter as close to the patient's extremity as possible.
Double-checking the medication dose with another nurse after
administration.
, Ensuring that the patient is well-hydrated before administration.
Administering medications directly into a joint.
12. In a scenario where a patient has difficult veins, what technique should a
nurse use regarding tourniquet placement for venipuncture?
Apply the tourniquet above the antecubital fossa to maximize vein
visibility.
Avoid using a tourniquet altogether and rely on palpation.
Apply the tourniquet at the wrist to prevent swelling.
Apply the tourniquet below the wrist to avoid discomfort.
13. In a clinical scenario, if a dark-skinned patient presents with jaundice, which
areas should the nurse assess to confirm this condition?
The patient's back and abdomen should be assessed.
The patient's hair and nails should be assessed.
The sclera and mucous membranes should be assessed.
The patient's arms and legs should be assessed.
14. Describe the process of calculating total intake in a nursing context.
Total intake is calculated by measuring the patient's urine output.
Total intake is based on the patient's dietary preferences and
restrictions.
Total intake is calculated by summing the volumes of oral and IV
fluids consumed.
Total intake is determined by estimating the patient's weight and
height.
15. Describe the main focus of orthopedic surgery and its significance in patient
With Accurate Answers Latest Update 2026 | Pass
Exam Prep
1. If a nurse needs to administer 1.3 mL of Cefazolin to a patient, how would the
nurse prepare the injection if the reconstituted solution is not available?
The nurse would dilute the Cefazolin with saline instead of sterile
water.
The nurse would administer a higher dose than prescribed.
The nurse would need to reconstitute the Cefazolin with sterile
water to achieve the correct concentration.
The nurse would administer the Cefazolin in its powdered form.
2. What specific area should a nurse examine daily to check for ecchymosis?
The patient's diet
The vital signs
The medication chart
The skin
3. If a pregnant woman is diagnosed with gestational diabetes, what measures
should be taken to monitor and potentially influence the birth weight of her
infant?
Focusing solely on medication without monitoring.
Ignoring the diagnosis as it does not affect the infant.
Only increasing physical activity without dietary changes.
Regular monitoring of blood glucose levels and dietary
, management.
4. What effect does a warm environment have on clients experiencing pruritus?
Exacerbates itching
Promotes sleep
Improves skin hydration
Reduces discomfort
5. In a clinical scenario where a patient reports severe pain post-surgery, what
should be the nurse's immediate action regarding pain management?
Ignore the patient's complaint and continue with other tasks.
Only document the pain without taking any action.
Assess the patient's pain level and administer appropriate pain
relief measures.
Suggest the patient to wait until the next shift for pain relief.
6. Unlicensed assistive personnel (UAP) include which workers?
Admission clerks, technicians, and orderlies
Housekeepers, orderlies, and certified nursing assistants
Certified nursing assistants, orderlies, attendants, and technicians
Volunteers, telemetry technicians, and hospital transporters
7. Why is it important for a nurse to notify the charge nurse when a client
expresses concerns about surgery?
It allows the nurse to avoid responsibility for the client's anxiety.
It helps the nurse to gather more information about the surgery.
It ensures that the client's concerns are addressed by the
appropriate healthcare professional.
, It prevents the client from changing their mind about the surgery.
8. What should a practical nurse do if they encounter an unlabeled syringe?
Refuse to administer medication from it
Label the syringe before use
Ask a colleague for advice
Administer the medication if it looks familiar
9. What action should a nurse take if a client has concerns regarding a surgical
procedure?
Reassure the client that everything will be fine.
Provide the client with written information about the surgery.
Schedule a follow-up appointment for the client.
Notify the charge nurse of the client's concerns.
10. In a clinical scenario, if a patient presents with weak pulse volume, what
nursing intervention should be prioritized?
Evaluate the patient's circulatory status and consider further
assessment.
Increase the patient's fluid intake without assessment.
Perform a neurological assessment first.
Administer a pain medication immediately.
11. What is an important consideration when administering IV medications?
Placing the IV catheter as close to the patient's extremity as possible.
Double-checking the medication dose with another nurse after
administration.
, Ensuring that the patient is well-hydrated before administration.
Administering medications directly into a joint.
12. In a scenario where a patient has difficult veins, what technique should a
nurse use regarding tourniquet placement for venipuncture?
Apply the tourniquet above the antecubital fossa to maximize vein
visibility.
Avoid using a tourniquet altogether and rely on palpation.
Apply the tourniquet at the wrist to prevent swelling.
Apply the tourniquet below the wrist to avoid discomfort.
13. In a clinical scenario, if a dark-skinned patient presents with jaundice, which
areas should the nurse assess to confirm this condition?
The patient's back and abdomen should be assessed.
The patient's hair and nails should be assessed.
The sclera and mucous membranes should be assessed.
The patient's arms and legs should be assessed.
14. Describe the process of calculating total intake in a nursing context.
Total intake is calculated by measuring the patient's urine output.
Total intake is based on the patient's dietary preferences and
restrictions.
Total intake is calculated by summing the volumes of oral and IV
fluids consumed.
Total intake is determined by estimating the patient's weight and
height.
15. Describe the main focus of orthopedic surgery and its significance in patient
