HESI PN MED-SUG NEWST EXAM 2026 LATEST
VERSION WITH REAL COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|| VERIFIED 100% ACTUAL FINAL
EXAM WITH VERIFIED ANSWERS & QUESTIONS
|| LATEST UPDATE 2026-2027
Which actions demonstrate to the practical nurse that the client
understands the correct procedure administration of a metered dose
inhaler (MDI)? (Select all that apply.)
a. Sit or stand.
b. Shake the inhaler.
c. Attach the canister of medication to the mouthpiece.
d. Breathe in through the mouth, filling the lungs.
e. Use a spacer attachment and place the mouthpiece in the mouth.
f. Close the lips around the mouthpiece.
g. After inhaling the medication, hold the breath 10 seconds.
b. Shake the inhaler.
c. Attach the canister of medication to the mouthpiece.
e. Use a spacer attachment and place the mouthpiece in the mouth.
f. Close the lips around the mouthpiece.
g. After inhaling the medication, hold the breath 10 seconds.
Rationale:
The correct sequence of MDI administration includes shaking the
inhaler, attaching the canister to the mouthpiece, attaching the spacer,
the client should then let their breath out through the mouth to empty
the lungs and place the mouthpiece in the mouth, closing the lips and
mouth around the mouthpiece, and inhaling medication and holding
the breath for 10 seconds.
,A client diagnosed with duodenal ulcers is admitted to the hospital. The
client was administered ranitidine hydrochloride 150 mg PO at bedtime.
Which finding would indicate a therapeutic response of the
medication?
a. Gastric secretions pH level below 3.
b. Hemoccult testing is positive on two different occasions.
c. No difficulty falling asleep reported.
d. No complaints of abdominal pain or heartburn verbalized.
d. No complaints of abdominal pain or heartburn verbalized.
Rationale:
Lack of abdominal pain within 4 hours after meals indicates decreased
duodenal irritation, a positive outcome in the treatment of duodenal
ulcer.
The health care provider informed a client diagnosed with stage 4 liver
cancer that the cancer has spread to their spine. The client states to the
practical nurse, "I have a cancer, but it is not malignant." What is the
best initial nursing action?
a. Encourage the client to attend a cancer education program.
b. Perform a complete history and physical assessment.
c. Ask the client to explain his understanding of the term malignancy.
d. Offer the client emotional support to deal with the diagnosis.
c. Ask the client to explain his understanding of the term malignancy.
Rationale:
The best initial action is to assess the client's knowledge of the term
malignancy when used to describe cancer. The client appears to have
inaccurate knowledge. Stage 4 cancer means the cancer has spread
(metastasized) from where it has started to another body part.
,A client with severe Parkinson disease diagnosed with anorexia,
dysphagia, drooling, generalized weakness, and slurred speech is
admitted to the unit. Which nursing action should the practical nurse
implement first for this client?
a. Provide the client with a word board.
b. Set up a suction and Yankauer at client's bedside.
c. Encourage passive and active range-of-motion exercises.
d. Offer client nutritional milkshakes every 2 hours.
a. Set up a suction and Yankauer at client's bedside.
Rationale:
Dysphagia and drooling predispose this client to aspiration. A suction
machine and Yankauer should be set up and near the client to be used
to help prevent aspiration pneumonia. Aspiration is the primary concern
in this situation.
, A client diagnosed with epilepsy is admitted to the unit. What
intervention should the practical nurse (PN) implement if the client
experiences a seizure?
a. Observe the length and activity of the seizure.
b. Insert an oral airway.
c. Gently restrain the client to prevent harm.
d. Call the code team.
a. Observe the length and activity of the seizure.
Rationale:
The PN should observe the client as they have their seizure. The length
of time and movement by the client needs to be observed and then
documented once the client is stable. The client should be placed on
their side to help prevent aspiration.
A client diagnosed with a brain tumor is receiving radiation beam
treatments to the right frontal area. The practical nurse (PN) should
observe this client for which problem during the early post-therapy
days?
a. Hemiplegia
b. Headache
c. Hearing loss
d. Dysphagia
b. Headache
Rationale:
Radiotherapy is a local treatment, and most side effects are site-
specific, such as inflammation of surrounding brain tissue, swelling,
headache, and fatigue.
VERSION WITH REAL COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|| VERIFIED 100% ACTUAL FINAL
EXAM WITH VERIFIED ANSWERS & QUESTIONS
|| LATEST UPDATE 2026-2027
Which actions demonstrate to the practical nurse that the client
understands the correct procedure administration of a metered dose
inhaler (MDI)? (Select all that apply.)
a. Sit or stand.
b. Shake the inhaler.
c. Attach the canister of medication to the mouthpiece.
d. Breathe in through the mouth, filling the lungs.
e. Use a spacer attachment and place the mouthpiece in the mouth.
f. Close the lips around the mouthpiece.
g. After inhaling the medication, hold the breath 10 seconds.
b. Shake the inhaler.
c. Attach the canister of medication to the mouthpiece.
e. Use a spacer attachment and place the mouthpiece in the mouth.
f. Close the lips around the mouthpiece.
g. After inhaling the medication, hold the breath 10 seconds.
Rationale:
The correct sequence of MDI administration includes shaking the
inhaler, attaching the canister to the mouthpiece, attaching the spacer,
the client should then let their breath out through the mouth to empty
the lungs and place the mouthpiece in the mouth, closing the lips and
mouth around the mouthpiece, and inhaling medication and holding
the breath for 10 seconds.
,A client diagnosed with duodenal ulcers is admitted to the hospital. The
client was administered ranitidine hydrochloride 150 mg PO at bedtime.
Which finding would indicate a therapeutic response of the
medication?
a. Gastric secretions pH level below 3.
b. Hemoccult testing is positive on two different occasions.
c. No difficulty falling asleep reported.
d. No complaints of abdominal pain or heartburn verbalized.
d. No complaints of abdominal pain or heartburn verbalized.
Rationale:
Lack of abdominal pain within 4 hours after meals indicates decreased
duodenal irritation, a positive outcome in the treatment of duodenal
ulcer.
The health care provider informed a client diagnosed with stage 4 liver
cancer that the cancer has spread to their spine. The client states to the
practical nurse, "I have a cancer, but it is not malignant." What is the
best initial nursing action?
a. Encourage the client to attend a cancer education program.
b. Perform a complete history and physical assessment.
c. Ask the client to explain his understanding of the term malignancy.
d. Offer the client emotional support to deal with the diagnosis.
c. Ask the client to explain his understanding of the term malignancy.
Rationale:
The best initial action is to assess the client's knowledge of the term
malignancy when used to describe cancer. The client appears to have
inaccurate knowledge. Stage 4 cancer means the cancer has spread
(metastasized) from where it has started to another body part.
,A client with severe Parkinson disease diagnosed with anorexia,
dysphagia, drooling, generalized weakness, and slurred speech is
admitted to the unit. Which nursing action should the practical nurse
implement first for this client?
a. Provide the client with a word board.
b. Set up a suction and Yankauer at client's bedside.
c. Encourage passive and active range-of-motion exercises.
d. Offer client nutritional milkshakes every 2 hours.
a. Set up a suction and Yankauer at client's bedside.
Rationale:
Dysphagia and drooling predispose this client to aspiration. A suction
machine and Yankauer should be set up and near the client to be used
to help prevent aspiration pneumonia. Aspiration is the primary concern
in this situation.
, A client diagnosed with epilepsy is admitted to the unit. What
intervention should the practical nurse (PN) implement if the client
experiences a seizure?
a. Observe the length and activity of the seizure.
b. Insert an oral airway.
c. Gently restrain the client to prevent harm.
d. Call the code team.
a. Observe the length and activity of the seizure.
Rationale:
The PN should observe the client as they have their seizure. The length
of time and movement by the client needs to be observed and then
documented once the client is stable. The client should be placed on
their side to help prevent aspiration.
A client diagnosed with a brain tumor is receiving radiation beam
treatments to the right frontal area. The practical nurse (PN) should
observe this client for which problem during the early post-therapy
days?
a. Hemiplegia
b. Headache
c. Hearing loss
d. Dysphagia
b. Headache
Rationale:
Radiotherapy is a local treatment, and most side effects are site-
specific, such as inflammation of surrounding brain tissue, swelling,
headache, and fatigue.
