PN EXIT HESI FINAL EXAM 2026/2027 QUESTIONS AND
SOLUTIONS RATED A+
✔✔A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns
cyanotic. Which immediate intervention should the PN implement?
A. Stimulate the infant to cry
B. Give oxygen by positive pressure
C. Suction the oral and nasal passages
D. Turn the infant onto the right side - ✔✔C
✔✔A client reports being able to swallow only small bites of solid food and liquids for
the last 3 months. The PN should assess the client for what additional information?
A. Past traumatic injury to neck
B. Daily consumption of hot beverages
C. History of alcohol or tobacco use
D. Daily dietary intake of roughage - ✔✔C
✔✔When caring for a child with sickle cell disease, the PN expects that the child will
most likely describe which symptom when experiencing a sickle cell crisis?
A. Decreased hemoglobin
B. Joint pain
C. Fatigue
D. Infection - ✔✔C
✔✔At the first dressing change, the PN tells the client that her mastectomy incision is
healing well, but the client refuses to look at the incision and refuses to talk about it.
Which response by the PN to the client's silence is best?
A. You will feel better when you see that the incision is not as bad as you may think.
B. It's OK if you don't want to look or talk about mastectomy. I will be available when
you're ready
C. Part of recovery is accepting your new body image, and you will need to look at your
incision
D. Would you like me to call another nurse to be here while I show you the wound? -
✔✔C
✔✔A client with blood type AB negative delivers a newborn with blood type A positive.
The cord blood reveals a positive indirect Coomb's test. Which is the implication of this
finding?
A. The newborn is infected with an infectious blood-borne disease
B. The newborn needs phototherapy for physiologic jaundice
,C. The mother's Rh antibodies are present in the neonatal serum
D. The mother no longer needs Rho immune globulin injections - ✔✔C
✔✔During a clinic visit for a sore throat, a client's basal metabolic panel reveals a serum
potassium of 3.0 mEq/L. Which intervention should the PN recommend to the client
based on this finding?
A. Increase intake of dried peaches and apricots
B. Reduce intake of red meats
C. Encourage use of soft toothbrush
D. Force fluid intake to 1500 mL daily - ✔✔A
✔✔The PN is reviewing instructions for the use of pilocarpine eye drops with a client
who has glaucoma. The client replies that the cloth used to anesthetize the eye if eye
pain is experienced. What action should the PN implement?
A. Document in the chart that the client understands then action and the use of eye
drops
B. Reassure the client that the drops will not be needed often since eye pain in
glaucoma is not common
C. Reteach the client about the action of the eye drops to decrease pressure in the eyes
D. Explain to the client that they eye drops do provide pain relief, but do not anesthetize
the eyes. - ✔✔D
✔✔The PN is reviewing care instructions with a client who has diabetic retinopathy and
is experiencing glare around lights. What should the PN reinforce with the client?
A. Cover eyes with moist, cool compresses to reduce fasciculations
B. Make adjustments to personal schedule to avoid driving at night
C. Exert pressure on the inner cants whiners tearing occurs
D. Apply an eye shield at bedtime after installing eye drops - ✔✔B
✔✔The PN is assigning care for a group of clients on the urology medical unit. Which
client care interventions should the pN assign to the UAP? Select All That Apply
A. Empty bedside drainage unit for a client with indwelling urinary catheter
B. Teach the client with fluid restrictions how to measure urine output
C. Irrigate an indwelling urinary catheter for a client with bladder suspension
D. Transport a urine culture sample to the laboratory
E. Obtain a post-voided residual volume - ✔✔A,E
✔✔A client on bedrest refuses to wear the prescribed pneumatic compression devices
after surgery. Which action should the PN implement in response to the client's refusal?
A. Emphasize the importance of active foot flexion
, B. Check the surgical dressing
C. Complete an incident report
D. Explain the use of incentive spirometer q2 hours - ✔✔A
✔✔The PN is caring for a client who had an acute brain attack with resulting expressive
aphasia and urinary incontinence. To ensure care for the client, which task should the
PN delegate to the UAP?
A. Explain how to use a communication board
B. Document progress in use of communication board
C. Encourage voiding by assisting client to bedside commode
D. Establish bladder training schedule and training methods - ✔✔C
✔✔When reinforcing diet teaching for a client who was diagnosed with hypokalemia,
which foods should the PN encourage the client to eat? Select All That Apply
A. Orange juice, oranges, bananas
B. Preserved meat, apple juice, seeds
C. Collard greens, kale, turnips
D. Soy Beans, lima beans, spinach
E. White grape juice, clear fat-free broth, consommé - ✔✔A,C,D
✔✔When caring for a client with colostomy, which topical skin preparation should the
PN apply around the stoma?
A. Antiseptic cream
B. Petroleum jelly
C. Cornstarch
D. Stomadhesive - ✔✔D
✔✔The PN observes an UAP prepare to exit a client's room. The UAP's hands appear
visibly soiled as the UAP uses a hand rub for 19 seconds to cleanse the hands. Which
action should the PN take?
A. Confirm that the UAP completed hand hygiene correctly
B. Instruct the UAP to wash the hands for one minute
C. Ask the UAP why the hands were so obviously soiled
D. Advise the UAP to use the hand rub for 30 seconds - ✔✔D
✔✔A male client with TB returns to the clinic for daily antibiotic injections for a urinary
infection. The client has been taking anti tubercular medications for 10 weeks and
states he has ringing in his ears. Which prescribed medication should the PN report to
the HCP?
A. Pyrixodine with a B complex multivitamin
SOLUTIONS RATED A+
✔✔A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns
cyanotic. Which immediate intervention should the PN implement?
A. Stimulate the infant to cry
B. Give oxygen by positive pressure
C. Suction the oral and nasal passages
D. Turn the infant onto the right side - ✔✔C
✔✔A client reports being able to swallow only small bites of solid food and liquids for
the last 3 months. The PN should assess the client for what additional information?
A. Past traumatic injury to neck
B. Daily consumption of hot beverages
C. History of alcohol or tobacco use
D. Daily dietary intake of roughage - ✔✔C
✔✔When caring for a child with sickle cell disease, the PN expects that the child will
most likely describe which symptom when experiencing a sickle cell crisis?
A. Decreased hemoglobin
B. Joint pain
C. Fatigue
D. Infection - ✔✔C
✔✔At the first dressing change, the PN tells the client that her mastectomy incision is
healing well, but the client refuses to look at the incision and refuses to talk about it.
Which response by the PN to the client's silence is best?
A. You will feel better when you see that the incision is not as bad as you may think.
B. It's OK if you don't want to look or talk about mastectomy. I will be available when
you're ready
C. Part of recovery is accepting your new body image, and you will need to look at your
incision
D. Would you like me to call another nurse to be here while I show you the wound? -
✔✔C
✔✔A client with blood type AB negative delivers a newborn with blood type A positive.
The cord blood reveals a positive indirect Coomb's test. Which is the implication of this
finding?
A. The newborn is infected with an infectious blood-borne disease
B. The newborn needs phototherapy for physiologic jaundice
,C. The mother's Rh antibodies are present in the neonatal serum
D. The mother no longer needs Rho immune globulin injections - ✔✔C
✔✔During a clinic visit for a sore throat, a client's basal metabolic panel reveals a serum
potassium of 3.0 mEq/L. Which intervention should the PN recommend to the client
based on this finding?
A. Increase intake of dried peaches and apricots
B. Reduce intake of red meats
C. Encourage use of soft toothbrush
D. Force fluid intake to 1500 mL daily - ✔✔A
✔✔The PN is reviewing instructions for the use of pilocarpine eye drops with a client
who has glaucoma. The client replies that the cloth used to anesthetize the eye if eye
pain is experienced. What action should the PN implement?
A. Document in the chart that the client understands then action and the use of eye
drops
B. Reassure the client that the drops will not be needed often since eye pain in
glaucoma is not common
C. Reteach the client about the action of the eye drops to decrease pressure in the eyes
D. Explain to the client that they eye drops do provide pain relief, but do not anesthetize
the eyes. - ✔✔D
✔✔The PN is reviewing care instructions with a client who has diabetic retinopathy and
is experiencing glare around lights. What should the PN reinforce with the client?
A. Cover eyes with moist, cool compresses to reduce fasciculations
B. Make adjustments to personal schedule to avoid driving at night
C. Exert pressure on the inner cants whiners tearing occurs
D. Apply an eye shield at bedtime after installing eye drops - ✔✔B
✔✔The PN is assigning care for a group of clients on the urology medical unit. Which
client care interventions should the pN assign to the UAP? Select All That Apply
A. Empty bedside drainage unit for a client with indwelling urinary catheter
B. Teach the client with fluid restrictions how to measure urine output
C. Irrigate an indwelling urinary catheter for a client with bladder suspension
D. Transport a urine culture sample to the laboratory
E. Obtain a post-voided residual volume - ✔✔A,E
✔✔A client on bedrest refuses to wear the prescribed pneumatic compression devices
after surgery. Which action should the PN implement in response to the client's refusal?
A. Emphasize the importance of active foot flexion
, B. Check the surgical dressing
C. Complete an incident report
D. Explain the use of incentive spirometer q2 hours - ✔✔A
✔✔The PN is caring for a client who had an acute brain attack with resulting expressive
aphasia and urinary incontinence. To ensure care for the client, which task should the
PN delegate to the UAP?
A. Explain how to use a communication board
B. Document progress in use of communication board
C. Encourage voiding by assisting client to bedside commode
D. Establish bladder training schedule and training methods - ✔✔C
✔✔When reinforcing diet teaching for a client who was diagnosed with hypokalemia,
which foods should the PN encourage the client to eat? Select All That Apply
A. Orange juice, oranges, bananas
B. Preserved meat, apple juice, seeds
C. Collard greens, kale, turnips
D. Soy Beans, lima beans, spinach
E. White grape juice, clear fat-free broth, consommé - ✔✔A,C,D
✔✔When caring for a client with colostomy, which topical skin preparation should the
PN apply around the stoma?
A. Antiseptic cream
B. Petroleum jelly
C. Cornstarch
D. Stomadhesive - ✔✔D
✔✔The PN observes an UAP prepare to exit a client's room. The UAP's hands appear
visibly soiled as the UAP uses a hand rub for 19 seconds to cleanse the hands. Which
action should the PN take?
A. Confirm that the UAP completed hand hygiene correctly
B. Instruct the UAP to wash the hands for one minute
C. Ask the UAP why the hands were so obviously soiled
D. Advise the UAP to use the hand rub for 30 seconds - ✔✔D
✔✔A male client with TB returns to the clinic for daily antibiotic injections for a urinary
infection. The client has been taking anti tubercular medications for 10 weeks and
states he has ringing in his ears. Which prescribed medication should the PN report to
the HCP?
A. Pyrixodine with a B complex multivitamin
