HESI PN Comprehensive Exam 2
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A client with pneumonia has a productive cough and difficulty clearing secretions. Which
intervention is best?
A. Encourage bed rest
✔✔B. Increase fluid intake
C. Place client supine
D. Restrict oral intake
A nurse is teaching a client prescribed warfarin. Which statement indicates correct
understanding?
A. “I will eat more green leafy vegetables.”
✔✔B. “I need regular blood tests to monitor my INR.”
C. “I should stop taking the medication when I feel well.”
D. “I do not need to report bleeding gums.”
A client after abdominal surgery reports sudden wound drainage with visible intestines. What is
the priority action?
1
,A. Notify the surgeon immediately
B. Reinsert the intestines
✔✔C. Cover the wound with sterile saline-soaked dressing
D. Apply an abdominal binder tightly
A client with COPD is receiving 4 L/min oxygen via nasal cannula. Which action is most
appropriate?
A. Maintain at 4 L/min continuously
✔✔B. Adjust oxygen to maintain SpO₂ between 88–92%
C. Switch to non-rebreather mask
D. Encourage client to remove oxygen while eating
A postpartum client has heavy bleeding and a boggy uterus. Which nursing action is priority?
A. Insert an indwelling catheter
✔✔B. Massage the fundus firmly
C. Notify the obstetrician
D. Check hemoglobin levels
2
,A client with schizophrenia states, “The voices are telling me to hurt myself.” What is the nurse’s
priority response?
A. “Those voices are not real.”
✔✔B. “Are you thinking of acting on what the voices say?”
C. “Try to ignore the voices and stay calm.”
D. “You should listen to music instead.”
A client receiving chemotherapy reports painful sores in the mouth. What is the best nursing
intervention?
A. Provide lemon-flavored swabs
✔✔B. Offer saline rinses frequently
C. Encourage spicy foods
D. Brush with firm bristles
A nurse is preparing to insert an indwelling catheter. Which step maintains sterile technique?
A. Place sterile kit on bedside cabinet
✔✔B. Keep dominant hand sterile while inserting catheter
C. Cleanse from outward to inward
3
, D. Use non-sterile gloves to insert
A client with type 1 diabetes is sweating and shaky. What is the nurse’s priority?
A. Check urine for ketones
✔✔B. Provide a fast-acting carbohydrate
C. Notify the provider
D. Administer insulin
A client prescribed digoxin reports nausea and blurred vision. Which action is most important?
A. Encourage oral fluids
✔✔B. Check the client’s apical pulse
C. Document the findings
D. Provide a light snack
A nurse is caring for a client on contact precautions for MRSA. Which PPE is required?
A. Goggles
✔✔B. Gown and gloves
C. N95 respirator
4
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A client with pneumonia has a productive cough and difficulty clearing secretions. Which
intervention is best?
A. Encourage bed rest
✔✔B. Increase fluid intake
C. Place client supine
D. Restrict oral intake
A nurse is teaching a client prescribed warfarin. Which statement indicates correct
understanding?
A. “I will eat more green leafy vegetables.”
✔✔B. “I need regular blood tests to monitor my INR.”
C. “I should stop taking the medication when I feel well.”
D. “I do not need to report bleeding gums.”
A client after abdominal surgery reports sudden wound drainage with visible intestines. What is
the priority action?
1
,A. Notify the surgeon immediately
B. Reinsert the intestines
✔✔C. Cover the wound with sterile saline-soaked dressing
D. Apply an abdominal binder tightly
A client with COPD is receiving 4 L/min oxygen via nasal cannula. Which action is most
appropriate?
A. Maintain at 4 L/min continuously
✔✔B. Adjust oxygen to maintain SpO₂ between 88–92%
C. Switch to non-rebreather mask
D. Encourage client to remove oxygen while eating
A postpartum client has heavy bleeding and a boggy uterus. Which nursing action is priority?
A. Insert an indwelling catheter
✔✔B. Massage the fundus firmly
C. Notify the obstetrician
D. Check hemoglobin levels
2
,A client with schizophrenia states, “The voices are telling me to hurt myself.” What is the nurse’s
priority response?
A. “Those voices are not real.”
✔✔B. “Are you thinking of acting on what the voices say?”
C. “Try to ignore the voices and stay calm.”
D. “You should listen to music instead.”
A client receiving chemotherapy reports painful sores in the mouth. What is the best nursing
intervention?
A. Provide lemon-flavored swabs
✔✔B. Offer saline rinses frequently
C. Encourage spicy foods
D. Brush with firm bristles
A nurse is preparing to insert an indwelling catheter. Which step maintains sterile technique?
A. Place sterile kit on bedside cabinet
✔✔B. Keep dominant hand sterile while inserting catheter
C. Cleanse from outward to inward
3
, D. Use non-sterile gloves to insert
A client with type 1 diabetes is sweating and shaky. What is the nurse’s priority?
A. Check urine for ketones
✔✔B. Provide a fast-acting carbohydrate
C. Notify the provider
D. Administer insulin
A client prescribed digoxin reports nausea and blurred vision. Which action is most important?
A. Encourage oral fluids
✔✔B. Check the client’s apical pulse
C. Document the findings
D. Provide a light snack
A nurse is caring for a client on contact precautions for MRSA. Which PPE is required?
A. Goggles
✔✔B. Gown and gloves
C. N95 respirator
4
