HESI PN Practice Test Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A client with hypertension asks why they must limit salt.
✔✔Excess sodium increases fluid retention, raising blood pressure.
A patient is ordered digoxin. What vital sign should be checked before giving it?
✔✔The apical pulse.
A client with pneumonia is instructed to use an incentive spirometer. What is its purpose?
✔✔To improve lung expansion and oxygenation.
A patient receiving furosemide complains of leg cramps. What imbalance may be causing this?
✔✔Low potassium levels (hypokalemia).
What is the priority action if a client develops shortness of breath after receiving a blood
transfusion?
✔✔Stop the transfusion immediately.
1
,A client is prescribed warfarin. Which lab value should the nurse monitor?
✔✔INR (International Normalized Ratio).
A patient with COPD is on 2 L/min oxygen. Why should oxygen not be increased without a
provider’s order?
✔✔High oxygen can reduce their drive to breathe.
What is the best position for a client experiencing dyspnea?
✔✔High Fowler’s position.
A client receiving chemotherapy reports mouth sores. What dietary choice is best?
✔✔Soft, bland foods that are non-irritating.
A patient receiving insulin has cool, clammy skin. What should the nurse do first?
✔✔Check blood glucose and provide a fast-acting carbohydrate.
A postpartum client reports burning with urination. What complication is suspected?
2
,✔✔Urinary tract infection.
What is the most important action before administering antibiotics?
✔✔Check for allergies.
Why is it important to rotate insulin injection sites?
✔✔To prevent lipodystrophy and ensure proper absorption.
A patient is placed on neutropenic precautions. What does this mean?
✔✔Protecting the client from infection due to low white blood cells.
A client asks why they need to take iron supplements with orange juice.
✔✔Vitamin C improves iron absorption.
What should a nurse do if a patient refuses a prescribed medication?
✔✔Respect the refusal, document, and notify the provider.
A client on diuretics develops dizziness when standing up. What should the nurse teach?
3
, ✔✔Rise slowly to prevent orthostatic hypotension.
A patient reports constipation after starting opioid therapy. What should be recommended?
✔✔Increase fluids, fiber, and activity, and use stool softeners if prescribed.
A nurse notes a client’s IV site is red and swollen. What is the best action?
✔✔Stop the infusion and remove the IV.
A client is prescribed nitroglycerin for chest pain. How should it be taken?
✔✔Place under the tongue and allow it to dissolve.
A client receiving heparin develops bleeding gums. What antidote may be required?
✔✔Protamine sulfate.
A patient on lithium therapy should have which lab value monitored regularly?
✔✔Serum lithium levels.
A diabetic client asks why foot care is important.
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A client with hypertension asks why they must limit salt.
✔✔Excess sodium increases fluid retention, raising blood pressure.
A patient is ordered digoxin. What vital sign should be checked before giving it?
✔✔The apical pulse.
A client with pneumonia is instructed to use an incentive spirometer. What is its purpose?
✔✔To improve lung expansion and oxygenation.
A patient receiving furosemide complains of leg cramps. What imbalance may be causing this?
✔✔Low potassium levels (hypokalemia).
What is the priority action if a client develops shortness of breath after receiving a blood
transfusion?
✔✔Stop the transfusion immediately.
1
,A client is prescribed warfarin. Which lab value should the nurse monitor?
✔✔INR (International Normalized Ratio).
A patient with COPD is on 2 L/min oxygen. Why should oxygen not be increased without a
provider’s order?
✔✔High oxygen can reduce their drive to breathe.
What is the best position for a client experiencing dyspnea?
✔✔High Fowler’s position.
A client receiving chemotherapy reports mouth sores. What dietary choice is best?
✔✔Soft, bland foods that are non-irritating.
A patient receiving insulin has cool, clammy skin. What should the nurse do first?
✔✔Check blood glucose and provide a fast-acting carbohydrate.
A postpartum client reports burning with urination. What complication is suspected?
2
,✔✔Urinary tract infection.
What is the most important action before administering antibiotics?
✔✔Check for allergies.
Why is it important to rotate insulin injection sites?
✔✔To prevent lipodystrophy and ensure proper absorption.
A patient is placed on neutropenic precautions. What does this mean?
✔✔Protecting the client from infection due to low white blood cells.
A client asks why they need to take iron supplements with orange juice.
✔✔Vitamin C improves iron absorption.
What should a nurse do if a patient refuses a prescribed medication?
✔✔Respect the refusal, document, and notify the provider.
A client on diuretics develops dizziness when standing up. What should the nurse teach?
3
, ✔✔Rise slowly to prevent orthostatic hypotension.
A patient reports constipation after starting opioid therapy. What should be recommended?
✔✔Increase fluids, fiber, and activity, and use stool softeners if prescribed.
A nurse notes a client’s IV site is red and swollen. What is the best action?
✔✔Stop the infusion and remove the IV.
A client is prescribed nitroglycerin for chest pain. How should it be taken?
✔✔Place under the tongue and allow it to dissolve.
A client receiving heparin develops bleeding gums. What antidote may be required?
✔✔Protamine sulfate.
A patient on lithium therapy should have which lab value monitored regularly?
✔✔Serum lithium levels.
A diabetic client asks why foot care is important.
4
