PN HESI Exit Exam 2026 Version 1 | Complete
Test Bank | Accurate & Updated Answers
1. Which information is a priority for the RN to reinforce to an older client
after intravenous pyelography?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2days
D) Measure the urine output for the next day and immediately notify the health care
provider if it should decrease.
The correct answer is D: Measure the urine output for the next day and immediately notify
the health care provider if it should decrease.
,2. A client has altered renal function and is being treated at home. The nurse recognizes that
the most accurate indicator of fluid balance during the weekly visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight
3. A client has been diagnosed with Zollinger-Ellison syndrome. Which information is
most important for the nurse to reinforce with the client?
A) It is a condition in which one or more tumors called gastronomes form in the pancreas or in the
upper part of the small intestine (duodenum)
B) It is critical to report promptly to your health care provider any findings of peptic ulcers
c)Treatment consists of medications to reduce acid and heal any peptic ulcers and, if possible,
surgery to remove any tumors
D)With the average age at diagnosis at 50 years the peptic ulcers may occur at unusual areas of the stomach or intestine
The correct answer is B: It is critical to report promptly to your health care provider any findings of peptic ulcers.
,4. A primigravida in the third trimester is hospitalized for preeclampsia. The nurse
determines that the client’s blood pressure is increasing. Which action should the nurse take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output
5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the ventricular rate is controlled at
75.Which of the following findings is cause for the most concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea
, 6. The client with infective endocarditis must be assessed frequently by the home health nurse. Which finding suggests
that antibiotic therapy is not effective, and must be reported by the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C)Diffuse macular rash
D) Muscle tenderness
7. A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which
of these points is most important to be reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate doesn't contain
sperm, continue to use another form of contraception.
B) This procedure doesn't impede the production of male hormones or the production of
sperm in the testicles. The sperm can no longer enter your semen and no sperm are in your
ejaculate.
Test Bank | Accurate & Updated Answers
1. Which information is a priority for the RN to reinforce to an older client
after intravenous pyelography?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2days
D) Measure the urine output for the next day and immediately notify the health care
provider if it should decrease.
The correct answer is D: Measure the urine output for the next day and immediately notify
the health care provider if it should decrease.
,2. A client has altered renal function and is being treated at home. The nurse recognizes that
the most accurate indicator of fluid balance during the weekly visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight
3. A client has been diagnosed with Zollinger-Ellison syndrome. Which information is
most important for the nurse to reinforce with the client?
A) It is a condition in which one or more tumors called gastronomes form in the pancreas or in the
upper part of the small intestine (duodenum)
B) It is critical to report promptly to your health care provider any findings of peptic ulcers
c)Treatment consists of medications to reduce acid and heal any peptic ulcers and, if possible,
surgery to remove any tumors
D)With the average age at diagnosis at 50 years the peptic ulcers may occur at unusual areas of the stomach or intestine
The correct answer is B: It is critical to report promptly to your health care provider any findings of peptic ulcers.
,4. A primigravida in the third trimester is hospitalized for preeclampsia. The nurse
determines that the client’s blood pressure is increasing. Which action should the nurse take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output
5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the ventricular rate is controlled at
75.Which of the following findings is cause for the most concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea
, 6. The client with infective endocarditis must be assessed frequently by the home health nurse. Which finding suggests
that antibiotic therapy is not effective, and must be reported by the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C)Diffuse macular rash
D) Muscle tenderness
7. A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which
of these points is most important to be reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate doesn't contain
sperm, continue to use another form of contraception.
B) This procedure doesn't impede the production of male hormones or the production of
sperm in the testicles. The sperm can no longer enter your semen and no sperm are in your
ejaculate.
