EXIT HESI PN EXAM A EXAMS SET 2026
PRACTICE QUESTIONS AND ANSWERS
FULL SOLUTION
●● What action should the PN take when observing a UAP counting a
client's radial pulse?
Answer: Confirm the accuracy of the pulse rate obtained by the UAP.
●● What should the PN implement first for an infant with a heel stick
glucose level of 40 mg/dL?
Answer: Begin frequent feedings of breast milk or formula.
●● How many mL total oral and IV intake should the PN document for a
client consuming 8 oz of broth, 4 oz of apple juice, 4 oz of gelatin, and 1
banana, along with 1 liter of IV fluid?
Answer: 1480 mL
●● How should the PN respond when asked to administer medication
from an unlabeled syringe?
Answer: I am not comfortable doing that. Is there something else I can
do to help you?
●● Which client care tasks can the PN assign to the UAP?
,Answer: Empty bedside drainage unit and obtain a post-voided residual
(PVR) volume.
●● What intervention should the PN reinforce for a client with pruritis?
Answer: Keep fingernails trimmed short.
●● What is presbycusis?
Answer: A gradual progressive, bilateral inability to hear, especially high
frequency sounds due to aging.
●● How many mL should be administered to a client receiving cefazolin
500 mg IM?
Answer: 1.3 mL
●● What should the PN do first if the weights in Buck's traction are
hanging freely?
Answer: Document that the Buck's traction is being maintained.
●● What is the most important task for the PN during a fire in a long-
term care facility?
Answer: Identify the method for transporting and evacuating each
resident.
, ●● What is the most significant risk for a client with elevated troponin I
and CK-MB levels?
Answer: The client is at risk for cardiac dysrhythmias.
●● What should the PN do first upon observing hematuria in a client
receiving intravenous heparin?
Answer: Check the client's gums for bleeding.
●● What should the PN emphasize about the dosing schedule of
prednisone for poison ivy?
Answer: Take the prednisone with meals.
●● What is the most important intervention for a client receiving
diazepam for status epilepticus?
Answer: Monitor the client's respiratory rate and effort.
●● What action should the PN take if a client complains of bone pain
after receiving filgrastim?
Answer: Offer to administer a prescribed PRN analgesic to the client.
●● What should the PN include in the care plan for a client taking
ibuprofen?
Answer: Observe for signs of gastrointestinal bleeding.
PRACTICE QUESTIONS AND ANSWERS
FULL SOLUTION
●● What action should the PN take when observing a UAP counting a
client's radial pulse?
Answer: Confirm the accuracy of the pulse rate obtained by the UAP.
●● What should the PN implement first for an infant with a heel stick
glucose level of 40 mg/dL?
Answer: Begin frequent feedings of breast milk or formula.
●● How many mL total oral and IV intake should the PN document for a
client consuming 8 oz of broth, 4 oz of apple juice, 4 oz of gelatin, and 1
banana, along with 1 liter of IV fluid?
Answer: 1480 mL
●● How should the PN respond when asked to administer medication
from an unlabeled syringe?
Answer: I am not comfortable doing that. Is there something else I can
do to help you?
●● Which client care tasks can the PN assign to the UAP?
,Answer: Empty bedside drainage unit and obtain a post-voided residual
(PVR) volume.
●● What intervention should the PN reinforce for a client with pruritis?
Answer: Keep fingernails trimmed short.
●● What is presbycusis?
Answer: A gradual progressive, bilateral inability to hear, especially high
frequency sounds due to aging.
●● How many mL should be administered to a client receiving cefazolin
500 mg IM?
Answer: 1.3 mL
●● What should the PN do first if the weights in Buck's traction are
hanging freely?
Answer: Document that the Buck's traction is being maintained.
●● What is the most important task for the PN during a fire in a long-
term care facility?
Answer: Identify the method for transporting and evacuating each
resident.
, ●● What is the most significant risk for a client with elevated troponin I
and CK-MB levels?
Answer: The client is at risk for cardiac dysrhythmias.
●● What should the PN do first upon observing hematuria in a client
receiving intravenous heparin?
Answer: Check the client's gums for bleeding.
●● What should the PN emphasize about the dosing schedule of
prednisone for poison ivy?
Answer: Take the prednisone with meals.
●● What is the most important intervention for a client receiving
diazepam for status epilepticus?
Answer: Monitor the client's respiratory rate and effort.
●● What action should the PN take if a client complains of bone pain
after receiving filgrastim?
Answer: Offer to administer a prescribed PRN analgesic to the client.
●● What should the PN include in the care plan for a client taking
ibuprofen?
Answer: Observe for signs of gastrointestinal bleeding.
