HESI PN MED-SURG NEWEST EXAM 2026 ACTUAL QUESTIONS
AND ANSWERS GUARANTEED PASS
A client diagnosed with a skull hematoma and fractured left
(L) clavicle following a six foot fall from a ladder is admitted to
the unit. Which sign should the practical nurse (PN) report
immediately?
A. Spontaneously opens eyes.
B. Obeys commands in movement and grip.
C. Answers questions, but is confused.
D. Has abnormal flexion or extension of (L) arm.
C. Answers questions, but is confused.
Rationale:
Confusion following a head injury is usually the first sign of
increased intracranial pressure.
A client diagnosed with diabetic neuropathy has a nonhealing
ulcer on the lateral aspect of their right (R) foot. Which
question should the practical nurse (PN) ask to gather
objective data for the development of a diabetic foot care
teaching plan?
A. Ask the client how they examine their feet.
B. Ask which hypoglycemic medication they take.
C. Ask to look at the pair of shoes they wear.
,D. Ask how long they have been diagnosed with diabetes
mellitus.
C. Ask to look at the pair of shoes they wear.
Rationale:
Asking to look at the client's shoes will give the most objective
data. The PN needs to inspect the client's shoes' inside for any
area such as a seam that may be rubbing against the client
foot causing trauma to their feet. Well-fitted shoes are very
important to prevent the development of foot ulcers for the
diabetic client.
A client with chronic pancreatitis has been taking pancreatin
with meals. How does the nurse assist with evaluating the
effectiveness of the treatment?
A. The client has no further gallstones.
B. The powder is well mixed with applesauce.
C. The client's blood sugar remains in normal range.
D. The client's stools remain soft and medium brown in color.
D. The client's stools remain soft and medium brown in color.
The client taking pancreatin should have stools that are soft
and medium brown in color. If the pancreatic enzyme
replacement is not effective, the stools would be loose,
frequent, and have a fatty consistency. Pancreatin will not
,prevent gallstones, nor stabilize the blood sugars. It is
important that the pancreatin powder be mixed well with
applesauce, but ensuring it is mixed well will not determine
effectiveness of the medication.
A client with a vaginal discharge and pruritus is diagnosed a
yeast infection (Candidiasis) and is prescribed a 7-day course
of an intravaginal tioconazole. What information should the
practical nurse provide to the client about using this form of
medication?
A. Wait at least 30 minutes before douching after insertion of
the medication.
B. Remain recumbent for 5 to 15 minutes after insertion of the
medication.
C. Do not eat anything 1 hour before or 2 hours after
medication administration.
D. Sexual intercourse may be resumed after one dose of the
medication.
B. Remain recumbent for 5 to 15 minutes after insertion of the
medication.
:
The client should remain recumbent for 5 to 15 minutes after
inserting the medication to facilitate absorption and to prevent
loss of medication from the vagina.
, A client has a serum potassium level of 3 meq/L. Which
findings should the practical nurse report to the charge nurse?
(Select all that apply.)
A. Muscle cramps
B. Diarrhea
C. Altered blood glucose level
D. Increased energy
E. Abnormal heart rhythms
F. Increased anxiety
A. Muscle cramps
E. Abnormal heart rhythms
A normal potassium level ranges from 3.5 to 5 meq/L
(mmol/L). Signs and symptoms of low potassium include
muscle cramps and dysrhythmias.
A client has visited the health care provider and has been
diagnosed with type 2 diabetes mellitus. Which symptom most
likely prompted the client to seek medical attention?
A. Severe thirst
B. Increased urine output
C. Fruity odor to the breath
AND ANSWERS GUARANTEED PASS
A client diagnosed with a skull hematoma and fractured left
(L) clavicle following a six foot fall from a ladder is admitted to
the unit. Which sign should the practical nurse (PN) report
immediately?
A. Spontaneously opens eyes.
B. Obeys commands in movement and grip.
C. Answers questions, but is confused.
D. Has abnormal flexion or extension of (L) arm.
C. Answers questions, but is confused.
Rationale:
Confusion following a head injury is usually the first sign of
increased intracranial pressure.
A client diagnosed with diabetic neuropathy has a nonhealing
ulcer on the lateral aspect of their right (R) foot. Which
question should the practical nurse (PN) ask to gather
objective data for the development of a diabetic foot care
teaching plan?
A. Ask the client how they examine their feet.
B. Ask which hypoglycemic medication they take.
C. Ask to look at the pair of shoes they wear.
,D. Ask how long they have been diagnosed with diabetes
mellitus.
C. Ask to look at the pair of shoes they wear.
Rationale:
Asking to look at the client's shoes will give the most objective
data. The PN needs to inspect the client's shoes' inside for any
area such as a seam that may be rubbing against the client
foot causing trauma to their feet. Well-fitted shoes are very
important to prevent the development of foot ulcers for the
diabetic client.
A client with chronic pancreatitis has been taking pancreatin
with meals. How does the nurse assist with evaluating the
effectiveness of the treatment?
A. The client has no further gallstones.
B. The powder is well mixed with applesauce.
C. The client's blood sugar remains in normal range.
D. The client's stools remain soft and medium brown in color.
D. The client's stools remain soft and medium brown in color.
The client taking pancreatin should have stools that are soft
and medium brown in color. If the pancreatic enzyme
replacement is not effective, the stools would be loose,
frequent, and have a fatty consistency. Pancreatin will not
,prevent gallstones, nor stabilize the blood sugars. It is
important that the pancreatin powder be mixed well with
applesauce, but ensuring it is mixed well will not determine
effectiveness of the medication.
A client with a vaginal discharge and pruritus is diagnosed a
yeast infection (Candidiasis) and is prescribed a 7-day course
of an intravaginal tioconazole. What information should the
practical nurse provide to the client about using this form of
medication?
A. Wait at least 30 minutes before douching after insertion of
the medication.
B. Remain recumbent for 5 to 15 minutes after insertion of the
medication.
C. Do not eat anything 1 hour before or 2 hours after
medication administration.
D. Sexual intercourse may be resumed after one dose of the
medication.
B. Remain recumbent for 5 to 15 minutes after insertion of the
medication.
:
The client should remain recumbent for 5 to 15 minutes after
inserting the medication to facilitate absorption and to prevent
loss of medication from the vagina.
, A client has a serum potassium level of 3 meq/L. Which
findings should the practical nurse report to the charge nurse?
(Select all that apply.)
A. Muscle cramps
B. Diarrhea
C. Altered blood glucose level
D. Increased energy
E. Abnormal heart rhythms
F. Increased anxiety
A. Muscle cramps
E. Abnormal heart rhythms
A normal potassium level ranges from 3.5 to 5 meq/L
(mmol/L). Signs and symptoms of low potassium include
muscle cramps and dysrhythmias.
A client has visited the health care provider and has been
diagnosed with type 2 diabetes mellitus. Which symptom most
likely prompted the client to seek medical attention?
A. Severe thirst
B. Increased urine output
C. Fruity odor to the breath
