1
PN HESI EXIT REAL EXAM TEST BANK
PN HESI EXIT REAL EXAM 2 TEST BANK
WITH 150 EXAM VERIFIED QUESTIONS
AND CORRECT DETAILED ANSWERS
WITH RATIONALES (100% CORRECT
ANSWERS) HESI PN EXIT EXAM TEST
BANK (BEST FOR EXAM PREPARATION)
A 2-month-old client is brought to the well-baby clinic. The parent is completing the consent
forms for routine infant immunizations. Which immunization should the practical nurse (PN)
prepare to administer?
A. Measles Mumps Rubella (MMR).
, 2
PN HESI EXIT REAL EXAM TEST BANK
B. Varicella vaccine.
C. Hepatitis A.
D. Hepatitis B.
D. Hepatitis B.
Hepatitis B vaccine is part of the routine immunization schedule for infants and is given at
birth, 1-2 months, and 6-18 months. At the 2-month visit, it is appropriate to administer the
second dose of the Hepatitis B vaccine if it was not given at 1 month.
The practical nurse (PN) is caring for a client whose urine drug screen is positive for cocaine.
Which behavior should the PN document as evidence of cocaine withdrawal?
A. Intense cravings.
B. Hyperactive.
C. Talkative.
D. Elation.
Correct Answer : A
Intense cravings are a common symptom of cocaine withdrawal. Individuals withdrawing
from cocaine often experience strong urges to use the drug again, as their bodies adjust to
the absence of the substance.
A female client with metastatic endometrial cancer receives a prescription for
medroxyprogesterone acetate 600 mg IM weekly. The medication vial is labeled, "400
mg/mL." How many mL should the practical nurse (PN) administer? (Enter numeric value only.
If rounding is required, round to the nearest tenth).
Correct Answer (ml) : 1.5
Determine the total milligrams needed: The prescription is for 600 mg.
- Identify the concentration of the medication available: The vial is labeled as 400 mg/mL.
- Calculate the volume required to provide the prescribed dose: Divide the total milligrams
needed by the concentration.
- Perform the calculation: 600/400= 1.5
Answer = 1.5 ml
A client is using an incentive spirometer on the first postoperative day after an inguinal
herniorrhaphy. The practical nurse (PN) should reteach the proper use of the spirometer
when the client demonstrates which action?
A. Exhaling slowly after two seconds.
, 3
PN HESI EXIT REAL EXAM TEST BANK
B. Blowing forcefully into the mouthpiece.
C. Using a tight seal around the mouthpiece.
D. Sitting upright during the treatment.
B. Blowing forcefully into the mouthpiece.
Blowing forcefully into the mouthpiece indicates incorrect use of the spirometer. The client
should inhale slowly and deeply through the mouthpiece to expand the lungs and improve
ventilation.
An older adult client is admitted to the hospital from a skilled care facility with dehydration
and malnourishment. The client is oriented times four, but is despondent and withdrawn. The
practical nurse (PN) observes that the client has multiple bruises on both arms and has poor
hygiene. Which action should the PN implement first?
A. Document suspected abuse using the physical findings as supporting evidence.
B. Establish trust with the client to ensure basic needs and open communications are met.
C. Medicate the client as prescribed to ensure adequate rest and interventional therapies.
D. Contact social services to investigate the personnel at the skilled care facility.
B. Establish trust with the client to ensure basic needs and open communications are met.
Establishing trust with the client is crucial to ensure their basic needs are met and to create an
environment where the client feels safe to communicate openly. This foundational step is
necessary before other interventions can be effectively implemented.
The practical nurse (PN) is caring for a client with a fractured left hip. The client develops
tachypnea and deterioration in mental status. Which nursing intervention has the highest
priority?
A. Perform an arterial stick to obtain a PaO2 level.
B. Obtain vital signs, including oxygen saturation.
C. Start oxygen at 2 liters nasal cannula.
D. Assess pain level and last pain medication given.
C. Start oxygen at 2 liters nasal cannula.
Starting oxygen at 2 liters nasal cannula is the highest priority intervention to immediately
improve the client's oxygenation status and address the acute symptoms of tachypnea and
altered mental status.
A young adult client, a parent with two small children, looks despondent and depressed after
learning from the healthcare provider that the client has multiple sclerosis. Which nursing
intervention should the practical nurse (PN) implement immediately after this client has been
, 4
PN HESI EXIT REAL EXAM TEST BANK
told of the diagnosis?
A. Tell the client to see the good parts of life with two children who love the client.
B. Provide the client with information about the Multiple Sclerosis Society.
C. Allow the client to be alone by providing privacy to grieve.
D. Sit quietly with the client and answer questions the client may ask.
D. Sit quietly with the client and answer questions the client may ask.
Sitting quietly with the client and answering any questions demonstrates empathy, support,
and availability, helping the client process the new diagnosis and feel less isolated.
An older adult client who had a colon resection 8 days ago is straining at stool. The practical
nurse (PN) observes sudden spillage of serosanguinous drainage from the client's wound
followed by appearance of bowel on the skin. Which complication has occurred?
A. Evisceration.
B. Hemorrhage.
C. Infection.
D. Dehiscence.
A. Evisceration.
Evisceration is the protrusion of internal organs, such as the bowel, through a wound that has
reopened. The observation of bowel on the skin indicates this serious complication.
A client who is primigravida at term comes to the prenatal clinic and tells the practical nurse
(PN) that she is having contractions every 5 minutes. The PN monitors the client for one hour
using an external fetal monitor, and determines that the client's contractions are 7 to 15
minutes apart, lasting 20 to 30 seconds, with mild intensity by palpation. Which action should
the PN take?
A. Tell the client to go directly to the hospital for admission to labor and delivery for active
labor.
B. Send the client home and instruct her to call the clinic when her contractions occur 5
minutes apart for one hour.
C. Direct the client to check into the hospital within the next hour for evaluation of possible
urinary tract infection.
D. Send the client home and tell her to drink at least 1,000 mL of fluid each day to flush her
bladder.
B. Send the client home and instruct her to call the clinic when her contractions occur 5
minutes apart for one hour.
PN HESI EXIT REAL EXAM TEST BANK
PN HESI EXIT REAL EXAM 2 TEST BANK
WITH 150 EXAM VERIFIED QUESTIONS
AND CORRECT DETAILED ANSWERS
WITH RATIONALES (100% CORRECT
ANSWERS) HESI PN EXIT EXAM TEST
BANK (BEST FOR EXAM PREPARATION)
A 2-month-old client is brought to the well-baby clinic. The parent is completing the consent
forms for routine infant immunizations. Which immunization should the practical nurse (PN)
prepare to administer?
A. Measles Mumps Rubella (MMR).
, 2
PN HESI EXIT REAL EXAM TEST BANK
B. Varicella vaccine.
C. Hepatitis A.
D. Hepatitis B.
D. Hepatitis B.
Hepatitis B vaccine is part of the routine immunization schedule for infants and is given at
birth, 1-2 months, and 6-18 months. At the 2-month visit, it is appropriate to administer the
second dose of the Hepatitis B vaccine if it was not given at 1 month.
The practical nurse (PN) is caring for a client whose urine drug screen is positive for cocaine.
Which behavior should the PN document as evidence of cocaine withdrawal?
A. Intense cravings.
B. Hyperactive.
C. Talkative.
D. Elation.
Correct Answer : A
Intense cravings are a common symptom of cocaine withdrawal. Individuals withdrawing
from cocaine often experience strong urges to use the drug again, as their bodies adjust to
the absence of the substance.
A female client with metastatic endometrial cancer receives a prescription for
medroxyprogesterone acetate 600 mg IM weekly. The medication vial is labeled, "400
mg/mL." How many mL should the practical nurse (PN) administer? (Enter numeric value only.
If rounding is required, round to the nearest tenth).
Correct Answer (ml) : 1.5
Determine the total milligrams needed: The prescription is for 600 mg.
- Identify the concentration of the medication available: The vial is labeled as 400 mg/mL.
- Calculate the volume required to provide the prescribed dose: Divide the total milligrams
needed by the concentration.
- Perform the calculation: 600/400= 1.5
Answer = 1.5 ml
A client is using an incentive spirometer on the first postoperative day after an inguinal
herniorrhaphy. The practical nurse (PN) should reteach the proper use of the spirometer
when the client demonstrates which action?
A. Exhaling slowly after two seconds.
, 3
PN HESI EXIT REAL EXAM TEST BANK
B. Blowing forcefully into the mouthpiece.
C. Using a tight seal around the mouthpiece.
D. Sitting upright during the treatment.
B. Blowing forcefully into the mouthpiece.
Blowing forcefully into the mouthpiece indicates incorrect use of the spirometer. The client
should inhale slowly and deeply through the mouthpiece to expand the lungs and improve
ventilation.
An older adult client is admitted to the hospital from a skilled care facility with dehydration
and malnourishment. The client is oriented times four, but is despondent and withdrawn. The
practical nurse (PN) observes that the client has multiple bruises on both arms and has poor
hygiene. Which action should the PN implement first?
A. Document suspected abuse using the physical findings as supporting evidence.
B. Establish trust with the client to ensure basic needs and open communications are met.
C. Medicate the client as prescribed to ensure adequate rest and interventional therapies.
D. Contact social services to investigate the personnel at the skilled care facility.
B. Establish trust with the client to ensure basic needs and open communications are met.
Establishing trust with the client is crucial to ensure their basic needs are met and to create an
environment where the client feels safe to communicate openly. This foundational step is
necessary before other interventions can be effectively implemented.
The practical nurse (PN) is caring for a client with a fractured left hip. The client develops
tachypnea and deterioration in mental status. Which nursing intervention has the highest
priority?
A. Perform an arterial stick to obtain a PaO2 level.
B. Obtain vital signs, including oxygen saturation.
C. Start oxygen at 2 liters nasal cannula.
D. Assess pain level and last pain medication given.
C. Start oxygen at 2 liters nasal cannula.
Starting oxygen at 2 liters nasal cannula is the highest priority intervention to immediately
improve the client's oxygenation status and address the acute symptoms of tachypnea and
altered mental status.
A young adult client, a parent with two small children, looks despondent and depressed after
learning from the healthcare provider that the client has multiple sclerosis. Which nursing
intervention should the practical nurse (PN) implement immediately after this client has been
, 4
PN HESI EXIT REAL EXAM TEST BANK
told of the diagnosis?
A. Tell the client to see the good parts of life with two children who love the client.
B. Provide the client with information about the Multiple Sclerosis Society.
C. Allow the client to be alone by providing privacy to grieve.
D. Sit quietly with the client and answer questions the client may ask.
D. Sit quietly with the client and answer questions the client may ask.
Sitting quietly with the client and answering any questions demonstrates empathy, support,
and availability, helping the client process the new diagnosis and feel less isolated.
An older adult client who had a colon resection 8 days ago is straining at stool. The practical
nurse (PN) observes sudden spillage of serosanguinous drainage from the client's wound
followed by appearance of bowel on the skin. Which complication has occurred?
A. Evisceration.
B. Hemorrhage.
C. Infection.
D. Dehiscence.
A. Evisceration.
Evisceration is the protrusion of internal organs, such as the bowel, through a wound that has
reopened. The observation of bowel on the skin indicates this serious complication.
A client who is primigravida at term comes to the prenatal clinic and tells the practical nurse
(PN) that she is having contractions every 5 minutes. The PN monitors the client for one hour
using an external fetal monitor, and determines that the client's contractions are 7 to 15
minutes apart, lasting 20 to 30 seconds, with mild intensity by palpation. Which action should
the PN take?
A. Tell the client to go directly to the hospital for admission to labor and delivery for active
labor.
B. Send the client home and instruct her to call the clinic when her contractions occur 5
minutes apart for one hour.
C. Direct the client to check into the hospital within the next hour for evaluation of possible
urinary tract infection.
D. Send the client home and tell her to drink at least 1,000 mL of fluid each day to flush her
bladder.
B. Send the client home and instruct her to call the clinic when her contractions occur 5
minutes apart for one hour.
