PN HESI Exit Exam
PN HESI Exit Exam Study Prep with a
Review of a Past Actual PN HESI Exit Exam
Graded A+ / Hesi PN Exit Exam – Questions
and Correct Answers Review
A female client with immune thrombocytopenic purpura (ITP) is transferred to a
long-term care facility for physical rehabilitation. To prevent injury, which action is
the most important for the practical nurse (PN) to implement?
A. Evaluate client’s neurological status after exercising.
B. Assess the client for nerve pain or paralysis.
C. Monitor the client’s blood cell laboratory values.
D. Ensure the client has minimal clutter in the room.
A+ TEST BANK 1
, PN HESI Exit Exam
D. Ensure the client has minimal clutter in the room.
An older client tells the home health care practical nurse (PN) about experiencing
dizziness when getting out of bed. Which assessment is most important for the PN
to obtain?
A. Standing blood pressure
B. Pulse deficit
C. Oxygen saturation
D. Apical heart rate
A. Standing blood pressure
The practical nurse (PN) is providing instructions to the unlicensed assistive
personnel (UAP) preparing to give a total bed bath to an immobile client who has a
continuous feeding via gastrostomy tube (GT). Which instruction is most important
for the PN to emphasize?
A. Keep the head of the bed raised while the tube feeding is infusing.
B. Raise the entire bed while bathing the client to reduce back strain.
C. Use plenty of pillows to position the client on the side after bathing.
D. Report any drainage observed around the GT insertion site.
A. Keep the head of the bed raised while the tube feeding is infusing.
The practical nurse (PN) palpates a client’s radial pulse and notes that the pulse
disappears when light pressure is applied. How should the PN document this
finding?
A. Pulse skips beats.
B. Thready pulse volume.
C. Light pressure applied to pulse.
D. Missing pulse.
A+ TEST BANK 2
, PN HESI Exit Exam
B. Thready pulse volume.
The practical nurse (PN) hears an older resident of a long-term care facility shout
profanity at unlicensed assistive personnel (UAP) who shouts back at the resident.
Which is the first action the PN should take?
A. Tell both to lower their voices in consideration of other residents.
B. Enter the room and tell the UAP to leave the room immediately.
C. Report the incident and the UAP for further action by the nurse manager.
D. Tell the resident and the UAP that shouting is not permitted.
B. Enter the room and tell the UAP to leave the room immediately.
While changing the dressing of a client who is immobile, the practical nurse (PN)
observes a red and swollen wound with moderate amount of yellow and green
drainage and a foul order. Before reporting this finding to the healthcare provider,
the PN should evaluate which of the client’s laboratory values?
A. Serum blood glucose (BG) level.
B. Culture for sensitive organisms.
C. C-reactive protein level.
D. Serum albumin.
C. C-reactive protein level.
Two weeks after cast application, a client with a fractured right arm returns to the
clinic for evaluation. The client seems upset and tells the practical nurse (PN) that
the healthcare provider said a callus has formed on the bone. Which action should
the PN take?
A. Prepare to assist in applying a new cast to reduce pressure points.
B. Report the client’s concern to the healthcare provider.
C. Teach the client strategies to prevent further calluses.
D. Explain this is an expected part of the bone healing process.
A+ TEST BANK 3
, PN HESI Exit Exam
D. Explain this is an expected part of the bone healing process.
Which nursing intervention has the highest priority for preventing infection in a
client with partial-thickness and full thickness burns?
A. Using careful handwashing techniques.
B. Applying a topical antibacterial cream.
C. Administering of plasma expanders.
D. Limiting visitors to the burned client.
A. Using careful handwashing techniques.
A client with paranoia is admitted to the mental health unit and immediately goes
to the corner of the room and sits quietly without communicating. In approaching
the client, what intervention should the practical nurse (PN) implement first?
A. Review client rights of hospitalization.
B. Offer the client an as needed (PRN) medication.
C. Explain daily schedule of unit activities.
D. Describe functions of the practical nurse (PN)
D. Describe functions of the practical nurse (PN)
A client whose first child was delivered by cesarean section is 20 weeks pregnant
with her second child and wishes to have a vaginal birth after cesarean (VBAC).
What information is most important for the practical nurse (PN) to obtain?
A. Religious preference of the client’s family.
B. The type of uterine incision used for previous birth.
C. History of contracting Herpes simplex virus.
D. Client’s intent regarding breastfeeding of newborn.
B. The type of uterine incision used for previous birth.
A+ TEST BANK 4
PN HESI Exit Exam Study Prep with a
Review of a Past Actual PN HESI Exit Exam
Graded A+ / Hesi PN Exit Exam – Questions
and Correct Answers Review
A female client with immune thrombocytopenic purpura (ITP) is transferred to a
long-term care facility for physical rehabilitation. To prevent injury, which action is
the most important for the practical nurse (PN) to implement?
A. Evaluate client’s neurological status after exercising.
B. Assess the client for nerve pain or paralysis.
C. Monitor the client’s blood cell laboratory values.
D. Ensure the client has minimal clutter in the room.
A+ TEST BANK 1
, PN HESI Exit Exam
D. Ensure the client has minimal clutter in the room.
An older client tells the home health care practical nurse (PN) about experiencing
dizziness when getting out of bed. Which assessment is most important for the PN
to obtain?
A. Standing blood pressure
B. Pulse deficit
C. Oxygen saturation
D. Apical heart rate
A. Standing blood pressure
The practical nurse (PN) is providing instructions to the unlicensed assistive
personnel (UAP) preparing to give a total bed bath to an immobile client who has a
continuous feeding via gastrostomy tube (GT). Which instruction is most important
for the PN to emphasize?
A. Keep the head of the bed raised while the tube feeding is infusing.
B. Raise the entire bed while bathing the client to reduce back strain.
C. Use plenty of pillows to position the client on the side after bathing.
D. Report any drainage observed around the GT insertion site.
A. Keep the head of the bed raised while the tube feeding is infusing.
The practical nurse (PN) palpates a client’s radial pulse and notes that the pulse
disappears when light pressure is applied. How should the PN document this
finding?
A. Pulse skips beats.
B. Thready pulse volume.
C. Light pressure applied to pulse.
D. Missing pulse.
A+ TEST BANK 2
, PN HESI Exit Exam
B. Thready pulse volume.
The practical nurse (PN) hears an older resident of a long-term care facility shout
profanity at unlicensed assistive personnel (UAP) who shouts back at the resident.
Which is the first action the PN should take?
A. Tell both to lower their voices in consideration of other residents.
B. Enter the room and tell the UAP to leave the room immediately.
C. Report the incident and the UAP for further action by the nurse manager.
D. Tell the resident and the UAP that shouting is not permitted.
B. Enter the room and tell the UAP to leave the room immediately.
While changing the dressing of a client who is immobile, the practical nurse (PN)
observes a red and swollen wound with moderate amount of yellow and green
drainage and a foul order. Before reporting this finding to the healthcare provider,
the PN should evaluate which of the client’s laboratory values?
A. Serum blood glucose (BG) level.
B. Culture for sensitive organisms.
C. C-reactive protein level.
D. Serum albumin.
C. C-reactive protein level.
Two weeks after cast application, a client with a fractured right arm returns to the
clinic for evaluation. The client seems upset and tells the practical nurse (PN) that
the healthcare provider said a callus has formed on the bone. Which action should
the PN take?
A. Prepare to assist in applying a new cast to reduce pressure points.
B. Report the client’s concern to the healthcare provider.
C. Teach the client strategies to prevent further calluses.
D. Explain this is an expected part of the bone healing process.
A+ TEST BANK 3
, PN HESI Exit Exam
D. Explain this is an expected part of the bone healing process.
Which nursing intervention has the highest priority for preventing infection in a
client with partial-thickness and full thickness burns?
A. Using careful handwashing techniques.
B. Applying a topical antibacterial cream.
C. Administering of plasma expanders.
D. Limiting visitors to the burned client.
A. Using careful handwashing techniques.
A client with paranoia is admitted to the mental health unit and immediately goes
to the corner of the room and sits quietly without communicating. In approaching
the client, what intervention should the practical nurse (PN) implement first?
A. Review client rights of hospitalization.
B. Offer the client an as needed (PRN) medication.
C. Explain daily schedule of unit activities.
D. Describe functions of the practical nurse (PN)
D. Describe functions of the practical nurse (PN)
A client whose first child was delivered by cesarean section is 20 weeks pregnant
with her second child and wishes to have a vaginal birth after cesarean (VBAC).
What information is most important for the practical nurse (PN) to obtain?
A. Religious preference of the client’s family.
B. The type of uterine incision used for previous birth.
C. History of contracting Herpes simplex virus.
D. Client’s intent regarding breastfeeding of newborn.
B. The type of uterine incision used for previous birth.
A+ TEST BANK 4
