Exit HESI PN Exam Study
Guide – Practice Questions
with Verified Answers. GRADED
A+. Latest 2026/2027 Update
An older client with metastatic breast cancer is experiencing shortness of
breath as a result of a bilateral pneumonia the client
has a living will and the family is requesting hospice care which information
should the practical nurse (PN) reinforce with the
client and family regarding hospice?
• Instructions for care should be included in the clients living will
• Care can be provided in home where client resides
• Care focuses on comfort dignity and emotion support
An older female client adult who has been admitted to long term facility
yesterday is confused about what day of the week it is
her history does not include that she was confused prior to admission what
action should the practical nurse (PN) take?
Remind the client what day of the week it is
A client who is primigravida at herm to the prenatal clinal and tells the practical
nurse (PN) that she is having contractions every
5 minutes the PN monitors the clint for an hour using external fetal monitor
and determines that the clients contractions are 7
to 15 minutes apart lasting to 20 to 30 seconds with mild intensity by
palpitation which actin should the PN take?
,Send the client home
A client who is a gravida 1 para 0 is transferred to the recovery room following
a normal vaginal delivery of a healthy newborn
the practical nurse (PN) observes that the client is shaking uncontrollably and
states she's cold
Apply light warm blanket and assure her that this is normal following delivery
The practical nurse (PN) is assessing an older client with left sided heart failure
what intervention is most important for the PN
to implement
Auscultate all the lung fields
While administering prescription medication to an older adult resident in a
extended care facility the practical nurse notice that
the client is having difficulty hearing what action is most important for the PN
to take?
Determine if client has had difficulty hearing in the past
The healthcare provider Gives a pregnant woman a prescription for one
prenatal vitamin with iron daily and tells her that she
needs to increase iron rich foods in her diet because her hemoglobin is 8.2
gramsldi when a list of iron list foods is given to the
client the client tells the practical nurse she's a vegetarian and does not eat
bleeds what instructions should the PN give?
• Add lenhl and black beans
• Increase green leafy vegetables in the diet
• Oatmeal is a good choice for breakfast
A full term 24 hour old infant in the nursery regulates and suddenly turns
cyanotic which immediate interventions should the
practical nurse (PN) take?
Turn the infant to the right side
,The practical nurse (PN) views the midline episiotomy of a client who repots
pain in her stiches whar action should the action
should the PN take first?
Observe suture line for separation and hematoma formation
The practical nurse (PN) is obtaining fetal heart rates on four antepartum client
in their third trimester of pregnancy what fetal
heart rate should be reported to the registered nurse?
180 (NORMAL 110-160)
An older client who had a colon resection 8 days ago is straining at stool the
practical nurse (PN) observes from the client
klound followed by appearance of bowel on the skin which complication has
occurred?
Evisceration
A female client with immune thrombocytopenic purpura is transported to a
long term facility for physical therapy rehabilitation
to prevent injury the most important for the practical nurse (PN) to
implement?
Ensure the client has minimum clutter in the room
Which location should the practical nurse palpate to determine if a client
submandibular lymph node are enlarged?
Beneath the lower jaw
A client is receiving an epidural anesthesia during labor which observation is
the most important adverse effect that the
practical nurse (PN) should assess for following the administration of the
epidural
Maternal hypotension
The practical nurse (PN) is working in a cancer detention mobile clinic. Four
individuals come for screening with a complaint of
hoarseness a danger sign for cancer of the larynx which client has the highest
, risk of development of cancer of the larynx that
the PN should refer to healthcare provider
A older male who drinks a 6 pack of beer nightly and smokes heavily
A home health practical nurse (PN) visits and older client living with offspring
who exhibits fear unkempt and has lost a lot of
weight which action should the PN take
Report suspected abuse to supervisor and protective services
The practical nurse determines that a client who is one day postpartum has a
moderate amount of lochia and rubra and the
uterus is firm diverted and three finger breaths above umbilicus what should
be the first initial action
Massage the uterus to decrease atony
The practical nurse is caring for a client with coronary artery disease who is
admitted intermitted chest pain the admissions
lobotomy results indicated elevated tropine 1 and creatine phosphoicinase
myoglobulin isoenzymes levels what should the PN
consider the most significant risk is for this client on the second day of
admissions?
The labs results indicate myocadiac damage and the client is at risk for cardiac
dysrhythmias
Which interventions should thr practical nurse (PN) reinforce for a client with
pruritis?
Keep finger nails trimmed short
When gathering data about a client with dark skin tones which site should the
practical nurse (PN) observe
Finger and toe nails
A 2 day old infant with hydrocephalus returns from surgery following
placement of a ventriculoperitoneal shunt which nursing
intervention should the practical nurse (PN) implement during postoperative
care
Guide – Practice Questions
with Verified Answers. GRADED
A+. Latest 2026/2027 Update
An older client with metastatic breast cancer is experiencing shortness of
breath as a result of a bilateral pneumonia the client
has a living will and the family is requesting hospice care which information
should the practical nurse (PN) reinforce with the
client and family regarding hospice?
• Instructions for care should be included in the clients living will
• Care can be provided in home where client resides
• Care focuses on comfort dignity and emotion support
An older female client adult who has been admitted to long term facility
yesterday is confused about what day of the week it is
her history does not include that she was confused prior to admission what
action should the practical nurse (PN) take?
Remind the client what day of the week it is
A client who is primigravida at herm to the prenatal clinal and tells the practical
nurse (PN) that she is having contractions every
5 minutes the PN monitors the clint for an hour using external fetal monitor
and determines that the clients contractions are 7
to 15 minutes apart lasting to 20 to 30 seconds with mild intensity by
palpitation which actin should the PN take?
,Send the client home
A client who is a gravida 1 para 0 is transferred to the recovery room following
a normal vaginal delivery of a healthy newborn
the practical nurse (PN) observes that the client is shaking uncontrollably and
states she's cold
Apply light warm blanket and assure her that this is normal following delivery
The practical nurse (PN) is assessing an older client with left sided heart failure
what intervention is most important for the PN
to implement
Auscultate all the lung fields
While administering prescription medication to an older adult resident in a
extended care facility the practical nurse notice that
the client is having difficulty hearing what action is most important for the PN
to take?
Determine if client has had difficulty hearing in the past
The healthcare provider Gives a pregnant woman a prescription for one
prenatal vitamin with iron daily and tells her that she
needs to increase iron rich foods in her diet because her hemoglobin is 8.2
gramsldi when a list of iron list foods is given to the
client the client tells the practical nurse she's a vegetarian and does not eat
bleeds what instructions should the PN give?
• Add lenhl and black beans
• Increase green leafy vegetables in the diet
• Oatmeal is a good choice for breakfast
A full term 24 hour old infant in the nursery regulates and suddenly turns
cyanotic which immediate interventions should the
practical nurse (PN) take?
Turn the infant to the right side
,The practical nurse (PN) views the midline episiotomy of a client who repots
pain in her stiches whar action should the action
should the PN take first?
Observe suture line for separation and hematoma formation
The practical nurse (PN) is obtaining fetal heart rates on four antepartum client
in their third trimester of pregnancy what fetal
heart rate should be reported to the registered nurse?
180 (NORMAL 110-160)
An older client who had a colon resection 8 days ago is straining at stool the
practical nurse (PN) observes from the client
klound followed by appearance of bowel on the skin which complication has
occurred?
Evisceration
A female client with immune thrombocytopenic purpura is transported to a
long term facility for physical therapy rehabilitation
to prevent injury the most important for the practical nurse (PN) to
implement?
Ensure the client has minimum clutter in the room
Which location should the practical nurse palpate to determine if a client
submandibular lymph node are enlarged?
Beneath the lower jaw
A client is receiving an epidural anesthesia during labor which observation is
the most important adverse effect that the
practical nurse (PN) should assess for following the administration of the
epidural
Maternal hypotension
The practical nurse (PN) is working in a cancer detention mobile clinic. Four
individuals come for screening with a complaint of
hoarseness a danger sign for cancer of the larynx which client has the highest
, risk of development of cancer of the larynx that
the PN should refer to healthcare provider
A older male who drinks a 6 pack of beer nightly and smokes heavily
A home health practical nurse (PN) visits and older client living with offspring
who exhibits fear unkempt and has lost a lot of
weight which action should the PN take
Report suspected abuse to supervisor and protective services
The practical nurse determines that a client who is one day postpartum has a
moderate amount of lochia and rubra and the
uterus is firm diverted and three finger breaths above umbilicus what should
be the first initial action
Massage the uterus to decrease atony
The practical nurse is caring for a client with coronary artery disease who is
admitted intermitted chest pain the admissions
lobotomy results indicated elevated tropine 1 and creatine phosphoicinase
myoglobulin isoenzymes levels what should the PN
consider the most significant risk is for this client on the second day of
admissions?
The labs results indicate myocadiac damage and the client is at risk for cardiac
dysrhythmias
Which interventions should thr practical nurse (PN) reinforce for a client with
pruritis?
Keep finger nails trimmed short
When gathering data about a client with dark skin tones which site should the
practical nurse (PN) observe
Finger and toe nails
A 2 day old infant with hydrocephalus returns from surgery following
placement of a ventriculoperitoneal shunt which nursing
intervention should the practical nurse (PN) implement during postoperative
care
