HESI EXIT PN Exam Study
Guide – Practice Questions
with Verified Answers. GRADED
A+. Latest 2026/2027 Update
What steps should you take for an older female client who was just admitted to
a long-term facility and is confused about the day of the week?
Remind the client what day of the week it is
Which information about end-of-life care should a practical nurse (PN) ensure
the client has?
Instructions for care should be included in the clients living will
(Advance directives)
After a routine vaginal delivery of a healthy newborn, a client who is pregnant
is taken to the recovery room. You notice the client is shaking asks if she's cold.
What's next?
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
What is the most crucial step for the practical nurse to take while giving
prescription medication to an elderly resident of an extended care home who is
having trouble hearing?
Determine if client has had difficulty hearing in the past
,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 reports
pain in her stiches. What 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 a client in their third
trimester of pregnancy what fetal heart rate should be reported to the
registered nurse?
180
Which problem has happened in an older client with these issues?
Evisceration
Which location should the practical nurse palpate to determine if a client
submandibular lymph node are enlarged?
Beneath the lower jaw
The most significant side effect that a practical nurse (PN) should check for
after administering an epidural to a client during labor is observation of the
side effect.
Maternal hypotension
Which person has the highest risk of developing laryngeal cancer?
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 unkept and has lost a lot of weight which action should the
PN take>
Report suspected abuse to supervisor and protective services
Which interventions should the practical nurse (PN) reinforce for a client with
pruritis?
Keep fingernails trimmed short.
,When gathering data about a client with dark skin tones which site should the
practical nurse (PN) observe?
Finger and toe nails
What important intervention does the nurse need to ensure?
Measure head circumference
If a baby is born to a diabetic mother what should the nurse encourage?
Offer nipple feedings or 10% dextrose
The practical nurse (PN) and unlicensed assistive personal (UAP) enters a clients
room and finds the client lying on the bed the PN determines that the client is
unresponsive which action should the PN give the UAP first .
obtain emergency help
Which intervention should the practice nurse (PN) include in the client's care if
the client has broken metatarsals as a result of slamming a hand in a car door
after taking the hydrocodone/acetaminophen prescription for pain?
Implement ongoing assessments for signs of shortness or slowed breathing
The response of the practical nurse (PN) is based on understanding which
prevalent manifestations of the illness. The PN overhears the female client with
crushing syndrome telling her family to leave her room and not return.
Mood adherence
A child receiving chemotherapy develops a cough that productive of yellow
tinged sputum after determine that the client is afebrile which priority action
for the practice nurse (PN) to take?
Provide oral hygiene
The Glasgow scale is being used to monitor a client who experienced a
traumatic brain injury what primary assessment should the PN evaluate
Level of consciousness
, The practical nurse (PN) is assigned to care for a client who had an endoscopic
procedure in which a local anesthetic was sprayed on their throat which
priority action should the PN include in this care of plan?
Assess the gag reflexes
What is the best course of action for the practical nurse (PN) to take when the
parents of a child with pre-diabetes inform the PN that the youngster wants to
join the soccer team?
Reassure the patents that increased physical activity reduces risk for diabetes
While assisting the RN with the admission of a toddler which intervention
should the practical nurse (PN) implement to make the experience lease
stressful for the client
Remove child's clothing down to the diaper
A client with hypertension complains of a persistent dry cough the practical
nurse (PN) should tell the client that this is a common side effect with what
medication?
Quinapril
In a noisy voice that the client and visitors might overhear, a practical nurse
(Pn) is recounting her social life, sexual activities, and alcohol use at the nurses
station.
Suggest going to the nurses lounge to discuss these topics
Which symptoms are the parents of a kid with acute glomerulonephritis
describing to the practical nurse (PN) as the ones that initially prompted them
to seek medical attention?
Hematuria
A pleural effusion is visible on the chest x-ray of a patient who has been
admitted with pneumonia. When auscultating the upper lobe, what should the
PN listen for?
A rubbing pleural sound
Guide – Practice Questions
with Verified Answers. GRADED
A+. Latest 2026/2027 Update
What steps should you take for an older female client who was just admitted to
a long-term facility and is confused about the day of the week?
Remind the client what day of the week it is
Which information about end-of-life care should a practical nurse (PN) ensure
the client has?
Instructions for care should be included in the clients living will
(Advance directives)
After a routine vaginal delivery of a healthy newborn, a client who is pregnant
is taken to the recovery room. You notice the client is shaking asks if she's cold.
What's next?
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
What is the most crucial step for the practical nurse to take while giving
prescription medication to an elderly resident of an extended care home who is
having trouble hearing?
Determine if client has had difficulty hearing in the past
,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 reports
pain in her stiches. What 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 a client in their third
trimester of pregnancy what fetal heart rate should be reported to the
registered nurse?
180
Which problem has happened in an older client with these issues?
Evisceration
Which location should the practical nurse palpate to determine if a client
submandibular lymph node are enlarged?
Beneath the lower jaw
The most significant side effect that a practical nurse (PN) should check for
after administering an epidural to a client during labor is observation of the
side effect.
Maternal hypotension
Which person has the highest risk of developing laryngeal cancer?
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 unkept and has lost a lot of weight which action should the
PN take>
Report suspected abuse to supervisor and protective services
Which interventions should the practical nurse (PN) reinforce for a client with
pruritis?
Keep fingernails trimmed short.
,When gathering data about a client with dark skin tones which site should the
practical nurse (PN) observe?
Finger and toe nails
What important intervention does the nurse need to ensure?
Measure head circumference
If a baby is born to a diabetic mother what should the nurse encourage?
Offer nipple feedings or 10% dextrose
The practical nurse (PN) and unlicensed assistive personal (UAP) enters a clients
room and finds the client lying on the bed the PN determines that the client is
unresponsive which action should the PN give the UAP first .
obtain emergency help
Which intervention should the practice nurse (PN) include in the client's care if
the client has broken metatarsals as a result of slamming a hand in a car door
after taking the hydrocodone/acetaminophen prescription for pain?
Implement ongoing assessments for signs of shortness or slowed breathing
The response of the practical nurse (PN) is based on understanding which
prevalent manifestations of the illness. The PN overhears the female client with
crushing syndrome telling her family to leave her room and not return.
Mood adherence
A child receiving chemotherapy develops a cough that productive of yellow
tinged sputum after determine that the client is afebrile which priority action
for the practice nurse (PN) to take?
Provide oral hygiene
The Glasgow scale is being used to monitor a client who experienced a
traumatic brain injury what primary assessment should the PN evaluate
Level of consciousness
, The practical nurse (PN) is assigned to care for a client who had an endoscopic
procedure in which a local anesthetic was sprayed on their throat which
priority action should the PN include in this care of plan?
Assess the gag reflexes
What is the best course of action for the practical nurse (PN) to take when the
parents of a child with pre-diabetes inform the PN that the youngster wants to
join the soccer team?
Reassure the patents that increased physical activity reduces risk for diabetes
While assisting the RN with the admission of a toddler which intervention
should the practical nurse (PN) implement to make the experience lease
stressful for the client
Remove child's clothing down to the diaper
A client with hypertension complains of a persistent dry cough the practical
nurse (PN) should tell the client that this is a common side effect with what
medication?
Quinapril
In a noisy voice that the client and visitors might overhear, a practical nurse
(Pn) is recounting her social life, sexual activities, and alcohol use at the nurses
station.
Suggest going to the nurses lounge to discuss these topics
Which symptoms are the parents of a kid with acute glomerulonephritis
describing to the practical nurse (PN) as the ones that initially prompted them
to seek medical attention?
Hematuria
A pleural effusion is visible on the chest x-ray of a patient who has been
admitted with pneumonia. When auscultating the upper lobe, what should the
PN listen for?
A rubbing pleural sound
