PN Exit Hesi Exam Study Guide
– Practice Questions with
Verified Answers. GRADED A+.
Latest 2026/2027 Update
Which client information is most important for the PN to consider when
providing instructions to the unlicensed assistive personnel about providing
morning care to a postoperative client?
Urinary output of 50 mL/hour.
The PN is caring for a client with coronary artery disease who is admitted with
intermittent chest pain. The admission laboratory results indicate elevations in
troponin I and creatine phosphokinase myoglobin isoenzyme (CK-MB) levels.
What should the PN consider the most significant risk for this client on the
second day of admission?
The lab results indicate myocardial damage, and the client is at risk for cardiac
dysrhythmias
The practical nurse explains to a client how to obtain a sputum specimen and
the client indicates understanding the procedure. After the PN leaves the room
the client obtains the specimen and notifies the PN. When the PN arrives to
collect the specimen it appears as seen in the picture. Which action should the
PN take.
The PN should teach the client to a client how to obtain a septum specimen
and if the client does not correctly collect the specimen the PN should assist
the client in obtaining another specimen coughed directly into a sterile cup
,The practical nurse (PN) and unlicened assistive personal (UAP) are providing
care for a client who exhibits signs of neglect syndrome following a stroke
affecting the right hemisphare. Which action should the PN implement?
Demonstrate to the UAP how to approach the client from the client's left side
The practical nurse (PN) ask an unlicensed assistive personnel (UAP) for
feedback about an assigned client instead of responding, the UAP walks away
from the PN, ignoring the question. What action is best for the PN?
Approach the UAP to discuss the behavior and obtain the information needed
about the client
While assisting the RN with the admission of a toddler, which intervention
should the practical nurse (PN) implement to make the experience least
stressful for the child?
Do a complete head-to-toe exam in sequence
An older adult female is admitted with syncope and laboratory findings indicate
that her hemoglobin is 8.0 grams/dl. She has a recent history of headaches and
frequent falls. Admission prescription orders includes continuation of all home
medication. Which medication should the practical nurse (PN) withhold until
consulting with the charge nurse?
Aspirin
The spouse of a hospitalized client asked the practical nurse PN for
acetaminophen for tension headache. Which action should the PN take?
Explain that medication can only be provided to clients.
Prior to administering pain medication to an adult postoperative client, what
information should the practical nurse PN obtain? (Select all that apply)
- Time of last administration of pain medication
- Client's pain rating on a scale of 1 to 10
- Effectiveness of last pain medication administered
The practical nurse (PN) notifies the health care provider about client
information using the situation, background, assessment, recommendation
SBAR technique. Which information should the PM provide first?
,Cholecystectomy 24 hours ago
The practical nurse (PN) is caring for a client with fractured metatarsals after
slamming a hand in the car door. After administering the prescribed
hydrocodone/acetaminophen for pain, which intervention should the PN
include in the clients care?
Implement ongoing assessments for signs of shallow or slow breathing.
The practical nurse peeing and ministers an anticonvulsant That causes
photosensitivity. Which action should the PN take after administering the
medication?
Remind the client to protect skin from sunlight
An order client with metastatic breast cancer is experiencing shortness of
breath as a result of 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 care? (select all that
apply)
- Instructions for care should be included in the client's living will
- Care can be provided in the home where the client resides
- Care focuses on comfort, dignity, and emotional support
The single mother of a child with a head injury is sitting at the child's bedside
crying when the practical nurse (PN) enters the room. The mother states, why
did this happen to my child? I just can't cope with this, what is the best initial
response by the PN?
This must appear devastating to you at this moment
The practical nurse (PN) is working in a cancer detection mobile clinic. Four
individuals come for screening with a complaint of hoarseness, a dangerous
sign for cancer of the larynx. Which client has the highest risk for development
of cancer of the larynx that the PN should refer to the healthcare provider?
An older male who drinks a six pack of beer nightly and smokes heavily
, The practical nurse (PN) is giving medications to a client who was admitted to
the hospital with a diagnosis of diabetes mellitus. After checking the finger
stick glucose at 1630, which dose of insulin should the (PN) administer?
8 units
The practical nurse (PN) is obtaining fetal heart rates on four antepartum
clients in their third trimester of pregnancy. Which fetal heart rate should be
reported to the registered nurse RN immediately?
180
A college student arrives at the clinic for a physical examination and asks the
practical nurse (PN) how he should perform testicle self-examination TSE.
Which information should PN provide?
Examine the testicles during bathing
A male client tells the practical nurse (PN) that the pill he has been taking at
home is a different color and size then the one the PN is trying to give him now.
How should the PN respond?
Tell the client that the PN will verify that the dispense medication is the valid
prescription
The Glasgow coma scale is being used to monitor a client who experience a
traumatic brain injury. What primary assessment should the practical nurse PN
evaluate?
Level of consciousness
The practical nurse (PN) preparing to assist an elderly client to the bathroom.
The PN knows that an elderly adult's center or gravity changes from the hips to
another area of the body. And planning to safely assist this client the PN knows
that the center of gravity for the elderly client is in which area of the body?
Upper torso
The practical nurse pin is assigned to care for a client who had in endoscopic
procedure in which a local anesthetic was sprayed on the throat. Which priority
actions should the PN include in this client's plan of care?
Assess the gag reflux
– Practice Questions with
Verified Answers. GRADED A+.
Latest 2026/2027 Update
Which client information is most important for the PN to consider when
providing instructions to the unlicensed assistive personnel about providing
morning care to a postoperative client?
Urinary output of 50 mL/hour.
The PN is caring for a client with coronary artery disease who is admitted with
intermittent chest pain. The admission laboratory results indicate elevations in
troponin I and creatine phosphokinase myoglobin isoenzyme (CK-MB) levels.
What should the PN consider the most significant risk for this client on the
second day of admission?
The lab results indicate myocardial damage, and the client is at risk for cardiac
dysrhythmias
The practical nurse explains to a client how to obtain a sputum specimen and
the client indicates understanding the procedure. After the PN leaves the room
the client obtains the specimen and notifies the PN. When the PN arrives to
collect the specimen it appears as seen in the picture. Which action should the
PN take.
The PN should teach the client to a client how to obtain a septum specimen
and if the client does not correctly collect the specimen the PN should assist
the client in obtaining another specimen coughed directly into a sterile cup
,The practical nurse (PN) and unlicened assistive personal (UAP) are providing
care for a client who exhibits signs of neglect syndrome following a stroke
affecting the right hemisphare. Which action should the PN implement?
Demonstrate to the UAP how to approach the client from the client's left side
The practical nurse (PN) ask an unlicensed assistive personnel (UAP) for
feedback about an assigned client instead of responding, the UAP walks away
from the PN, ignoring the question. What action is best for the PN?
Approach the UAP to discuss the behavior and obtain the information needed
about the client
While assisting the RN with the admission of a toddler, which intervention
should the practical nurse (PN) implement to make the experience least
stressful for the child?
Do a complete head-to-toe exam in sequence
An older adult female is admitted with syncope and laboratory findings indicate
that her hemoglobin is 8.0 grams/dl. She has a recent history of headaches and
frequent falls. Admission prescription orders includes continuation of all home
medication. Which medication should the practical nurse (PN) withhold until
consulting with the charge nurse?
Aspirin
The spouse of a hospitalized client asked the practical nurse PN for
acetaminophen for tension headache. Which action should the PN take?
Explain that medication can only be provided to clients.
Prior to administering pain medication to an adult postoperative client, what
information should the practical nurse PN obtain? (Select all that apply)
- Time of last administration of pain medication
- Client's pain rating on a scale of 1 to 10
- Effectiveness of last pain medication administered
The practical nurse (PN) notifies the health care provider about client
information using the situation, background, assessment, recommendation
SBAR technique. Which information should the PM provide first?
,Cholecystectomy 24 hours ago
The practical nurse (PN) is caring for a client with fractured metatarsals after
slamming a hand in the car door. After administering the prescribed
hydrocodone/acetaminophen for pain, which intervention should the PN
include in the clients care?
Implement ongoing assessments for signs of shallow or slow breathing.
The practical nurse peeing and ministers an anticonvulsant That causes
photosensitivity. Which action should the PN take after administering the
medication?
Remind the client to protect skin from sunlight
An order client with metastatic breast cancer is experiencing shortness of
breath as a result of 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 care? (select all that
apply)
- Instructions for care should be included in the client's living will
- Care can be provided in the home where the client resides
- Care focuses on comfort, dignity, and emotional support
The single mother of a child with a head injury is sitting at the child's bedside
crying when the practical nurse (PN) enters the room. The mother states, why
did this happen to my child? I just can't cope with this, what is the best initial
response by the PN?
This must appear devastating to you at this moment
The practical nurse (PN) is working in a cancer detection mobile clinic. Four
individuals come for screening with a complaint of hoarseness, a dangerous
sign for cancer of the larynx. Which client has the highest risk for development
of cancer of the larynx that the PN should refer to the healthcare provider?
An older male who drinks a six pack of beer nightly and smokes heavily
, The practical nurse (PN) is giving medications to a client who was admitted to
the hospital with a diagnosis of diabetes mellitus. After checking the finger
stick glucose at 1630, which dose of insulin should the (PN) administer?
8 units
The practical nurse (PN) is obtaining fetal heart rates on four antepartum
clients in their third trimester of pregnancy. Which fetal heart rate should be
reported to the registered nurse RN immediately?
180
A college student arrives at the clinic for a physical examination and asks the
practical nurse (PN) how he should perform testicle self-examination TSE.
Which information should PN provide?
Examine the testicles during bathing
A male client tells the practical nurse (PN) that the pill he has been taking at
home is a different color and size then the one the PN is trying to give him now.
How should the PN respond?
Tell the client that the PN will verify that the dispense medication is the valid
prescription
The Glasgow coma scale is being used to monitor a client who experience a
traumatic brain injury. What primary assessment should the practical nurse PN
evaluate?
Level of consciousness
The practical nurse (PN) preparing to assist an elderly client to the bathroom.
The PN knows that an elderly adult's center or gravity changes from the hips to
another area of the body. And planning to safely assist this client the PN knows
that the center of gravity for the elderly client is in which area of the body?
Upper torso
The practical nurse pin is assigned to care for a client who had in endoscopic
procedure in which a local anesthetic was sprayed on the throat. Which priority
actions should the PN include in this client's plan of care?
Assess the gag reflux
