HESI NCLEX -PN TEST BANK FINAL REVIEW FINAL EXAM
2026 COMPLETE 100 QUESTIONS AND CORRECT
ANSWERS\EXAM QUESTIONS WITH COMPLETE VERIFIED
SOLUTION GUIDE (A+ GRADED 100% CORRECT ) 2026-2027
NEWEST VERSION!!
The dosing of heparin intravenous infusion is guided by which laboratory
value?
a. Prothrombin time
b. Fibrin split products
c. Platelet count
d. Partial thromboplastin time
D
The health care provider (HCP) has prescribed a 74-year-old client to be
vaccinated with the influenza vaccine prior to discharge. Which client
condition will make the practical nurse not to vaccinate the client and
consult with the charge nurse?
a. History of congested heart failure
b. History of an allergy to eggs
c. History of pneumococcal vaccination
d. History of end-stage renal
disease
B
,A client receiving the antibiotic vancomycin is prescribed to have a peak
and trough level done with the next dose. What time should the practical
nurse obtain the blood specimen for the trough level?
a. 60 minutes after the antibiotic dose is administered.
b. Immediately before the next antibiotic dose is given.
c. When the next blood glucose level is to be checked.
d. 30 minutes before the next antibiotic dose is given.
B
The nurse is caring for a client who is taking prednisone to treat rheumatoid
arthritis. The nurse expects which aspect of care to be emphasized with this
client?
a. Reducing the dose of insulin
b. Monitoring for hyperkalemia
c. Monitoring for substance abuse
d. Treating infections as soon as they occur
D
,A client prescribed glipizide asked why they had to take their insulin orally. How
should the practical nurse respond?
a. "Glipizide is an oral form of insulin and has the same actions and
properties as intermediate insulin."
b. "Glipizide is an oral form of insulin and is distributed, metabolized, and
excreted in the same manner as insulin."
c. "Glipizide is not an oral form of insulin and can be used only when some
beta cell function is present."
d. "Glipizide is not an oral form of insulin, but it is effective for those who are
resistant to injectable insulins."
C
The practical nurse administered carbidopa-levodopa to a client diagnosed
with Parkinson disease. Which outcome by the client would indicate a
therapeutic response?
a. Decreased blood pressure
a. Decreased blood pressure
b. Lessening of tremors
c. Increased salivation
d. Increased attention span
B
, A client who is taking hydrochlorothiazide is admitted to the hospital and is
experiencing muscle weakness and cramps. Which condition should the
practical nurse suspect is causing these changes?
a. Hypolipidemia
b. Hypermagnesemia
c. Hyperchloremia
d. Hyponatremia
D
At 1900, the nurse has received change of shift report regarding a 3-year-
old child who is hospitalized for observation after swallowing his older
sister's dose of phenytoin. During the "recommendation" section of the
report, the off-going nurse states "You'll need to continue monitoring his
gait. So far it has been normal." The nurse is monitoring for which adverse
drug effect?
a. Ataxia
b. Nystagmus
c. Gingival hyperplasia
d. Paradoxical
excitement
A
2026 COMPLETE 100 QUESTIONS AND CORRECT
ANSWERS\EXAM QUESTIONS WITH COMPLETE VERIFIED
SOLUTION GUIDE (A+ GRADED 100% CORRECT ) 2026-2027
NEWEST VERSION!!
The dosing of heparin intravenous infusion is guided by which laboratory
value?
a. Prothrombin time
b. Fibrin split products
c. Platelet count
d. Partial thromboplastin time
D
The health care provider (HCP) has prescribed a 74-year-old client to be
vaccinated with the influenza vaccine prior to discharge. Which client
condition will make the practical nurse not to vaccinate the client and
consult with the charge nurse?
a. History of congested heart failure
b. History of an allergy to eggs
c. History of pneumococcal vaccination
d. History of end-stage renal
disease
B
,A client receiving the antibiotic vancomycin is prescribed to have a peak
and trough level done with the next dose. What time should the practical
nurse obtain the blood specimen for the trough level?
a. 60 minutes after the antibiotic dose is administered.
b. Immediately before the next antibiotic dose is given.
c. When the next blood glucose level is to be checked.
d. 30 minutes before the next antibiotic dose is given.
B
The nurse is caring for a client who is taking prednisone to treat rheumatoid
arthritis. The nurse expects which aspect of care to be emphasized with this
client?
a. Reducing the dose of insulin
b. Monitoring for hyperkalemia
c. Monitoring for substance abuse
d. Treating infections as soon as they occur
D
,A client prescribed glipizide asked why they had to take their insulin orally. How
should the practical nurse respond?
a. "Glipizide is an oral form of insulin and has the same actions and
properties as intermediate insulin."
b. "Glipizide is an oral form of insulin and is distributed, metabolized, and
excreted in the same manner as insulin."
c. "Glipizide is not an oral form of insulin and can be used only when some
beta cell function is present."
d. "Glipizide is not an oral form of insulin, but it is effective for those who are
resistant to injectable insulins."
C
The practical nurse administered carbidopa-levodopa to a client diagnosed
with Parkinson disease. Which outcome by the client would indicate a
therapeutic response?
a. Decreased blood pressure
a. Decreased blood pressure
b. Lessening of tremors
c. Increased salivation
d. Increased attention span
B
, A client who is taking hydrochlorothiazide is admitted to the hospital and is
experiencing muscle weakness and cramps. Which condition should the
practical nurse suspect is causing these changes?
a. Hypolipidemia
b. Hypermagnesemia
c. Hyperchloremia
d. Hyponatremia
D
At 1900, the nurse has received change of shift report regarding a 3-year-
old child who is hospitalized for observation after swallowing his older
sister's dose of phenytoin. During the "recommendation" section of the
report, the off-going nurse states "You'll need to continue monitoring his
gait. So far it has been normal." The nurse is monitoring for which adverse
drug effect?
a. Ataxia
b. Nystagmus
c. Gingival hyperplasia
d. Paradoxical
excitement
A
