HESI EXAM ms
Exam Solution
ms
HESI PN EXIT 2026 A+ GRADE ASSURED COMPLETE SO
ms ms ms ms ms ms ms ms
LUTIONS AND VERIFIED ANSWERS (5156B) ms ms ms ms
QUESTION 1 ms
The practical nurse (PN) notices that a client's urine is pale yellow, with a cloudy app
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
earance, and has a foul odor. Which assessment should the PN complete next?
ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Ask the client about urinary frequency
ms ms ms ms ms
QUESTION 2 ms
An older adult client who resides in a long-
ms ms ms ms ms ms ms ms
term care facility has a friend of the opposite sex who often visits in the evenings. Th
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e practical nurse (PN) enters the client's room to administer medications and finds th
ms ms ms ms ms ms ms ms ms ms ms ms ms
e couple in bed together. Which action should the PN take?
ms ms ms ms ms ms ms ms ms ms
ANSWER
Exit the room and quietly close the door.
ms ms ms ms ms ms ms
QUESTION 3 ms
Which action by a practical nurse (PN) indicates the best understanding of the princip
ms ms ms ms ms ms ms ms ms ms ms ms ms
les related to medical asepsis and effective handwashing?
ms ms ms ms ms ms ms
ANSWER
Hold your hands lower than your elbows to promote microbe removal.
ms ms ms ms ms ms ms ms ms ms
QUESTION 4 ms
The practical nurse (PN) is removing the personal protective equipment (PPE) worn w
ms ms ms ms ms ms ms ms ms ms ms ms
hen caring for a client. Which PPE should be removed first?
ms ms ms ms ms ms ms ms ms ms
ANSWER
,gloves
QUESTION 5 ms
The practical nurse (PN) is caring for a primigravida five hours after a vaginal deliver
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
y. Which finding should the PN report immediately to the charge nurse?
ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Rubra lochia saturating three perineal pads per hour.
ms ms ms ms ms ms ms
QUESTION 6 ms
Following the dressing change of an abdominal surgical wound, a client expresses con
ms ms ms ms ms ms ms ms ms ms ms ms
cern to the practical nurse (PN) about the scar that might result from the wound. Whi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ch response is best for the PN to provide?
ms ms ms ms ms ms ms ms
ANSWER
Tell me more about your concerns regarding an abdominal scar.
ms ms ms ms ms ms ms ms ms
QUESTION 7 ms
When preparing to change a client's sterile dressing, the practical nurse (PN) opens a
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
package of gauze pads as seen in the picture. Which action should the PN take next?
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Pick up pads and place them on a sterile field.
ms ms ms ms ms ms ms ms ms
QUESTION 8 ms
A client experiences a muscle strain or sprain to the ankle. Which intervention should
ms ms ms ms ms ms ms ms ms ms ms ms ms
the practical nurse (PN) implement for an acute soft tissue injury?
ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Apply ice to the injured site at 15-minute intervals for the first 24 hours.
ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 9 ms
The practical nurse (PN) is assisting the nurse with the admission physical assessment
ms ms ms ms ms ms ms ms ms ms ms ms
of a client diagnosed with pneumonia. What symptom(s) is the client most likely to e
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
xhibit?
ANSWER
,a. Dyspnea
ms
c. Lung crackles
ms ms
e. Painful cough
ms ms
QUESTION 10 ms
The practical nurse (PN) is working with a newly hired PN on a medical-
ms ms ms ms ms ms ms ms ms ms ms ms ms
surgical unit. Which action performed by the newly hired PN requires intervention by
ms ms ms ms ms ms ms ms ms ms ms ms ms
the PN? ms
ANSWER
Posting client names and healthcare providers on hospital room doors.
ms ms ms ms ms ms ms ms ms
QUESTION 11 ms
The practical nurse (PN) is caring for a 9-month-
ms ms ms ms ms ms ms ms
old infant with developmental dysplasia of the hip (DDH) after a closed reduction and
ms ms ms ms ms ms ms ms ms ms ms ms ms m
hip spica cast application. After application of the cast, which is the most important in
s ms ms ms ms ms ms ms ms ms ms ms ms ms ms
tervention in caring for the infant? ms ms ms ms ms
ANSWER
Monitor the distal toes every 2 hours for movement, sensation, and circulation.
ms ms ms ms ms ms ms ms ms ms ms
QUESTION 12 ms
The practical nurse (PN) turns a client with right-
ms ms ms ms ms ms ms ms
sided paralysis from a supine to a left lateral position. Which bony prominence is mos
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
t likely to manifest signs of erythema when first turned?
ms ms ms ms ms ms ms ms ms
ANSWER
Sacrum
QUESTION 13 ms
Which nursing intervention is most important to include in the plan of care for a chil
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
d with acute glomerulonephritis?
ms ms ms
ANSWER
Weigh the child daily
ms ms ms
QUESTION 14 ms
, An older adult female resident of a long-
ms ms ms ms ms ms ms
term care facility experiences frequent episodes of urinary incontinence. Which focuse
ms ms ms ms ms ms ms ms ms ms
d assessment is most important for the practical nurse (PN) to perform regularly in r
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
esponse to the resident's incontinence?
ms ms ms ms
ANSWER
Appearance of skin in perineal area. ms ms ms ms ms
QUESTION 15 ms
A client tells the practical nurse (PN) of being afraid about a scheduled surgery. How
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
should the PN respond? It is normal to have some fears before surgery.
ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Tell me what is making you feel afraid.
ms ms ms ms ms ms ms
QUESTION 16 ms
A client with a chronic medical condition tells the practical nurse (PN) of not wanting
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
any heroics to prolong the client's life if anything should happen. Which action should
ms ms ms ms ms ms ms ms ms ms ms ms ms
the PN take?
ms ms ms
ANSWER
Notify the client's healthcare provider of the client's wishes as soon as possible
ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 17 ms
The practical nurse (PN) is reviewing results of a client's urinalysis. What results indi
ms ms ms ms ms ms ms ms ms ms ms ms ms
cate problems and should be reported by the PN to the healthcare provider? Select all
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
that apply.
ms ms
ANSWER
* Positive for albumin or protein. * Bacteria present * Large count of red blood cells.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 18 ms
A client with paranoia is admitted to the mental health unit and immediately goes to t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
he corner of the room and sits quietly without communicating. While approaching the
ms ms ms ms ms ms ms ms ms ms ms ms m
client, which intervention should the practical nurse (PN) implement first?
s ms ms ms ms ms ms ms ms ms
ANSWER
Describe functions of the practical nurse (PN).
ms ms ms ms ms ms
Exam Solution
ms
HESI PN EXIT 2026 A+ GRADE ASSURED COMPLETE SO
ms ms ms ms ms ms ms ms
LUTIONS AND VERIFIED ANSWERS (5156B) ms ms ms ms
QUESTION 1 ms
The practical nurse (PN) notices that a client's urine is pale yellow, with a cloudy app
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
earance, and has a foul odor. Which assessment should the PN complete next?
ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Ask the client about urinary frequency
ms ms ms ms ms
QUESTION 2 ms
An older adult client who resides in a long-
ms ms ms ms ms ms ms ms
term care facility has a friend of the opposite sex who often visits in the evenings. Th
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e practical nurse (PN) enters the client's room to administer medications and finds th
ms ms ms ms ms ms ms ms ms ms ms ms ms
e couple in bed together. Which action should the PN take?
ms ms ms ms ms ms ms ms ms ms
ANSWER
Exit the room and quietly close the door.
ms ms ms ms ms ms ms
QUESTION 3 ms
Which action by a practical nurse (PN) indicates the best understanding of the princip
ms ms ms ms ms ms ms ms ms ms ms ms ms
les related to medical asepsis and effective handwashing?
ms ms ms ms ms ms ms
ANSWER
Hold your hands lower than your elbows to promote microbe removal.
ms ms ms ms ms ms ms ms ms ms
QUESTION 4 ms
The practical nurse (PN) is removing the personal protective equipment (PPE) worn w
ms ms ms ms ms ms ms ms ms ms ms ms
hen caring for a client. Which PPE should be removed first?
ms ms ms ms ms ms ms ms ms ms
ANSWER
,gloves
QUESTION 5 ms
The practical nurse (PN) is caring for a primigravida five hours after a vaginal deliver
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
y. Which finding should the PN report immediately to the charge nurse?
ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Rubra lochia saturating three perineal pads per hour.
ms ms ms ms ms ms ms
QUESTION 6 ms
Following the dressing change of an abdominal surgical wound, a client expresses con
ms ms ms ms ms ms ms ms ms ms ms ms
cern to the practical nurse (PN) about the scar that might result from the wound. Whi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ch response is best for the PN to provide?
ms ms ms ms ms ms ms ms
ANSWER
Tell me more about your concerns regarding an abdominal scar.
ms ms ms ms ms ms ms ms ms
QUESTION 7 ms
When preparing to change a client's sterile dressing, the practical nurse (PN) opens a
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
package of gauze pads as seen in the picture. Which action should the PN take next?
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Pick up pads and place them on a sterile field.
ms ms ms ms ms ms ms ms ms
QUESTION 8 ms
A client experiences a muscle strain or sprain to the ankle. Which intervention should
ms ms ms ms ms ms ms ms ms ms ms ms ms
the practical nurse (PN) implement for an acute soft tissue injury?
ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Apply ice to the injured site at 15-minute intervals for the first 24 hours.
ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 9 ms
The practical nurse (PN) is assisting the nurse with the admission physical assessment
ms ms ms ms ms ms ms ms ms ms ms ms
of a client diagnosed with pneumonia. What symptom(s) is the client most likely to e
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
xhibit?
ANSWER
,a. Dyspnea
ms
c. Lung crackles
ms ms
e. Painful cough
ms ms
QUESTION 10 ms
The practical nurse (PN) is working with a newly hired PN on a medical-
ms ms ms ms ms ms ms ms ms ms ms ms ms
surgical unit. Which action performed by the newly hired PN requires intervention by
ms ms ms ms ms ms ms ms ms ms ms ms ms
the PN? ms
ANSWER
Posting client names and healthcare providers on hospital room doors.
ms ms ms ms ms ms ms ms ms
QUESTION 11 ms
The practical nurse (PN) is caring for a 9-month-
ms ms ms ms ms ms ms ms
old infant with developmental dysplasia of the hip (DDH) after a closed reduction and
ms ms ms ms ms ms ms ms ms ms ms ms ms m
hip spica cast application. After application of the cast, which is the most important in
s ms ms ms ms ms ms ms ms ms ms ms ms ms ms
tervention in caring for the infant? ms ms ms ms ms
ANSWER
Monitor the distal toes every 2 hours for movement, sensation, and circulation.
ms ms ms ms ms ms ms ms ms ms ms
QUESTION 12 ms
The practical nurse (PN) turns a client with right-
ms ms ms ms ms ms ms ms
sided paralysis from a supine to a left lateral position. Which bony prominence is mos
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
t likely to manifest signs of erythema when first turned?
ms ms ms ms ms ms ms ms ms
ANSWER
Sacrum
QUESTION 13 ms
Which nursing intervention is most important to include in the plan of care for a chil
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
d with acute glomerulonephritis?
ms ms ms
ANSWER
Weigh the child daily
ms ms ms
QUESTION 14 ms
, An older adult female resident of a long-
ms ms ms ms ms ms ms
term care facility experiences frequent episodes of urinary incontinence. Which focuse
ms ms ms ms ms ms ms ms ms ms
d assessment is most important for the practical nurse (PN) to perform regularly in r
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
esponse to the resident's incontinence?
ms ms ms ms
ANSWER
Appearance of skin in perineal area. ms ms ms ms ms
QUESTION 15 ms
A client tells the practical nurse (PN) of being afraid about a scheduled surgery. How
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
should the PN respond? It is normal to have some fears before surgery.
ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Tell me what is making you feel afraid.
ms ms ms ms ms ms ms
QUESTION 16 ms
A client with a chronic medical condition tells the practical nurse (PN) of not wanting
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
any heroics to prolong the client's life if anything should happen. Which action should
ms ms ms ms ms ms ms ms ms ms ms ms ms
the PN take?
ms ms ms
ANSWER
Notify the client's healthcare provider of the client's wishes as soon as possible
ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 17 ms
The practical nurse (PN) is reviewing results of a client's urinalysis. What results indi
ms ms ms ms ms ms ms ms ms ms ms ms ms
cate problems and should be reported by the PN to the healthcare provider? Select all
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
that apply.
ms ms
ANSWER
* Positive for albumin or protein. * Bacteria present * Large count of red blood cells.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 18 ms
A client with paranoia is admitted to the mental health unit and immediately goes to t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
he corner of the room and sits quietly without communicating. While approaching the
ms ms ms ms ms ms ms ms ms ms ms ms m
client, which intervention should the practical nurse (PN) implement first?
s ms ms ms ms ms ms ms ms ms
ANSWER
Describe functions of the practical nurse (PN).
ms ms ms ms ms ms
