Exit HESI PN Test Bank Latest Update 2026 |
Comprehensive Prep
1. What is a key factor that may indicate a practical nurse should seek assistance
when transferring an older client?
The client's age.
The client's medication regimen.
The client's previous hospitalizations.
The client's weight or mobility limitations.
2. What is a common intervention for a client with obstructive sleep apnea
before sleep?
Instruct the client to take a hot shower before bed.
Encourage the use of a continuous positive airway pressure (CPAP)
machine.
Suggest the client avoid all medications before sleep.
Advise the client to sleep on their back.
3. A client with the diagnosis of hypothyroidism has diminished bowel sounds
and reports feeling constipated. Which action should the practical nurse (PN)
implement?
Assist the client with ambulation in the room and hallway.
Withhold the next scheduled dose of levothyroxine.
Obtain the supplies needed for insertion of a nasogastric tube.
Remove any food or fluid from the client's bedside and room.
,4. What is the priority action for a practical nurse when a client receiving
chemotherapy develops a productive cough with yellow-tinged sputum and
is afebrile?
Administer a cough suppressant.
Notify the healthcare provider.
Document the findings.
Assess the client's lung sounds.
5. The registered nurse is working on a medical-surgical floor. Which behavior
by a
licensed practical nurse (LPN) would cause the nurse to intervene
immediately?
Applies an external fecal collection system
Irrigates a newly created colostomy
Applies a clean ostomy appliance
Irrigates an ileostomy
6. A prescription reads: acetaminophen liquid, 650 mg orally every 4 hours PRN
for pain. The medication label reads: 500 mg/15 mL. How many milliliters
should the nurse prepare to administer one dose?
19.5 mL
16.3 mL
20.4 mL
17.2 mL
,7. The nurse on a busy surgical unit is assigning client care to a registered nurse
(RN) and a practical nurse (PN). Which client is best to assign to the PN?
A preoperative client who has developed urinary retention and
need a urinary catheter inserted
A postoperative client who is receiving a unit of packed red blood
cells
A preoperative client who is fearful and anxious about the impending
surgery
A postoperative client who is febrile, has a productive cough, and is
complaining of pain
8. A client post-gastric bypass is experiencing symptoms of dumping
syndrome. What immediate action should the practical nurse take to address
this situation?
Encourage the client to eat larger meals to feel full.
Educate the client on dietary modifications to avoid high-sugar
foods.
Administer medication to alleviate symptoms.
Suggest the client drink fluids during meals.
9. The nurse observes a practical nurse (PN) performing oral care on an
unconscious client. Which action by the PN indicates to the need to
additional training?
Places the client in a supine position.
Tests for a gag reflex before performing oral care.
Suctions secretions from the posterior pharynx.
Uses an open airway to keep the teeth apart.
, 10. Which of the following questions can a practical nurse ask to assess a client's
orientation? (Select all that apply)
Blood type, Allergies, Previous surgeries, Current symptoms
Date of birth, Favorite color, Last meal, Current medication
Season of the year, Client name, Reason for hospitalization, Present
location
Occupation, Hobbies, Family members, Recent travels
11. If a practical nurse observes a patient with schizophrenia experiencing
auditory hallucinations, what should be the nurse's immediate priority in
response?
Ensure the patient's safety
Call for a psychiatric evaluation without further assessment
Administer medication immediately
Document the behavior and leave the patient alone
12. How would you explain the significance of fine crackles in a patient's lung
assessment?
Fine crackles indicate the presence of fluid in the alveoli or
atelectasis.
Fine crackles are a sign of bronchial obstruction.
Fine crackles suggest a normal lung function.
Fine crackles are associated with high blood pressure.
13. Describe the relationship between dietary choices and the risk of
developing dumping syndrome in post-gastric bypass patients.
Comprehensive Prep
1. What is a key factor that may indicate a practical nurse should seek assistance
when transferring an older client?
The client's age.
The client's medication regimen.
The client's previous hospitalizations.
The client's weight or mobility limitations.
2. What is a common intervention for a client with obstructive sleep apnea
before sleep?
Instruct the client to take a hot shower before bed.
Encourage the use of a continuous positive airway pressure (CPAP)
machine.
Suggest the client avoid all medications before sleep.
Advise the client to sleep on their back.
3. A client with the diagnosis of hypothyroidism has diminished bowel sounds
and reports feeling constipated. Which action should the practical nurse (PN)
implement?
Assist the client with ambulation in the room and hallway.
Withhold the next scheduled dose of levothyroxine.
Obtain the supplies needed for insertion of a nasogastric tube.
Remove any food or fluid from the client's bedside and room.
,4. What is the priority action for a practical nurse when a client receiving
chemotherapy develops a productive cough with yellow-tinged sputum and
is afebrile?
Administer a cough suppressant.
Notify the healthcare provider.
Document the findings.
Assess the client's lung sounds.
5. The registered nurse is working on a medical-surgical floor. Which behavior
by a
licensed practical nurse (LPN) would cause the nurse to intervene
immediately?
Applies an external fecal collection system
Irrigates a newly created colostomy
Applies a clean ostomy appliance
Irrigates an ileostomy
6. A prescription reads: acetaminophen liquid, 650 mg orally every 4 hours PRN
for pain. The medication label reads: 500 mg/15 mL. How many milliliters
should the nurse prepare to administer one dose?
19.5 mL
16.3 mL
20.4 mL
17.2 mL
,7. The nurse on a busy surgical unit is assigning client care to a registered nurse
(RN) and a practical nurse (PN). Which client is best to assign to the PN?
A preoperative client who has developed urinary retention and
need a urinary catheter inserted
A postoperative client who is receiving a unit of packed red blood
cells
A preoperative client who is fearful and anxious about the impending
surgery
A postoperative client who is febrile, has a productive cough, and is
complaining of pain
8. A client post-gastric bypass is experiencing symptoms of dumping
syndrome. What immediate action should the practical nurse take to address
this situation?
Encourage the client to eat larger meals to feel full.
Educate the client on dietary modifications to avoid high-sugar
foods.
Administer medication to alleviate symptoms.
Suggest the client drink fluids during meals.
9. The nurse observes a practical nurse (PN) performing oral care on an
unconscious client. Which action by the PN indicates to the need to
additional training?
Places the client in a supine position.
Tests for a gag reflex before performing oral care.
Suctions secretions from the posterior pharynx.
Uses an open airway to keep the teeth apart.
, 10. Which of the following questions can a practical nurse ask to assess a client's
orientation? (Select all that apply)
Blood type, Allergies, Previous surgeries, Current symptoms
Date of birth, Favorite color, Last meal, Current medication
Season of the year, Client name, Reason for hospitalization, Present
location
Occupation, Hobbies, Family members, Recent travels
11. If a practical nurse observes a patient with schizophrenia experiencing
auditory hallucinations, what should be the nurse's immediate priority in
response?
Ensure the patient's safety
Call for a psychiatric evaluation without further assessment
Administer medication immediately
Document the behavior and leave the patient alone
12. How would you explain the significance of fine crackles in a patient's lung
assessment?
Fine crackles indicate the presence of fluid in the alveoli or
atelectasis.
Fine crackles are a sign of bronchial obstruction.
Fine crackles suggest a normal lung function.
Fine crackles are associated with high blood pressure.
13. Describe the relationship between dietary choices and the risk of
developing dumping syndrome in post-gastric bypass patients.
