HESI PN Exit Exam Version
2 (2026 Edition) by Elsevier –
160 Actual Questions &
Detailed Answers
**1. A school-age client with diabetes is placed on intermediate-acting
insulin and regular insulin before breakfast and dinner, with a snack of
milk and cereal at bedtime. What is the snack intended to do?**
* **Answer:** Prevent late night hypoglycemia .
**2. Several nurses access a public official’s electronic medical record
after an ED admission for chest pain. What is the best response by the
nurse manager?**
* **Answer:** "Assessing the official's medical record is a breach of
confidentiality" .
**3. A 4-year-old with acute lymphocytic leukemia has a low WBC and
neutrophil count. What is the most important intervention to teach the
parents?**
* **Answer:** Protect your child from infections because his
resistance to infection is decreased .
,**4. The nurse is caring for a client with influenza. What is the most
effective way to decrease the spread of microorganisms?**
* **Answer:** Washing the hands frequently .
**5. A client with hypertension is prescribed a new antihypertensive
and reports dizziness. What is the best way for the nurse to assess
blood pressure?**
* **Answer:** In the supine, sitting, and standing positions .
**6. A client has a soft wrist-safety device. Which assessment finding
should the nurse investigate further?**
* **Answer:** Cool, pale fingers .
**7. A client states she is glad she will not go through menopause after
having her "uterus removed." The nurse notes the consent is for a total
abdominal hysterectomy with salpingo-oophorectomy. What should
the nurse do?**
* **Answer:** Contact the surgeon to explain that the client needs
further clarification regarding surgery .
**8. A client with schizophrenia says, "When I thought everyone was
out to get me, I stayed in my apartment. Now I want to get out." What
is the best initial response?**
* **Answer:** "What activities did you enjoy in the past?" .
, **9. Which assessment findings are characteristic of iron deficiency
anemia?**
* **Answer:** Dyspnea, tachycardia, and pallor .
**10. What is the most important intervention when discontinuing an
IV catheter on a 10-year-old with hemophilia?**
* **Answer:** Apply firm pressure on the site for 5 minutes after
removal .
**11. What is the priority assessment when a client returns from
recovery post-mastectomy?**
* **Answer:** Assessing the vital signs and oxygen saturation levels .
**12. A client in early labor thinks her water has broken. What is the
nurse's best action?**
* **Answer:** Ask what time this happened and note the color,
amount, and odor of the fluid .
**13. A client is receiving a continuous tube feeding. What is the most
important action to prevent aspiration?**
* **Answer:** Elevate the head of the bed to at least 30-45 degrees .
2 (2026 Edition) by Elsevier –
160 Actual Questions &
Detailed Answers
**1. A school-age client with diabetes is placed on intermediate-acting
insulin and regular insulin before breakfast and dinner, with a snack of
milk and cereal at bedtime. What is the snack intended to do?**
* **Answer:** Prevent late night hypoglycemia .
**2. Several nurses access a public official’s electronic medical record
after an ED admission for chest pain. What is the best response by the
nurse manager?**
* **Answer:** "Assessing the official's medical record is a breach of
confidentiality" .
**3. A 4-year-old with acute lymphocytic leukemia has a low WBC and
neutrophil count. What is the most important intervention to teach the
parents?**
* **Answer:** Protect your child from infections because his
resistance to infection is decreased .
,**4. The nurse is caring for a client with influenza. What is the most
effective way to decrease the spread of microorganisms?**
* **Answer:** Washing the hands frequently .
**5. A client with hypertension is prescribed a new antihypertensive
and reports dizziness. What is the best way for the nurse to assess
blood pressure?**
* **Answer:** In the supine, sitting, and standing positions .
**6. A client has a soft wrist-safety device. Which assessment finding
should the nurse investigate further?**
* **Answer:** Cool, pale fingers .
**7. A client states she is glad she will not go through menopause after
having her "uterus removed." The nurse notes the consent is for a total
abdominal hysterectomy with salpingo-oophorectomy. What should
the nurse do?**
* **Answer:** Contact the surgeon to explain that the client needs
further clarification regarding surgery .
**8. A client with schizophrenia says, "When I thought everyone was
out to get me, I stayed in my apartment. Now I want to get out." What
is the best initial response?**
* **Answer:** "What activities did you enjoy in the past?" .
, **9. Which assessment findings are characteristic of iron deficiency
anemia?**
* **Answer:** Dyspnea, tachycardia, and pallor .
**10. What is the most important intervention when discontinuing an
IV catheter on a 10-year-old with hemophilia?**
* **Answer:** Apply firm pressure on the site for 5 minutes after
removal .
**11. What is the priority assessment when a client returns from
recovery post-mastectomy?**
* **Answer:** Assessing the vital signs and oxygen saturation levels .
**12. A client in early labor thinks her water has broken. What is the
nurse's best action?**
* **Answer:** Ask what time this happened and note the color,
amount, and odor of the fluid .
**13. A client is receiving a continuous tube feeding. What is the most
important action to prevent aspiration?**
* **Answer:** Elevate the head of the bed to at least 30-45 degrees .
