.
.
C. Comprehensive.PN.HESI.Exit.Exam.2026.T
est.Bank.–
.Latest.Practical.Nursing.Exam.Questions,.Stud
y.Guide,.and.Test.Prep.Resource
.
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.
.
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CI. Comprehensive.PN.HESI.Exit.Exam.2026.T
est.Bank.–
.Latest.Practical.Nursing.Exam.Questions,.Stud
y.Guide,.and.Test.Prep.Resource
..Correctly.answered...
An.elderly.client.with.a.fractured.left.hip.is.on.strict.bedrest..Which.nursing.measure.is.esse
ntial.to.the.client's.nursing.care?.
A. Massage.any.reddened.areas.for.at.least.five.minutes..
B. Encourage.active.range.of.motion.exercises.on.extremities..
C. Position.the.client.laterally,.prone,.and.dorsally.in.sequence..
D. Gently.lift.the.client.when.moving.into.a.desired.position..
✅-
.To.avoid.shearing.forces.when.repositioning,.the.client.should.be.lifted.gently.across.a.surfa
ce.(D)..Reddened.areas.should.not.be.massaged.(A).since.this.may.increase.the.damage.to.al
ready.traumatized.skin..To.control.pain.and.muscle.spasms,.active.range.of.motion.(B).may.
, be.limited.on.the.affected.leg..The.position.described.in.(C).is.contraindicated.for.a.client.wi
th.a.fractured.left.hip..
CORRECT.ANSWER.:D.
.
The.nurse.is.administering.medications.through.a.nasogastric.tube.(NGT).which.is.connec
ted.to.suction..After.ensuring.correct.tube.placement,.what.action.should.the.nurse.take.n
ext?.
A. Clamp.the.tube.for.20.minutes..
B. Flush.the.tube.with.water..
C. Administer.the.medications.as.prescribed..
D. Crush.the.tablets.and.dissolve.in.sterile.water..
✅-
.The.NGT.should.be.flushed.before,.after.and.in.between.each.medication.administered.(B)..
Once.all.medications.are.administered,.the.NGT.should.be.clamped.for.20.minutes.(A)..
(C.and.D).may.be.implemented.only.after.the.tubing.has.been.flushed..
CORRECT.ANSWER.:B.
.
A.client.who.is.in.hospice.care.complains.of.increasing.amounts.of.pain..The.healthcar
e.provider.prescribes.an.analgesic.every.four.hours.as.needed..Which.action.should.the
.nurse.implement?.
A. Give.an.around-the-clock.schedule.for.administration.of.analgesics..
B. Administer.analgesic.medication.as.needed.when.the.pain.is.severe..
C. Provide.medication.to.keep.the.client.sedated.and.unaware.of.stimuli..
D. Offer.a.medication-free.period.so.that.the.client.can.do.daily.activities..✅-
.The.most.effective.management.of.pain.is.achieved.using.an.around-the-
clock.schedule.that.provides.analgesic.medications.on.a.regular.basis.(A).and.in.a.timely.
manner..Analgesics.are.less.effective.if.pain.persists.until.it.is.severe,.so.an.analgesic.med
ication.should.be.administered.before.the.client's.pain.peaks.(B)..Providing.comfort.is.a.
priority.for.the.client.who.is.dying,.but.sedation.that.impairs.the.client's.ability.to.interact
.and.experience.the.time.before.life.ends.should.be.minimized.(C)..Offering.a.medication-
free.period.allows.the.serum.drug.level.to.fall,.which.is.not.an.effective.method.to.manag
e.chronic.pain.(D)..CORRECT.ANSWER.:A.
.
When.assessing.a.client.with.wrist.restraints,.the.nurse.observes.that.the.fingers.on.th
e.right.hand.are.blue..What.action.should.the.nurse.implement.first?.A..Loosen.the.righ
t.wrist.restraint..
B. Apply.a.pulse.oximeter.to.the.right.hand..
, C. Compare.hand.color.bilaterally..
D. Palpate.the.right.radial.pulse..
✅-
.The.priority.nursing.action.is.to.restore.circulation.by.loosening.the.restraint.(A),.because.
blue.fingers.(cyanosis).indicates.decreased.circulation..(C.and.D).are.also.important.nursi
ng.interventions,.but.do.not.have.the.priority.of.(A)..Pulse.oximetry.(B).measures.the.satur
ation.of.hemoglobin.with.oxygen.and.is.not.indicated.in.situations.where.the.cyanosis.is.re
lated.to.mechanical.compression.(the.restraints)..Correct.
Answer:.A.
.
The.nurse.is.assessing.the.nutritional.status.of.several.clients..Which.client.has.the.greatest
.nutritional.need.for.additional.intake.of.protein?.
A. A.college-age.track.runner.with.a.sprained.ankle..
B. A.lactating.woman.nursing.her.3-day-old.infant..
C. A.school-aged.child.with.Type.2.diabetes..
D. An.elderly.man.being.treated.for.a.peptic.ulcer..
✅-
.A.lactating.woman.(B).has.the.greatest.need.for.additional.protein.intake..(A,.C,.and.D).are.a
ll.conditions.that.require.protein,.but.do.not.have.the.increased.metabolic.protein.demands.
of.lactation..
CORRECT.ANSWER.:B.
.
A.client.is.in.the.radiology.department.at.0900.when.the.prescription.levofloxacin.(Levaq
uin).500.mg.IV.q24h.is.scheduled.to.be.administered..The.client.returns.to.the.unit.at.130
0..What.is.the.best.intervention.for.the.nurse.to.implement?.
A. Contact.the.healthcare.provider.and.complete.a.medication.variance.form..
B. Administer.the.Levaquin.at.1300.and.resume.the.0900.schedule.in.the.morning..
C. Notify.the.charge.nurse.and.complete.an.incident.report.to.explain.the.missed.dose..
D. Give.the.missed.dose.at.1300.and.change.the.schedule.to.administer.daily.at.1300..
✅-
.To.ensure.that.a.therapeutic.level.of.medication.is.maintained,.the.nurse.should.administer.
the.missed.dose.as.soon.as.possible,.and.revise.the.administration.schedule.accordingly.to.p
revent.dangerously.increasing.the.level.of.the.medication.in.the.bloodstream.(D)..The.nurse.
should.document.the.reason.for.the.late.dose,.but.(A.and.C).are.not.warranted..(B).could.res
ult.in.increased.blood.levels.of.the.drug..
CORRECT.ANSWER.:D.
, .
While.instructing.a.male.client's.wife.in.the.performance.of.passive.range-of-
motion.exercises.to.his.contracted.shoulder,.the.nurse.observes.that.she.is.holding.his.ar
m.above.and.below.the.elbow..What.nursing.action.should.the.nurse.implement?.A..Ackn
owledge.that.she.is.supporting.the.arm.correctly..
B. Encourage.her.to.keep.the.joint.covered.to.maintain.warmth..
C. Reinforce.the.need.to.grip.directly.under.the.joint.for.better.support..
D. Instruct.her.to.grip.directly.over.the.joint.for.better.motion..
✅-
.The.wife.is.performing.the.passive.ROM.correctly,.therefore.the.nurse.should.acknowled
ge.this.fact.(A)..The.joint.that.is.being.exercised.should.be.uncovered.(B).while.the.rest.of
.the.body.should.remain.covered.for.warmth.and.privacy..(C.and.D).do.not.provide.adequ
ate.support.to.the.joint.while.still.allowing.for.joint.movement..Correct.
Answer:.A.
.
What.is.the.most.important.reason.for.starting.intravenous.infusions.in.the.upper.extremiti
es.rather.than.the.lower.extremities.of.adults?.
A. It.is.more.difficult.to.find.a.superficial.vein.in.the.feet.and.ankles..
B. A.decreased.flow.rate.could.result.in.the.formation.of.a.thrombosis..
C. A.cannulated.extremity.is.more.difficult.to.move.when.the.leg.or.foot.is.used..
D. Veins.are.located.deep.in.the.feet.and.ankles,.resulting.in.a.more.painful.procedure..✅-
.Venous.return.is.usually.better.in.the.upper.extremities..Cannulation.of.the.veins.in.the.lo
wer.extremities.increases.the.risk.of.thrombus.formation.(B).which,.if.dislodged,.could.b
e.life-
threatening..Superficial.veins.are.often.very.easy.(A).to.find.in.the.feet.and.legs..Handling.
a.leg.or.foot.with.an.IV.(C).is.probably.not.any.more.difficult.than.handling.an.arm.or.han
d..Even.if.the.nurse.did.believe.moving.a.cannulated.leg.was.more.difficult,.this.is.not.the.
most.important.reason.for.using.the.upper.extremities..Pain.(D).is.not.a.consideration..
CORRECT.ANSWER.:B.
.
The.nurse.observes.an.unlicensed.assistive.personnel.(UAP).taking.a.client's.blood.pressu
re.with.a.cuff.that.is.too.small,.but.the.blood.pressure.reading.obtained.is.within.the.client'
s.usual.range..What.action.is.most.important.for.the.nurse.to.implement?.A..Tell.the.UAP.to
.use.a.larger.cuff.at.the.next.scheduled.assessment..B..Reassess.the.client's.blood.pressure.
using.a.larger.cuff..
C. Have.the.unit.educator.review.this.procedure.with.the.UAPs..
D. Teach.the.UAP.the.correct.technique.for.assessing.blood.pressure..
.
C. Comprehensive.PN.HESI.Exit.Exam.2026.T
est.Bank.–
.Latest.Practical.Nursing.Exam.Questions,.Stud
y.Guide,.and.Test.Prep.Resource
.
.
.
.
.
.
.
.
.
.
.
CI. Comprehensive.PN.HESI.Exit.Exam.2026.T
est.Bank.–
.Latest.Practical.Nursing.Exam.Questions,.Stud
y.Guide,.and.Test.Prep.Resource
..Correctly.answered...
An.elderly.client.with.a.fractured.left.hip.is.on.strict.bedrest..Which.nursing.measure.is.esse
ntial.to.the.client's.nursing.care?.
A. Massage.any.reddened.areas.for.at.least.five.minutes..
B. Encourage.active.range.of.motion.exercises.on.extremities..
C. Position.the.client.laterally,.prone,.and.dorsally.in.sequence..
D. Gently.lift.the.client.when.moving.into.a.desired.position..
✅-
.To.avoid.shearing.forces.when.repositioning,.the.client.should.be.lifted.gently.across.a.surfa
ce.(D)..Reddened.areas.should.not.be.massaged.(A).since.this.may.increase.the.damage.to.al
ready.traumatized.skin..To.control.pain.and.muscle.spasms,.active.range.of.motion.(B).may.
, be.limited.on.the.affected.leg..The.position.described.in.(C).is.contraindicated.for.a.client.wi
th.a.fractured.left.hip..
CORRECT.ANSWER.:D.
.
The.nurse.is.administering.medications.through.a.nasogastric.tube.(NGT).which.is.connec
ted.to.suction..After.ensuring.correct.tube.placement,.what.action.should.the.nurse.take.n
ext?.
A. Clamp.the.tube.for.20.minutes..
B. Flush.the.tube.with.water..
C. Administer.the.medications.as.prescribed..
D. Crush.the.tablets.and.dissolve.in.sterile.water..
✅-
.The.NGT.should.be.flushed.before,.after.and.in.between.each.medication.administered.(B)..
Once.all.medications.are.administered,.the.NGT.should.be.clamped.for.20.minutes.(A)..
(C.and.D).may.be.implemented.only.after.the.tubing.has.been.flushed..
CORRECT.ANSWER.:B.
.
A.client.who.is.in.hospice.care.complains.of.increasing.amounts.of.pain..The.healthcar
e.provider.prescribes.an.analgesic.every.four.hours.as.needed..Which.action.should.the
.nurse.implement?.
A. Give.an.around-the-clock.schedule.for.administration.of.analgesics..
B. Administer.analgesic.medication.as.needed.when.the.pain.is.severe..
C. Provide.medication.to.keep.the.client.sedated.and.unaware.of.stimuli..
D. Offer.a.medication-free.period.so.that.the.client.can.do.daily.activities..✅-
.The.most.effective.management.of.pain.is.achieved.using.an.around-the-
clock.schedule.that.provides.analgesic.medications.on.a.regular.basis.(A).and.in.a.timely.
manner..Analgesics.are.less.effective.if.pain.persists.until.it.is.severe,.so.an.analgesic.med
ication.should.be.administered.before.the.client's.pain.peaks.(B)..Providing.comfort.is.a.
priority.for.the.client.who.is.dying,.but.sedation.that.impairs.the.client's.ability.to.interact
.and.experience.the.time.before.life.ends.should.be.minimized.(C)..Offering.a.medication-
free.period.allows.the.serum.drug.level.to.fall,.which.is.not.an.effective.method.to.manag
e.chronic.pain.(D)..CORRECT.ANSWER.:A.
.
When.assessing.a.client.with.wrist.restraints,.the.nurse.observes.that.the.fingers.on.th
e.right.hand.are.blue..What.action.should.the.nurse.implement.first?.A..Loosen.the.righ
t.wrist.restraint..
B. Apply.a.pulse.oximeter.to.the.right.hand..
, C. Compare.hand.color.bilaterally..
D. Palpate.the.right.radial.pulse..
✅-
.The.priority.nursing.action.is.to.restore.circulation.by.loosening.the.restraint.(A),.because.
blue.fingers.(cyanosis).indicates.decreased.circulation..(C.and.D).are.also.important.nursi
ng.interventions,.but.do.not.have.the.priority.of.(A)..Pulse.oximetry.(B).measures.the.satur
ation.of.hemoglobin.with.oxygen.and.is.not.indicated.in.situations.where.the.cyanosis.is.re
lated.to.mechanical.compression.(the.restraints)..Correct.
Answer:.A.
.
The.nurse.is.assessing.the.nutritional.status.of.several.clients..Which.client.has.the.greatest
.nutritional.need.for.additional.intake.of.protein?.
A. A.college-age.track.runner.with.a.sprained.ankle..
B. A.lactating.woman.nursing.her.3-day-old.infant..
C. A.school-aged.child.with.Type.2.diabetes..
D. An.elderly.man.being.treated.for.a.peptic.ulcer..
✅-
.A.lactating.woman.(B).has.the.greatest.need.for.additional.protein.intake..(A,.C,.and.D).are.a
ll.conditions.that.require.protein,.but.do.not.have.the.increased.metabolic.protein.demands.
of.lactation..
CORRECT.ANSWER.:B.
.
A.client.is.in.the.radiology.department.at.0900.when.the.prescription.levofloxacin.(Levaq
uin).500.mg.IV.q24h.is.scheduled.to.be.administered..The.client.returns.to.the.unit.at.130
0..What.is.the.best.intervention.for.the.nurse.to.implement?.
A. Contact.the.healthcare.provider.and.complete.a.medication.variance.form..
B. Administer.the.Levaquin.at.1300.and.resume.the.0900.schedule.in.the.morning..
C. Notify.the.charge.nurse.and.complete.an.incident.report.to.explain.the.missed.dose..
D. Give.the.missed.dose.at.1300.and.change.the.schedule.to.administer.daily.at.1300..
✅-
.To.ensure.that.a.therapeutic.level.of.medication.is.maintained,.the.nurse.should.administer.
the.missed.dose.as.soon.as.possible,.and.revise.the.administration.schedule.accordingly.to.p
revent.dangerously.increasing.the.level.of.the.medication.in.the.bloodstream.(D)..The.nurse.
should.document.the.reason.for.the.late.dose,.but.(A.and.C).are.not.warranted..(B).could.res
ult.in.increased.blood.levels.of.the.drug..
CORRECT.ANSWER.:D.
, .
While.instructing.a.male.client's.wife.in.the.performance.of.passive.range-of-
motion.exercises.to.his.contracted.shoulder,.the.nurse.observes.that.she.is.holding.his.ar
m.above.and.below.the.elbow..What.nursing.action.should.the.nurse.implement?.A..Ackn
owledge.that.she.is.supporting.the.arm.correctly..
B. Encourage.her.to.keep.the.joint.covered.to.maintain.warmth..
C. Reinforce.the.need.to.grip.directly.under.the.joint.for.better.support..
D. Instruct.her.to.grip.directly.over.the.joint.for.better.motion..
✅-
.The.wife.is.performing.the.passive.ROM.correctly,.therefore.the.nurse.should.acknowled
ge.this.fact.(A)..The.joint.that.is.being.exercised.should.be.uncovered.(B).while.the.rest.of
.the.body.should.remain.covered.for.warmth.and.privacy..(C.and.D).do.not.provide.adequ
ate.support.to.the.joint.while.still.allowing.for.joint.movement..Correct.
Answer:.A.
.
What.is.the.most.important.reason.for.starting.intravenous.infusions.in.the.upper.extremiti
es.rather.than.the.lower.extremities.of.adults?.
A. It.is.more.difficult.to.find.a.superficial.vein.in.the.feet.and.ankles..
B. A.decreased.flow.rate.could.result.in.the.formation.of.a.thrombosis..
C. A.cannulated.extremity.is.more.difficult.to.move.when.the.leg.or.foot.is.used..
D. Veins.are.located.deep.in.the.feet.and.ankles,.resulting.in.a.more.painful.procedure..✅-
.Venous.return.is.usually.better.in.the.upper.extremities..Cannulation.of.the.veins.in.the.lo
wer.extremities.increases.the.risk.of.thrombus.formation.(B).which,.if.dislodged,.could.b
e.life-
threatening..Superficial.veins.are.often.very.easy.(A).to.find.in.the.feet.and.legs..Handling.
a.leg.or.foot.with.an.IV.(C).is.probably.not.any.more.difficult.than.handling.an.arm.or.han
d..Even.if.the.nurse.did.believe.moving.a.cannulated.leg.was.more.difficult,.this.is.not.the.
most.important.reason.for.using.the.upper.extremities..Pain.(D).is.not.a.consideration..
CORRECT.ANSWER.:B.
.
The.nurse.observes.an.unlicensed.assistive.personnel.(UAP).taking.a.client's.blood.pressu
re.with.a.cuff.that.is.too.small,.but.the.blood.pressure.reading.obtained.is.within.the.client'
s.usual.range..What.action.is.most.important.for.the.nurse.to.implement?.A..Tell.the.UAP.to
.use.a.larger.cuff.at.the.next.scheduled.assessment..B..Reassess.the.client's.blood.pressure.
using.a.larger.cuff..
C. Have.the.unit.educator.review.this.procedure.with.the.UAPs..
D. Teach.the.UAP.the.correct.technique.for.assessing.blood.pressure..
