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25 May 2026
2026 PN HESI EXIT REAL EXAM TEST WITH 160
EXAM QUESTIONS AND CORRECT ANSWERS
(100% CORRECT ANSWERS) HESI PN EXIT EXAM
(BEST FOR EXAM PREPARATION)
1. The practical nurse (PN) notices that a client's urine is pale yellow, cloudy, and foul-smelling.
Which assessment should the PN complete next?
A. Assess bowel sounds
B. Ask the client about urinary frequency
C. Measure oral temperature
D. Assess fluid intake
✅ Correct Answer: B. Ask the client about urinary
frequency Rationale:
Cloudy, foul-smelling urine may indicate a urinary tract infection (UTI). Asking about urinary
frequency helps assess for additional symptoms of infection such as urgency and dysuria.
2. A client has a prescription for fluticasone furoate nasal spray. What should the PN emphasize
before self-administration?
A. Gently blow the nose
B. Check glucose level
C. Exhale through the mouth
D. Deep breathe and cough
✅ Correct Answer: A. Gently blow the nose
Rationale:
Blowing the nose clears secretions and allows the medication to reach the nasal mucosa effectively.
3. A PN enters a resident’s room and finds the client and a friend in bed together. What should
the PN do?
A. Report to family
B. Exit quietly and close the door
C. Ask when to return
D. Request the friend leave
✅ Correct Answer: B. Exit quietly and close the door
Rationale:
Clients in long-term care facilities have the right to privacy and intimacy.
4. Residents receiving glaucoma eye drops are at risk for falls because of which effect?
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A. Pupillary constriction
B. Increased heart rate
C. Conjunctival redness
D. Elevated blood pressure
✅ Correct Answer: A. Pupillary constriction
Rationale:
Miotic eye drops cause pupillary constriction, decreasing vision in dim light and increasing fall risk.
5. Which action demonstrates correct handwashing technique?
A. Dry hands above wrists first
B. Use hand gel instead of washing
C. Turn water to high pressure
D. Hold hands lower than elbows
✅ Correct Answer: D. Hold hands lower than elbows Rationale:
Holding hands below elbows allows water to flow from cleanest to least clean areas.
6. Which PPE should be removed first?
A. Disposable gloves
B. Gown
C. Face mask
D. Cap
✅ Correct Answer: A. Disposable gloves Rationale:
Gloves are the most contaminated item and should be removed first.
7. A pulse disappears with light pressure. How should the PN document this?
A. Bounding pulse
B. Weak pulse
C. Irregular pulse
D. Thready pulse volume
✅ Correct Answer: D. Thready pulse volume
Rationale:
A thready pulse is weak and easily obliterated.
8. Five hours postpartum, which finding requires immediate reporting?
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A. Firm fundus
B. Heart rate 90 bpm
C. Rubra lochia saturating 3 pads/hour
D. Pelvic pain
✅ Correct Answer: C. Rubra lochia saturating 3 pads/hour
Rationale:
Excessive bleeding may indicate postpartum hemorrhage.
9. A client worries about scarring after surgery. What is the best response?
A. Wear clothes to cover it
B. Use cocoa butter
C. Tell me more about your concerns
D. I know you are frightened
✅ Correct Answer: C. Tell me more about your concerns
Rationale:
Encourages therapeutic communication and expression of feelings.
10. A client with herpes zoster reports severe burning pain. What should the PN do first?
A. Administer prescribed PRN analgesic
B. Notify supervisor
C. Give antiviral medication
D. Obtain oxygen
✅ Correct Answer: A. Administer prescribed PRN analgesic
Rationale:
Pain relief is the priority intervention.
11. During sterile dressing change, what should the PN do next after opening gauze pads?
A. Apply new gloves
B. Secure gauze over incision
C. Obtain more dressings
D. Place pads on sterile field
✅ Correct Answer: D. Place pads on sterile field
Rationale:
Maintains sterility for wound care.
12. What intervention is appropriate for an acute ankle sprain?
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A. Passive ROM every 2 hours
B. Ice for 15-minute intervals during first 24 hours
C. Continuous heat
D. Pressure proximal to injury
✅ Correct Answer: B. Apply ice
Rationale:
Cold therapy decreases swelling and inflammation during the acute phase.
13. Which symptoms are expected with pneumonia? (Select all that apply.)
A. Dyspnea
B. Bradycardia
C. Lung crackles
D. Edema
E. Painful cough
✅ Correct Answers: A, C, E
Rationale:
Pneumonia commonly causes shortness of breath, crackles, and painful coughing.
14. Which action violates confidentiality?
A. Sign-in roster at front desk
B. Posting client names/providers on doors
C. Informing clergy of admission
D. Giving report to physical therapist
✅ Correct Answer: B. Posting client names/providers on doors Rationale:
This violates HIPAA/privacy standards.
15. Priority care after hip spica cast application for DDH?
A. Check distal circulation every 2 hours
B. Use abduction bar for turning
C. Reverse Trendelenburg
D. Protect cast from urine
✅ Correct Answer: A. Monitor distal toes Rationale:
Neurovascular assessment is the priority after casting.
Downloaded by Phat Pham
25 May 2026
2026 PN HESI EXIT REAL EXAM TEST WITH 160
EXAM QUESTIONS AND CORRECT ANSWERS
(100% CORRECT ANSWERS) HESI PN EXIT EXAM
(BEST FOR EXAM PREPARATION)
1. The practical nurse (PN) notices that a client's urine is pale yellow, cloudy, and foul-smelling.
Which assessment should the PN complete next?
A. Assess bowel sounds
B. Ask the client about urinary frequency
C. Measure oral temperature
D. Assess fluid intake
✅ Correct Answer: B. Ask the client about urinary
frequency Rationale:
Cloudy, foul-smelling urine may indicate a urinary tract infection (UTI). Asking about urinary
frequency helps assess for additional symptoms of infection such as urgency and dysuria.
2. A client has a prescription for fluticasone furoate nasal spray. What should the PN emphasize
before self-administration?
A. Gently blow the nose
B. Check glucose level
C. Exhale through the mouth
D. Deep breathe and cough
✅ Correct Answer: A. Gently blow the nose
Rationale:
Blowing the nose clears secretions and allows the medication to reach the nasal mucosa effectively.
3. A PN enters a resident’s room and finds the client and a friend in bed together. What should
the PN do?
A. Report to family
B. Exit quietly and close the door
C. Ask when to return
D. Request the friend leave
✅ Correct Answer: B. Exit quietly and close the door
Rationale:
Clients in long-term care facilities have the right to privacy and intimacy.
4. Residents receiving glaucoma eye drops are at risk for falls because of which effect?
Downloaded by Phat Pham
, Page 2 of 41
25 May 2026
A. Pupillary constriction
B. Increased heart rate
C. Conjunctival redness
D. Elevated blood pressure
✅ Correct Answer: A. Pupillary constriction
Rationale:
Miotic eye drops cause pupillary constriction, decreasing vision in dim light and increasing fall risk.
5. Which action demonstrates correct handwashing technique?
A. Dry hands above wrists first
B. Use hand gel instead of washing
C. Turn water to high pressure
D. Hold hands lower than elbows
✅ Correct Answer: D. Hold hands lower than elbows Rationale:
Holding hands below elbows allows water to flow from cleanest to least clean areas.
6. Which PPE should be removed first?
A. Disposable gloves
B. Gown
C. Face mask
D. Cap
✅ Correct Answer: A. Disposable gloves Rationale:
Gloves are the most contaminated item and should be removed first.
7. A pulse disappears with light pressure. How should the PN document this?
A. Bounding pulse
B. Weak pulse
C. Irregular pulse
D. Thready pulse volume
✅ Correct Answer: D. Thready pulse volume
Rationale:
A thready pulse is weak and easily obliterated.
8. Five hours postpartum, which finding requires immediate reporting?
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, Page 3 of 41
25 May 2026
A. Firm fundus
B. Heart rate 90 bpm
C. Rubra lochia saturating 3 pads/hour
D. Pelvic pain
✅ Correct Answer: C. Rubra lochia saturating 3 pads/hour
Rationale:
Excessive bleeding may indicate postpartum hemorrhage.
9. A client worries about scarring after surgery. What is the best response?
A. Wear clothes to cover it
B. Use cocoa butter
C. Tell me more about your concerns
D. I know you are frightened
✅ Correct Answer: C. Tell me more about your concerns
Rationale:
Encourages therapeutic communication and expression of feelings.
10. A client with herpes zoster reports severe burning pain. What should the PN do first?
A. Administer prescribed PRN analgesic
B. Notify supervisor
C. Give antiviral medication
D. Obtain oxygen
✅ Correct Answer: A. Administer prescribed PRN analgesic
Rationale:
Pain relief is the priority intervention.
11. During sterile dressing change, what should the PN do next after opening gauze pads?
A. Apply new gloves
B. Secure gauze over incision
C. Obtain more dressings
D. Place pads on sterile field
✅ Correct Answer: D. Place pads on sterile field
Rationale:
Maintains sterility for wound care.
12. What intervention is appropriate for an acute ankle sprain?
Downloaded by Phat Pham
, Page 4 of 41
25 May 2026
A. Passive ROM every 2 hours
B. Ice for 15-minute intervals during first 24 hours
C. Continuous heat
D. Pressure proximal to injury
✅ Correct Answer: B. Apply ice
Rationale:
Cold therapy decreases swelling and inflammation during the acute phase.
13. Which symptoms are expected with pneumonia? (Select all that apply.)
A. Dyspnea
B. Bradycardia
C. Lung crackles
D. Edema
E. Painful cough
✅ Correct Answers: A, C, E
Rationale:
Pneumonia commonly causes shortness of breath, crackles, and painful coughing.
14. Which action violates confidentiality?
A. Sign-in roster at front desk
B. Posting client names/providers on doors
C. Informing clergy of admission
D. Giving report to physical therapist
✅ Correct Answer: B. Posting client names/providers on doors Rationale:
This violates HIPAA/privacy standards.
15. Priority care after hip spica cast application for DDH?
A. Check distal circulation every 2 hours
B. Use abduction bar for turning
C. Reverse Trendelenburg
D. Protect cast from urine
✅ Correct Answer: A. Monitor distal toes Rationale:
Neurovascular assessment is the priority after casting.
Downloaded by Phat Pham
