HESI PN EXIT EXAM
2020/180 QUESTIONS WITH
100% CORRECT ANSWERS
1. At the end of a 12-hour shift the PN observes the urine in a client’s drainage. What
action should the PN take next?
Note the most recent white blood count
2. Thirty minutes after receiving IV morphine, a postoperative male client continue to rate
his pain...what action should the PN implement first?
Implement complementary pain relief methods
3. The PN is assisting a female client to obtain a voided specimen for uri. .meatus. Which
intervention is performed next?
Initiate the urine stream
4. An 8-year old is placed in 90-90 traction for a fractured femur that resulted from. .further
action by the PN?
Weights are touching the foot of the bed
5. The PN is reviewing diet instructions with a female client who has hyper. .she has
increased her intakes of protein and calories. What action should the PN take?
Encourage the client to continue the dietary changes she has made
6. The PN reviews the procedure for measuring fluid intake and output glomerulonephritis
and is
Preparing for discharge from the hospital. What... -why the fluid measurements need
to be recoded
,7. The nurse is changing the dressing on a client’s wound. The nurse understands which of
the following symptoms indicate a wound infection?
Redness over 1 cm wide on per wound skin and tenderness
8. The nurse is developing a teaching plan for a client who is going home with a
tracheostomy tube. Which of the following is the MOST important part of the teaching
plan?
The family of a client should know what to do in a case of emergency, i.e.: clogged
tracheostomy tube and how to suction the client.
9. A 64-year-old male client comes to the provider’s office and complains of both legs
hurting him when he walks a few blocks in his neighborhood. He states “When I sit down
for a while, the pain eases off, but if I start walking a few blocks more, the pain comes
back. The nurse recognizes this symptom may be related to peripheral vascular disease
and is called what?
Intermittent claudication
10. A narrowing and hardening of the arteries is called:
Arteriosclerosis
11. A client has clusters of small vesicles over the thoracic region and describes severe pain
and itching of the affected areas. Herpes zoster is diagnosed, and the client will be
treated with which of these medications?
Acyclovir (Zorivax)
12. When administrating oxygen to clients with conditions such as emphysema, it is
important for the nurse to remember which one of the following facts as most
important
The drive to breathe may be dependent on low levels of oxygen in the blood
13. The nurse is preparing to instruct the client with pneumonia on managing the disease
after discharge from the hospital. Which of the following is consistent with appropriate
discharge planning for this client?
Take all medications until they are finished, as ordered by MD
14. Immediately after sustaining severe burn wounds, the nurse would anticipate the
client’s initial nutritional needs would usually be met by which of these methods?
Total parenteral nutrition (TPN)
, 15. Which of the following measures should the nurse take when care for a client with TB in
an acute care facility?
Double-bag and dispose of client secretions as infectious waste
16. The most important nursing intervention for the nurse to remember in administrating
Digoxin to a client is to?
Take apical pule and withhold med is pulse is <60
17. The nurse is performing a respiratory assessment on a new client who has come to the
clinic. On inspection of the anterior and posterior chest, she notices the symmetry of
the chest is equal from front to back and from shoulder to shoulder like the shape of a
barrel. The nurse knows the most common lung disease process causing this change in
chest symmetry is?
COPD
18. A nurse is reinforcing health teaching regarding skin cancer to a group of clients. Which
of the following should the nurse identify as the leading cause of skin cancer?
Sun exposure
19. Which of the following is potassium sparing diuretic?
Aldactone
20. There are many types of wound dressings and therapies in evidence-based wound care.
The wound vac has been around many years and is one of the best ways to heal a
wound 60% faster than conventional dressings because? (select all that apply)
-Negative pressure increases epithelial cell multiplications forming granulation tissue
-Reduces edema in the wound and improves blood flow
21. A nurse is collecting data from a client who present to the provider’s office for
evaluation pf multiple nevi. Which of the following findings should the nurse report to
the provider as a possible sign of malignancy?
Irregular borders
22. Which breath sounds are usually heard over the anterior third of the chest near the
sternum and also scapular posteriorly, and have inspiration and expiration of equal
duration?
Bronchovesicular
2020/180 QUESTIONS WITH
100% CORRECT ANSWERS
1. At the end of a 12-hour shift the PN observes the urine in a client’s drainage. What
action should the PN take next?
Note the most recent white blood count
2. Thirty minutes after receiving IV morphine, a postoperative male client continue to rate
his pain...what action should the PN implement first?
Implement complementary pain relief methods
3. The PN is assisting a female client to obtain a voided specimen for uri. .meatus. Which
intervention is performed next?
Initiate the urine stream
4. An 8-year old is placed in 90-90 traction for a fractured femur that resulted from. .further
action by the PN?
Weights are touching the foot of the bed
5. The PN is reviewing diet instructions with a female client who has hyper. .she has
increased her intakes of protein and calories. What action should the PN take?
Encourage the client to continue the dietary changes she has made
6. The PN reviews the procedure for measuring fluid intake and output glomerulonephritis
and is
Preparing for discharge from the hospital. What... -why the fluid measurements need
to be recoded
,7. The nurse is changing the dressing on a client’s wound. The nurse understands which of
the following symptoms indicate a wound infection?
Redness over 1 cm wide on per wound skin and tenderness
8. The nurse is developing a teaching plan for a client who is going home with a
tracheostomy tube. Which of the following is the MOST important part of the teaching
plan?
The family of a client should know what to do in a case of emergency, i.e.: clogged
tracheostomy tube and how to suction the client.
9. A 64-year-old male client comes to the provider’s office and complains of both legs
hurting him when he walks a few blocks in his neighborhood. He states “When I sit down
for a while, the pain eases off, but if I start walking a few blocks more, the pain comes
back. The nurse recognizes this symptom may be related to peripheral vascular disease
and is called what?
Intermittent claudication
10. A narrowing and hardening of the arteries is called:
Arteriosclerosis
11. A client has clusters of small vesicles over the thoracic region and describes severe pain
and itching of the affected areas. Herpes zoster is diagnosed, and the client will be
treated with which of these medications?
Acyclovir (Zorivax)
12. When administrating oxygen to clients with conditions such as emphysema, it is
important for the nurse to remember which one of the following facts as most
important
The drive to breathe may be dependent on low levels of oxygen in the blood
13. The nurse is preparing to instruct the client with pneumonia on managing the disease
after discharge from the hospital. Which of the following is consistent with appropriate
discharge planning for this client?
Take all medications until they are finished, as ordered by MD
14. Immediately after sustaining severe burn wounds, the nurse would anticipate the
client’s initial nutritional needs would usually be met by which of these methods?
Total parenteral nutrition (TPN)
, 15. Which of the following measures should the nurse take when care for a client with TB in
an acute care facility?
Double-bag and dispose of client secretions as infectious waste
16. The most important nursing intervention for the nurse to remember in administrating
Digoxin to a client is to?
Take apical pule and withhold med is pulse is <60
17. The nurse is performing a respiratory assessment on a new client who has come to the
clinic. On inspection of the anterior and posterior chest, she notices the symmetry of
the chest is equal from front to back and from shoulder to shoulder like the shape of a
barrel. The nurse knows the most common lung disease process causing this change in
chest symmetry is?
COPD
18. A nurse is reinforcing health teaching regarding skin cancer to a group of clients. Which
of the following should the nurse identify as the leading cause of skin cancer?
Sun exposure
19. Which of the following is potassium sparing diuretic?
Aldactone
20. There are many types of wound dressings and therapies in evidence-based wound care.
The wound vac has been around many years and is one of the best ways to heal a
wound 60% faster than conventional dressings because? (select all that apply)
-Negative pressure increases epithelial cell multiplications forming granulation tissue
-Reduces edema in the wound and improves blood flow
21. A nurse is collecting data from a client who present to the provider’s office for
evaluation pf multiple nevi. Which of the following findings should the nurse report to
the provider as a possible sign of malignancy?
Irregular borders
22. Which breath sounds are usually heard over the anterior third of the chest near the
sternum and also scapular posteriorly, and have inspiration and expiration of equal
duration?
Bronchovesicular
