Exit Hesi PN Practice Questions AND CORRECT
ANSWERS 2023
After administering pantoprazole to a client with gastroesophogeal reflux disorder(GERD), which
statement by the client indicates to the practical nurse that the medication is producing the desired
effect?
A. After eating my meal, I did not experience any heartburn
B. I have a great appetite and am feeling really hungry
C. I should increase the amount of vitamin C in my diet
D. While eating, I had no difficulty swallowing any of the foods - A
During the last 30 days, an elderly client has exhibited a progressively decreasing appetite, is spending
increasing amounts of daytime hours in bed and refuses to participate in planned daytime activities.
Which action should the practical nurse take?
A. Record the findings and report the symptoms to the charge nurse
B. Ask the family members to visit more often to stimulate the patient
C. Motivate the client by offering favorite foods as a prize
D. Withold any medications that may cause side effects - A
A male client who has been diagnosed with schizophrenia is withdrawn, isolates himself in the day
room, and answers question with one or two word responses. This morning, the practical nurse
observes that he is diaphoretic and is pacing in the hall. Which intervention is most important to the PN
to implement?
A. Persuade the client to lie down
B. Provide a drink high in electrolytes
C. Observe the client during the shift
D. Measure appropriate vital signs - D
,At 1200, the practical nurse learns that a client's 0900 dose of an anticonvulsant was not given. The next
scheduled dose is at 2100. Which action should the PN take?
A. Administer half of the missed dose immediately
B. Administer the missed dose as soon as possible
C. Give the missed dose with the next scheduled dose
D. Withhold the mossed dose unless seizure activity occurs - B
The practical nurse is caring for a client who had a total laryngectomy, left radical neck dissection, and
tracheostomy. The client is receiving nasogastric tube feedings via an enteral pump. Today the rate of
feeding is increased from 50 ml/hr to 75 ml/her. What parameter should the PN use to evaluate the
client's tolerance to the rate of the feeding?
A. Daily weight
B. Gastric residual volumes
C. Bowel Sounds
D. Urinary and stool output - B
The practical nurse is caring for a client whose urine drug screen is positive for cocaine, Which behavior
is this client likely to exhibit during cocaine withdrawal?
A. Elevated energy level
B. Euphoria
C. High self-esteem
D. Powerful craving for more - D
The PN administered darbepoetin alfa to a client with Chronic Kidney Disease(CKD). Which serum
laboratory value should the PN monitor to gather the effectiveness of this drug?
A. Calcium
,B. Phosphorous
C. Hemoglobin
D. White Blood Cell Count - B
The PN observes an UAP bathing a bedfast client with the bed in the high position. Which action should
the PN take?
A. Remain in the room to supervise the UAP
B. Determine if the UAP would like assistance
C. Assume care of the client immediately
D. Instruct the UAP to lower the bed for safety - D
Thirty minutes after receiving IV morphine, a postoperative client continues yes to rate pain as 7 on 10
point scale. Which action should the PN implement first?
A. Call HCP to request a different analgesic
B. Determine when morphine can be given again
C. Implement complimentary pain relief methods
D. Observe dressing to determine presence of bleeding - C
The PN is caring for a laboring client whose last sterile vaginal examination revealed the cervix was 3 cm
dilated, 50% effaced, and the presenting part was 0 station. An hour later, the client tells the PN that she
wants to go the bathroom. Which action is most important for the PN to implement?
A. Review the fetal heart rate and contraction pattern
B. Check the perineum for increase in bloody show
C. Request nurse to check client's cervical dilation
D. Palpate the client's bladder for distention - C
, The PN identifies an electrolyte imbalance, exhibited changes in mental status, and an elevated blood
pressure for a client with progressive heart disease. Which intervention should the PN implement first?
A. Record usual eating patterns
B. Evaluate for muscle cramping
C. Document abdominal girth
D. Elevate both legs on pillows - B
The PN is caring for an older client who was informed about the diagnosis of terminal cancer two days
ago. Which intervention wouldbe most helpful for the client's spouse at this time?
A. Consultation with the case manager and hospital chaplain
B. Visiting after procedures are done to avoid seeing the client in pain
C. Participating in the client's care within his/her capabilities and desires
D. Information about palliative and hospice care services - D
The PN is caring for a child who was admitted after experiencing a generalized tonic-clonic seizure.
When witnessing the child begin to seize again, which actions should the PN implement immediately?
Select all that apply
A. Observe the progression of the seizure
B. Loosen clothing around the neck
C. Pad the side rails with pillows
D. Insert a tongue blade between the teeth
E. Hold the extremities close to the body - A,B,C
The HCP prescribes heparin 4,500 units subcutaneously once daily. The medication is available in a vial
that contains heparin 10,000 units/mL. How many mL should the PN administer? - 0.45
The UAP is caring for a male resident of a long-term care facility who has an external urinary catheter.
Which finding should the PN instruct the UAP to report immediately?
ANSWERS 2023
After administering pantoprazole to a client with gastroesophogeal reflux disorder(GERD), which
statement by the client indicates to the practical nurse that the medication is producing the desired
effect?
A. After eating my meal, I did not experience any heartburn
B. I have a great appetite and am feeling really hungry
C. I should increase the amount of vitamin C in my diet
D. While eating, I had no difficulty swallowing any of the foods - A
During the last 30 days, an elderly client has exhibited a progressively decreasing appetite, is spending
increasing amounts of daytime hours in bed and refuses to participate in planned daytime activities.
Which action should the practical nurse take?
A. Record the findings and report the symptoms to the charge nurse
B. Ask the family members to visit more often to stimulate the patient
C. Motivate the client by offering favorite foods as a prize
D. Withold any medications that may cause side effects - A
A male client who has been diagnosed with schizophrenia is withdrawn, isolates himself in the day
room, and answers question with one or two word responses. This morning, the practical nurse
observes that he is diaphoretic and is pacing in the hall. Which intervention is most important to the PN
to implement?
A. Persuade the client to lie down
B. Provide a drink high in electrolytes
C. Observe the client during the shift
D. Measure appropriate vital signs - D
,At 1200, the practical nurse learns that a client's 0900 dose of an anticonvulsant was not given. The next
scheduled dose is at 2100. Which action should the PN take?
A. Administer half of the missed dose immediately
B. Administer the missed dose as soon as possible
C. Give the missed dose with the next scheduled dose
D. Withhold the mossed dose unless seizure activity occurs - B
The practical nurse is caring for a client who had a total laryngectomy, left radical neck dissection, and
tracheostomy. The client is receiving nasogastric tube feedings via an enteral pump. Today the rate of
feeding is increased from 50 ml/hr to 75 ml/her. What parameter should the PN use to evaluate the
client's tolerance to the rate of the feeding?
A. Daily weight
B. Gastric residual volumes
C. Bowel Sounds
D. Urinary and stool output - B
The practical nurse is caring for a client whose urine drug screen is positive for cocaine, Which behavior
is this client likely to exhibit during cocaine withdrawal?
A. Elevated energy level
B. Euphoria
C. High self-esteem
D. Powerful craving for more - D
The PN administered darbepoetin alfa to a client with Chronic Kidney Disease(CKD). Which serum
laboratory value should the PN monitor to gather the effectiveness of this drug?
A. Calcium
,B. Phosphorous
C. Hemoglobin
D. White Blood Cell Count - B
The PN observes an UAP bathing a bedfast client with the bed in the high position. Which action should
the PN take?
A. Remain in the room to supervise the UAP
B. Determine if the UAP would like assistance
C. Assume care of the client immediately
D. Instruct the UAP to lower the bed for safety - D
Thirty minutes after receiving IV morphine, a postoperative client continues yes to rate pain as 7 on 10
point scale. Which action should the PN implement first?
A. Call HCP to request a different analgesic
B. Determine when morphine can be given again
C. Implement complimentary pain relief methods
D. Observe dressing to determine presence of bleeding - C
The PN is caring for a laboring client whose last sterile vaginal examination revealed the cervix was 3 cm
dilated, 50% effaced, and the presenting part was 0 station. An hour later, the client tells the PN that she
wants to go the bathroom. Which action is most important for the PN to implement?
A. Review the fetal heart rate and contraction pattern
B. Check the perineum for increase in bloody show
C. Request nurse to check client's cervical dilation
D. Palpate the client's bladder for distention - C
, The PN identifies an electrolyte imbalance, exhibited changes in mental status, and an elevated blood
pressure for a client with progressive heart disease. Which intervention should the PN implement first?
A. Record usual eating patterns
B. Evaluate for muscle cramping
C. Document abdominal girth
D. Elevate both legs on pillows - B
The PN is caring for an older client who was informed about the diagnosis of terminal cancer two days
ago. Which intervention wouldbe most helpful for the client's spouse at this time?
A. Consultation with the case manager and hospital chaplain
B. Visiting after procedures are done to avoid seeing the client in pain
C. Participating in the client's care within his/her capabilities and desires
D. Information about palliative and hospice care services - D
The PN is caring for a child who was admitted after experiencing a generalized tonic-clonic seizure.
When witnessing the child begin to seize again, which actions should the PN implement immediately?
Select all that apply
A. Observe the progression of the seizure
B. Loosen clothing around the neck
C. Pad the side rails with pillows
D. Insert a tongue blade between the teeth
E. Hold the extremities close to the body - A,B,C
The HCP prescribes heparin 4,500 units subcutaneously once daily. The medication is available in a vial
that contains heparin 10,000 units/mL. How many mL should the PN administer? - 0.45
The UAP is caring for a male resident of a long-term care facility who has an external urinary catheter.
Which finding should the PN instruct the UAP to report immediately?
