HESI PN EXIT 2024 EXAM MADE EASY WITH KEY CONCEPTS AND
LATEST A+ EXAM TIPS
An elderly client who is 12 hours postoperative for a hernia repair suddenly
becomes agitated, staggers out into the corridor and demands to be set free.
After assisting the client back to bed and administering pain medication. Which
intervention is best for the practical nurse (PN) to implement?
A. Notify the healthcare provider and request a prescription for restraints to
minimize the client's danger to self.
B. Raise the side and notify the family to come sit with the client to reorientate
and cooperative.
C. Administer prescribed narcotic antagonist to reverse the effects of any
analgesic accumulation.
D. Instruct a UAP to keep the upper side rails up and check on the client every 15
minutes until the client is resting.
C. Administer prescribed narcotic antagonist to reverse the effects of any analgesic
accumulation.
A male client attends a community support program for mentally impaired and
chemical abusing clients. The client tells the practical nurse (PN) that his drug of
choice are cocaine and heroin. What is the greatest health risk for the client?
A. Hepatitis
B. Glaucoma
C. Diabetes
D. Hypotension
A. Hepatitis
The practical nurse (PN) is charting vital signs on a hand-written flow sheet and
realizes that an error has been made. What should the PN do to rectify the error?
A. Draw one line through the entry and insert the correct information.
B. Chart the correct information in the column.
C. Obliterate the entry and insert the correct information.
,D. Notify the charge nurse that the entry needs to be revised.
A. Draw one line through the entry and insert the correct information.
The practical nurse (PN) selects the ventrogluteal site to administer intramuscular
(IM) injection to an adult. Identify the site (Click the chosen location)
The Charge nurse brings a #18 catheter with a 30 mL balloon to the practical
nurse (PN) who is preparing to insert a catheter in a female client who weighs
50kg. Which action should the PN take first?
A. Ask the client if she has previously been catheterized.
B. Obtain a 30 mL syringe and a vial of sterile water.
C. Consult with the charge nurse about the catheter.
D. Position the client and observe the urinary meatus.
C. Consult with the charge nurse about the catheter.
The practical nurse (PN) is caring for a client newly diagnosed with diabetes
mellitus (DM). Which finding is an early sign of hypoglycemia?
A. Bradycardia
B. Tremors
C. Polyuria
D. Difficulty swallowing
B. Tremors
While caring for a client with Gillian Barres syndrome. Which finding should the
practical nurse (PN) report to the charge nurse?
While caring for a client with Gillian Barres syndrome. Which finding should the
practical nurse (PN) report to the charge nurse?
A. Lower leg weakness/cramping
B. Irregular heart rate
C. Profuse Diaphoresis
D. Full facial flushing
A. Lower leg weakness/cramping
A client at 39 weeks gestation is admitted in early labor. During the focused
assessment the practical nurse (PN) reviews the obstetrical history with the client
who states that she has been pregnant five times but only has two living children,
, both of whom were full-term. The other three pregnancies were miscarriages
during the first trimester. Which parity should the PN document for term,
premature, abortion, and living (TPAL) for the client?
A. Term 3, Premature 0, Abortion 3, Living 2
B. Term 6, Premature 3, Abortion 3, Living 2
C. Term 2, Premature 3, Abortion 3, Living 2
D. Term 2, Premature 1, Abortion 0, Living 3
A. Term 3, Premature 0, Abortion 3, Living 2
A client who is at full term gestation active labor complains of a cramp in her
legs. Which intervention should the practical nurse (PN) implement?
A. Massage the calf and foot.
B. Check the pedal pulse in the affected leg.
C. Extend the leg and flex the foot.
D. Elevate the leg above the heart.
C. Extend the leg and flex the foot.
The practical nurse (PN) is caring for a client with psychosis who demonstrates
an inability to communicate effectively. Which method should the PN use to
interact with the client?
A. Touch the client when speaking.
B. Engage in regular contact.
C. Discourage group activities.
D. Establish a no harm contract.
B. Engage in regular contact.
The practical nurse (PN) is preparing cefazolin 400mg IM for a client with positive
infection. The available vial is labeled Cefazolin 1 gram and the instructions for
the reconstitution state for IM add 2mL sterile water for injection. Total volume
after reconstitution is 2.5mL. After reconstitution how many mL should be
administered to the client? (ENTER NUMERIC VALUE ONLY. IF ROUNDING IS
REQUIRED ROUND TO THE NEAREST WHOLE NUMBER, TENTHS, HUNDRETHS)
1 mL
LATEST A+ EXAM TIPS
An elderly client who is 12 hours postoperative for a hernia repair suddenly
becomes agitated, staggers out into the corridor and demands to be set free.
After assisting the client back to bed and administering pain medication. Which
intervention is best for the practical nurse (PN) to implement?
A. Notify the healthcare provider and request a prescription for restraints to
minimize the client's danger to self.
B. Raise the side and notify the family to come sit with the client to reorientate
and cooperative.
C. Administer prescribed narcotic antagonist to reverse the effects of any
analgesic accumulation.
D. Instruct a UAP to keep the upper side rails up and check on the client every 15
minutes until the client is resting.
C. Administer prescribed narcotic antagonist to reverse the effects of any analgesic
accumulation.
A male client attends a community support program for mentally impaired and
chemical abusing clients. The client tells the practical nurse (PN) that his drug of
choice are cocaine and heroin. What is the greatest health risk for the client?
A. Hepatitis
B. Glaucoma
C. Diabetes
D. Hypotension
A. Hepatitis
The practical nurse (PN) is charting vital signs on a hand-written flow sheet and
realizes that an error has been made. What should the PN do to rectify the error?
A. Draw one line through the entry and insert the correct information.
B. Chart the correct information in the column.
C. Obliterate the entry and insert the correct information.
,D. Notify the charge nurse that the entry needs to be revised.
A. Draw one line through the entry and insert the correct information.
The practical nurse (PN) selects the ventrogluteal site to administer intramuscular
(IM) injection to an adult. Identify the site (Click the chosen location)
The Charge nurse brings a #18 catheter with a 30 mL balloon to the practical
nurse (PN) who is preparing to insert a catheter in a female client who weighs
50kg. Which action should the PN take first?
A. Ask the client if she has previously been catheterized.
B. Obtain a 30 mL syringe and a vial of sterile water.
C. Consult with the charge nurse about the catheter.
D. Position the client and observe the urinary meatus.
C. Consult with the charge nurse about the catheter.
The practical nurse (PN) is caring for a client newly diagnosed with diabetes
mellitus (DM). Which finding is an early sign of hypoglycemia?
A. Bradycardia
B. Tremors
C. Polyuria
D. Difficulty swallowing
B. Tremors
While caring for a client with Gillian Barres syndrome. Which finding should the
practical nurse (PN) report to the charge nurse?
While caring for a client with Gillian Barres syndrome. Which finding should the
practical nurse (PN) report to the charge nurse?
A. Lower leg weakness/cramping
B. Irregular heart rate
C. Profuse Diaphoresis
D. Full facial flushing
A. Lower leg weakness/cramping
A client at 39 weeks gestation is admitted in early labor. During the focused
assessment the practical nurse (PN) reviews the obstetrical history with the client
who states that she has been pregnant five times but only has two living children,
, both of whom were full-term. The other three pregnancies were miscarriages
during the first trimester. Which parity should the PN document for term,
premature, abortion, and living (TPAL) for the client?
A. Term 3, Premature 0, Abortion 3, Living 2
B. Term 6, Premature 3, Abortion 3, Living 2
C. Term 2, Premature 3, Abortion 3, Living 2
D. Term 2, Premature 1, Abortion 0, Living 3
A. Term 3, Premature 0, Abortion 3, Living 2
A client who is at full term gestation active labor complains of a cramp in her
legs. Which intervention should the practical nurse (PN) implement?
A. Massage the calf and foot.
B. Check the pedal pulse in the affected leg.
C. Extend the leg and flex the foot.
D. Elevate the leg above the heart.
C. Extend the leg and flex the foot.
The practical nurse (PN) is caring for a client with psychosis who demonstrates
an inability to communicate effectively. Which method should the PN use to
interact with the client?
A. Touch the client when speaking.
B. Engage in regular contact.
C. Discourage group activities.
D. Establish a no harm contract.
B. Engage in regular contact.
The practical nurse (PN) is preparing cefazolin 400mg IM for a client with positive
infection. The available vial is labeled Cefazolin 1 gram and the instructions for
the reconstitution state for IM add 2mL sterile water for injection. Total volume
after reconstitution is 2.5mL. After reconstitution how many mL should be
administered to the client? (ENTER NUMERIC VALUE ONLY. IF ROUNDING IS
REQUIRED ROUND TO THE NEAREST WHOLE NUMBER, TENTHS, HUNDRETHS)
1 mL
