,PN EXIT HESI Exam Questions And Answers Best Rated A+
Guaranteed Success New Update 2025-2026
• The .practical .nurse .(PN) .is .observing .a .client .self-administering .a .dose
. if .subcutaneousinsulin. .What .step .of .the .injection .technique .should
. the .practical .nurse .(PN) .reteach?
a. Injects .air .into .the .insulin .vial .to .displace .the .dose
b. Selects .the .same .site .that .was .used .for .the .previous .injection
c. Inserts .the .needle .at .a .90-degree .angle .to .the .skin .surface
d. Uses .a .circular .motion .when .applying .an .alcohol .pad .to .the .site
Rationale: .The .PN .should .reteach .the .client .to .rotate .the .NOON .site .to .a .site
. other .than .the .same .one .used .for .the .AM .dose. .Di昀昀erent .sites .used .throughout
. the .day .may .provide .a .varying .rate .of .absorption .related .to .activity. .Intra-site
. rotation .is .recommended .for .the .doseused .during .one .speci昀椀c .time .of .the .day.
. The .other .choices .are .acceptable .techniques .for .subcutaneous .injection .of
. insulin.
,• The .practical .nurse .(PN) .observes .a .newly .hired .unlicensed .assistive
. personnel .(UAP) .who .is .counting .a .client’s .radial .pulse .as .seen .in
. the
, picture. .Which .action .should .the .PNtake?
a. Con昀椀rm .accuracy .of .the .pulse .rate .obtained .by .the .UAP
b. Instruct .the .UAP .to .report .any .abnormal .昀椀ndings
c. Remind .the .UAP .to .check .the .clients .pulse .volume
d. Demonstrate .the .correct .pulse .site .to .the .UAP .(follow .the .thumb .for
. the .radial .pulse,follow .the .pinky .for .the .brachial)
Rationale: .When .checking .the .radial .pulse, .the .index .and .middle . 昀 椀 nger
. should .be .aligned .withthe .thumb, .for .brachial .pulse .assessment .should .be
. aligned .with .the .pinky .昀椀nger.
• The .birth .weight .of .an .infant .delivered .by .a .woman .with .gestational
. diabetes .is .10.1 .pounds .(4,581 .grams). .The .infant .is .jittery .and .has .a
. heel .stick .glucose .level .of .40 .mg/dL(2.2 .mmol/L .or .SI .units) .30 .minutes
. after .birth. .Based .on .this .information, .which .intervention .should .the
. practical .nurse .(PN) .implement .昀椀rst?
a. Repeat .the .heel .stick .for .glucose .in .one .hour
b. O昀昀er .nipple .feedings .of .10% .dextrose
c. Begin .frequent .feedings .of .breast .milk .or .formula
d. Assess .for .signs .of .hypocalcemia
Rationale: .Providing .frequent .feedings .will .reduce .the .infants .blood .glucose; .we
. wouldn’twant .to .obtain .another .heel .stick .as .we .want .to .do .less .invasive .as
. possible.
Guaranteed Success New Update 2025-2026
• The .practical .nurse .(PN) .is .observing .a .client .self-administering .a .dose
. if .subcutaneousinsulin. .What .step .of .the .injection .technique .should
. the .practical .nurse .(PN) .reteach?
a. Injects .air .into .the .insulin .vial .to .displace .the .dose
b. Selects .the .same .site .that .was .used .for .the .previous .injection
c. Inserts .the .needle .at .a .90-degree .angle .to .the .skin .surface
d. Uses .a .circular .motion .when .applying .an .alcohol .pad .to .the .site
Rationale: .The .PN .should .reteach .the .client .to .rotate .the .NOON .site .to .a .site
. other .than .the .same .one .used .for .the .AM .dose. .Di昀昀erent .sites .used .throughout
. the .day .may .provide .a .varying .rate .of .absorption .related .to .activity. .Intra-site
. rotation .is .recommended .for .the .doseused .during .one .speci昀椀c .time .of .the .day.
. The .other .choices .are .acceptable .techniques .for .subcutaneous .injection .of
. insulin.
,• The .practical .nurse .(PN) .observes .a .newly .hired .unlicensed .assistive
. personnel .(UAP) .who .is .counting .a .client’s .radial .pulse .as .seen .in
. the
, picture. .Which .action .should .the .PNtake?
a. Con昀椀rm .accuracy .of .the .pulse .rate .obtained .by .the .UAP
b. Instruct .the .UAP .to .report .any .abnormal .昀椀ndings
c. Remind .the .UAP .to .check .the .clients .pulse .volume
d. Demonstrate .the .correct .pulse .site .to .the .UAP .(follow .the .thumb .for
. the .radial .pulse,follow .the .pinky .for .the .brachial)
Rationale: .When .checking .the .radial .pulse, .the .index .and .middle . 昀 椀 nger
. should .be .aligned .withthe .thumb, .for .brachial .pulse .assessment .should .be
. aligned .with .the .pinky .昀椀nger.
• The .birth .weight .of .an .infant .delivered .by .a .woman .with .gestational
. diabetes .is .10.1 .pounds .(4,581 .grams). .The .infant .is .jittery .and .has .a
. heel .stick .glucose .level .of .40 .mg/dL(2.2 .mmol/L .or .SI .units) .30 .minutes
. after .birth. .Based .on .this .information, .which .intervention .should .the
. practical .nurse .(PN) .implement .昀椀rst?
a. Repeat .the .heel .stick .for .glucose .in .one .hour
b. O昀昀er .nipple .feedings .of .10% .dextrose
c. Begin .frequent .feedings .of .breast .milk .or .formula
d. Assess .for .signs .of .hypocalcemia
Rationale: .Providing .frequent .feedings .will .reduce .the .infants .blood .glucose; .we
. wouldn’twant .to .obtain .another .heel .stick .as .we .want .to .do .less .invasive .as
. possible.
