HESI EXIT PRACTICE, Real Hesi PN,
KHESI2 & Exit HESI PN
What steps should you take for an older female client who was just admitted to a long-term facility and
is confused about the day of the week? ANS: Remind the client what day of the week it is
Which information about end-of-life care should a practical nurse (PN) ensure the client has? ANS:
Instructions for care should be included in the clients living will
(Advance directives)
After a routine vaginal delivery of a healthy newborn, a client who is pregnant is taken to the recovery
room. You notice the client is shaking asks if she's cold. What's next? ANS: Apply light warm blanket and
assure her that this is normal following delivery
The practical nurse (PN) is assessing an older client with left sided heart failure what intervention is most
important for the PN to implement ANS: Auscultate all the lung fields
What is the most crucial step for the practical nurse to take while giving prescription medication to an
elderly resident of an extended care home who is having trouble hearing? ANS: Determine if client has
had difficulty hearing in the past
A full term 24 hour old infant in the nursery regulates and suddenly turns cyanotic which immediate
interventions should the practical nurse (PN) take? ANS: Turn the infant to the right side
The practical nurse (PN) views the midline episiotomy of a client who reports pain in her stiches. What
action should the action should the PN take first? ANS: Observe suture line for separation and
hematoma formation
The practical nurse (PN) is obtaining fetal heart rates on a client in their third trimester of pregnancy
what fetal heart rate should be reported to the registered nurse? ANS: 180
,Which problem has happened in an older client with these issues? ANS: Evisceration
Which location should the practical nurse palpate to determine if a client submandibular lymph node
are enlarged? ANS: Beneath the lower jaw
The most significant side effect that a practical nurse (PN) should check for after administering an
epidural to a client during labor is observation of the side effect. ANS: Maternal hypotension
Which person has the highest risk of developing laryngeal cancer? ANS: A older male who drinks a 6
pack of beer nightly and smokes heavily
A home health practical nurse (PN) visits and older client living with offspring who exhibits fear unkept
and has lost a lot of weight which action should the PN take> ANS: Report suspected abuse to
supervisor and protective services
Which interventions should the practical nurse (PN) reinforce for a client with pruritis? ANS: Keep
fingernails trimmed short.
When gathering data about a client with dark skin tones which site should the practical nurse (PN)
observe? ANS: Finger and toe nails
What important intervention does the nurse need to ensure? ANS: Measure head circumference
If a baby is born to a diabetic mother what should the nurse encourage? ANS: Offer nipple feedings or
10% dextrose
The practical nurse (PN) and unlicensed assistive personal (UAP) enters a clients room and finds the
client lying on the bed the PN determines that the client is unresponsive which action should the PN give
the UAP first . ANS: obtain emergency help
,Which intervention should the practice nurse (PN) include in the client's care if the client has broken
metatarsals as a result of slamming a hand in a car door after taking the hydrocodone/acetaminophen
prescription for pain? ANS: Implement ongoing assessments for signs of shortness or slowed breathing
The response of the practical nurse (PN) is based on understanding which prevalent manifestations of
the illness. The PN overhears the female client with crushing syndrome telling her family to leave her
room and not return. ANS: Mood adherence
A child receiving chemotherapy develops a cough that productive of yellow tinged sputum after
determine that the client is afebrile which priority action for the practice nurse (PN) to take? ANS:
Provide oral hygiene
The Glasgow scale is being used to monitor a client who experienced a traumatic brain injury what
primary assessment should the PN evaluate ANS: Level of consciousness
The practical nurse (PN) is assigned to care for a client who had an endoscopic procedure in which a
local anesthetic was sprayed on their throat which priority action should the PN include in this care of
plan? ANS: Assess the gag reflexes
What is the best course of action for the practical nurse (PN) to take when the parents of a child with
pre-diabetes inform the PN that the youngster wants to join the soccer team? ANS: Reassure the
patents that increased physical activity reduces risk for diabetes
While assisting the RN with the admission of a toddler which intervention should the practical nurse
(PN) implement to make the experience lease stressful for the client ANS: Remove child's clothing down
to the diaper
A client with hypertension complains of a persistent dry cough the practical nurse (PN) should tell the
client that this is a common side effect with what medication? ANS: Quinapril
, In a noisy voice that the client and visitors might overhear, a practical nurse (Pn) is recounting her social
life, sexual activities, and alcohol use at the nurses station. ANS: Suggest going to the nurses lounge to
discuss these topics
Which symptoms are the parents of a kid with acute glomerulonephritis describing to the practical nurse
(PN) as the ones that initially prompted them to seek medical attention? ANS: Hematuria
A pleural effusion is visible on the chest x-ray of a patient who has been admitted with pneumonia.
When auscultating the upper lobe, what should the PN listen for? ANS: A rubbing pleural sound
A client receives ondansetron prior to chemotherapy treatment how should the practical nurse evaluate
the effectiveness of the medication? ANS: Monitor the client for nausea or vomiting following the
treatment
A new protocol for fall prevention is being implemented on the medical unit during safety rounds the
practical nurse (PN) identifies that the UAP had omitted a vital component of the protocol after
implementing the missing component which action should the nurse take? ANS: Supervise the UAP
after reviewing the protocol
What standard of care is acceptable in a nursing malpractice case? ANS: What would a responsible
prudent nurse have done under similar circumstances
The practical nurse (PN) administers a anticonvulsant that causes photosensitivity which action should
the PN take after admitting the medication? ANS: Remind the client to protect skin from sunlight
What is a appropriate task for a UAP assisting the nurse for a dressing change? ANS: Gather supplies
The practical nurse (PN) is changing the abdominal dressing of a male client who was discharged home
following a colon resection which information should the PN report to the health care provider? ANS:
The client reports the wound care is painful and would like a prescription for an analgesic
KHESI2 & Exit HESI PN
What steps should you take for an older female client who was just admitted to a long-term facility and
is confused about the day of the week? ANS: Remind the client what day of the week it is
Which information about end-of-life care should a practical nurse (PN) ensure the client has? ANS:
Instructions for care should be included in the clients living will
(Advance directives)
After a routine vaginal delivery of a healthy newborn, a client who is pregnant is taken to the recovery
room. You notice the client is shaking asks if she's cold. What's next? ANS: Apply light warm blanket and
assure her that this is normal following delivery
The practical nurse (PN) is assessing an older client with left sided heart failure what intervention is most
important for the PN to implement ANS: Auscultate all the lung fields
What is the most crucial step for the practical nurse to take while giving prescription medication to an
elderly resident of an extended care home who is having trouble hearing? ANS: Determine if client has
had difficulty hearing in the past
A full term 24 hour old infant in the nursery regulates and suddenly turns cyanotic which immediate
interventions should the practical nurse (PN) take? ANS: Turn the infant to the right side
The practical nurse (PN) views the midline episiotomy of a client who reports pain in her stiches. What
action should the action should the PN take first? ANS: Observe suture line for separation and
hematoma formation
The practical nurse (PN) is obtaining fetal heart rates on a client in their third trimester of pregnancy
what fetal heart rate should be reported to the registered nurse? ANS: 180
,Which problem has happened in an older client with these issues? ANS: Evisceration
Which location should the practical nurse palpate to determine if a client submandibular lymph node
are enlarged? ANS: Beneath the lower jaw
The most significant side effect that a practical nurse (PN) should check for after administering an
epidural to a client during labor is observation of the side effect. ANS: Maternal hypotension
Which person has the highest risk of developing laryngeal cancer? ANS: A older male who drinks a 6
pack of beer nightly and smokes heavily
A home health practical nurse (PN) visits and older client living with offspring who exhibits fear unkept
and has lost a lot of weight which action should the PN take> ANS: Report suspected abuse to
supervisor and protective services
Which interventions should the practical nurse (PN) reinforce for a client with pruritis? ANS: Keep
fingernails trimmed short.
When gathering data about a client with dark skin tones which site should the practical nurse (PN)
observe? ANS: Finger and toe nails
What important intervention does the nurse need to ensure? ANS: Measure head circumference
If a baby is born to a diabetic mother what should the nurse encourage? ANS: Offer nipple feedings or
10% dextrose
The practical nurse (PN) and unlicensed assistive personal (UAP) enters a clients room and finds the
client lying on the bed the PN determines that the client is unresponsive which action should the PN give
the UAP first . ANS: obtain emergency help
,Which intervention should the practice nurse (PN) include in the client's care if the client has broken
metatarsals as a result of slamming a hand in a car door after taking the hydrocodone/acetaminophen
prescription for pain? ANS: Implement ongoing assessments for signs of shortness or slowed breathing
The response of the practical nurse (PN) is based on understanding which prevalent manifestations of
the illness. The PN overhears the female client with crushing syndrome telling her family to leave her
room and not return. ANS: Mood adherence
A child receiving chemotherapy develops a cough that productive of yellow tinged sputum after
determine that the client is afebrile which priority action for the practice nurse (PN) to take? ANS:
Provide oral hygiene
The Glasgow scale is being used to monitor a client who experienced a traumatic brain injury what
primary assessment should the PN evaluate ANS: Level of consciousness
The practical nurse (PN) is assigned to care for a client who had an endoscopic procedure in which a
local anesthetic was sprayed on their throat which priority action should the PN include in this care of
plan? ANS: Assess the gag reflexes
What is the best course of action for the practical nurse (PN) to take when the parents of a child with
pre-diabetes inform the PN that the youngster wants to join the soccer team? ANS: Reassure the
patents that increased physical activity reduces risk for diabetes
While assisting the RN with the admission of a toddler which intervention should the practical nurse
(PN) implement to make the experience lease stressful for the client ANS: Remove child's clothing down
to the diaper
A client with hypertension complains of a persistent dry cough the practical nurse (PN) should tell the
client that this is a common side effect with what medication? ANS: Quinapril
, In a noisy voice that the client and visitors might overhear, a practical nurse (Pn) is recounting her social
life, sexual activities, and alcohol use at the nurses station. ANS: Suggest going to the nurses lounge to
discuss these topics
Which symptoms are the parents of a kid with acute glomerulonephritis describing to the practical nurse
(PN) as the ones that initially prompted them to seek medical attention? ANS: Hematuria
A pleural effusion is visible on the chest x-ray of a patient who has been admitted with pneumonia.
When auscultating the upper lobe, what should the PN listen for? ANS: A rubbing pleural sound
A client receives ondansetron prior to chemotherapy treatment how should the practical nurse evaluate
the effectiveness of the medication? ANS: Monitor the client for nausea or vomiting following the
treatment
A new protocol for fall prevention is being implemented on the medical unit during safety rounds the
practical nurse (PN) identifies that the UAP had omitted a vital component of the protocol after
implementing the missing component which action should the nurse take? ANS: Supervise the UAP
after reviewing the protocol
What standard of care is acceptable in a nursing malpractice case? ANS: What would a responsible
prudent nurse have done under similar circumstances
The practical nurse (PN) administers a anticonvulsant that causes photosensitivity which action should
the PN take after admitting the medication? ANS: Remind the client to protect skin from sunlight
What is a appropriate task for a UAP assisting the nurse for a dressing change? ANS: Gather supplies
The practical nurse (PN) is changing the abdominal dressing of a male client who was discharged home
following a colon resection which information should the PN report to the health care provider? ANS:
The client reports the wound care is painful and would like a prescription for an analgesic
