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HESI PN EXIT EXAM WITH QUESTIONS AND
CORRECT ANSWERS (100% CORRECT ANSWERS)
2025/2026.
Following the dressing change of an abdominal surgical wound, a client
expresses concern to the practical nurse (P) about the scar that might result from
the wound. Which response is best for the PN to provide? - CORRECT
ANSWER✔✔ -
A."You can always wear clothing to cover the scar."
B." know you are frightened about how you will appear later."
C. "Tell me more about your concerns regarding an abdominal scar."
D." have heard that rubbing coco butter on the scar helps it fade away
Answer :C
The practical nurse (P) is caring for a 17-year-old client who fell 20 feet while
climbing the side of a cliff and has been in a sustained vegetative state for 5
months since the accident. Which intervention should the PN implement? -
CORRECT ANSWER✔✔ -
A.Inquire about food allergies and food likes and dislikes.
B Monitor vital signs and neurological status every 2 hours.
C Talk directly to the adolescent while providing care.
D Initiate open communication with the teens parents.
Answer : C
The practical nurse (P) is assisting with the development of a plan of care for an
older adult client who reports blurred vision and who is newly diagnosed with
type 2 diabetes (DM). Which outcome should the PN include in the plan of
care?
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Reference Ranges:
Glycosylated hemoglobin (A1C) [4% to 5.9%]
Fasting Blood Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)] - CORRECT
ANSWER✔✔ -
A .The client's fasting glucose reading will be greater than 140 mg/dL (8
mmol/L) every day.
B. The client will express acceptance of their newly diagnosed health status.
C. The client's hemoglobin AlC will be less than 7.0 % in 3 months.
D. The PN will reinforce with the client on how to perform stress management
techniques.
Answer : C
at 39 weeks gestation is admitted in early labor. During the focused assessment,
the practical nurse (PN) reviews the obstetrical history with the client o reports
that she has been pregnant five times but has only two living children, both of
whom were full term. The other three pregnancies were miscarriages ing the
first trimester. Which parity should the PN document for term, premature,
abortion, and living children (TPAL) for this client? - CORRECT
ANSWER✔✔ -
A.Term 2, Premature 1, Abortion 0,Living 3.
B.Term 3, Premature 0, Abortion 3,Living 2.
C.Term 2, Premature 3, Abortion 3,Living 2
D. Term 6, Premature 3, Abortion 3,Living 2.
Answer: B
The home health practical nurse (P) visits a young male client with AIDS who
has Kaposi's sarcoma and peripheral neuropathies. His parents, who provide
care for the client, state that their son sleeps most of the time. The PN observes
the client is semi-conscious with stable vital signs and cries out in pain when
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turned or moved. A fentanyl patch is in place and skin lesions are closed and
dried. Which intervention should the PN implement? - CORRECT
ANSWER✔✔ -
A. Call for ambulance transportation to the hospital immediately.
B. Give a complete bed bath to further assess the client.
C.Discuss end-of-life decisions with the client's parents.
D.Remove the fentanyl patch as directed by prescription.
Answer: C
Twenty four hours after receiving a telephone prescription for a client's
medication, the practical nurse (P) observes that the prescription has not been
signed by the prescriber, which conflicts with agency policy. Which action
should the PN take? - CORRECT ANSWER✔✔ -
A.Hold the next dose of medication and assess the client.
B.Continue to administer the medication as initially prescribed.
C.Contact the prescriber for a renewal of the prescription.
D.Discontinue the medication immediately.
Answer: c
An older adult female resident of a long-term care facility experiences frequent
episodes of urinary incontinence. Which focused assessment is most important
for
the practical nurse (P) to perform regularly in response to the resident's
incontinence? - CORRECT ANSWER✔✔
A. Ability to perform Kegel exercises.
B.Fluctuations in the body weight.
C.Appearance of skin in perineal area.
D.Sleep and rest patterns and routines.
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Answer: C
Which is the first intervention for the practical nurse (P) to implement when a
client refuses to take a prescribed medication? - CORRECT ANSWER✔✔ -
A.Determine the client's reason for refusing the medication
B.Instruct the client about the purpose of the medication.
C.Document the client's refusal on the medication record.
D.Explain to the client the potential harm in not taking the medication.
Answer:A
The practical nurse (P) is assisting a client who is multiparous in active labor
with breathing techniques during contractions. The client's contractions are
occurring every 2 minutes, with a duration of 80 seconds, when she suddenly
wants to go to the bathroom to have a bowel movement. Which should the PN
do first? - CORRECT ANSWER✔✔ -
A.Obtain fetal heart rate and maternal vital signs.
B.Instruct the client to push with each contraction.
C.Notify the registered nurse (R) of the client's urge to push.
D.Provide the client with a bedpan to have a bowel movement.
Answer :C
At the end of a 12 hour shift, the practical nurse (P) observes the urine in a
client's drainage bag as seen in the picture. Which action should the PN take
next? - CORRECT ANSWER✔✔ -
A.Note the most recent white blood cell count.
B.Obtain a fingerstick capillary glucose level.
HESI PN EXIT EXAM WITH QUESTIONS AND
CORRECT ANSWERS (100% CORRECT ANSWERS)
2025/2026.
Following the dressing change of an abdominal surgical wound, a client
expresses concern to the practical nurse (P) about the scar that might result from
the wound. Which response is best for the PN to provide? - CORRECT
ANSWER✔✔ -
A."You can always wear clothing to cover the scar."
B." know you are frightened about how you will appear later."
C. "Tell me more about your concerns regarding an abdominal scar."
D." have heard that rubbing coco butter on the scar helps it fade away
Answer :C
The practical nurse (P) is caring for a 17-year-old client who fell 20 feet while
climbing the side of a cliff and has been in a sustained vegetative state for 5
months since the accident. Which intervention should the PN implement? -
CORRECT ANSWER✔✔ -
A.Inquire about food allergies and food likes and dislikes.
B Monitor vital signs and neurological status every 2 hours.
C Talk directly to the adolescent while providing care.
D Initiate open communication with the teens parents.
Answer : C
The practical nurse (P) is assisting with the development of a plan of care for an
older adult client who reports blurred vision and who is newly diagnosed with
type 2 diabetes (DM). Which outcome should the PN include in the plan of
care?
,2|P a g e
Reference Ranges:
Glycosylated hemoglobin (A1C) [4% to 5.9%]
Fasting Blood Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)] - CORRECT
ANSWER✔✔ -
A .The client's fasting glucose reading will be greater than 140 mg/dL (8
mmol/L) every day.
B. The client will express acceptance of their newly diagnosed health status.
C. The client's hemoglobin AlC will be less than 7.0 % in 3 months.
D. The PN will reinforce with the client on how to perform stress management
techniques.
Answer : C
at 39 weeks gestation is admitted in early labor. During the focused assessment,
the practical nurse (PN) reviews the obstetrical history with the client o reports
that she has been pregnant five times but has only two living children, both of
whom were full term. The other three pregnancies were miscarriages ing the
first trimester. Which parity should the PN document for term, premature,
abortion, and living children (TPAL) for this client? - CORRECT
ANSWER✔✔ -
A.Term 2, Premature 1, Abortion 0,Living 3.
B.Term 3, Premature 0, Abortion 3,Living 2.
C.Term 2, Premature 3, Abortion 3,Living 2
D. Term 6, Premature 3, Abortion 3,Living 2.
Answer: B
The home health practical nurse (P) visits a young male client with AIDS who
has Kaposi's sarcoma and peripheral neuropathies. His parents, who provide
care for the client, state that their son sleeps most of the time. The PN observes
the client is semi-conscious with stable vital signs and cries out in pain when
,3|P a g e
turned or moved. A fentanyl patch is in place and skin lesions are closed and
dried. Which intervention should the PN implement? - CORRECT
ANSWER✔✔ -
A. Call for ambulance transportation to the hospital immediately.
B. Give a complete bed bath to further assess the client.
C.Discuss end-of-life decisions with the client's parents.
D.Remove the fentanyl patch as directed by prescription.
Answer: C
Twenty four hours after receiving a telephone prescription for a client's
medication, the practical nurse (P) observes that the prescription has not been
signed by the prescriber, which conflicts with agency policy. Which action
should the PN take? - CORRECT ANSWER✔✔ -
A.Hold the next dose of medication and assess the client.
B.Continue to administer the medication as initially prescribed.
C.Contact the prescriber for a renewal of the prescription.
D.Discontinue the medication immediately.
Answer: c
An older adult female resident of a long-term care facility experiences frequent
episodes of urinary incontinence. Which focused assessment is most important
for
the practical nurse (P) to perform regularly in response to the resident's
incontinence? - CORRECT ANSWER✔✔
A. Ability to perform Kegel exercises.
B.Fluctuations in the body weight.
C.Appearance of skin in perineal area.
D.Sleep and rest patterns and routines.
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Answer: C
Which is the first intervention for the practical nurse (P) to implement when a
client refuses to take a prescribed medication? - CORRECT ANSWER✔✔ -
A.Determine the client's reason for refusing the medication
B.Instruct the client about the purpose of the medication.
C.Document the client's refusal on the medication record.
D.Explain to the client the potential harm in not taking the medication.
Answer:A
The practical nurse (P) is assisting a client who is multiparous in active labor
with breathing techniques during contractions. The client's contractions are
occurring every 2 minutes, with a duration of 80 seconds, when she suddenly
wants to go to the bathroom to have a bowel movement. Which should the PN
do first? - CORRECT ANSWER✔✔ -
A.Obtain fetal heart rate and maternal vital signs.
B.Instruct the client to push with each contraction.
C.Notify the registered nurse (R) of the client's urge to push.
D.Provide the client with a bedpan to have a bowel movement.
Answer :C
At the end of a 12 hour shift, the practical nurse (P) observes the urine in a
client's drainage bag as seen in the picture. Which action should the PN take
next? - CORRECT ANSWER✔✔ -
A.Note the most recent white blood cell count.
B.Obtain a fingerstick capillary glucose level.
