HESI PN EXIT V3 TEST BANK All 160 Questions &
Answers!! New Update 2025-2026
A client being treated for hypertension returns to the community clinic for
follow up. The client says, "I know these pills are important, but I just can't
take these water pills anymore. I drive a truck for a living, and I can't be
stopping every 20 minutes to go to the bathroom." Which of these is the best
nursing diagnosis?
A) Noncompliance related to medication side effects
B) Knowledge deficit related to misunderstanding of disease state
C) Defensive coping related to chronic illness
D) Altered health maintenance related to occupation
The correct answer is A: Noncompliance related to medication side effects
When teaching effective stress management techniques to a client 1 hour
before surgery, which of the following should the nurse recommend?
A) Biofeedback
B) Deep breathing
C) Distraction
D) Imagery
,The correct answer is B: Deep breathing
When observing 4 year-old children playing in the hospital playroom,
what activity would the nurse expect to see the children participating in?
A) Competitive board games with older children
B) Playing with their own toys along side with other children
C) Playing alone with hand held computer games
D) Playing cooperatively with other preschoolers
The correct answer is D: Playing cooperatively with other preschoolers
The nurse is assessing a 4 month-old infant. Which motor skill would
the nurse anticipate finding?
A) Hold a rattle
B) Bang two blocks
C) Drink from a cup
D) Wave "bye-bye"
The correct answer is A: Hold a rattle
When teaching a 10 year-old child about their impending heart
,surgery, which form of explanation meets the developmental needs of
this age child?
A) Provide a verbal explanation just prior to the surgery
B) Provide the child with a booklet to read about the surgery
C) Introduce the child to another child who had heart surgery 3 days ago
D) Explain the surgery using a model of the heart
The correct answer is D: Explain the surgery using a model of the heart
The parents of a child who has suddenly been hospitalized for an acute
illness state that they should have taken the child to the pediatrician earlier.
Which approach by the nurse is best when dealing with the parents'
comments?
A) Focus on the child's needs and recovery
B) Explain the cause of the child's illness
C) Acknowledge that early care would have been better
D) Accept their feelings without judgment
The correct answer is D: Accept their feelings without judgment
When caring for a client with total parenteral nutrition (TPN), what is the
most important action on the part of the nurse?
, A) Record the number of stools per day
B) Maintain strict intake and output records
C) Sterile technique for dressing change at IV site
D) Monitor for cardiac arrhythmias
The correct answer is C: Sterile technique for dressing change at IV site
When caring for a client who is receiving a thrombolytic agent to open a
clot occluded coronary artery after a myocardial infarction, which finding
would be of greatest concern to the nurse?
A) Sero sanginous drainage from gums
B) Hematemesis
C) Pink frothy sputum
D) Slight red color at urine
The correct answer is B: Hematemesis
A 52 year-old client is being transfused with one unit of packed cells. A half
hour after the transfusion was initiated, the client complains of chills and
headache. Which action should the nurse implement first?
Answers!! New Update 2025-2026
A client being treated for hypertension returns to the community clinic for
follow up. The client says, "I know these pills are important, but I just can't
take these water pills anymore. I drive a truck for a living, and I can't be
stopping every 20 minutes to go to the bathroom." Which of these is the best
nursing diagnosis?
A) Noncompliance related to medication side effects
B) Knowledge deficit related to misunderstanding of disease state
C) Defensive coping related to chronic illness
D) Altered health maintenance related to occupation
The correct answer is A: Noncompliance related to medication side effects
When teaching effective stress management techniques to a client 1 hour
before surgery, which of the following should the nurse recommend?
A) Biofeedback
B) Deep breathing
C) Distraction
D) Imagery
,The correct answer is B: Deep breathing
When observing 4 year-old children playing in the hospital playroom,
what activity would the nurse expect to see the children participating in?
A) Competitive board games with older children
B) Playing with their own toys along side with other children
C) Playing alone with hand held computer games
D) Playing cooperatively with other preschoolers
The correct answer is D: Playing cooperatively with other preschoolers
The nurse is assessing a 4 month-old infant. Which motor skill would
the nurse anticipate finding?
A) Hold a rattle
B) Bang two blocks
C) Drink from a cup
D) Wave "bye-bye"
The correct answer is A: Hold a rattle
When teaching a 10 year-old child about their impending heart
,surgery, which form of explanation meets the developmental needs of
this age child?
A) Provide a verbal explanation just prior to the surgery
B) Provide the child with a booklet to read about the surgery
C) Introduce the child to another child who had heart surgery 3 days ago
D) Explain the surgery using a model of the heart
The correct answer is D: Explain the surgery using a model of the heart
The parents of a child who has suddenly been hospitalized for an acute
illness state that they should have taken the child to the pediatrician earlier.
Which approach by the nurse is best when dealing with the parents'
comments?
A) Focus on the child's needs and recovery
B) Explain the cause of the child's illness
C) Acknowledge that early care would have been better
D) Accept their feelings without judgment
The correct answer is D: Accept their feelings without judgment
When caring for a client with total parenteral nutrition (TPN), what is the
most important action on the part of the nurse?
, A) Record the number of stools per day
B) Maintain strict intake and output records
C) Sterile technique for dressing change at IV site
D) Monitor for cardiac arrhythmias
The correct answer is C: Sterile technique for dressing change at IV site
When caring for a client who is receiving a thrombolytic agent to open a
clot occluded coronary artery after a myocardial infarction, which finding
would be of greatest concern to the nurse?
A) Sero sanginous drainage from gums
B) Hematemesis
C) Pink frothy sputum
D) Slight red color at urine
The correct answer is B: Hematemesis
A 52 year-old client is being transfused with one unit of packed cells. A half
hour after the transfusion was initiated, the client complains of chills and
headache. Which action should the nurse implement first?
