PN HESI EXIT EXAM
PN HESI EXIT EXAM NEWEST 2025/2026 COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |BRAND NEW VERSION!!
The nurse notes a depressed female client has been more withdrawn and non-
communicative
during the past two weeks. Which intervention is most important to include in the
updated
plan of care for this client?
Engage the client in a non thereating conversation
A client with rheumatoid arthritis (RA) starts a new prescription of etanercept
(Enbrel) subcutaneously once weekly. The nurse should emphasize the
importance of reporting problem to the healthcare provider?
Persistent fever
The nurse is assessing an older adult with type 2 diabetes mellitus. Which
assessment finding indicates that the client understands long-term control of
diabetes?
The hemoglobin A1c was 6.5g/100 ml last week
An older male client is admitted with the medical diagnosis of possible cerebral
vascular accident (CVA). He has facial paralysis and cannot move his left side.
When entering the room, the nurse finds the client's wife tearful and trying
unsuccessfully to give him a drink of water. What action should the nurse take?
1|Page
, PN HESI EXIT EXAM
Ask the wife to stop and assess the client's swallowing reflex.
A 13-year-old client with non-union of a comminuted fracture of the tibia is
admitted with osteomyelitis. The healthcare provider collects bone aspirate
specimens for culture and sensitivity and applies a cast to the adolescent's lower
leg. What action should the nurse implement next?
Begin parenteral antibiotic therapy.
The nurse is preparing a community education program on osteoporosis. Which
instruction is helpful in preventing bone loss and promoting bone formation?
Recommend weigh bearing physical activity
A male client receives a thrombolytic medication following a myocardial
medication following a myocardial infarction. When the client has a bowel
movement, what action should the nurse implement?
Send stool sample to the lab for a guaiac test
A client with a history of chronic pain requests nonopioid analgesics. The client is
alert but has difficulty describing the exact nature and location of the pain to the
nurse. What action should the nurse implement?
Administer the analgesic as requested.
2|Page
, PN HESI EXIT EXAM
The mother of a child with cerebral palsy (cp) asks the nurse if her child's impaired
movement will worsen as the child grows. Which response provides the best
explanation?
Brain damage with CP is not progressive but does have a variable course.
In early septic shock states, what is the primary cause of hypotension?
Peripheral vasodilation
A client diagnosed with calcium kidney stones has a history of gout. A new
prescription for aluminum hydroxide (Amphogel) is scheduled to begin at 730.
Which client medication should the nurse bring to the healthcare provider's
attention?
Allupurinol (Zyloprim)
A male client laboratory results include a platelet count of 105,000/mm3 Based on
this finding the nurse should include which action in the clients plan of care?
Encourage him to use an electric razor
A client is admitted to the hospital after experiencing a brain attack commonly
referred to as a stroke or cerebral vascular accident (CVA) the nurse should
request a referral for speech therapy if the client exhibit which finding?
Persistent coughing while drinking
3|Page
, PN HESI EXIT EXAM
At 1615, pior to ambulating a postoperative client for the first time, the nurse
reviews the client's medical record. Based on date contained in the record, what
action should the nurse take before assisting the client with ambulation?
Remove sequential compression devices
Which assessment finding for a client who is experiencing pontine myelinolysis
should the nurse report to the healthcare provider?
Sudden Dysphagia
A client is scheduled to receive an IW dose of ondansetron (Zofran) eight hours
after receiving chemotherapy. The client has saline lock and is sleeping quietly
without any restlessness. The nurse caring for the client is not certified in
chemotherapy administration. What action should the nurse take?
Administer the Zofran after flushing the saline lock with saline
When providing diet teaching for a client with cholecystitis, which type of food
choice the nurse recommended?
Low fat
An adult client experiences a gasoline tank fire when riding a motorcycle and is
admitted to the emergency department (ED) with full thickness burns to all
surfaces of both lower extremities. What percentage of body surface area should
the nurse document in the electronic medical record (EMR)?
36%
4|Page
PN HESI EXIT EXAM NEWEST 2025/2026 COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |BRAND NEW VERSION!!
The nurse notes a depressed female client has been more withdrawn and non-
communicative
during the past two weeks. Which intervention is most important to include in the
updated
plan of care for this client?
Engage the client in a non thereating conversation
A client with rheumatoid arthritis (RA) starts a new prescription of etanercept
(Enbrel) subcutaneously once weekly. The nurse should emphasize the
importance of reporting problem to the healthcare provider?
Persistent fever
The nurse is assessing an older adult with type 2 diabetes mellitus. Which
assessment finding indicates that the client understands long-term control of
diabetes?
The hemoglobin A1c was 6.5g/100 ml last week
An older male client is admitted with the medical diagnosis of possible cerebral
vascular accident (CVA). He has facial paralysis and cannot move his left side.
When entering the room, the nurse finds the client's wife tearful and trying
unsuccessfully to give him a drink of water. What action should the nurse take?
1|Page
, PN HESI EXIT EXAM
Ask the wife to stop and assess the client's swallowing reflex.
A 13-year-old client with non-union of a comminuted fracture of the tibia is
admitted with osteomyelitis. The healthcare provider collects bone aspirate
specimens for culture and sensitivity and applies a cast to the adolescent's lower
leg. What action should the nurse implement next?
Begin parenteral antibiotic therapy.
The nurse is preparing a community education program on osteoporosis. Which
instruction is helpful in preventing bone loss and promoting bone formation?
Recommend weigh bearing physical activity
A male client receives a thrombolytic medication following a myocardial
medication following a myocardial infarction. When the client has a bowel
movement, what action should the nurse implement?
Send stool sample to the lab for a guaiac test
A client with a history of chronic pain requests nonopioid analgesics. The client is
alert but has difficulty describing the exact nature and location of the pain to the
nurse. What action should the nurse implement?
Administer the analgesic as requested.
2|Page
, PN HESI EXIT EXAM
The mother of a child with cerebral palsy (cp) asks the nurse if her child's impaired
movement will worsen as the child grows. Which response provides the best
explanation?
Brain damage with CP is not progressive but does have a variable course.
In early septic shock states, what is the primary cause of hypotension?
Peripheral vasodilation
A client diagnosed with calcium kidney stones has a history of gout. A new
prescription for aluminum hydroxide (Amphogel) is scheduled to begin at 730.
Which client medication should the nurse bring to the healthcare provider's
attention?
Allupurinol (Zyloprim)
A male client laboratory results include a platelet count of 105,000/mm3 Based on
this finding the nurse should include which action in the clients plan of care?
Encourage him to use an electric razor
A client is admitted to the hospital after experiencing a brain attack commonly
referred to as a stroke or cerebral vascular accident (CVA) the nurse should
request a referral for speech therapy if the client exhibit which finding?
Persistent coughing while drinking
3|Page
, PN HESI EXIT EXAM
At 1615, pior to ambulating a postoperative client for the first time, the nurse
reviews the client's medical record. Based on date contained in the record, what
action should the nurse take before assisting the client with ambulation?
Remove sequential compression devices
Which assessment finding for a client who is experiencing pontine myelinolysis
should the nurse report to the healthcare provider?
Sudden Dysphagia
A client is scheduled to receive an IW dose of ondansetron (Zofran) eight hours
after receiving chemotherapy. The client has saline lock and is sleeping quietly
without any restlessness. The nurse caring for the client is not certified in
chemotherapy administration. What action should the nurse take?
Administer the Zofran after flushing the saline lock with saline
When providing diet teaching for a client with cholecystitis, which type of food
choice the nurse recommended?
Low fat
An adult client experiences a gasoline tank fire when riding a motorcycle and is
admitted to the emergency department (ED) with full thickness burns to all
surfaces of both lower extremities. What percentage of body surface area should
the nurse document in the electronic medical record (EMR)?
36%
4|Page
