HESI PN Exit Exam Complete Review 2026 | High-Yield
Content
1. Why is Pantoprazole the appropriate medication to administer after
discontinuing IV fluids and antibiotics?
Pantoprazole is a proton pump inhibitor that helps reduce stomach
acid, which is important for patients who may be at risk for
gastrointestinal complications after IV treatment.
Ampicillin is an antibiotic that should not be given after IV antibiotics
are discontinued.
Lisinopril is an antihypertensive that does not address immediate post-
IV care needs.
Metformin is used for managing blood sugar levels, which is not
relevant after IV treatment.
2. The nurse is admitting a patient to an inpatient facility after an attempted
suicide. Which question is the priority for the nurse to ask?
"Are you still having thoughts about hurting yourself?"
"Is it okay for me to look through your belongings?"
"Are you currently taking any medications for depression?"
"What has caused your depression?"
3. What should a practical nurse do after hearing adventitious breath sounds in
a patient receiving IV fluids?
Document the findings and monitor the client.
Report the findings to the charge nurse.
Slow the D5W infusion rate to 50 mL/hour.
, Review the last balance of intake and output.
4. What is the appropriate nursing intervention for a client with hoarseness
following a thyroidectomy?
Obtain a cup of ice chips for the client.
Notify the unit charge nurse of the findings.
Ensure that the drainage device is compressed.
Administer humidified oxygen per nasal canula.
5. If a patient is scheduled for a procedure requiring fasting, how should the
nurse adjust the documentation of fluid intake?
The nurse should only document intake if the patient complains of
thirst.
The nurse should ignore any intake as fasting is not important.
The nurse should document only the intake of clear liquids.
The nurse should document any intake and ensure it aligns with
fasting guidelines.
6. Why is assessing the volume of peripheral pulses critical after reinforcing a
surgical dressing on a postoperative client?
Pain assessment is crucial for patient comfort and recovery.
Assessing the volume of peripheral pulses helps ensure adequate
blood flow and detect potential complications such as hemorrhage.
Vital signs are only necessary if the patient shows signs of distress.
It is important to monitor fluid intake and output to prevent
dehydration.
,7. A nurse is caring for a client who has DM and reports gradual loss of
peripheral vision. The nurse recognizes that this is a s/s of which disease:
cataracts
Open-angle glaucoma
Macular degeneration
Angle-closure glaucoma
8. What is the most supportive comment a practical nurse can make to
encourage a chronically depressed older male resident to engage socially?
Come into the recreation area. We have your favorite card game, and
I will play it with you.
Why do you want to stay in your room today?
May I sit with you for a while?
I know you are sad about not seeing your family as often, but they are
visiting as much as they can.
9. Why is repositioning the client and providing a back rub considered the best
initial intervention for sleep difficulties post-surgery?
Repositioning and a back rub can promote comfort and relaxation,
which may help the client sleep better.
Administering pain medication is unnecessary if the client is not in
severe pain.
Offering sleep medication is the quickest way to ensure the client
sleeps.
Providing hot chocolate is known to induce sleep due to its warmth.
, 10. What is the recommended nursing intervention for a client who is
considering switching to smokeless tobacco to quit smoking?
Remind the client that he is likely to gain weight when attempting to
stop smoking.
Encourage the client to continue with his plan to reduce the risk for
cancer.
Explain to the client that obesity is a more significant health risk than
smoking.
Provide information to the client about the risks associated with
smokeless tobacco.
11. If the UAP refuses to lower the bed while bathing the client, what should the
practical nurse do next?
Ask the UAP to explain their reasoning for not lowering the bed.
Continue to supervise the UAP without intervening.
Report the UAP's refusal to the nursing supervisor.
Take immediate action to ensure the client's safety by lowering the
bed themselves.
12. A client receives new prescriptions at 1000 that include discontinuing IV
fluids and IV antibiotics. Which prescription should the practical nurse (PN)
administer at 1300?
Ampicillin 500mg PO q8h.
Pantoprazole 40mg PO every day.
Metformin 1000mg PO BID.
Lisinopril 5mg PO every day.
Content
1. Why is Pantoprazole the appropriate medication to administer after
discontinuing IV fluids and antibiotics?
Pantoprazole is a proton pump inhibitor that helps reduce stomach
acid, which is important for patients who may be at risk for
gastrointestinal complications after IV treatment.
Ampicillin is an antibiotic that should not be given after IV antibiotics
are discontinued.
Lisinopril is an antihypertensive that does not address immediate post-
IV care needs.
Metformin is used for managing blood sugar levels, which is not
relevant after IV treatment.
2. The nurse is admitting a patient to an inpatient facility after an attempted
suicide. Which question is the priority for the nurse to ask?
"Are you still having thoughts about hurting yourself?"
"Is it okay for me to look through your belongings?"
"Are you currently taking any medications for depression?"
"What has caused your depression?"
3. What should a practical nurse do after hearing adventitious breath sounds in
a patient receiving IV fluids?
Document the findings and monitor the client.
Report the findings to the charge nurse.
Slow the D5W infusion rate to 50 mL/hour.
, Review the last balance of intake and output.
4. What is the appropriate nursing intervention for a client with hoarseness
following a thyroidectomy?
Obtain a cup of ice chips for the client.
Notify the unit charge nurse of the findings.
Ensure that the drainage device is compressed.
Administer humidified oxygen per nasal canula.
5. If a patient is scheduled for a procedure requiring fasting, how should the
nurse adjust the documentation of fluid intake?
The nurse should only document intake if the patient complains of
thirst.
The nurse should ignore any intake as fasting is not important.
The nurse should document only the intake of clear liquids.
The nurse should document any intake and ensure it aligns with
fasting guidelines.
6. Why is assessing the volume of peripheral pulses critical after reinforcing a
surgical dressing on a postoperative client?
Pain assessment is crucial for patient comfort and recovery.
Assessing the volume of peripheral pulses helps ensure adequate
blood flow and detect potential complications such as hemorrhage.
Vital signs are only necessary if the patient shows signs of distress.
It is important to monitor fluid intake and output to prevent
dehydration.
,7. A nurse is caring for a client who has DM and reports gradual loss of
peripheral vision. The nurse recognizes that this is a s/s of which disease:
cataracts
Open-angle glaucoma
Macular degeneration
Angle-closure glaucoma
8. What is the most supportive comment a practical nurse can make to
encourage a chronically depressed older male resident to engage socially?
Come into the recreation area. We have your favorite card game, and
I will play it with you.
Why do you want to stay in your room today?
May I sit with you for a while?
I know you are sad about not seeing your family as often, but they are
visiting as much as they can.
9. Why is repositioning the client and providing a back rub considered the best
initial intervention for sleep difficulties post-surgery?
Repositioning and a back rub can promote comfort and relaxation,
which may help the client sleep better.
Administering pain medication is unnecessary if the client is not in
severe pain.
Offering sleep medication is the quickest way to ensure the client
sleeps.
Providing hot chocolate is known to induce sleep due to its warmth.
, 10. What is the recommended nursing intervention for a client who is
considering switching to smokeless tobacco to quit smoking?
Remind the client that he is likely to gain weight when attempting to
stop smoking.
Encourage the client to continue with his plan to reduce the risk for
cancer.
Explain to the client that obesity is a more significant health risk than
smoking.
Provide information to the client about the risks associated with
smokeless tobacco.
11. If the UAP refuses to lower the bed while bathing the client, what should the
practical nurse do next?
Ask the UAP to explain their reasoning for not lowering the bed.
Continue to supervise the UAP without intervening.
Report the UAP's refusal to the nursing supervisor.
Take immediate action to ensure the client's safety by lowering the
bed themselves.
12. A client receives new prescriptions at 1000 that include discontinuing IV
fluids and IV antibiotics. Which prescription should the practical nurse (PN)
administer at 1300?
Ampicillin 500mg PO q8h.
Pantoprazole 40mg PO every day.
Metformin 1000mg PO BID.
Lisinopril 5mg PO every day.
