PN HESI Exit Exam
PN HESI Exit Exam Test Bank for the HESI PN Exit
Exam Prep – 160 Past Real Exam Questions and
Correct Answers/ HESI PN Exit Exam Prep
|GRADED A+| (EXAM READY)
(Solved) SCORE A
A client with rhabdomyolysis tells the nurse about falling while going to the bathroom and lying on the
floor for 24 hours before being found. Which current client finding is indicative of renal complications?
A+ TEST BANK 1
, PN HESI Exit Exam
A.3+ protein in the urine
B.Blood urea nitrogen >25 mg/dL
C.Blood pH >7.45
D.Urine output, 2500 mL/day –
Correct Answer :B
Rhabdomyolysis is characterized by destruction of muscles that release myoglobin, causing
myoglobinuria, which places the client at risk for acute renal failure, so an increased blood urea
nitrogen (BUN) level (B) indicates a decrease in renal function. Blood in the urine from the
accompanying breakdown of red blood cells contributes to proteinuria (A), an expected finding.
Metabolic acidosis is the potential complication, not alkalosis (C). During the diuretic phase of acute
renal failure, there can be a normal output volume (D) (approximately 2000 mL/day), which can result
from IV fluid hydration.
What instruction(s) related to foot care is(are) appropriate for the client with type 1 diabetes mellitus?
(Select all that apply.)
A.Use lanolin to moisturize the tops and bottoms of the feet.
B.Soak the feet in warm water for at least 1 hour daily.
C.Wash feet daily and dry well, particularly between the toes.
D.Use over-the-counter products to remove corns and calluses.
E.Wear leather shoes that fit properly. –
Correct Answer :ACE
(A, C, and E) are therapeutic interventions for foot care in the diabetic patient. (B and D) are
contraindicated and could cause foot infection or injury.
The nurse recognizes which behavior(s) in a client as warning sign(s) of an impending suicide attempt?
(Select all that apply.)
A+ TEST BANK 2
, PN HESI Exit Exam
A.Reports feelings of sadness
B.Mood changes from depressed to happy
C.Begins giving away possessions
D.Becomes compliant with medication regimen
E.Independently joins a support group –
Correct Answer :BC
Feelings of elation and giving away possessions are common characteristics of those who have made
a plan to commit suicide (B and C). Feelings of sadness are signs of depression but not impending
suicide (A). (D and E) are not typically indicative of impending suicide.
The charge nurse of a 16-bed medical unit is making 0700 to 1900 shift assignments. The team
consists of two RNs, two PNs, and two UAP. Which assignment is the most effective use of the
available team members?
A.Assign the PNs to perform am care and assist with feeding the clients.
B.Assign the UAPs to take vital signs and obtain daily weights.
C.Assign the RNs to answer the call lights and administer all medications.
D.Assign the PNs to assist health care providers on rounds and perform glucometer checks. –
Correct Answer :B
A UAP can take vital signs and daily weights on stable clients (B). UAPs can perform am care and feed
clients, which is a better use of personnel than assigning the task to the PN (A). All team members can
answer call lights and PNs can administer some of the medications, so assigning the RN (C) these
tasks is not an effective use of the available personnel. The RN is the best team member to assist on
rounds (D), and the UAP can perform glucometer checks, so assigning the PN these tasks is not an
effective use of available personnel.
The nurse is developing a health risk assessment protocol for use in a well-baby clinic in a low-income
neighborhood. Which information is most important for the nurse to include in the assessment?
A+ TEST BANK 3
, PN HESI Exit Exam
A.Hearing acuity
B.Immunization history
C.Weight and length
D.Head circumference –
Correct Answer :B
The Centers for Disease Control and Prevention indicate that vaccines are among the most widely
used, effective, and safe medical products in use today. Assessing the infant immunization histories in
clients from disadvantaged socioeconomic groups (B) is the most effective method for determining
these infants' susceptibilities to vaccine-preventable diseases. Assessment of (A, C, and D) provides
valuable information but does not supply information about infants' susceptibilities to vaccine-
preventable diseases, which are major causes of infant mortality and morbidity.
Which intervention(s) is(are) most helpful in evaluating the effectiveness of nursing and medical
treatments for dehydration in a 36-month-old child? (Select all that apply.)
A.Record wet diapers.
B.Assess for sunken fontanels.
C.Examine skin turgor.
D.Observe mucous membranes. –
Correct Answer :ACD
All these interventions can be used to evaluate fluid status in children and are helpful assessment
functions (A, C, and D), but the age of the child makes a fontanel check impractical (B). The posterior
fontanel closes at 2 months and the anterior fontanel closes at 18 months of age.
The nurse is obtaining a client's sexual history. Which finding requires additional follow-up regarding
the client's self-image?
A.Sexual intercourse with the spouse occurs four times a week.
A+ TEST BANK 4
PN HESI Exit Exam Test Bank for the HESI PN Exit
Exam Prep – 160 Past Real Exam Questions and
Correct Answers/ HESI PN Exit Exam Prep
|GRADED A+| (EXAM READY)
(Solved) SCORE A
A client with rhabdomyolysis tells the nurse about falling while going to the bathroom and lying on the
floor for 24 hours before being found. Which current client finding is indicative of renal complications?
A+ TEST BANK 1
, PN HESI Exit Exam
A.3+ protein in the urine
B.Blood urea nitrogen >25 mg/dL
C.Blood pH >7.45
D.Urine output, 2500 mL/day –
Correct Answer :B
Rhabdomyolysis is characterized by destruction of muscles that release myoglobin, causing
myoglobinuria, which places the client at risk for acute renal failure, so an increased blood urea
nitrogen (BUN) level (B) indicates a decrease in renal function. Blood in the urine from the
accompanying breakdown of red blood cells contributes to proteinuria (A), an expected finding.
Metabolic acidosis is the potential complication, not alkalosis (C). During the diuretic phase of acute
renal failure, there can be a normal output volume (D) (approximately 2000 mL/day), which can result
from IV fluid hydration.
What instruction(s) related to foot care is(are) appropriate for the client with type 1 diabetes mellitus?
(Select all that apply.)
A.Use lanolin to moisturize the tops and bottoms of the feet.
B.Soak the feet in warm water for at least 1 hour daily.
C.Wash feet daily and dry well, particularly between the toes.
D.Use over-the-counter products to remove corns and calluses.
E.Wear leather shoes that fit properly. –
Correct Answer :ACE
(A, C, and E) are therapeutic interventions for foot care in the diabetic patient. (B and D) are
contraindicated and could cause foot infection or injury.
The nurse recognizes which behavior(s) in a client as warning sign(s) of an impending suicide attempt?
(Select all that apply.)
A+ TEST BANK 2
, PN HESI Exit Exam
A.Reports feelings of sadness
B.Mood changes from depressed to happy
C.Begins giving away possessions
D.Becomes compliant with medication regimen
E.Independently joins a support group –
Correct Answer :BC
Feelings of elation and giving away possessions are common characteristics of those who have made
a plan to commit suicide (B and C). Feelings of sadness are signs of depression but not impending
suicide (A). (D and E) are not typically indicative of impending suicide.
The charge nurse of a 16-bed medical unit is making 0700 to 1900 shift assignments. The team
consists of two RNs, two PNs, and two UAP. Which assignment is the most effective use of the
available team members?
A.Assign the PNs to perform am care and assist with feeding the clients.
B.Assign the UAPs to take vital signs and obtain daily weights.
C.Assign the RNs to answer the call lights and administer all medications.
D.Assign the PNs to assist health care providers on rounds and perform glucometer checks. –
Correct Answer :B
A UAP can take vital signs and daily weights on stable clients (B). UAPs can perform am care and feed
clients, which is a better use of personnel than assigning the task to the PN (A). All team members can
answer call lights and PNs can administer some of the medications, so assigning the RN (C) these
tasks is not an effective use of the available personnel. The RN is the best team member to assist on
rounds (D), and the UAP can perform glucometer checks, so assigning the PN these tasks is not an
effective use of available personnel.
The nurse is developing a health risk assessment protocol for use in a well-baby clinic in a low-income
neighborhood. Which information is most important for the nurse to include in the assessment?
A+ TEST BANK 3
, PN HESI Exit Exam
A.Hearing acuity
B.Immunization history
C.Weight and length
D.Head circumference –
Correct Answer :B
The Centers for Disease Control and Prevention indicate that vaccines are among the most widely
used, effective, and safe medical products in use today. Assessing the infant immunization histories in
clients from disadvantaged socioeconomic groups (B) is the most effective method for determining
these infants' susceptibilities to vaccine-preventable diseases. Assessment of (A, C, and D) provides
valuable information but does not supply information about infants' susceptibilities to vaccine-
preventable diseases, which are major causes of infant mortality and morbidity.
Which intervention(s) is(are) most helpful in evaluating the effectiveness of nursing and medical
treatments for dehydration in a 36-month-old child? (Select all that apply.)
A.Record wet diapers.
B.Assess for sunken fontanels.
C.Examine skin turgor.
D.Observe mucous membranes. –
Correct Answer :ACD
All these interventions can be used to evaluate fluid status in children and are helpful assessment
functions (A, C, and D), but the age of the child makes a fontanel check impractical (B). The posterior
fontanel closes at 2 months and the anterior fontanel closes at 18 months of age.
The nurse is obtaining a client's sexual history. Which finding requires additional follow-up regarding
the client's self-image?
A.Sexual intercourse with the spouse occurs four times a week.
A+ TEST BANK 4
