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HESI PN Exit Proctored Exam

HESI PN Exit Proctored Exam practice questions and answers for Nursing Exit Exam review. Use this quiz to review exit-style nursing concepts and track readiness.

Nursing Exit ExamsHESI PN Exit Proctored Exam150 questions30 question preview
Practice Set30 visible120 lockedReview Mode

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Question 1 of 30Single-Select Multiple Choice

In assessing a client with an indwelling urinary catheter following the provision of care by an unlicensed assistive personnel (UAP), the practical nurse (PN) observes that the catheter drainage bag, which is half full, is attached to the side rail and the tubing is looped on the bed. Which action should the PN implement?

Select one answer.

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Question 2 of 30Single-Select Multiple Choice

The practical nurse (PN) is assessing an older client with left-sided heart failure (HF). What intervention is most important for the PN to implement?

Select one answer.

0 selected

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Question 3 of 30Calculation / Fill-in-the-Blank (Numeric)

A client has a prescription for NPH insulin 25 units before breakfast and insulin aspart before meals and hour of sleep per sliding scale. The sliding scale parameters are:. 0 units for finger stick glucose less than 170 mg/dL;. 5 units for finger stick glucose 171 to 219 mg/dL;. 10 units for finger stick glucose 220 to 269 mg/dL;. 15 units for finger stick glucose 270 to 300 mg/dL.

Call healthcare provider for finger stick glucose greater than 300 mg/dL. The client's 0730 finger stick glucose is 271 mg/dL. What is the total amount of insulin this client should receive? (Enter numeric value only.).

Enter the numeric answer.

  • ?
    Your Answer
    IU
No answer entered

Explanation

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Question 4 of 30Single-Select Multiple Choice

A male client tells the practical nurse (PN) that the pill he has been taking at home is a different color and size than the one the PN is trying to give him now. How should the PN respond?

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Question 5 of 30Single-Select Multiple Choice

A female client taking a liquid iron preparation expresses concern that her tooth color has darkened since starting the medication. Which action should the practical nurse (PN) implement?

Select one answer.

0 selected

Explanation

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Question 6 of 30Multiple-Select / Select All That Apply (SATA)

The practical nurse (PN) is caring for a child who was admitted after experiencing a generalized tonic-clonic seizure. When witnessing the child begin to seize again, which actions should the PN implement immediately? (Select all that apply.).

(Select All that Apply.)

0 selected

Explanation

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Question 7 of 30Ordering / Sequencing

The practical nurse (PN) assigns an unlicensed assistive personnel (UAP) to bathe a client who is on contact precautions due to Clostridium difficile. To maintain contact precautions, the PN should instruct the UAP to perform the following actions in which sequence? (Arrange from first action on top to last on the bottom.).

Move each option into the correct order.

  1. Tap or drag choices here.
0 of 4 placed

Explanation

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Question 8 of 30Single-Select Multiple Choice

The unlicensed assistive personnel (UAP) tells the practical nurse (PN) that a male client is angry because the night shift took over 2 hours to bring him the pain medication he had to request three times. Which action should the PN implement first?

Select one answer.

0 selected

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Question 9 of 30Single-Select Multiple Choice

A client who is in active labor is admitted with her cervix dilated to 3 cm with 50% effacement and the presenting part at 0 station. An hour later, she tells the practical nurse (PN) that she wants to go to the bathroom to empty her bladder. The nurse examines the client again and determines her vaginal exam is unchanged. Which action should the PN implement?

Select one answer.

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Explanation

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Question 10 of 30Single-Select Multiple Choice

When the practical nurse (PN) attempts to assist an 18-year-old client with a mild mental disability to ambulate on the first postoperative day after an appendectomy, she becomes angry and yells at the PN, "Get out of here! I'll get up when I'm ready!”. Which response isbest for the PN to make?

Select one answer.

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Question 11 of 30Single-Select Multiple Choice

The practical nurse (PN) and unlicensed assistive personnel (UAP) enter a client's room and find the client lying on the bed. The PN determines that the client is unresponsive. Which instruction should the PN give the UAP first?

Select one answer.

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Question 12 of 30Single-Select Multiple Choice

An older client is admitted to an acute care facility with the diagnosis of left lower lobe pneumonia. How should the practical nurse (PN) position the client for auscultation of posterior lung fields?

Select one answer.

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Question 13 of 30Single-Select Multiple Choice

The practical nurse (PN) learns that a client who is receiving chemotherapy has developed stomatitis. Which information should the PN obtain from the client during a focused assessment?

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Question 14 of 30Calculation / Fill-in-the-Blank (Numeric)

A client who had knee replacement surgery receives a prescription for enoxaparin 30 mg subcutaneously every 12 hours for 10 days. The medication is available in 30 mg per 0.3 mL prefilled syringes. How many mL should the practical nurse (PN) administer each day? (Enter numerical value only.).

Enter the numeric answer.

  • ?
    Your Answer
    mL
No answer entered

Explanation

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Question 15 of 30Calculation / Fill-in-the-Blank (Numeric)

The healthcare provider prescribes cefazolin 500 mg IM every 6 hours. The available vial is labeled, "Cefazolin 1 gram,”. and the instructions for reconstitution state, "For IM use, add 2.5 mL sterile water for injection to provide a total volume of 3.0 mL.”. After reconstitution, how many mL should be administered to the client? (Enter numeric value only. If rounding is required, round to the nearest tenth.).

Enter the numeric answer.

  • ?
    Your Answer
    mL
No answer entered

Explanation

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Question 16 of 30Single-Select Multiple Choice

On the first day after a cesarean section, a client who is a primipara is being assisted to the bathroom for the first time. The client experiences a sudden gush of vaginal blood and notices that several blood clots are in the toilet. Which action should the practical nurse (PN) take?

Select one answer.

0 selected

Explanation

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Question 17 of 30Single-Select Multiple Choice

The practical nurse (PN) is assisting with preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible.

Which action should the PN implement?

Select one answer.

0 selected

Explanation

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Question 18 of 30Single-Select Multiple Choice

For the past six hours, a postoperative male client has refused pain medication because he believed that he could "tough it out." When an opioid analgesic is administered, the client has difficulty obtaining a satisfactory level of comfort.

Which action is best for the practical nurse (PN) to use in assisting this client to deal with his pain?

Select one answer.

0 selected

Explanation

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Question 19 of 30Single-Select Multiple Choice

A 15-year-old adolescent male with a mild mental disability is hospitalized for minor surgery and tells the practical nurse (PN), "Wow! You have big breasts."

Which response is best for the PN to provide?

Select one answer.

0 selected

Explanation

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Question 20 of 30Single-Select Multiple Choice

The practical nurse (PN) is reviewing a client's recent ophthalmic screening test results. Findings of optic neuropathy, loss of peripheral vision, and increased intraocular pressure are consistent with which medical condition?

Select one answer.

0 selected

Explanation

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Question 21 of 30Single-Select Multiple Choice

A client who is at full-term gestation is in active labor and complains of a cramp in her leg.

Which intervention should the practical nurse (PN) implement?

Select one answer.

0 selected

Explanation

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Question 22 of 30Single-Select Multiple Choice

The practical nurse (PN) palpates a client's radial pulse and notes that the pulse disappears when light pressure is applied.

How should the PN document this finding?

Select one answer.

0 selected

Explanation

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Question 23 of 30Single-Select Multiple Choice

The practical nurse (PN) is making a home visit to an older male adult who was recently diagnosed with Herpes zoster (shingles). The client reports the onset of severe burning pain along the right side of his trunk.

What action should the PN take?

Select one answer.

0 selected

Explanation

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Question 24 of 30Single-Select Multiple Choice

The practical nurse (PN) is providing care for a client who is ordered nothing by mouth (NPO) after a small bowel resection. The client's nasogastric (NG) tube is connected to low intermitent suction. The client reports dizziness and tingling in digits.

Which assessment finding by the PN should be reported to the healthcare provider?

Select one answer.

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Explanation

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Question 25 of 30Single-Select Multiple Choice

A client in the psychiatric unit's dayroom is becoming agitated, talking incessantly, and starting to yell and swear at the other clients.

Which action should the practical nurse (PN) implement first?

Select one answer.

0 selected

Explanation

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Question 26 of 30Single-Select Multiple Choice

The practical nurse (PN) is preparing for shift change.

Which task has the highest priority and should be completed first?

Select one answer.

0 selected

Explanation

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Question 27 of 30Single-Select Multiple Choice

An unlicensed assistive personnel (UAP) is completing an orientation assignment and is caring for a client who needs assistance with bathing.

What is the best way for the practical nurse (PN) to evaluate this UAP's performance?

Select one answer.

0 selected

Explanation

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Question 28 of 30Single-Select Multiple Choice

A male client atends a community support program for mentally impaired and chemical abusing clients. The client tells the practical nurse (PN) that his drugs of choice are cocaine and heroin.

What is the greatest health risk for this client?

Select one answer.

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Explanation

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Question 29 of 30Single-Select Multiple Choice

The practical nurse (PN) finds a postoperative client lying in bed with an unsecured surgical dressing as seen in the picture. After reinforcing the dressing, which follow-up assessment is most important for the PN to implement?

Select one answer.

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Explanation

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Question 30 of 30Single-Select Multiple Choice

The practical nurse (PN) reviews the history of an older adult who is newly admitted to a long term care facility.

Which factor in the resident's history should the PN consider the most likely to increase the client's risk for falls?

Select one answer.

0 selected

Explanation

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