HESI PN Practice Exam And
Questions 2024 Update
The nurse is standing at the clinic desk when a mother and preschool child
approach. The mother tells the nurse that her child has a fever and rash. What
action should the nurse take?
A. Take the child immediately to a different part of the clinic
B. Have them wait in the waiting area away from the other children
C. Tell the mother to return to the clinic when the rash subsides
D. Place them first on the list to see the healthcare practitioner - ✔✔✔ANSWER-
B. Have them wait in the waiting area away from the other children
The nurse is taking blood presure of a client admitted with a possible myocardial
infarction. When taking the client's BP at the brachial artery, the nurse should place
the client's arm in which position?
,A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart - ✔✔✔ANSWER-B. At the level of the heart
The nurse is with a client when the healthcare provider explains that the biopsy
classifies the results as a T1N0M0 tumor. Later in the morning, the client asks the
nurse, "what do these letters T1N0M0, stand for?" which response should the nurse
provide first?
A. "The letters are used to predict the prognosis of the cancer or tumor."
B. "The letters stand for tumor size, node involvement and metastasis."
C. "Let me refer you to the charge nurse."
D. "Are you confused? Would you like to talk?" - ✔✔✔ANSWER-B. "The letters
stand for tumor size, node involvement and metastasis."
The nurse is working in a community health setting and assisting the charge nurse
in performing health screenings. Which individual is at highest risk for contracting
an HIV infection?
A. 17-year-old who is sexually active simultaneously with numerous partners
B. 34-year old homosexual who is in a monogamous relationship
C. 30-year-old cocaine user who inhales and smokes drugs
D. 45-year-old who has received two blood transfusions in the past 6 months -
✔✔✔ANSWER-A. 17-year-old who is sexually active simultaneously with
numerous partners
,The nurse is working on the postpartum unit and is assisting a new mother with her
newborn's diaper change. The mother states that the infant fed well and completed
the whole bottle of formula. What action should the nurse implement first when the
infant begins to spit up during the diaper change?
A. Bubble or burp the infant by patting the infant's back
B. Encourage the mother to avoid over feeding the infant
C. Turn the newborn and bulb suction the mouth and nose
D. Wipe away the secretions and finish the diaper change - ✔✔✔ANSWER-C.
Turn the newborn and bulb suction the mouth and nose
2 days after an abdominal hysterectomy, an elderly client with diabetes Mellitus
Type II has a syncopal episode. Her vital signs are within normal limites and her
sugar is 325 mg/dL. what intervention should the nurse implement first?
A. Give the client 4 ounces of orange juice
B. Administer next scheduled dose of metformin (Glucophage)
C. Cancel the clients dinner tray
D. Administer regular insulin per sliding scale - ✔✔✔ANSWER-D. Administer
regular insulin per sliding scale
36 hours after delivery, the nurse determines a client's fundus is just above the
umbilicus and displaced to the right of midline. What action should the nurse take
first?
A. Palpate the bladder for distention
B. Ask the client when her last bowel movement occurred
C. Catheterize the client and record the amount
, D. Assess the amount of lochia - ✔✔✔ANSWER-A. Palpate the bladder for
distention
4 hours after administration of 20U of regular insulin, the client becomes shake
and diaphoretic. What action should the nurse take?
A. Encourage the client to excercise
B. Administer a PRN dose of 10U of regular insulin
C. Give the client crackers and milk
D. Record the client's reaction on the diabetic flow sheet - ✔✔✔ANSWER-C.
Give the client crackers and milk
A 26 year-old primigravida who delivered a 7-pound male infant 26 hours ago tells
the nurse that she is confused about when she and her husband can return to having
sexual intercourse. What info should the nurse reinforce with this client?
A. They can have intercourse when the episiotomy is healed and the lochial flow
has stopped
B. They should wait to resume sexual activities until the fatigue assorted with a
new baby has passed
C. They can resume sexual activity at 6 weeks postpartum
D. It is best to wait until both parties feel up to having sexual intercourse -
✔✔✔ANSWER-A. They can have intercourse when the episiotomy is healed and
the lochial flow has stopped
A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9 weeks gestation.
At one-house post dilation and curettage (D&C) the nurse assess the vital signs and
vaginal bleeding. The client begins to cry softly. How should the nurse intervene?
Questions 2024 Update
The nurse is standing at the clinic desk when a mother and preschool child
approach. The mother tells the nurse that her child has a fever and rash. What
action should the nurse take?
A. Take the child immediately to a different part of the clinic
B. Have them wait in the waiting area away from the other children
C. Tell the mother to return to the clinic when the rash subsides
D. Place them first on the list to see the healthcare practitioner - ✔✔✔ANSWER-
B. Have them wait in the waiting area away from the other children
The nurse is taking blood presure of a client admitted with a possible myocardial
infarction. When taking the client's BP at the brachial artery, the nurse should place
the client's arm in which position?
,A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart - ✔✔✔ANSWER-B. At the level of the heart
The nurse is with a client when the healthcare provider explains that the biopsy
classifies the results as a T1N0M0 tumor. Later in the morning, the client asks the
nurse, "what do these letters T1N0M0, stand for?" which response should the nurse
provide first?
A. "The letters are used to predict the prognosis of the cancer or tumor."
B. "The letters stand for tumor size, node involvement and metastasis."
C. "Let me refer you to the charge nurse."
D. "Are you confused? Would you like to talk?" - ✔✔✔ANSWER-B. "The letters
stand for tumor size, node involvement and metastasis."
The nurse is working in a community health setting and assisting the charge nurse
in performing health screenings. Which individual is at highest risk for contracting
an HIV infection?
A. 17-year-old who is sexually active simultaneously with numerous partners
B. 34-year old homosexual who is in a monogamous relationship
C. 30-year-old cocaine user who inhales and smokes drugs
D. 45-year-old who has received two blood transfusions in the past 6 months -
✔✔✔ANSWER-A. 17-year-old who is sexually active simultaneously with
numerous partners
,The nurse is working on the postpartum unit and is assisting a new mother with her
newborn's diaper change. The mother states that the infant fed well and completed
the whole bottle of formula. What action should the nurse implement first when the
infant begins to spit up during the diaper change?
A. Bubble or burp the infant by patting the infant's back
B. Encourage the mother to avoid over feeding the infant
C. Turn the newborn and bulb suction the mouth and nose
D. Wipe away the secretions and finish the diaper change - ✔✔✔ANSWER-C.
Turn the newborn and bulb suction the mouth and nose
2 days after an abdominal hysterectomy, an elderly client with diabetes Mellitus
Type II has a syncopal episode. Her vital signs are within normal limites and her
sugar is 325 mg/dL. what intervention should the nurse implement first?
A. Give the client 4 ounces of orange juice
B. Administer next scheduled dose of metformin (Glucophage)
C. Cancel the clients dinner tray
D. Administer regular insulin per sliding scale - ✔✔✔ANSWER-D. Administer
regular insulin per sliding scale
36 hours after delivery, the nurse determines a client's fundus is just above the
umbilicus and displaced to the right of midline. What action should the nurse take
first?
A. Palpate the bladder for distention
B. Ask the client when her last bowel movement occurred
C. Catheterize the client and record the amount
, D. Assess the amount of lochia - ✔✔✔ANSWER-A. Palpate the bladder for
distention
4 hours after administration of 20U of regular insulin, the client becomes shake
and diaphoretic. What action should the nurse take?
A. Encourage the client to excercise
B. Administer a PRN dose of 10U of regular insulin
C. Give the client crackers and milk
D. Record the client's reaction on the diabetic flow sheet - ✔✔✔ANSWER-C.
Give the client crackers and milk
A 26 year-old primigravida who delivered a 7-pound male infant 26 hours ago tells
the nurse that she is confused about when she and her husband can return to having
sexual intercourse. What info should the nurse reinforce with this client?
A. They can have intercourse when the episiotomy is healed and the lochial flow
has stopped
B. They should wait to resume sexual activities until the fatigue assorted with a
new baby has passed
C. They can resume sexual activity at 6 weeks postpartum
D. It is best to wait until both parties feel up to having sexual intercourse -
✔✔✔ANSWER-A. They can have intercourse when the episiotomy is healed and
the lochial flow has stopped
A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9 weeks gestation.
At one-house post dilation and curettage (D&C) the nurse assess the vital signs and
vaginal bleeding. The client begins to cry softly. How should the nurse intervene?
