HESI PN Comprehensive Exam 2

1

HESI PN Comprehensive Exam 2 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A client with pneumonia has a productive cough and difficulty clearing secretions. Which intervention is best?

• Encourage bed rest

✔✔B. Increase fluid intake

• Place client supine
• Restrict oral intake

A nurse is teaching a client prescribed warfarin. Which statement indicates correct understanding?

• “I will eat more green leafy vegetables.”

✔✔B. “I need regular blood tests to monitor my INR.”

• “I should stop taking the medication when I feel well.”
• “I do not need to report bleeding gums.”

A client after abdominal surgery reports sudden wound drainage with visible intestines. What is the priority action? 1 / 4

2

• Notify the surgeon immediately
• Reinsert the intestines

✔✔C. Cover the wound with sterile saline-soaked dressing

• Apply an abdominal binder tightly

A client with COPD is receiving 4 L/min oxygen via nasal cannula. Which action is most appropriate?

• Maintain at 4 L/min continuously

✔✔B. Adjust oxygen to maintain SpO₂ between 88–92%

• Switch to non-rebreather mask
• Encourage client to remove oxygen while eating

A postpartum client has heavy bleeding and a boggy uterus. Which nursing action is priority?

• Insert an indwelling catheter

✔✔B. Massage the fundus firmly

• Notify the obstetrician
• Check hemoglobin levels
• / 4

3

A client with schizophrenia states, “The voices are telling me to hurt myself.” What is the nurse’s priority response?

• “Those voices are not real.”

✔✔B. “Are you thinking of acting on what the voices say?”

• “Try to ignore the voices and stay calm.”
• “You should listen to music instead.”

A client receiving chemotherapy reports painful sores in the mouth. What is the best nursing intervention?

• Provide lemon-flavored swabs

✔✔B. Offer saline rinses frequently

• Encourage spicy foods
• Brush with firm bristles

A nurse is preparing to insert an indwelling catheter. Which step maintains sterile technique?

• Place sterile kit on bedside cabinet

✔✔B. Keep dominant hand sterile while inserting catheter

• Cleanse from outward to inward 3 / 4

4

• Use non-sterile gloves to insert

A client with type 1 diabetes is sweating and shaky. What is the nurse’s priority?

• Check urine for ketones

✔✔B. Provide a fast-acting carbohydrate

• Notify the provider
• Administer insulin

A client prescribed digoxin reports nausea and blurred vision. Which action is most important?

• Encourage oral fluids

✔✔B. Check the client’s apical pulse

• Document the findings
• Provide a light snack

A nurse is caring for a client on contact precautions for MRSA. Which PPE is required?

• Goggles

✔✔B. Gown and gloves

• N95 respirator
• / 4