PN HESI Exit Exam Study Guide - 100
Practice Questions
1. Fundamentals & Safety
1. A nurse is preparing to administer medication. Which action takes priority?
a) Check the medication expiration date
b) ✓ Verify the client’s identity using two identifiers
c) Document the medication administration
d) Explain the medication purpose to the client
2. What is the proper sequence for donning PPE?
a) Gloves, gown, mask, goggles
b) Gown, gloves, mask, goggles
c) ✓ Gown, mask, goggles, gloves
d) Mask, goggles, gown, gloves
3. A client has fallen. What should the nurse do first?
a) Help the client stand up immediately
b) ✓ Assess the client’s condition and call for help
c) Notify the physician
d) Complete an incident report
4. Which action best reduces infection transmission?
a) Wearing gloves for all client contact
b) ✓ Performing hand hygiene before and after client contact
c) Keeping the door closed
d) Using disposable equipment
5. The nurse notices a small fire in a wastebasket. What is the first action?
a) Call the fire department
b) Evacuate clients
c) ✓ Activate the fire alarm and use a fire extinguisher
d) Notify the nursing supervisor
2. Pharmacology
6. When giving digoxin, what assessment is most critical?
a) Blood pressure
, b) ✓ Apical pulse for 1 full minute
c) Respiratory rate
d) Temperature
7. A client develops hives after penicillin. What should the nurse do first?
a) Administer diphenhydramine as ordered
b) ✓ Stop the medication infusion immediately
c) Document the reaction
d) Apply cool compresses
8. Which medication requires checking blood glucose before administration?
a) Metformin
b) ✓ Regular insulin
c) Glyburide
d) Pioglitazone
9. Before giving warfarin, check which lab value?
a) Platelet count
b) ✓ INR (International Normalized Ratio)
c) Hemoglobin
d) Potassium level
10. What is the Z-track method used for?
a) ✓ Preventing tissue irritation from IM injections
b) Ensuring IV medication absorption
c) Reducing pain during subcutaneous injections
d) Administering pediatric immunizations
3. Medical-Surgical Nursing
11. Signs of fluid volume excess include:
a) Dry mucous membranes
b) Poor skin turgor
c) ✓ Crackles in lungs and edema
d) Tachycardia and hypotension
12. A post-op client has sudden dyspnea and chest pain. Suspect:
a) Pneumonia
b) ✓ Pulmonary embolism
c) Myocardial infarction
d) Atelectasis
, 13. First action for a client with a chest tube disconnection?
a) Clamp the tube
b) ✓ Immerse the end in sterile water
c) Call the physician
d) Apply an occlusive dressing
14. Priority intervention for deep vein thrombosis?
a) Apply heat to the extremity
b) Massage the affected leg
c) ✓ Bed rest with extremity elevated
d) Encourage ambulation
15. Sign of hypokalemia includes:
a) Hypertension
b) Bradycardia
c) ✓ Muscle weakness and cardiac dysrhythmias
d) Constipation
4. Maternal-Newborn Nursing
16. A newborn’s Apgar score at 1 minute is 6. What does this indicate?
a) Excellent condition
b) Normal transition
c) ✓ Moderate depression requiring intervention
d) Severe depression needing resuscitation
17. Sign of preeclampsia includes:
a) ✓ Proteinuria and hypertension
b) Hypotension and edema
c) Glycosuria and headache
d) Bradycardia and vomiting
18. Teaching for postpartum mother: Report:
a) Afterpains
b) ✓ Foul-smelling lochia
c) Uterine cramping
d) Breast engorgement
19. Newborn with temperature 97.0°F (36.1°C). What to do first?
a) Administer antipyretics
b) ✓ Place skin-to-skin with mother or under warmer
, c) Notify physician
d) Check for infection
20. RH-negative mother receives RhoGAM at:
a) 20 weeks gestation
b) ✓ 28 weeks gestation and within 72 hours postpartum
c) After delivery only
d) 36 weeks gestation
5. Pediatric Nursing
21. Priority for child with epiglottitis?
a) Obtain throat culture
b) ✓ Maintain airway; do not inspect throat
c) Encourage fluids
d) Administer antibiotics
22. Signs of dehydration in infant:
a) Bradycardia
b) ✓ Sunken fontanelle and decreased urine output
c) Hypertension
d) Weight gain
23. Communicating with a 4-year-old:
a) Use abstract explanations
b) ✓ Use simple, concrete terms
c) Discuss procedures far in advance
d) Speak only to parents
24. Priority in suspected child abuse?
a) Confront the parents
b) ✓ Report suspicions to authorities
c) Document carefully
d) Ask child leading questions
25. Asthma treatment: Administer albuterol via:
a) ✓ Nebulizer or metered-dose inhaler with spacer
b) Oral syrup
c) Subcutaneous injection
d) IV infusion
Practice Questions
1. Fundamentals & Safety
1. A nurse is preparing to administer medication. Which action takes priority?
a) Check the medication expiration date
b) ✓ Verify the client’s identity using two identifiers
c) Document the medication administration
d) Explain the medication purpose to the client
2. What is the proper sequence for donning PPE?
a) Gloves, gown, mask, goggles
b) Gown, gloves, mask, goggles
c) ✓ Gown, mask, goggles, gloves
d) Mask, goggles, gown, gloves
3. A client has fallen. What should the nurse do first?
a) Help the client stand up immediately
b) ✓ Assess the client’s condition and call for help
c) Notify the physician
d) Complete an incident report
4. Which action best reduces infection transmission?
a) Wearing gloves for all client contact
b) ✓ Performing hand hygiene before and after client contact
c) Keeping the door closed
d) Using disposable equipment
5. The nurse notices a small fire in a wastebasket. What is the first action?
a) Call the fire department
b) Evacuate clients
c) ✓ Activate the fire alarm and use a fire extinguisher
d) Notify the nursing supervisor
2. Pharmacology
6. When giving digoxin, what assessment is most critical?
a) Blood pressure
, b) ✓ Apical pulse for 1 full minute
c) Respiratory rate
d) Temperature
7. A client develops hives after penicillin. What should the nurse do first?
a) Administer diphenhydramine as ordered
b) ✓ Stop the medication infusion immediately
c) Document the reaction
d) Apply cool compresses
8. Which medication requires checking blood glucose before administration?
a) Metformin
b) ✓ Regular insulin
c) Glyburide
d) Pioglitazone
9. Before giving warfarin, check which lab value?
a) Platelet count
b) ✓ INR (International Normalized Ratio)
c) Hemoglobin
d) Potassium level
10. What is the Z-track method used for?
a) ✓ Preventing tissue irritation from IM injections
b) Ensuring IV medication absorption
c) Reducing pain during subcutaneous injections
d) Administering pediatric immunizations
3. Medical-Surgical Nursing
11. Signs of fluid volume excess include:
a) Dry mucous membranes
b) Poor skin turgor
c) ✓ Crackles in lungs and edema
d) Tachycardia and hypotension
12. A post-op client has sudden dyspnea and chest pain. Suspect:
a) Pneumonia
b) ✓ Pulmonary embolism
c) Myocardial infarction
d) Atelectasis
, 13. First action for a client with a chest tube disconnection?
a) Clamp the tube
b) ✓ Immerse the end in sterile water
c) Call the physician
d) Apply an occlusive dressing
14. Priority intervention for deep vein thrombosis?
a) Apply heat to the extremity
b) Massage the affected leg
c) ✓ Bed rest with extremity elevated
d) Encourage ambulation
15. Sign of hypokalemia includes:
a) Hypertension
b) Bradycardia
c) ✓ Muscle weakness and cardiac dysrhythmias
d) Constipation
4. Maternal-Newborn Nursing
16. A newborn’s Apgar score at 1 minute is 6. What does this indicate?
a) Excellent condition
b) Normal transition
c) ✓ Moderate depression requiring intervention
d) Severe depression needing resuscitation
17. Sign of preeclampsia includes:
a) ✓ Proteinuria and hypertension
b) Hypotension and edema
c) Glycosuria and headache
d) Bradycardia and vomiting
18. Teaching for postpartum mother: Report:
a) Afterpains
b) ✓ Foul-smelling lochia
c) Uterine cramping
d) Breast engorgement
19. Newborn with temperature 97.0°F (36.1°C). What to do first?
a) Administer antipyretics
b) ✓ Place skin-to-skin with mother or under warmer
, c) Notify physician
d) Check for infection
20. RH-negative mother receives RhoGAM at:
a) 20 weeks gestation
b) ✓ 28 weeks gestation and within 72 hours postpartum
c) After delivery only
d) 36 weeks gestation
5. Pediatric Nursing
21. Priority for child with epiglottitis?
a) Obtain throat culture
b) ✓ Maintain airway; do not inspect throat
c) Encourage fluids
d) Administer antibiotics
22. Signs of dehydration in infant:
a) Bradycardia
b) ✓ Sunken fontanelle and decreased urine output
c) Hypertension
d) Weight gain
23. Communicating with a 4-year-old:
a) Use abstract explanations
b) ✓ Use simple, concrete terms
c) Discuss procedures far in advance
d) Speak only to parents
24. Priority in suspected child abuse?
a) Confront the parents
b) ✓ Report suspicions to authorities
c) Document carefully
d) Ask child leading questions
25. Asthma treatment: Administer albuterol via:
a) ✓ Nebulizer or metered-dose inhaler with spacer
b) Oral syrup
c) Subcutaneous injection
d) IV infusion
