HESI PN EXIT
V3 EXAM
NCLEX (NGN), Case-based Scenarios,
Actual Qs & Ans to Pass the Exam
,THIS HESI PN EXIT CONSISTS OF
75 Questions and Answers
multiple-choice questi-+-ons (MCQs)** with
four options (A–D), answers, and detailed
rationales aligned with HESI PN Exit Exam
2025 standards.
Some questions are flagged as **NCLEX-style
(NGN)**, and relevant **case studies/vitals**
are integrated where applicable.
, HESI PN EXIT V3 COMPREHENSIVE EXAM
### 1. The practical nurse (PN) is observing a client self-administering a dose of subcutaneous insulin.
Which step of the injection technique should the PN reteach?
A. Injects air into the insulin vial to displace the dose
B. Selects the same site that was used for the previous injection
C. Inserts the needle at a 90-degree angle to the skin surface
D. Uses a circular motion when applying an alcohol pad to the site
Answer: B. Selects the same site that was used for the previous injection
Rationale:
Repeatedly using the same injection site can cause lipodystrophy and impaired insulin absorption. Clients
should rotate injection sites systematically within the same body region to enhance insulin absorption and
reduce discomfort. Air injection into the vial, needle insertion angle, and alcohol pad application are
appropriate techniques.
---
### 2. The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds (4,581
grams). The infant is jittery and has a heel stick glucose level of 40 mg/dL (2.2 mmol/L) 30 minutes after
birth. Which intervention should the PN implement first?
A. Repeat the heel stick for glucose in one hour
B. Offer nipple feedings of 10% dextrose
C. Begin frequent feedings of breast milk or formula
D. Assess for signs of hypocalcemia
, Answer: C. Begin frequent feedings of breast milk or formula
Rationale:
This infant exhibits signs of hypoglycemia, common in infants of diabetic mothers. Early frequent feedings
provide glucose to stabilize blood sugar levels and prevent neurological damage. Delaying intervention or
offering 10% dextrose without IV access may increase risk. Monitoring for hypocalcemia is important but
secondary to treating hypoglycemia.
---
### 3. The nurse is very busy and running late with administering medications and asks the PN to
administer a medication already drawn up in an unlabeled syringe. How should the PN respond?
A. "You should know that I cannot administer the medication in this syringe."
B. "As long as the charge nurse checks the syringe, I can give the medication."
C. "Teamwork is the best approach. I will be glad to help you get caught up."
D. "I am not comfortable doing that. Is there something else I can do to help you?"
Answer: D. "I am not comfortable doing that. Is there something else I can do to help you?"
Rationale:
Administering medication from an unlabeled syringe violates safety protocols and can cause medication
errors. The PN must refuse and offer assistance in another way. Administering without clear labeling puts
the client at risk and is considered negligent.
---
### 4. Which intervention should the PN reinforce for a client with pruritus (itching)?
A. Encourage a warm sleeping environment
B. Do not take any type of tub bath
C. Discourage use of skin lubricants
D. Keep fingernails trimmed short
Answer: D. Keep fingernails trimmed short
V3 EXAM
NCLEX (NGN), Case-based Scenarios,
Actual Qs & Ans to Pass the Exam
,THIS HESI PN EXIT CONSISTS OF
75 Questions and Answers
multiple-choice questi-+-ons (MCQs)** with
four options (A–D), answers, and detailed
rationales aligned with HESI PN Exit Exam
2025 standards.
Some questions are flagged as **NCLEX-style
(NGN)**, and relevant **case studies/vitals**
are integrated where applicable.
, HESI PN EXIT V3 COMPREHENSIVE EXAM
### 1. The practical nurse (PN) is observing a client self-administering a dose of subcutaneous insulin.
Which step of the injection technique should the PN reteach?
A. Injects air into the insulin vial to displace the dose
B. Selects the same site that was used for the previous injection
C. Inserts the needle at a 90-degree angle to the skin surface
D. Uses a circular motion when applying an alcohol pad to the site
Answer: B. Selects the same site that was used for the previous injection
Rationale:
Repeatedly using the same injection site can cause lipodystrophy and impaired insulin absorption. Clients
should rotate injection sites systematically within the same body region to enhance insulin absorption and
reduce discomfort. Air injection into the vial, needle insertion angle, and alcohol pad application are
appropriate techniques.
---
### 2. The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds (4,581
grams). The infant is jittery and has a heel stick glucose level of 40 mg/dL (2.2 mmol/L) 30 minutes after
birth. Which intervention should the PN implement first?
A. Repeat the heel stick for glucose in one hour
B. Offer nipple feedings of 10% dextrose
C. Begin frequent feedings of breast milk or formula
D. Assess for signs of hypocalcemia
, Answer: C. Begin frequent feedings of breast milk or formula
Rationale:
This infant exhibits signs of hypoglycemia, common in infants of diabetic mothers. Early frequent feedings
provide glucose to stabilize blood sugar levels and prevent neurological damage. Delaying intervention or
offering 10% dextrose without IV access may increase risk. Monitoring for hypocalcemia is important but
secondary to treating hypoglycemia.
---
### 3. The nurse is very busy and running late with administering medications and asks the PN to
administer a medication already drawn up in an unlabeled syringe. How should the PN respond?
A. "You should know that I cannot administer the medication in this syringe."
B. "As long as the charge nurse checks the syringe, I can give the medication."
C. "Teamwork is the best approach. I will be glad to help you get caught up."
D. "I am not comfortable doing that. Is there something else I can do to help you?"
Answer: D. "I am not comfortable doing that. Is there something else I can do to help you?"
Rationale:
Administering medication from an unlabeled syringe violates safety protocols and can cause medication
errors. The PN must refuse and offer assistance in another way. Administering without clear labeling puts
the client at risk and is considered negligent.
---
### 4. Which intervention should the PN reinforce for a client with pruritus (itching)?
A. Encourage a warm sleeping environment
B. Do not take any type of tub bath
C. Discourage use of skin lubricants
D. Keep fingernails trimmed short
Answer: D. Keep fingernails trimmed short
