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HESI PN Exit Exam 2026 – 120 Questions and Answers on Med-Surg, Pharmacology, Maternity, Pediatrics & Clinical Prioritization

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This document contains approximately 120 comprehensive HESI PN Exit Exam questions with verified answers covering high-yield practical nursing competencies and clinical judgment skills . The content spans medication administration and safety (subcutaneous insulin rotation, cefazolin reconstitution, prednisone tapering, digoxin toxicity, hydrocodone monitoring, insulin adjustment), cardiovascular assessment (troponin I, CK-MB, dysrhythmia risk, blood pressure positioning, pulse deficit), respiratory care (stridor, wheezing, suctioning procedures, N-95 respirator use, pulse oximetry interpretation), and infection control practices (droplet precautions, Clostridium difficile management, biohazard transport protocol). The question bank also provides in-depth coverage of maternal-newborn nursing (gestational diabetes macrosomia, lochia rubra, fetal heart rate norms 110–160 bpm, early labor interventions, maternal hypotension from epidural anesthesia), pediatric care (croup with resting stridor, acute lymphocytic leukemia infection prevention, late-night snacks for hypoglycemia prevention), endocrine and metabolic disorders (Type 2 diabetes mellitus, pre-diabetes education, serum sodium 125 mEq/L implications), and hematologic conditions (iron deficiency anemia findings, immune thrombocytopenic purpura, hemophilia bleeding precautions). Psychosocial and mental health topics include auditory hallucinations, borderline personality disorder behaviors, bereavement counseling, therapeutic communication, confidentiality breaches, informed consent responsibilities, and professional assertiveness. Additional sections reinforce delegation to UAP, documentation standards, fall prevention protocols, traction maintenance, wound care, urinary catheter care, NG tube management, total parenteral nutrition monitoring, and emergency response procedures. The structured multiple-choice format mirrors HESI PN Exit and NCLEX-PN testing standards, emphasizing prioritization frameworks, scope of practice boundaries, medication verification, safe delegation, and rapid identification of life-threatening findings. The material aligns with Practical Nursing curricula and HESI review resources, making it highly effective for final-semester PN students preparing for EXIT examinations and licensure readiness. This document may concern: • HESI PN Exit Exam 2026 • Practical Nursing Capstone • PN Comprehensive Review • Medical-Surgical Nursing for PN • Maternal-Newborn Nursing for PN • Pediatric Nursing for PN • Pharmacology for Practical Nurses It is particularly relevant for: • Practical nursing students • LPN students preparing for HESI EXIT • PN students preparing for NCLEX-PN • Final-semester nursing students • Remediation and comprehensive review candidates Keywords: HESI PN exit 2026, practical nursing exit exam questions, subcutaneous insulin rotation teaching, troponin I CK MB interpretation, fetal heart rate normal range 110 160, gestational diabetes macrosomia 10 pounds, serum sodium 125 mEq L priority, digoxin toxicity signs, droplet precautions influenza, N95 respirator use nursing, cefazolin reconstitution 400 mg mL, prednisone taper dosing schedule, pulse deficit apical radial, iron deficiency anemia dyspnea pallor, immune thrombocytopenic purpura bleeding risk, croup resting stridor intervention, lochia rubra postpartum assessment, confidentiality breach nursing action, delegation to UAP scope of practice, NCLEX PN readiness

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HESI PN Exit Exam Questions
and Answers

Subcutaneous insulin injection technique - 🧠 ANSWER ✔✔The PN should

reteach the client to rotate the injection site to a site other than the same

one used for the previous dose.


Counting radial pulse - 🧠 ANSWER ✔✔The index and middle finger should

be aligned with the thumb for radial pulse assessment.


Infant birth weight with gestational diabetes - 🧠 ANSWER ✔✔The birth

weight of an infant delivered by a woman with gestational diabetes is 10.1

pounds (4,581 grams).

,Heel stick glucose level - 🧠 ANSWER ✔✔The heel stick glucose level is 40

mg/dL (2.2 mmol/L) 30 minutes after birth.


Total intake calculation - 🧠 ANSWER ✔✔Total intake = 1480 mL, calculated

from 8 oz broth, 4 oz apple juice, 4 oz gelatin, 1 banana, and 1 liter of IV

fluid.


Medication administration in unlabeled syringe - 🧠 ANSWER ✔✔The PN

should explain their discomfort with administering medication from an

unlabeled syringe.


UAP assignment of care - 🧠 ANSWER ✔✔The scope of practice of UAP

includes personal care such as bowel and bladder care including intake

and output measurements.


Intervention for pruritis - 🧠 ANSWER ✔✔Keep fingernails trimmed short to

minimize excoriation from scratching the pruritic area.


Presbycusis - 🧠 ANSWER ✔✔Age-related hearing loss, especially high

frequencies.


Cefazolin - 🧠 ANSWER ✔✔An antibiotic prescribed for infections, dosed

500 mg IM.

,Reconstitution - 🧠 ANSWER ✔✔Mixing a powdered medication with a

solvent for use.


Buck's traction - 🧠 ANSWER ✔✔A type of skeletal traction used for limb

immobilization.


Myocardial damage - 🧠 ANSWER ✔✔Heart tissue injury indicated by

elevated troponin levels.


Cardiac dysrhythmias - 🧠 ANSWER ✔✔Abnormal heart rhythms that can

occur post-myocardial infarction.


Hematuria - 🧠 ANSWER ✔✔Presence of blood in urine, often requiring

investigation.


Prednisone - 🧠 ANSWER ✔✔A corticosteroid used for inflammation and

immune response.


Status epilepticus - 🧠 ANSWER ✔✔A prolonged seizure requiring

immediate medical intervention.


Filgrastim - 🧠 ANSWER ✔✔A medication that stimulates white blood cell

production.




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, Neutropenia - 🧠 ANSWER ✔✔Low white blood cell count, increasing

infection risk.


NSAIDs - 🧠 ANSWER ✔✔Nonsteroidal anti-inflammatory drugs, risk for GI

bleeding.


Polyethylene glycol - 🧠 ANSWER ✔✔A laxative used to cleanse the bowel

before procedures.


Troponin I - 🧠 ANSWER ✔✔Cardiac biomarker indicating myocardial injury.


CK-MB - 🧠 ANSWER ✔✔Creatine kinase-MB, a marker for heart muscle

damage.


Gastrointestinal bleeding - 🧠 ANSWER ✔✔Potential side effect of NSAIDs

requiring monitoring.


Urinalysis - 🧠 ANSWER ✔✔Test to analyze urine for abnormalities or

infections.


Analgesic - 🧠 ANSWER ✔✔Medication used to relieve pain.


Dosing schedule - 🧠 ANSWER ✔✔Timing and amount of medication to be

administered.

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