HESI PN EXIT EXAM V1 - V7
Complete Questions and Answers | Practical
Nursing Exit Exam Study Guide and Test Bank
(2026)
Total
Version Primary Focus Areas
Question Questions
Numbers
Fundamentals, Medication Safety, Chest Tubes, RSV,
V1 1-28 28
Burns, Transfusion
Pharmacology, Maternal-Newborn, Pediatrics, Heart
V2 29-56 28
Failure, Pneumonia
Maternal-Newborn (continued), Pediatrics (continued),
V3 57-84 28
Neonatal Care
Pediatrics (continued), Mental Health (anxiety,
V4 85-112 28
depression, schizophrenia)
Mental Health (continued), Leadership/Delegation,
V5 113-140 28
Prioritization, NGN
Pharmacology Review, Transfusion Reactions,
V6 141-168 28
Delegation, NGN Case Studies
Maternal-Newborn Review, Pediatrics Review, Final
V7 169-200 32
Comprehensive
,HESI PN EXIT EXAM V1
Questions 1-28 (28 questions)
Question V1-1
The practical nurse enters a male client's room to administer routine morning
medications, and the client is on the phone. Which action is best for the PN to
take?
A. Ask another nurse to go back with the medication when the client hangs up
B. Wait for the client to excuse himself from the telephone conversation, and
observe the client taking the medication
C. Return the medication to the client's drawer on the cart and document the
client refused the dose
D. Leave the medication with the client, and let him take it when he finishes the
conversation
Correct Answer: B
Expert Rationale: The nurse should wait for the client to complete his phone
conversation and then directly observe him taking the medication. This ensures
medication safety and confirms administration. Documenting refusal without
attempting to administer is premature, and leaving medication unattended is
unsafe.
Question V1-2
A disoriented resident in a long-term care facility has no identification band or
picture. What is the best action for the PN to take before administering
medications?
A. Ask a regular staff member to confirm the resident's identity
B. Hold the medication until a family member arrives
C. Reorient the resident to name, place, and situation
D. Confirm the room and bed numbers match the medication record
Correct Answer: D
,Expert Rationale: Confirming multiple identifiers, including room and bed number
per facility policy, is essential to ensure patient safety before medication
administration. Reliance solely on staff or family confirmation risks error.
Question V1-3
A client is admitted to the postoperative surgical unit with chest tubes after a
left lobectomy. The PN observed that the chambers are set at the prescribed
suction of 20 cm water pressure and tidaling occurs with respirations and
bubbling. What action should the PN implement?
A. Clamp the chest tube to see if the activity stops
B. Notify the registered nurse of the malfunction
C. Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing to chest
Correct Answer: C
Expert Rationale: Tidaling (fluctuations with respirations) and bubbling in the
suction chamber are normal findings indicating proper function. Maintaining a
closed and intact system ensures continued lung reexpansion and prevents
complications such as pneumothorax. Clamping is contraindicated due to risk of
tension pneumothorax.
Question V1-4
The mother of a 9-month-old child diagnosed with RSV calls the clinic to ask if it
will be alright to take her infant to a friend's child's first birthday party the
following day. Which response should the PN provide?
A. Do not expose other children as the virus is very contagious even without
direct contact
B. The child will no longer be contagious, so no precautions are needed
C. The child can be around other children but should wear a mask
D. Make sure there are no children under 5 months around the infected child
Correct Answer: A
, Expert Rationale: RSV is highly contagious and easily transmitted via respiratory
droplets and indirect contact, particularly in infants and young children. The virus
can spread even before symptoms appear, so avoiding exposure at group events
helps control transmission.
Question V1-5
An adult client who weighs 150 pounds has partial-thickness and full-thickness
burns over 40% of the body. After admission, which observation is most
important for the practical nurse to report immediately?
A. Poor appetite and refusing to eat
B. Systolic blood pressure at 102
C. Painful moaning and crying
D. Urinary output of 20 ml/hr
Correct Answer: D
Expert Rationale: Adequate urine output (>30 ml/hr) is a key indicator of
adequate renal perfusion and fluid status after burns. Output of 20 ml/hr signals
hypovolemia/shock and requires immediate intervention.
Question V1-6
A 12-year-old child is receiving a blood transfusion and begins to complain of
"itchy" skin 15 minutes after the unit of blood is started. The child appears
flushed. What action should the practical nurse take first?
A. Apply lotion to the skin
B. Stop the transfusion immediately
C. Inspect the infusion site
D. Obtain vital signs
Correct Answer: B
Expert Rationale: Signs of allergic or hemolytic transfusion reactions require
immediate cessation of the transfusion to prevent worsening complications.
Further assessment follows after stopping the transfusion.
Complete Questions and Answers | Practical
Nursing Exit Exam Study Guide and Test Bank
(2026)
Total
Version Primary Focus Areas
Question Questions
Numbers
Fundamentals, Medication Safety, Chest Tubes, RSV,
V1 1-28 28
Burns, Transfusion
Pharmacology, Maternal-Newborn, Pediatrics, Heart
V2 29-56 28
Failure, Pneumonia
Maternal-Newborn (continued), Pediatrics (continued),
V3 57-84 28
Neonatal Care
Pediatrics (continued), Mental Health (anxiety,
V4 85-112 28
depression, schizophrenia)
Mental Health (continued), Leadership/Delegation,
V5 113-140 28
Prioritization, NGN
Pharmacology Review, Transfusion Reactions,
V6 141-168 28
Delegation, NGN Case Studies
Maternal-Newborn Review, Pediatrics Review, Final
V7 169-200 32
Comprehensive
,HESI PN EXIT EXAM V1
Questions 1-28 (28 questions)
Question V1-1
The practical nurse enters a male client's room to administer routine morning
medications, and the client is on the phone. Which action is best for the PN to
take?
A. Ask another nurse to go back with the medication when the client hangs up
B. Wait for the client to excuse himself from the telephone conversation, and
observe the client taking the medication
C. Return the medication to the client's drawer on the cart and document the
client refused the dose
D. Leave the medication with the client, and let him take it when he finishes the
conversation
Correct Answer: B
Expert Rationale: The nurse should wait for the client to complete his phone
conversation and then directly observe him taking the medication. This ensures
medication safety and confirms administration. Documenting refusal without
attempting to administer is premature, and leaving medication unattended is
unsafe.
Question V1-2
A disoriented resident in a long-term care facility has no identification band or
picture. What is the best action for the PN to take before administering
medications?
A. Ask a regular staff member to confirm the resident's identity
B. Hold the medication until a family member arrives
C. Reorient the resident to name, place, and situation
D. Confirm the room and bed numbers match the medication record
Correct Answer: D
,Expert Rationale: Confirming multiple identifiers, including room and bed number
per facility policy, is essential to ensure patient safety before medication
administration. Reliance solely on staff or family confirmation risks error.
Question V1-3
A client is admitted to the postoperative surgical unit with chest tubes after a
left lobectomy. The PN observed that the chambers are set at the prescribed
suction of 20 cm water pressure and tidaling occurs with respirations and
bubbling. What action should the PN implement?
A. Clamp the chest tube to see if the activity stops
B. Notify the registered nurse of the malfunction
C. Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing to chest
Correct Answer: C
Expert Rationale: Tidaling (fluctuations with respirations) and bubbling in the
suction chamber are normal findings indicating proper function. Maintaining a
closed and intact system ensures continued lung reexpansion and prevents
complications such as pneumothorax. Clamping is contraindicated due to risk of
tension pneumothorax.
Question V1-4
The mother of a 9-month-old child diagnosed with RSV calls the clinic to ask if it
will be alright to take her infant to a friend's child's first birthday party the
following day. Which response should the PN provide?
A. Do not expose other children as the virus is very contagious even without
direct contact
B. The child will no longer be contagious, so no precautions are needed
C. The child can be around other children but should wear a mask
D. Make sure there are no children under 5 months around the infected child
Correct Answer: A
, Expert Rationale: RSV is highly contagious and easily transmitted via respiratory
droplets and indirect contact, particularly in infants and young children. The virus
can spread even before symptoms appear, so avoiding exposure at group events
helps control transmission.
Question V1-5
An adult client who weighs 150 pounds has partial-thickness and full-thickness
burns over 40% of the body. After admission, which observation is most
important for the practical nurse to report immediately?
A. Poor appetite and refusing to eat
B. Systolic blood pressure at 102
C. Painful moaning and crying
D. Urinary output of 20 ml/hr
Correct Answer: D
Expert Rationale: Adequate urine output (>30 ml/hr) is a key indicator of
adequate renal perfusion and fluid status after burns. Output of 20 ml/hr signals
hypovolemia/shock and requires immediate intervention.
Question V1-6
A 12-year-old child is receiving a blood transfusion and begins to complain of
"itchy" skin 15 minutes after the unit of blood is started. The child appears
flushed. What action should the practical nurse take first?
A. Apply lotion to the skin
B. Stop the transfusion immediately
C. Inspect the infusion site
D. Obtain vital signs
Correct Answer: B
Expert Rationale: Signs of allergic or hemolytic transfusion reactions require
immediate cessation of the transfusion to prevent worsening complications.
Further assessment follows after stopping the transfusion.
