PN HESI EXIT REAL EXAM - (150 QUESTIONS) UP-TO-DATE
ACTUAL EXAM QUESTIONS AND 100% ACCURATE SOLUTIONS |
VERIFIED ANSWERS - INSTANT PDF DOWNLOAD
Examiner/Administrator: Health Education Systems, Inc. (HESI)
Candidate Name: ____________________________
Candidate ID: ________________________________
Date: _______________________________________
Testing Center/Location: ______________________
Time Allowed: 180 Minutes
Total Questions: Approximately 150 Questions
Instructions to Candidates:
Carefully read each question and select the most appropriate answer. This
examination assesses your readiness for practical nursing licensure and
evaluates critical thinking, clinical judgment, and application of nursing
knowledge across multiple domains. Answer all questions. You may mark
items for review and return if time permits. Do not leave any question
unanswered. Maintain academic integrity throughout the examination
process.
Core Competency Areas:
• Medical-Surgical Nursing
• Pharmacology
• Maternal-Newborn Nursing
• Pediatric Nursing
• Mental Health Nursing
• Fundamentals of Nursing
• Leadership & Delegation
, This assessment is a professionally developed simulation inspired by the
structure and rigor of the PN HESI Exit Exam. It is intended solely for
educational and preparatory purposes and does not contain actual exam
content.
This comprehensive assessment evaluates the candidate’s ability to integrate
theoretical knowledge with clinical decision-making in preparation for safe
entry-level nursing practice. Emphasis is placed on prioritization, patient
safety, pharmacologic principles, and evidence-based interventions across the
lifespan.
Q1. A nurse is caring for a client with chronic obstructive pulmonary disease
(COPD) who is receiving oxygen at 4 L/min via nasal cannula. The client
becomes increasingly drowsy and has shallow respirations. What is the nurse’s
priority action?
A. Increase oxygen to 6 L/min
B. Lower oxygen flow rate
C. Notify the healthcare provider
D. Obtain arterial blood gases
Correct Answer: B. Lower oxygen flow rate
Explanation: COPD patients rely on hypoxic drive; excessive oxygen can
suppress respiratory effort. Lowering oxygen is priority. A increases risk of
respiratory depression. C and D are appropriate but not immediate priority
actions.
Q2. A nurse is administering digoxin to a client with heart failure. Which
finding requires withholding the medication?
A. Apical pulse of 58 bpm
,B. Blood pressure of 140/88 mmHg
C. Potassium level of 4.2 mEq/L
D. Respiratory rate of 20/min
Correct Answer: A. Apical pulse of 58 bpm
Explanation: Digoxin is withheld if pulse <60 bpm due to risk of
bradycardia. Other values are within acceptable ranges.
Q3. A client with diabetes reports feeling shaky and dizzy. Blood glucose is 58
mg/dL. What should the nurse do first?
A. Administer insulin
B. Provide 15 g of carbohydrates
C. Call the provider
D. Encourage exercise
Correct Answer: B. Provide 15 g of carbohydrates
Explanation: This is hypoglycemia; immediate treatment is rapid
carbohydrate intake. Insulin worsens condition. Calling provider delays
treatment.
Q4. A nurse is caring for a postoperative client. Which assessment indicates a
potential complication?
A. Urine output of 30 mL/hr
B. Temperature of 38.5°C (101.3°F)
C. Mild incisional pain
D. Oxygen saturation of 96%
, Correct Answer: B. Temperature of 38.5°C (101.3°F)
Explanation: Fever suggests infection or complication. Other findings are
acceptable post-op.
Q5. Which task is appropriate for a licensed practical nurse (LPN) to delegate to
a nursing assistant?
A. Assess pain level
B. Administer medications
C. Assist with ambulation
D. Develop care plan
Correct Answer: C. Assist with ambulation
Explanation: Nursing assistants can perform basic care tasks. Assessment
and planning require licensed nurses.
Q6. A client receiving morphine reports itching. What is the nurse’s best action?
A. Discontinue medication
B. Administer antihistamine
C. Increase dose
D. Document and ignore
Correct Answer: B. Administer antihistamine
Explanation: Itching is a common opioid side effect. Antihistamines relieve
symptoms. Discontinuation may not be necessary.
ACTUAL EXAM QUESTIONS AND 100% ACCURATE SOLUTIONS |
VERIFIED ANSWERS - INSTANT PDF DOWNLOAD
Examiner/Administrator: Health Education Systems, Inc. (HESI)
Candidate Name: ____________________________
Candidate ID: ________________________________
Date: _______________________________________
Testing Center/Location: ______________________
Time Allowed: 180 Minutes
Total Questions: Approximately 150 Questions
Instructions to Candidates:
Carefully read each question and select the most appropriate answer. This
examination assesses your readiness for practical nursing licensure and
evaluates critical thinking, clinical judgment, and application of nursing
knowledge across multiple domains. Answer all questions. You may mark
items for review and return if time permits. Do not leave any question
unanswered. Maintain academic integrity throughout the examination
process.
Core Competency Areas:
• Medical-Surgical Nursing
• Pharmacology
• Maternal-Newborn Nursing
• Pediatric Nursing
• Mental Health Nursing
• Fundamentals of Nursing
• Leadership & Delegation
, This assessment is a professionally developed simulation inspired by the
structure and rigor of the PN HESI Exit Exam. It is intended solely for
educational and preparatory purposes and does not contain actual exam
content.
This comprehensive assessment evaluates the candidate’s ability to integrate
theoretical knowledge with clinical decision-making in preparation for safe
entry-level nursing practice. Emphasis is placed on prioritization, patient
safety, pharmacologic principles, and evidence-based interventions across the
lifespan.
Q1. A nurse is caring for a client with chronic obstructive pulmonary disease
(COPD) who is receiving oxygen at 4 L/min via nasal cannula. The client
becomes increasingly drowsy and has shallow respirations. What is the nurse’s
priority action?
A. Increase oxygen to 6 L/min
B. Lower oxygen flow rate
C. Notify the healthcare provider
D. Obtain arterial blood gases
Correct Answer: B. Lower oxygen flow rate
Explanation: COPD patients rely on hypoxic drive; excessive oxygen can
suppress respiratory effort. Lowering oxygen is priority. A increases risk of
respiratory depression. C and D are appropriate but not immediate priority
actions.
Q2. A nurse is administering digoxin to a client with heart failure. Which
finding requires withholding the medication?
A. Apical pulse of 58 bpm
,B. Blood pressure of 140/88 mmHg
C. Potassium level of 4.2 mEq/L
D. Respiratory rate of 20/min
Correct Answer: A. Apical pulse of 58 bpm
Explanation: Digoxin is withheld if pulse <60 bpm due to risk of
bradycardia. Other values are within acceptable ranges.
Q3. A client with diabetes reports feeling shaky and dizzy. Blood glucose is 58
mg/dL. What should the nurse do first?
A. Administer insulin
B. Provide 15 g of carbohydrates
C. Call the provider
D. Encourage exercise
Correct Answer: B. Provide 15 g of carbohydrates
Explanation: This is hypoglycemia; immediate treatment is rapid
carbohydrate intake. Insulin worsens condition. Calling provider delays
treatment.
Q4. A nurse is caring for a postoperative client. Which assessment indicates a
potential complication?
A. Urine output of 30 mL/hr
B. Temperature of 38.5°C (101.3°F)
C. Mild incisional pain
D. Oxygen saturation of 96%
, Correct Answer: B. Temperature of 38.5°C (101.3°F)
Explanation: Fever suggests infection or complication. Other findings are
acceptable post-op.
Q5. Which task is appropriate for a licensed practical nurse (LPN) to delegate to
a nursing assistant?
A. Assess pain level
B. Administer medications
C. Assist with ambulation
D. Develop care plan
Correct Answer: C. Assist with ambulation
Explanation: Nursing assistants can perform basic care tasks. Assessment
and planning require licensed nurses.
Q6. A client receiving morphine reports itching. What is the nurse’s best action?
A. Discontinue medication
B. Administer antihistamine
C. Increase dose
D. Document and ignore
Correct Answer: B. Administer antihistamine
Explanation: Itching is a common opioid side effect. Antihistamines relieve
symptoms. Discontinuation may not be necessary.
