HESI PN EXIT EXAM: COMPREHENSIVE QUESTION BANK
2026/2027 LATEST UPDATE
Confirming pulse rate accuracy
The action a practical nurse (PN) should take to verify the radial pulse count performed by
unlicensed assistive personnel (UAP).
Instructing UAP on abnormal findings
Guiding the UAP to report any unusual or abnormal pulse rates observed during assessment.
Checking pulse volume
Reminding the UAP to assess the strength or quality of the pulse in addition to the rate.
Injecting air into insulin vial
A step in the insulin preparation process to prevent a vacuum from forming, allowing for easier
withdrawal of insulin.
90-degree angle insertion
The recommended angle for inserting the needle during a subcutaneous injection to ensure
proper delivery of medication.
Circular motion with alcohol pad
The technique used to clean the injection site to reduce the risk of infection before administering
an injection.
Intra-site rotation
Changing the specific site of injection within the same anatomical area to improve absorption
and minimize tissue damage.
Practical Nurse (PN)
A licensed nurse who provides basic nursing care and assists in patient management under the
supervision of registered nurses.
Unlicensed Assistive Personnel (UAP)
A trained individual who assists nurses in providing patient care but is not licensed to perform
certain medical tasks.
Radial pulse
The pulse felt at the wrist, commonly assessed to evaluate heart rate and rhythm.
Client self-administration
The process by which a patient administers their own medication, such as insulin, under
guidance.
Distribution of study material
The illegal sharing or selling of educational resources, such as exam questions and answers.
Stuvia
An online marketplace for buying and selling study materials, including notes and flashcards.
150 X 10VS QUESTIONS & ANSWERS
A format indicating that there are 150 questions per version across 10 versions of the exam.
Actual/Real/Authenic
Terms used to describe the legitimacy of the exam questions provided in the study material.
Guarantee A+ Score
A claim that using the provided study material will help achieve a high score on the exam.
2024 Update
,The latest revision of the exam content and study materials to reflect current standards and
practices.
Question and Answer/Rationale
A format used in the exam materials that provides both the question and the explanation for the
correct answer.
Versions V1 to V10
Different iterations of the HESI PN EXIT EXAM, each containing unique sets of questions.
Radial pulse assessment
Follow the thumb for the radial pulse.
Brachial pulse assessment
Follow the pinky for the brachial pulse.
Infant birth weight with gestational diabetes
The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds
(4,581 grams).
Heel stick glucose level
The infant has a heel stick glucose level of 40 mg/dL (2.2 mmol/L or SI units) 30 minutes after
birth.
First intervention for low glucose
Begin frequent feedings of breast milk or formula.
Total oral and IV intake calculation
Total intake = 1480 mL.
Oral intake from broth
8 oz x 30 mL = 240 mL.
Oral intake from apple juice
4 oz x 30 mL = 120 mL.
Oral intake from flavored gelatin
4 oz x 30 mL = 120 mL.
IV fluid intake
1 L = 1000 mL.
Medication administration in unlabeled syringe
I cannot administer the medication in this syringe.
UAP assignment for urinary care
Empty bedside drainage unit for a client with indwelling urinary catheter.
Post-voided residual (PVR) volume
Obtain a post-voided residual (PVR) volume.
Transporting urine culture sample
Transport a urine culture sample to the laboratory.
Teaching fluid restrictions
Teach the client with fluid restrictions how to measure urine output.
Intervention for pruritis
Keep fingernails trimmed short.
Minimizing excoriation from pruritis
Keeping fingernails short with rough edges filed helps minimize excoriation from scratching the
pruritic area.
Warm sleeping environment for pruritis
Encourage a warm sleeping environment.
, Tub bath recommendation for pruritis
Do not take any type of tub bath.
Skin lubricants recommendation for pruritis
Discourage use of skin lubricants.
Presbycusis
A gradual progressive, bilateral inability to hear, especially high frequency sounds, common in
the older population due to degenerative changes in the ear with aging.
Cefazolin dosage calculation
To administer 500 mg of cefazolin, reconstitute 1 gram (1000 mg) with 2.5 mL sterile water,
resulting in 1.3 mL to be administered after rounding.
Buck's traction maintenance
The PN should document that Buck's traction is being maintained when weights hang freely and
the traction rope is on the pulley.
Fire emergency response
The most important task for the PN during a fire is to identify the method for transporting and
evacuating each resident.
Myocardial damage indicators
Elevations in troponin I and CK-MB levels indicate myocardial cell damage and increase the risk
for cardiac dysrhythmias.
Risk after myocardial infarction
The client is at risk for life-threatening cardiac dysrhythmias in the first 24-48 hours after a
myocardial infarction.
CK-MB
Creatine phosphokinase myoglobin isoenzyme, a laboratory result indicating myocardial
damage.
Troponin I
A protein released into the bloodstream when the heart muscle is damaged, used as a marker for
myocardial infarction.
Cardiac dysrhythmias
Abnormal heart rhythms that can occur due to instability of the myocardial cell membrane after
myocardial damage.
Long-term angina risk
The client with coronary artery disease is at risk for recurrent long-term angina pain and
subsequent myocardial infarction.
Pulmonary embolism risk
The client may be at risk for pulmonary embolism, necessitating lifestyle modifications.
Transient ischemic attack (TIA)
A temporary period of symptoms similar to those of a stroke, requiring monitoring of neuro-vital
signs.
Traction rope adjustment
The PN should first adjust the traction rope if it is not free from the pulley.
Written medication instructions
Providing written instructions about how to take medications can assist clients with hearing
difficulties.
Comfort care during evacuation
2026/2027 LATEST UPDATE
Confirming pulse rate accuracy
The action a practical nurse (PN) should take to verify the radial pulse count performed by
unlicensed assistive personnel (UAP).
Instructing UAP on abnormal findings
Guiding the UAP to report any unusual or abnormal pulse rates observed during assessment.
Checking pulse volume
Reminding the UAP to assess the strength or quality of the pulse in addition to the rate.
Injecting air into insulin vial
A step in the insulin preparation process to prevent a vacuum from forming, allowing for easier
withdrawal of insulin.
90-degree angle insertion
The recommended angle for inserting the needle during a subcutaneous injection to ensure
proper delivery of medication.
Circular motion with alcohol pad
The technique used to clean the injection site to reduce the risk of infection before administering
an injection.
Intra-site rotation
Changing the specific site of injection within the same anatomical area to improve absorption
and minimize tissue damage.
Practical Nurse (PN)
A licensed nurse who provides basic nursing care and assists in patient management under the
supervision of registered nurses.
Unlicensed Assistive Personnel (UAP)
A trained individual who assists nurses in providing patient care but is not licensed to perform
certain medical tasks.
Radial pulse
The pulse felt at the wrist, commonly assessed to evaluate heart rate and rhythm.
Client self-administration
The process by which a patient administers their own medication, such as insulin, under
guidance.
Distribution of study material
The illegal sharing or selling of educational resources, such as exam questions and answers.
Stuvia
An online marketplace for buying and selling study materials, including notes and flashcards.
150 X 10VS QUESTIONS & ANSWERS
A format indicating that there are 150 questions per version across 10 versions of the exam.
Actual/Real/Authenic
Terms used to describe the legitimacy of the exam questions provided in the study material.
Guarantee A+ Score
A claim that using the provided study material will help achieve a high score on the exam.
2024 Update
,The latest revision of the exam content and study materials to reflect current standards and
practices.
Question and Answer/Rationale
A format used in the exam materials that provides both the question and the explanation for the
correct answer.
Versions V1 to V10
Different iterations of the HESI PN EXIT EXAM, each containing unique sets of questions.
Radial pulse assessment
Follow the thumb for the radial pulse.
Brachial pulse assessment
Follow the pinky for the brachial pulse.
Infant birth weight with gestational diabetes
The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds
(4,581 grams).
Heel stick glucose level
The infant has a heel stick glucose level of 40 mg/dL (2.2 mmol/L or SI units) 30 minutes after
birth.
First intervention for low glucose
Begin frequent feedings of breast milk or formula.
Total oral and IV intake calculation
Total intake = 1480 mL.
Oral intake from broth
8 oz x 30 mL = 240 mL.
Oral intake from apple juice
4 oz x 30 mL = 120 mL.
Oral intake from flavored gelatin
4 oz x 30 mL = 120 mL.
IV fluid intake
1 L = 1000 mL.
Medication administration in unlabeled syringe
I cannot administer the medication in this syringe.
UAP assignment for urinary care
Empty bedside drainage unit for a client with indwelling urinary catheter.
Post-voided residual (PVR) volume
Obtain a post-voided residual (PVR) volume.
Transporting urine culture sample
Transport a urine culture sample to the laboratory.
Teaching fluid restrictions
Teach the client with fluid restrictions how to measure urine output.
Intervention for pruritis
Keep fingernails trimmed short.
Minimizing excoriation from pruritis
Keeping fingernails short with rough edges filed helps minimize excoriation from scratching the
pruritic area.
Warm sleeping environment for pruritis
Encourage a warm sleeping environment.
, Tub bath recommendation for pruritis
Do not take any type of tub bath.
Skin lubricants recommendation for pruritis
Discourage use of skin lubricants.
Presbycusis
A gradual progressive, bilateral inability to hear, especially high frequency sounds, common in
the older population due to degenerative changes in the ear with aging.
Cefazolin dosage calculation
To administer 500 mg of cefazolin, reconstitute 1 gram (1000 mg) with 2.5 mL sterile water,
resulting in 1.3 mL to be administered after rounding.
Buck's traction maintenance
The PN should document that Buck's traction is being maintained when weights hang freely and
the traction rope is on the pulley.
Fire emergency response
The most important task for the PN during a fire is to identify the method for transporting and
evacuating each resident.
Myocardial damage indicators
Elevations in troponin I and CK-MB levels indicate myocardial cell damage and increase the risk
for cardiac dysrhythmias.
Risk after myocardial infarction
The client is at risk for life-threatening cardiac dysrhythmias in the first 24-48 hours after a
myocardial infarction.
CK-MB
Creatine phosphokinase myoglobin isoenzyme, a laboratory result indicating myocardial
damage.
Troponin I
A protein released into the bloodstream when the heart muscle is damaged, used as a marker for
myocardial infarction.
Cardiac dysrhythmias
Abnormal heart rhythms that can occur due to instability of the myocardial cell membrane after
myocardial damage.
Long-term angina risk
The client with coronary artery disease is at risk for recurrent long-term angina pain and
subsequent myocardial infarction.
Pulmonary embolism risk
The client may be at risk for pulmonary embolism, necessitating lifestyle modifications.
Transient ischemic attack (TIA)
A temporary period of symptoms similar to those of a stroke, requiring monitoring of neuro-vital
signs.
Traction rope adjustment
The PN should first adjust the traction rope if it is not free from the pulley.
Written medication instructions
Providing written instructions about how to take medications can assist clients with hearing
difficulties.
Comfort care during evacuation
