HESI PN Exit Exam | Actual PN HESI Exit Exam
2026/2027
Study Guide | Complete Approved Exam | Real Questions
& Rationales
150 Questions with Italicized Rationales & Verified Correct
Answers
Question 1 of 150
A nurse is caring for a client following a thyroidectomy. Which finding requires
immediate intervention?
A. Hoarse voice
B. Pain at the incision site
C. Tingling around the mouth
D. Temperature of 99.8°F (37.7°C)
Correct Answer: C
, Question 2 of 150
A nurse is assessing a client with chronic obstructive pulmonary disease (COPD).
Which finding should the nurse report to the provider immediately?
A. Barrel-shaped chest
B. Oxygen saturation of 89% on room air
C. Use of accessory muscles to breathe
D. Chronic productive cough
Correct Answer: C
*Use of accessory muscles indicates severe respiratory distress and impending
respiratory failure. This requires immediate intervention such as oxygen therapy,
bronchodilators, or possible intubation. Barrel-shaped chest, oxygen saturation
of 89% (expected in COPD), and chronic cough are chronic findings, not acute
emergencies.*
Question 3 of 150
A nurse is providing discharge teaching to a client with heart failure. Which
statement indicates understanding?
A. "I will weigh myself daily in the morning after voiding."
, B. "I can stop taking my diuretic if I feel short of breath."
C. "I should limit my fluid intake to 4 liters per day."
D. "I will take my blood pressure medication only when I feel dizzy."
Correct Answer: A
*Daily weight monitoring at the same time each morning (after voiding, before
eating) is essential to detect fluid retention early. A weight gain of 2-3 pounds in
24 hours or 5 pounds in a week should be reported. Diuretics should not be
stopped without provider guidance. Fluid restriction is typically 1.5-2 L/day, not
4 L. Blood pressure medication must be taken consistently, not as needed.*
Question 4 of 150
A nurse is caring for a client with diabetes mellitus who has a blood glucose level
of 45 mg/dL. The client is conscious. Which action should the nurse take first?
A. Administer glucagon intramuscularly
B. Give 15 grams of fast-acting carbohydrate (4 oz orange juice)
C. Notify the provider immediately
D. Administer 50% dextrose IV push
Correct Answer: B
*For a conscious client with hypoglycemia, the first action is to administer 15
grams of fast-acting carbohydrate (4 oz juice, 3-4 glucose tablets, or 8 oz milk).
Recheck blood glucose in 15 minutes. Glucagon and IV dextrose are for
unconscious clients or those unable to swallow. The provider should be notified
after treatment if the client does not improve.*
, Question 5 of 150
A nurse is assessing a client who is receiving a blood transfusion. The client
develops chills, fever, and low back pain. Which type of transfusion reaction
should the nurse suspect?
A. Febrile reaction
B. Acute hemolytic reaction
C. Allergic reaction
D. Bacterial contamination
Correct Answer: B
Question 6 of 150
A nurse is providing postoperative care to a client following a total knee
arthroplasty. Which intervention should the nurse implement to prevent deep
vein thrombosis (DVT)?
A. Apply sequential compression devices (SCDs)
B. Keep the knee in a flexed position
2026/2027
Study Guide | Complete Approved Exam | Real Questions
& Rationales
150 Questions with Italicized Rationales & Verified Correct
Answers
Question 1 of 150
A nurse is caring for a client following a thyroidectomy. Which finding requires
immediate intervention?
A. Hoarse voice
B. Pain at the incision site
C. Tingling around the mouth
D. Temperature of 99.8°F (37.7°C)
Correct Answer: C
, Question 2 of 150
A nurse is assessing a client with chronic obstructive pulmonary disease (COPD).
Which finding should the nurse report to the provider immediately?
A. Barrel-shaped chest
B. Oxygen saturation of 89% on room air
C. Use of accessory muscles to breathe
D. Chronic productive cough
Correct Answer: C
*Use of accessory muscles indicates severe respiratory distress and impending
respiratory failure. This requires immediate intervention such as oxygen therapy,
bronchodilators, or possible intubation. Barrel-shaped chest, oxygen saturation
of 89% (expected in COPD), and chronic cough are chronic findings, not acute
emergencies.*
Question 3 of 150
A nurse is providing discharge teaching to a client with heart failure. Which
statement indicates understanding?
A. "I will weigh myself daily in the morning after voiding."
, B. "I can stop taking my diuretic if I feel short of breath."
C. "I should limit my fluid intake to 4 liters per day."
D. "I will take my blood pressure medication only when I feel dizzy."
Correct Answer: A
*Daily weight monitoring at the same time each morning (after voiding, before
eating) is essential to detect fluid retention early. A weight gain of 2-3 pounds in
24 hours or 5 pounds in a week should be reported. Diuretics should not be
stopped without provider guidance. Fluid restriction is typically 1.5-2 L/day, not
4 L. Blood pressure medication must be taken consistently, not as needed.*
Question 4 of 150
A nurse is caring for a client with diabetes mellitus who has a blood glucose level
of 45 mg/dL. The client is conscious. Which action should the nurse take first?
A. Administer glucagon intramuscularly
B. Give 15 grams of fast-acting carbohydrate (4 oz orange juice)
C. Notify the provider immediately
D. Administer 50% dextrose IV push
Correct Answer: B
*For a conscious client with hypoglycemia, the first action is to administer 15
grams of fast-acting carbohydrate (4 oz juice, 3-4 glucose tablets, or 8 oz milk).
Recheck blood glucose in 15 minutes. Glucagon and IV dextrose are for
unconscious clients or those unable to swallow. The provider should be notified
after treatment if the client does not improve.*
, Question 5 of 150
A nurse is assessing a client who is receiving a blood transfusion. The client
develops chills, fever, and low back pain. Which type of transfusion reaction
should the nurse suspect?
A. Febrile reaction
B. Acute hemolytic reaction
C. Allergic reaction
D. Bacterial contamination
Correct Answer: B
Question 6 of 150
A nurse is providing postoperative care to a client following a total knee
arthroplasty. Which intervention should the nurse implement to prevent deep
vein thrombosis (DVT)?
A. Apply sequential compression devices (SCDs)
B. Keep the knee in a flexed position
