Page | 1
HESI PN Exit Exam 2025/2026 Practice Questions – 35
Verified NCLEX-PN Style Q&A with Rationales (V1–V7
Guide)
V1 — Question 1
A nurse is caring for a client with heart failure who is receiving furosemide. Which assessment finding
should the nurse report immediately?
A) Mild thirst
B) Blood pressure 110/70 mmHg
C) Potassium 2.9 mEq/L
D) Clear lung sounds
Answer:
C) Potassium 2.9 mEq/L
🧠 Rationale:
Hypokalemia is a serious adverse effect of loop diuretics like furosemide and increases the risk for
cardiac arrhythmias.
, V1 — Question 2
Page | 2 A client with COPD is receiving oxygen at 4 L/min via nasal cannula. The client becomes increasingly
drowsy. What should the nurse do first?
A) Increase oxygen flow rate
B) Notify the provider immediately
C) Lower the oxygen flow rate
D) Place the client in supine position
Answer:
C) Lower the oxygen flow rate
🧠 Rationale:
High-flow oxygen can reduce hypoxic drive in COPD patients, leading to CO₂ retention and drowsiness.
The nurse should reduce the rate and monitor.
V1 — Question 3
Which action by the nurse demonstrates correct procedure for administering subcutaneous insulin?
A) Massaging the injection site afterward
B) Using a 22-gauge, 1.5-inch needle
C) Rotating injection sites within the same region
D) Injecting at a 90-degree angle only
Answer:
C) Rotating injection sites within the same region
, 🧠 Rationale:
Site rotation prevents lipodystrophy but should be within the same region for consistent absorption.
Page | 3
V1 — Question 4
The nurse prepares to administer digoxin to an adult client. Which finding requires holding the
medication?
A) Apical pulse of 58 bpm
B) BP 136/82 mmHg
C) Mild peripheral edema
D) Respiratory rate 16/min
Answer:
A) Apical pulse of 58 bpm
🧠 Rationale:
Digoxin should be held if the apical pulse is below 60 bpm due to risk of bradycardia.
V1 — Question 5
A nurse is reinforcing teaching about wound care with a client. Which client statement indicates
understanding?
A) “I will clean my wound with hydrogen peroxide every day.”
B) “I will keep the wound moist with prescribed ointment.”
C) “I’ll remove any crust that forms to keep it clean.”
D) “I will scrub the wound vigorously to remove debris.”
, Answer:
B) “I will keep the wound moist with prescribed ointment.”
🧠 Rationale:
Page | 4
A moist wound environment promotes healing; harsh cleaning or scrubbing damages new tissue.
V1 — Question 6
A client with type 2 diabetes reports feeling shaky, sweaty, and anxious. What is the nurse’s priority
action?
A) Administer regular insulin
B) Offer 4 oz of orange juice
C) Check blood pressure
D) Call the provider
Answer:
B) Offer 4 oz of orange juice
🧠 Rationale:
These are classic hypoglycemia symptoms; rapid glucose source is the first action.
V1 — Question 7
Which of the following foods should the nurse instruct a client on a low-sodium diet to avoid?
A) Fresh apple
B) Canned soup
C) Steamed broccoli
D) Grilled chicken breast
HESI PN Exit Exam 2025/2026 Practice Questions – 35
Verified NCLEX-PN Style Q&A with Rationales (V1–V7
Guide)
V1 — Question 1
A nurse is caring for a client with heart failure who is receiving furosemide. Which assessment finding
should the nurse report immediately?
A) Mild thirst
B) Blood pressure 110/70 mmHg
C) Potassium 2.9 mEq/L
D) Clear lung sounds
Answer:
C) Potassium 2.9 mEq/L
🧠 Rationale:
Hypokalemia is a serious adverse effect of loop diuretics like furosemide and increases the risk for
cardiac arrhythmias.
, V1 — Question 2
Page | 2 A client with COPD is receiving oxygen at 4 L/min via nasal cannula. The client becomes increasingly
drowsy. What should the nurse do first?
A) Increase oxygen flow rate
B) Notify the provider immediately
C) Lower the oxygen flow rate
D) Place the client in supine position
Answer:
C) Lower the oxygen flow rate
🧠 Rationale:
High-flow oxygen can reduce hypoxic drive in COPD patients, leading to CO₂ retention and drowsiness.
The nurse should reduce the rate and monitor.
V1 — Question 3
Which action by the nurse demonstrates correct procedure for administering subcutaneous insulin?
A) Massaging the injection site afterward
B) Using a 22-gauge, 1.5-inch needle
C) Rotating injection sites within the same region
D) Injecting at a 90-degree angle only
Answer:
C) Rotating injection sites within the same region
, 🧠 Rationale:
Site rotation prevents lipodystrophy but should be within the same region for consistent absorption.
Page | 3
V1 — Question 4
The nurse prepares to administer digoxin to an adult client. Which finding requires holding the
medication?
A) Apical pulse of 58 bpm
B) BP 136/82 mmHg
C) Mild peripheral edema
D) Respiratory rate 16/min
Answer:
A) Apical pulse of 58 bpm
🧠 Rationale:
Digoxin should be held if the apical pulse is below 60 bpm due to risk of bradycardia.
V1 — Question 5
A nurse is reinforcing teaching about wound care with a client. Which client statement indicates
understanding?
A) “I will clean my wound with hydrogen peroxide every day.”
B) “I will keep the wound moist with prescribed ointment.”
C) “I’ll remove any crust that forms to keep it clean.”
D) “I will scrub the wound vigorously to remove debris.”
, Answer:
B) “I will keep the wound moist with prescribed ointment.”
🧠 Rationale:
Page | 4
A moist wound environment promotes healing; harsh cleaning or scrubbing damages new tissue.
V1 — Question 6
A client with type 2 diabetes reports feeling shaky, sweaty, and anxious. What is the nurse’s priority
action?
A) Administer regular insulin
B) Offer 4 oz of orange juice
C) Check blood pressure
D) Call the provider
Answer:
B) Offer 4 oz of orange juice
🧠 Rationale:
These are classic hypoglycemia symptoms; rapid glucose source is the first action.
V1 — Question 7
Which of the following foods should the nurse instruct a client on a low-sodium diet to avoid?
A) Fresh apple
B) Canned soup
C) Steamed broccoli
D) Grilled chicken breast
