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PN HESI Exit Exam Study Guide (NEW Updated Version 2025/2026) Comprehensive Practice Questions with Correct Answers and Detailed Rationales for Practical Nursing Students

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This PN HESI Exit Exam Study Guide is designed to help practical nursing students prepare confidently for the HESI exit examination. It includes updated, exam-style multiple-choice practice questions with correct answers and detailed rationales to support critical thinking. Topics covered include medical-surgical nursing, pharmacology, fundamentals, maternity, pediatrics, mental health, and leadership concepts. Each question reflects the structure and difficulty level commonly found on the PN HESI Exit Exam. This guide is ideal for final exam preparation, remediation, and comprehensive review. Updated for the 2025/2026 testing year, it provides focused and effective preparation for PN program completion.

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HESI PN Exit Exam Questions and Answers (NEW UPDATED VERSION)
LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ UPDATED THIS YEAR




Subcutaneous insulin injection technique - CORRECT ANSWER The PN should reteach the client to
rotate the injection site to a site other than the same one used for the previous dose.




QUESTION : Counting radial pulse - CORRECT ANSWER The index and middle finger should be
aligned with the thumb for radial pulse assessment.




QUESTION : Infant birth weight with gestational diabetes - CORRECT ANSWER The birth weight of
an infant delivered by a woman with gestational diabetes is 10.1 pounds (4,581 grams).




QUESTION : Heel stick glucose level - CORRECT ANSWER The heel stick glucose level is 40 mg/dL
(2.2 mmol/L) 30 minutes after birth.




QUESTION : Total intake calculation - CORRECT ANSWER Total intake = 1480 mL, calculated from
8 oz broth, 4 oz apple juice, 4 oz gelatin, 1 banana, and 1 liter of IV fluid.




QUESTION : Medication administration in unlabeled syringe - CORRECT ANSWER The PN should
explain their discomfort with administering medication from an unlabeled syringe.




QUESTION : UAP assignment of care - CORRECT ANSWER The scope of practice of UAP includes
personal care such as bowel and bladder care including intake and output measurements.




QUESTION : Intervention for pruritis - CORRECT ANSWER Keep fingernails trimmed short to
minimize excoriation from scratching the pruritic area.



2026 2027 GRADED A+

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QUESTION : Presbycusis - CORRECT ANSWER Age-related hearing loss, especially high frequencies.




QUESTION : Cefazolin - CORRECT ANSWER An antibiotic prescribed for infections, dosed 500 mg
IM.




QUESTION : Reconstitution - CORRECT ANSWER Mixing a powdered medication with a solvent for
use.




QUESTION : Buck's traction - CORRECT ANSWER A type of skeletal traction used for limb
immobilization.




QUESTION : Myocardial damage - CORRECT ANSWER Heart tissue injury indicated by elevated
troponin levels.




QUESTION : Cardiac dysrhythmias - CORRECT ANSWER Abnormal heart rhythms that can occur
post-myocardial infarction.




QUESTION : Hematuria - CORRECT ANSWER Presence of blood in urine, often requiring
investigation.




QUESTION : Prednisone - CORRECT ANSWER A corticosteroid used for inflammation and immune
response.




QUESTION : Status epilepticus - CORRECT ANSWER A prolonged seizure requiring immediate
medical intervention.




QUESTION : Filgrastim - CORRECT ANSWER A medication that stimulates white blood cell
production.




2026 2027 GRADED A+

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QUESTION : Neutropenia - CORRECT ANSWER Low white blood cell count, increasing infection
risk.




QUESTION : NSAIDs - CORRECT ANSWER Nonsteroidal anti-inflammatory drugs, risk for GI
bleeding.




QUESTION : Polyethylene glycol - CORRECT ANSWER A laxative used to cleanse the bowel before
procedures.




QUESTION : Troponin I - CORRECT ANSWER Cardiac biomarker indicating myocardial injury.




QUESTION : CK-MB - CORRECT ANSWER Creatine kinase-MB, a marker for heart muscle
damage.




QUESTION : Gastrointestinal bleeding - CORRECT ANSWER Potential side effect of NSAIDs
requiring monitoring.




QUESTION : Urinalysis - CORRECT ANSWER Test to analyze urine for abnormalities or infections.




QUESTION : Analgesic - CORRECT ANSWER Medication used to relieve pain.




QUESTION : Dosing schedule - CORRECT ANSWER Timing and amount of medication to be
administered.




QUESTION : Evacuation procedures - CORRECT ANSWER Steps to safely remove residents during
emergencies.




2026 2027 GRADED A+

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