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PN HESI Exit Exam Practice (NEW UPDATED VERSION) LATEST ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ [2026]
1. A PN student is caring for a patient with hypoglycemia. Which is the priority
intervention?
A. Administer insulin
B. Provide a snack with complex carbohydrates
C. Give 15 g of fast-acting carbohydrate orally
D. Encourage rest
Answer: C
2. A patient receiving digoxin develops nausea, vomiting, and visual
disturbances. What should the nurse do first?
A. Hold the next dose and notify the provider
B. Administer the next scheduled dose
C. Increase the patient’s fluid intake
D. Monitor vital signs only
Answer: A
3. A patient with chronic kidney disease has hyperkalemia. Which intervention is
priority?
A. Administer potassium supplements
B. Restrict dietary potassium
C. Encourage high-potassium foods
D. Give IV calcium gluconate if symptomatic
Answer: D
4. Which symptom is expected in a patient with iron-deficiency anemia?
A. Bradycardia
B. Spoon-shaped nails
C. Hyperactivity
2026 2027 GRADED A+
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D. Hyperpigmentation
Answer: B
5. Which action should a nurse take for a patient receiving a blood transfusion
who develops itching and hives?
A. Stop the transfusion and notify the provider
B. Continue transfusion slowly
C. Administer extra IV fluids only
D. Increase the transfusion rate
Answer: A
6. A patient is prescribed enoxaparin (Lovenox). Which is a safe nursing action?
A. Administer orally
B. Inject into the abdomen at a 90-degree angle
C. Massage the injection site
D. Aspirate before injecting
Answer: B
7. A patient with COPD is hypoxic. Which is the priority nursing intervention?
A. Provide high-flow oxygen at 10 L/min
B. Position patient upright and administer low-flow oxygen as prescribed
C. Encourage deep breathing every 30 minutes
D. Administer a sedative to calm the patient
Answer: B
8. A patient with heart failure has pitting edema and weight gain. Which lab
value should the nurse monitor closely?
A. Hemoglobin
B. BNP (B-type natriuretic peptide)
C. Platelet count
D. Serum calcium
Answer: B
2026 2027 GRADED A+
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9. Which sign indicates early hypoxia in a pediatric patient?
A. Bradycardia
B. Cyanosis
C. Restlessness and irritability
D. Hypotension
Answer: C
10. A patient with pneumonia is prescribed azithromycin. What teaching should
the nurse provide?
A. Take with a high-fat meal
B. Monitor for diarrhea and abdominal pain
C. Avoid fluids during treatment
D. Take only one dose daily without completion
Answer: B
11. The nurse is teaching a patient with type 1 diabetes about sick-day
management. Which statement is correct?
A. Skip insulin if not eating
B. Check blood glucose every 4 hours
C. Avoid fluids to prevent nausea
D. Increase exercise during illness
Answer: B
12. A patient with hyperthyroidism presents with tachycardia and heat
intolerance. Which intervention is appropriate?
A. Apply a warming blanket
B. Encourage light clothing and monitor heart rate
C. Restrict fluids
D. Administer corticosteroids
Answer: B
2026 2027 GRADED A+
PN HESI Exit Exam Practice (NEW UPDATED VERSION) LATEST ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ [2026]
1. A PN student is caring for a patient with hypoglycemia. Which is the priority
intervention?
A. Administer insulin
B. Provide a snack with complex carbohydrates
C. Give 15 g of fast-acting carbohydrate orally
D. Encourage rest
Answer: C
2. A patient receiving digoxin develops nausea, vomiting, and visual
disturbances. What should the nurse do first?
A. Hold the next dose and notify the provider
B. Administer the next scheduled dose
C. Increase the patient’s fluid intake
D. Monitor vital signs only
Answer: A
3. A patient with chronic kidney disease has hyperkalemia. Which intervention is
priority?
A. Administer potassium supplements
B. Restrict dietary potassium
C. Encourage high-potassium foods
D. Give IV calcium gluconate if symptomatic
Answer: D
4. Which symptom is expected in a patient with iron-deficiency anemia?
A. Bradycardia
B. Spoon-shaped nails
C. Hyperactivity
2026 2027 GRADED A+
,2|Page
D. Hyperpigmentation
Answer: B
5. Which action should a nurse take for a patient receiving a blood transfusion
who develops itching and hives?
A. Stop the transfusion and notify the provider
B. Continue transfusion slowly
C. Administer extra IV fluids only
D. Increase the transfusion rate
Answer: A
6. A patient is prescribed enoxaparin (Lovenox). Which is a safe nursing action?
A. Administer orally
B. Inject into the abdomen at a 90-degree angle
C. Massage the injection site
D. Aspirate before injecting
Answer: B
7. A patient with COPD is hypoxic. Which is the priority nursing intervention?
A. Provide high-flow oxygen at 10 L/min
B. Position patient upright and administer low-flow oxygen as prescribed
C. Encourage deep breathing every 30 minutes
D. Administer a sedative to calm the patient
Answer: B
8. A patient with heart failure has pitting edema and weight gain. Which lab
value should the nurse monitor closely?
A. Hemoglobin
B. BNP (B-type natriuretic peptide)
C. Platelet count
D. Serum calcium
Answer: B
2026 2027 GRADED A+
, 3|Page
9. Which sign indicates early hypoxia in a pediatric patient?
A. Bradycardia
B. Cyanosis
C. Restlessness and irritability
D. Hypotension
Answer: C
10. A patient with pneumonia is prescribed azithromycin. What teaching should
the nurse provide?
A. Take with a high-fat meal
B. Monitor for diarrhea and abdominal pain
C. Avoid fluids during treatment
D. Take only one dose daily without completion
Answer: B
11. The nurse is teaching a patient with type 1 diabetes about sick-day
management. Which statement is correct?
A. Skip insulin if not eating
B. Check blood glucose every 4 hours
C. Avoid fluids to prevent nausea
D. Increase exercise during illness
Answer: B
12. A patient with hyperthyroidism presents with tachycardia and heat
intolerance. Which intervention is appropriate?
A. Apply a warming blanket
B. Encourage light clothing and monitor heart rate
C. Restrict fluids
D. Administer corticosteroids
Answer: B
2026 2027 GRADED A+
