HESI PN EXIT EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
- Management of Care and Leadership
*- Safety and Infection Prevention*
*- Health Promotion and Maintenance*
*- Psychosocial Integrity*
*- Basic Care and Comfort*
*- Pharmacological Therapies*
*- Reduction of Risk Potential*
*- Physiological Adaptation*
,This comprehensive assessment is designed to evaluate foundational nursing knowledge and clinical decision-
making skills essential for practical nursing practice. The exam assesses competency across eight core
nursing domains, testing both theoretical understanding and applied professional knowledge in real-world
healthcare scenarios. Questions are presented in multiple-choice and scenario-based formats that emphasize
critical thinking, prioritization, and evidence-based intervention strategies. The assessment mirrors the
structure and difficulty of standard nursing exit examinations, preparing students for licensure readiness.
Emphasis is placed on real-world application, patient safety, regulatory compliance, ethics, and professional
standards to ensure graduates can make sound clinical judgments in diverse healthcare settings.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is caring for a postpartum client who experienced excessive bleeding. The client's blood pressure is
88/52 mmHg, heart rate is 124 beats/min, and pulse quality is weak. Which intervention should the nurse
implement first?
,A. Administer oxygen at 8 L/min via face mask
B. Insert a large-bore intravenous catheter
C. Massage the uterine fundus gently
D. Obtain a blood sample for laboratory testing
🟢 Correct answer: C
🔴 RATIONALE: Uterine massage is the first priority for postpartum hemorrhage because it stimulates uterine
contraction to reduce bleeding. Addressing the source of hemorrhage before other interventions (oxygen, IV
access, labs) follows the prioritization principle of treating the cause first.
Question 2
A client with heart failure reports increasing shortness of breath and has cracked breath sounds heard in both
lower lung fields. The nurse should suspect which complication?
A. Pulmonary embolism
B. Pulmonary edema
C. Pneumonia
D. Pleural effusion
🟢 Correct answer: B
, 🔴 RATIONALE: Crackles (bibasilar) and worsening shortness of breath in heart failure indicate pulmonary
edema from fluid backup into the lungs. This is a classic sign of left-sided heart failure progression requiring
immediate intervention.
Question 3
Which medication classification should the nurse anticipate administering to a client experiencing acute
pulmonary edema?
A. Beta-blocker
B. Anticoagulant
C. Diuretic
D. Calcium channel blocker
🟢 Correct answer: C
🔴 RATIONALE: Diuretics (especially IV furosemide) are the primary treatment for acute pulmonary edema to
rapidly reduce fluid volume and relieve pulmonary congestion.
Question 4
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
- Management of Care and Leadership
*- Safety and Infection Prevention*
*- Health Promotion and Maintenance*
*- Psychosocial Integrity*
*- Basic Care and Comfort*
*- Pharmacological Therapies*
*- Reduction of Risk Potential*
*- Physiological Adaptation*
,This comprehensive assessment is designed to evaluate foundational nursing knowledge and clinical decision-
making skills essential for practical nursing practice. The exam assesses competency across eight core
nursing domains, testing both theoretical understanding and applied professional knowledge in real-world
healthcare scenarios. Questions are presented in multiple-choice and scenario-based formats that emphasize
critical thinking, prioritization, and evidence-based intervention strategies. The assessment mirrors the
structure and difficulty of standard nursing exit examinations, preparing students for licensure readiness.
Emphasis is placed on real-world application, patient safety, regulatory compliance, ethics, and professional
standards to ensure graduates can make sound clinical judgments in diverse healthcare settings.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is caring for a postpartum client who experienced excessive bleeding. The client's blood pressure is
88/52 mmHg, heart rate is 124 beats/min, and pulse quality is weak. Which intervention should the nurse
implement first?
,A. Administer oxygen at 8 L/min via face mask
B. Insert a large-bore intravenous catheter
C. Massage the uterine fundus gently
D. Obtain a blood sample for laboratory testing
🟢 Correct answer: C
🔴 RATIONALE: Uterine massage is the first priority for postpartum hemorrhage because it stimulates uterine
contraction to reduce bleeding. Addressing the source of hemorrhage before other interventions (oxygen, IV
access, labs) follows the prioritization principle of treating the cause first.
Question 2
A client with heart failure reports increasing shortness of breath and has cracked breath sounds heard in both
lower lung fields. The nurse should suspect which complication?
A. Pulmonary embolism
B. Pulmonary edema
C. Pneumonia
D. Pleural effusion
🟢 Correct answer: B
, 🔴 RATIONALE: Crackles (bibasilar) and worsening shortness of breath in heart failure indicate pulmonary
edema from fluid backup into the lungs. This is a classic sign of left-sided heart failure progression requiring
immediate intervention.
Question 3
Which medication classification should the nurse anticipate administering to a client experiencing acute
pulmonary edema?
A. Beta-blocker
B. Anticoagulant
C. Diuretic
D. Calcium channel blocker
🟢 Correct answer: C
🔴 RATIONALE: Diuretics (especially IV furosemide) are the primary treatment for acute pulmonary edema to
rapidly reduce fluid volume and relieve pulmonary congestion.
Question 4
