HESI PN EXIT EXAM PRACTICE
QUESTIONS AND ANSWERS 2027
1. A nurse is monitoring a client who is receiving digoxin for heart failure. Which finding
should the nurse report immediately as a sign of toxicity?
A. Visual disturbances such as yellow halos
B. Increased urine output
C. Heart rate of 80 beats per minute
D. Increased appetite
Answer: A
Conceptual Explanation: Visual changes, such as yellow or green halos and blurred vision,
are classic signs of digoxin toxicity. Other signs include nausea, vomiting, and bradycardia.
2. A client with a history of deep vein thrombosis is prescribed warfarin. Which laboratory
value should the nurse monitor?
A. Activated partial thromboplastin time (aPTT)
B. International Normalized Ratio (INR)
C. Platelet count
D. Hemoglobin level
,Answer: B
Conceptual Explanation: Warfarin therapy is monitored using the INR and PT levels.
aPTT is used for monitoring heparin therapy.
3. A nurse is caring for a client who is 1 day postoperative following a total hip arthroplasty.
Which action should the nurse take?
A. Place an abduction pillow between the client’s legs
B. Keep the client’s legs adducted
C. Encourage the client to cross their legs when sitting
D. Assist the client to flex the hip at 120 degrees
Answer: A
Conceptual Explanation: An abduction pillow prevents adduction of the hip, which
reduces the risk of dislocation after surgery. Hip flexion should not exceed 90 degrees.
4. Which of the following is the priority intervention for a client experiencing an acute asthma
attack?
A. Administer a short-acting beta-2 agonist (SABA)
B. Provide emotional support to reduce anxiety
C. Encourage increased fluid intake
D. Administer an inhaled corticosteroid
Answer: A
, Conceptual Explanation: SABAs like albuterol are rescue medications that provide rapid
bronchodilation during an acute attack.
5. A nurse is preparing to administer regular insulin to a client with type 1 diabetes. At what
time should the nurse expect the insulin to peak?
A. 12 to 18 hours after administration
B. 30 to 60 minutes after administration
C. 6 to 10 hours after administration
D. 2 to 4 hours after administration
Answer: D
Conceptual Explanation: Regular insulin is short-acting and typically peaks 2 to 4 hours
after subcutaneous injection.
6. A client is diagnosed with tuberculosis (TB). Which type of isolation precautions should the
nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Protective environment
Answer: C
QUESTIONS AND ANSWERS 2027
1. A nurse is monitoring a client who is receiving digoxin for heart failure. Which finding
should the nurse report immediately as a sign of toxicity?
A. Visual disturbances such as yellow halos
B. Increased urine output
C. Heart rate of 80 beats per minute
D. Increased appetite
Answer: A
Conceptual Explanation: Visual changes, such as yellow or green halos and blurred vision,
are classic signs of digoxin toxicity. Other signs include nausea, vomiting, and bradycardia.
2. A client with a history of deep vein thrombosis is prescribed warfarin. Which laboratory
value should the nurse monitor?
A. Activated partial thromboplastin time (aPTT)
B. International Normalized Ratio (INR)
C. Platelet count
D. Hemoglobin level
,Answer: B
Conceptual Explanation: Warfarin therapy is monitored using the INR and PT levels.
aPTT is used for monitoring heparin therapy.
3. A nurse is caring for a client who is 1 day postoperative following a total hip arthroplasty.
Which action should the nurse take?
A. Place an abduction pillow between the client’s legs
B. Keep the client’s legs adducted
C. Encourage the client to cross their legs when sitting
D. Assist the client to flex the hip at 120 degrees
Answer: A
Conceptual Explanation: An abduction pillow prevents adduction of the hip, which
reduces the risk of dislocation after surgery. Hip flexion should not exceed 90 degrees.
4. Which of the following is the priority intervention for a client experiencing an acute asthma
attack?
A. Administer a short-acting beta-2 agonist (SABA)
B. Provide emotional support to reduce anxiety
C. Encourage increased fluid intake
D. Administer an inhaled corticosteroid
Answer: A
, Conceptual Explanation: SABAs like albuterol are rescue medications that provide rapid
bronchodilation during an acute attack.
5. A nurse is preparing to administer regular insulin to a client with type 1 diabetes. At what
time should the nurse expect the insulin to peak?
A. 12 to 18 hours after administration
B. 30 to 60 minutes after administration
C. 6 to 10 hours after administration
D. 2 to 4 hours after administration
Answer: D
Conceptual Explanation: Regular insulin is short-acting and typically peaks 2 to 4 hours
after subcutaneous injection.
6. A client is diagnosed with tuberculosis (TB). Which type of isolation precautions should the
nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Protective environment
Answer: C
