PN HESI EXIT REAL EXAM TEST BANK QUESTIONS AND ANSWERS ALREADY GRADED A+. 100% VERIFIED
SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED A+...
Core Domains:
- Fundamentals of Nursing Practice
- Health Assessment and Physical Examination
- Safety and Infection Control
- Basic Care and Comfort
- Pharmacological and Parenteral Therapies
- Reduction of Risk Potential
- Physiological Adaptation
- Psychosocial Integrity
- Professional Standards and Legal/Ethics
This PN HESI Exit Exam assessment is designed to evaluate the essential knowledge, clinical reasoning, and
professional judgment required for safe entry-level practical nursing practice. The exam consists of 100 original
multiple-choice and scenario-based questions that mirror the style and rigor of the actual HESI PN exit
examination. Questions assess foundational nursing concepts, application of evidence-based care, ethical decision-
making, and critical thinking in real-world clinical situations. Emphasis is placed on prioritizing patient needs,
recognizing complications, and implementing appropriate nursing interventions. This comprehensive test bank
serves as a robust tool for examination preparation, reinforcing core competencies and identifying areas for
focused review.
SECTION ONE: QUESTIONS 1–100
,1. The practical nurse is caring for a client with a new colostomy. Which stoma color indicates adequate
circulation?
A. Dusky blue
🟢 B. Rosy pink
C. Pale pink
D. Dark purple
🔴 RATIONALE: A healthy stoma should be rosy pink to reddish, indicating good blood flow. Dusky blue, pale
pink, or dark purple suggest ischemia and must be reported immediately.
2. A client is to receive 1,000 mL of 0.9% sodium chloride over 8 hours. The IV set delivers 10 gtt/mL. How many
drops per minute should the nurse regulate the flow?
A. 14 gtt/min
B. 20 gtt/min
🟢 C. 21 gtt/min
D. 42 gtt/min
🔴 RATIONALE: Volume in mL × drop factor / time in minutes = 1,000 × 10 / (8 × 60) = 10, ≈ 20.8,
rounded to 21 gtt/min.
3. The practical nurse is preparing to administer an enteral feeding via a nasogastric tube. Which action best
prevents aspiration?
🟢 A. Verify tube placement and keep the head of bed elevated at least 30 degrees
B. Place the client in a left lateral position during the feeding
C. Dilute the formula with water to thin the consistency
D. Use a large-bore tube for rapid infusion
🔴 RATIONALE: Verifying correct tube placement (via pH or x-ray) and elevating the head of bed reduce the
risk of pulmonary aspiration. Position does not replace verification; formula dilution is not routinely needed;
large-bore tubes increase aspiration risk.
,4. A client is receiving furosemide 40 mg IV push. Which assessment finding indicates the medication is having
the desired effect?
A. Increased blood pressure
🟢 B. Increased urine output
C. Decreased respiratory rate
D. Decreased heart rate
🔴 RATIONALE: Furosemide is a diuretic; the expected therapeutic effect is increased urine output to reduce
fluid volume overload.
5. The practical nurse is caring for a client with a wound that requires a wet-to-damp dressing change. What is
the primary purpose of this type of dressing?
A. Reduce pain during dressing changes
🟢 B. Mechanically debride necrotic tissue
C. Protect the wound from contamination
D. Provide a moist wound environment for healing
🔴 RATIONALE: Wet-to-damp dressings are used to mechanically debride nonviable tissue when the dressing
is removed. They are not primarily for pain relief or maintaining a moist healing environment.
6. A client who is 2 days postoperative has an oral temperature of 100.4°F (38°C). Which action should the nurse
take first?
A. Administer the prescribed antipyretic
🟢 B. Assess the surgical incision and breath sounds
C. Apply a cooling blanket
D. Notify the health care provider
🔴 RATIONALE: Low-grade fever postoperatively may indicate infection; the nurse must first assess the
incision and respiratory status to identify the source before intervening or notifying the provider.
, 7. The practical nurse is reinforcing teaching about a low-sodium diet. Which food choice by the client indicates
understanding?
A. Canned chicken noodle soup
B. Processed cheese slices
🟢 C. Fresh green beans steamed without salt
D. Smoked ham
🔴 RATIONALE: Fresh vegetables without added salt are low in sodium. Canned soups, processed cheeses,
and smoked meats are high in sodium.
8. A client with a chest tube to water seal drainage unit suddenly develops continuous bubbling in the water
seal chamber. What does this indicate?
A. The lung has re-expanded
🟢 B. An air leak in the system
C. Normal fluctuations with breathing
D. The suction pressure is too high
🔴 RATIONALE: Continuous bubbling in the water seal chamber signals an air leak, which may be from the
client or a loose connection. The nurse must locate and correct the leak. Intermittent bubbling with expiration
can be normal.
9. The practical nurse is performing a physical assessment. Which finding is an example of objective data?
A. Client reports a dull headache
B. Client states feeling anxious
🟢 C. Respiratory rate 28 and labored
D. Client rates pain as 7 out of 10
🔴 RATIONALE: Objective data are measurable or observable findings. Respiratory rate and the observation
of labored breathing are objective; the other options are subjective data.
SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED A+...
Core Domains:
- Fundamentals of Nursing Practice
- Health Assessment and Physical Examination
- Safety and Infection Control
- Basic Care and Comfort
- Pharmacological and Parenteral Therapies
- Reduction of Risk Potential
- Physiological Adaptation
- Psychosocial Integrity
- Professional Standards and Legal/Ethics
This PN HESI Exit Exam assessment is designed to evaluate the essential knowledge, clinical reasoning, and
professional judgment required for safe entry-level practical nursing practice. The exam consists of 100 original
multiple-choice and scenario-based questions that mirror the style and rigor of the actual HESI PN exit
examination. Questions assess foundational nursing concepts, application of evidence-based care, ethical decision-
making, and critical thinking in real-world clinical situations. Emphasis is placed on prioritizing patient needs,
recognizing complications, and implementing appropriate nursing interventions. This comprehensive test bank
serves as a robust tool for examination preparation, reinforcing core competencies and identifying areas for
focused review.
SECTION ONE: QUESTIONS 1–100
,1. The practical nurse is caring for a client with a new colostomy. Which stoma color indicates adequate
circulation?
A. Dusky blue
🟢 B. Rosy pink
C. Pale pink
D. Dark purple
🔴 RATIONALE: A healthy stoma should be rosy pink to reddish, indicating good blood flow. Dusky blue, pale
pink, or dark purple suggest ischemia and must be reported immediately.
2. A client is to receive 1,000 mL of 0.9% sodium chloride over 8 hours. The IV set delivers 10 gtt/mL. How many
drops per minute should the nurse regulate the flow?
A. 14 gtt/min
B. 20 gtt/min
🟢 C. 21 gtt/min
D. 42 gtt/min
🔴 RATIONALE: Volume in mL × drop factor / time in minutes = 1,000 × 10 / (8 × 60) = 10, ≈ 20.8,
rounded to 21 gtt/min.
3. The practical nurse is preparing to administer an enteral feeding via a nasogastric tube. Which action best
prevents aspiration?
🟢 A. Verify tube placement and keep the head of bed elevated at least 30 degrees
B. Place the client in a left lateral position during the feeding
C. Dilute the formula with water to thin the consistency
D. Use a large-bore tube for rapid infusion
🔴 RATIONALE: Verifying correct tube placement (via pH or x-ray) and elevating the head of bed reduce the
risk of pulmonary aspiration. Position does not replace verification; formula dilution is not routinely needed;
large-bore tubes increase aspiration risk.
,4. A client is receiving furosemide 40 mg IV push. Which assessment finding indicates the medication is having
the desired effect?
A. Increased blood pressure
🟢 B. Increased urine output
C. Decreased respiratory rate
D. Decreased heart rate
🔴 RATIONALE: Furosemide is a diuretic; the expected therapeutic effect is increased urine output to reduce
fluid volume overload.
5. The practical nurse is caring for a client with a wound that requires a wet-to-damp dressing change. What is
the primary purpose of this type of dressing?
A. Reduce pain during dressing changes
🟢 B. Mechanically debride necrotic tissue
C. Protect the wound from contamination
D. Provide a moist wound environment for healing
🔴 RATIONALE: Wet-to-damp dressings are used to mechanically debride nonviable tissue when the dressing
is removed. They are not primarily for pain relief or maintaining a moist healing environment.
6. A client who is 2 days postoperative has an oral temperature of 100.4°F (38°C). Which action should the nurse
take first?
A. Administer the prescribed antipyretic
🟢 B. Assess the surgical incision and breath sounds
C. Apply a cooling blanket
D. Notify the health care provider
🔴 RATIONALE: Low-grade fever postoperatively may indicate infection; the nurse must first assess the
incision and respiratory status to identify the source before intervening or notifying the provider.
, 7. The practical nurse is reinforcing teaching about a low-sodium diet. Which food choice by the client indicates
understanding?
A. Canned chicken noodle soup
B. Processed cheese slices
🟢 C. Fresh green beans steamed without salt
D. Smoked ham
🔴 RATIONALE: Fresh vegetables without added salt are low in sodium. Canned soups, processed cheeses,
and smoked meats are high in sodium.
8. A client with a chest tube to water seal drainage unit suddenly develops continuous bubbling in the water
seal chamber. What does this indicate?
A. The lung has re-expanded
🟢 B. An air leak in the system
C. Normal fluctuations with breathing
D. The suction pressure is too high
🔴 RATIONALE: Continuous bubbling in the water seal chamber signals an air leak, which may be from the
client or a loose connection. The nurse must locate and correct the leak. Intermittent bubbling with expiration
can be normal.
9. The practical nurse is performing a physical assessment. Which finding is an example of objective data?
A. Client reports a dull headache
B. Client states feeling anxious
🟢 C. Respiratory rate 28 and labored
D. Client rates pain as 7 out of 10
🔴 RATIONALE: Objective data are measurable or observable findings. Respiratory rate and the observation
of labored breathing are objective; the other options are subjective data.
