HESI PN EXIT V1 AND V2 EXAMS 2024| 360+ ACTUAL EXAM QUESTIONS AND ANSWERS ALREADY GRADED
A+. 100% Verified Solutions | Updated Per Latest Guidelines | Graded A+
Core Domains
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential and Patient Safety
Coping, Adaptation, and Mental Health
This comprehensive exit examination handbook is designed to assess your readiness for the practical nursing
licensure exam. The assessment evaluates your ability to apply clinical reasoning, professional judgment, and
evidence-based practice to realistic patient care scenarios. You will be challenged to demonstrate critical thinking
in medication administration, patient safety, prioritization, communication, and ethical decision-making. The
following 100 questions mirror the blueprint, difficulty, and cognitive demands of the HESI PN Exit Exam, preparing
you for success through scenario-driven practice and application of core nursing competencies.
,SECTION ONE
Questions 1–100
Question 1
The practical nurse is caring for a client who has just returned from the post-anesthesia care unit following an
abdominal surgery. Which action should the nurse take first to ensure patient safety?
A. Check the surgical dressing for bleeding
B. Assess the client's level of consciousness
C. Verify the patency of the intravenous line
D. Review the postoperative orders from the surgeon
🟢 Correct Answer:
B
🔴 RATIONALE:
Airway, breathing, and circulation (ABCs) are the priority in the immediate postoperative period. Assessing the
level of consciousness is the first step in evaluating the client's neurological status and airway patency. While
checking the dressing, IV patency, and reviewing orders are all important, they are secondary to ensuring the
,client is awake and able to maintain their airway. The ABCs form the foundation of patient assessment and
should always be the priority.
Question 2
A client with type 1 diabetes mellitus is scheduled for a surgical procedure and is NPO. The practical nurse
should anticipate which of the following orders from the healthcare provider regarding the client's insulin
regimen?
A. Administer the full dose of insulin as usual
B. Hold all insulin until the client resumes eating
C. Administer a reduced dose of insulin and monitor blood glucose levels
D. Administer insulin subcutaneously only if the blood glucose is above 250 mg/dL
🟢 Correct Answer:
C
🔴 RATIONALE:
Clients with type 1 diabetes require a basal insulin level even when NPO. The healthcare provider will typically
prescribe a reduced dose of insulin (often half the usual dose) to prevent hyperglycemia while minimizing the
risk of hypoglycemia. Blood glucose levels should be monitored frequently. Holding all insulin can lead to
diabetic ketoacidosis. The full dose may cause hypoglycemia, and waiting for blood glucose to rise above 250
mg/dL is not appropriate.
, Question 3
An elderly client is admitted to the medical-surgical unit with confusion and dehydration. The practical nurse
notes that the client's skin is dry and turgor is poor. Which of the following nursing interventions is the priority?
A. Encourage oral fluids
B. Initiate a fall risk protocol
C. Administer intravenous fluids as prescribed
D. Notify the healthcare provider of the assessment findings
🟢 Correct Answer:
C
🔴 RATIONALE:
Severe dehydration with poor skin turgor indicates significant fluid volume deficit. The priority intervention is to
administer intravenous fluids as prescribed to restore fluid volume. While encouraging oral fluids is appropriate,
the client's confusion and poor turgor suggest the client may not be able to take adequate oral fluids safely. Fall
risk protocol is important but does not address the underlying fluid deficit. The healthcare provider has already
been notified and provided orders for IV fluids.
Question 4
A+. 100% Verified Solutions | Updated Per Latest Guidelines | Graded A+
Core Domains
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential and Patient Safety
Coping, Adaptation, and Mental Health
This comprehensive exit examination handbook is designed to assess your readiness for the practical nursing
licensure exam. The assessment evaluates your ability to apply clinical reasoning, professional judgment, and
evidence-based practice to realistic patient care scenarios. You will be challenged to demonstrate critical thinking
in medication administration, patient safety, prioritization, communication, and ethical decision-making. The
following 100 questions mirror the blueprint, difficulty, and cognitive demands of the HESI PN Exit Exam, preparing
you for success through scenario-driven practice and application of core nursing competencies.
,SECTION ONE
Questions 1–100
Question 1
The practical nurse is caring for a client who has just returned from the post-anesthesia care unit following an
abdominal surgery. Which action should the nurse take first to ensure patient safety?
A. Check the surgical dressing for bleeding
B. Assess the client's level of consciousness
C. Verify the patency of the intravenous line
D. Review the postoperative orders from the surgeon
🟢 Correct Answer:
B
🔴 RATIONALE:
Airway, breathing, and circulation (ABCs) are the priority in the immediate postoperative period. Assessing the
level of consciousness is the first step in evaluating the client's neurological status and airway patency. While
checking the dressing, IV patency, and reviewing orders are all important, they are secondary to ensuring the
,client is awake and able to maintain their airway. The ABCs form the foundation of patient assessment and
should always be the priority.
Question 2
A client with type 1 diabetes mellitus is scheduled for a surgical procedure and is NPO. The practical nurse
should anticipate which of the following orders from the healthcare provider regarding the client's insulin
regimen?
A. Administer the full dose of insulin as usual
B. Hold all insulin until the client resumes eating
C. Administer a reduced dose of insulin and monitor blood glucose levels
D. Administer insulin subcutaneously only if the blood glucose is above 250 mg/dL
🟢 Correct Answer:
C
🔴 RATIONALE:
Clients with type 1 diabetes require a basal insulin level even when NPO. The healthcare provider will typically
prescribe a reduced dose of insulin (often half the usual dose) to prevent hyperglycemia while minimizing the
risk of hypoglycemia. Blood glucose levels should be monitored frequently. Holding all insulin can lead to
diabetic ketoacidosis. The full dose may cause hypoglycemia, and waiting for blood glucose to rise above 250
mg/dL is not appropriate.
, Question 3
An elderly client is admitted to the medical-surgical unit with confusion and dehydration. The practical nurse
notes that the client's skin is dry and turgor is poor. Which of the following nursing interventions is the priority?
A. Encourage oral fluids
B. Initiate a fall risk protocol
C. Administer intravenous fluids as prescribed
D. Notify the healthcare provider of the assessment findings
🟢 Correct Answer:
C
🔴 RATIONALE:
Severe dehydration with poor skin turgor indicates significant fluid volume deficit. The priority intervention is to
administer intravenous fluids as prescribed to restore fluid volume. While encouraging oral fluids is appropriate,
the client's confusion and poor turgor suggest the client may not be able to take adequate oral fluids safely. Fall
risk protocol is important but does not address the underlying fluid deficit. The healthcare provider has already
been notified and provided orders for IV fluids.
Question 4
