PN HESI EXIT EXAM / HESI PN EXIT
COMPREHENSIVE PRACTICE EXAM LATEST
UPDATED ACTUAL FINAL EXAM WITH ALL
POSSIBLE AND MOST TESTED 100 PRACTICE
QUESTIONS AND 100% CORRECT VERIFIED
ANSWERS FULLY SOLVED WITH DETAILED
RATIONALES PLUS EXPERT ANSWER KEY 2026-2027
FINAL EXAM UPDATED VERSION 100%
GUARANTEED PASS MOST RECENT!!!
1. A nurse is preparing to administer a medication
via intramuscular injection. Which site is most
appropriate for an adult patient?
A. Deltoid muscle
B. Ventrogluteal site
C. Dorsogluteal site
D. Rectus femoris
Rationale: The ventrogluteal site is the safest and
most recommended for IM injections in adults due
to its distance from major nerves and blood vessels.
,The dorsogluteal site is associated with sciatic nerve
injury and is no longer preferred.
2. A patient with heart failure is prescribed
furosemide. Which laboratory value should the
nurse monitor closely?
A. Serum sodium
B. Serum calcium
C. Serum potassium
D. Serum magnesium
Rationale: Furosemide is a loop diuretic that causes
potassium loss. Hypokalemia can lead to cardiac
dysrhythmias, so monitoring potassium is critical.
3. A client with type 2 diabetes mellitus has a blood
glucose level of 320 mg/dL. Which assessment
finding indicates possible diabetic ketoacidosis?
A. Fruity breath odor
B. Diaphoresis
C. Polyuria
D. Tremors
,Rationale: Fruity breath odor (acetone) is a classic
sign of DKA due to ketone accumulation. Polyuria
occurs but is less specific. Diaphoresis and tremors
suggest hypoglycemia.
4. The nurse is caring for a patient with a
nasogastric tube set to low intermittent suction.
Which intervention is most important?
A. Irrigate the tube with normal saline every 4 hours
B. Check the tube placement and patency every
shift
C. Keep the patient in a supine position
D. Administer antacids routinely
Rationale: Verifying tube placement and patency is
essential to prevent aspiration and ensure proper
decompression. Routine irrigation without
assessment can cause electrolyte imbalances.
5. A postoperative patient reports sudden shortness
of breath and chest pain. The nurse notes a drop in
oxygen saturation to 88%. What is the priority
, action?
A. Notify the provider
B. Administer oxygen via nasal cannula
C. Elevate the head of the bed
D. Check vital signs
Rationale: The priority is to support oxygenation.
Administering oxygen immediately addresses the
hypoxia. Notifying the provider and further
assessment follow after stabilization.
6. Which lab value is most indicative of liver
dysfunction?
A. BUN 20 mg/dL
B. Creatinine 1.0 mg/dL
C. Albumin 2.8 g/dL
D. Hemoglobin 12 g/dL
Rationale: Albumin is synthesized in the liver. Low
levels suggest impaired hepatic function. BUN and
creatinine reflect kidney function, and hemoglobin
reflects red blood cell mass.
COMPREHENSIVE PRACTICE EXAM LATEST
UPDATED ACTUAL FINAL EXAM WITH ALL
POSSIBLE AND MOST TESTED 100 PRACTICE
QUESTIONS AND 100% CORRECT VERIFIED
ANSWERS FULLY SOLVED WITH DETAILED
RATIONALES PLUS EXPERT ANSWER KEY 2026-2027
FINAL EXAM UPDATED VERSION 100%
GUARANTEED PASS MOST RECENT!!!
1. A nurse is preparing to administer a medication
via intramuscular injection. Which site is most
appropriate for an adult patient?
A. Deltoid muscle
B. Ventrogluteal site
C. Dorsogluteal site
D. Rectus femoris
Rationale: The ventrogluteal site is the safest and
most recommended for IM injections in adults due
to its distance from major nerves and blood vessels.
,The dorsogluteal site is associated with sciatic nerve
injury and is no longer preferred.
2. A patient with heart failure is prescribed
furosemide. Which laboratory value should the
nurse monitor closely?
A. Serum sodium
B. Serum calcium
C. Serum potassium
D. Serum magnesium
Rationale: Furosemide is a loop diuretic that causes
potassium loss. Hypokalemia can lead to cardiac
dysrhythmias, so monitoring potassium is critical.
3. A client with type 2 diabetes mellitus has a blood
glucose level of 320 mg/dL. Which assessment
finding indicates possible diabetic ketoacidosis?
A. Fruity breath odor
B. Diaphoresis
C. Polyuria
D. Tremors
,Rationale: Fruity breath odor (acetone) is a classic
sign of DKA due to ketone accumulation. Polyuria
occurs but is less specific. Diaphoresis and tremors
suggest hypoglycemia.
4. The nurse is caring for a patient with a
nasogastric tube set to low intermittent suction.
Which intervention is most important?
A. Irrigate the tube with normal saline every 4 hours
B. Check the tube placement and patency every
shift
C. Keep the patient in a supine position
D. Administer antacids routinely
Rationale: Verifying tube placement and patency is
essential to prevent aspiration and ensure proper
decompression. Routine irrigation without
assessment can cause electrolyte imbalances.
5. A postoperative patient reports sudden shortness
of breath and chest pain. The nurse notes a drop in
oxygen saturation to 88%. What is the priority
, action?
A. Notify the provider
B. Administer oxygen via nasal cannula
C. Elevate the head of the bed
D. Check vital signs
Rationale: The priority is to support oxygenation.
Administering oxygen immediately addresses the
hypoxia. Notifying the provider and further
assessment follow after stabilization.
6. Which lab value is most indicative of liver
dysfunction?
A. BUN 20 mg/dL
B. Creatinine 1.0 mg/dL
C. Albumin 2.8 g/dL
D. Hemoglobin 12 g/dL
Rationale: Albumin is synthesized in the liver. Low
levels suggest impaired hepatic function. BUN and
creatinine reflect kidney function, and hemoglobin
reflects red blood cell mass.
