HESI PN EXIT PRACTICE TEST 2026 | VERIFIED ANSWERS | EXAM PREP

HESI PN EXIT PRACTICE TEST 2026 | VERIFIED ANSWERS | EXAM PREP

1. PowerPointreview q uestion1:Which acid- sw sw




baseimbalanceresultsfrom impaired respiratory function?
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s w Metabolicacidosis s
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s w Respiratory alkalosis sw




s w Metabolic alkalosis vc




s w s w Respiratory acidosis sw




2. Whyisobtainingadetailedreport fromthetransferringnursecrucialfor conti nui
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tyofcare?
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s w s w It documents the client's wishes regarding heroic measures.
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It allowsthe nurse to reassure the client about familyvisits.
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s w s w It provides the client with necessary end-of-life care information.
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Itensuresthatallrelevantpatientinformationiscommunicatedtom aint
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ain safe and effective care. sw sw sw sw




3. AclientisadmittedtotheER andadiagnosisofmyxedemacomaismade.Whic hac
sw sw sw sw sw vc sw sw sw sw sw sw sw sw sw




tionshouldthenursepreparetocarryoutINITIALLY? cv vc vc vc




s w s w monitor IV fluids sw sw




s w warmthe client vc




s w s w maintain a patient airway sw sw sw




administer thyroid hormone sw sw




4. Which assessmentwould the nurse prioritize when a patient with pulmonary ede mac
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ausedbyheartfailure(HF)receivesIVdiuretics?
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, s w Heart rate vc




s w Pulseoximetry

s w s w Urinary output sw




s w Cardiacrhythm s
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5. What istheprimaryinterventionanurseshouldimplement foraclientwithmult i-
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organfailureduetosepsis? c
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Keepheadofbedraised 45degrees
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Maintain strictintakeandoutput sw w
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s w Monitorbloodglucoselevel

s w s w Assess warmth of extremities sw sw sw




6. If a client with type 2 diabetes mellitus presents with numbness in the fingerti ps an
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d is also experiencing weakness and palpitations, what should the nurse pri oritize int
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heir assessment? sw




s w s w Assess the client's blood glucose levels. sw sw sw sw s w




s w Checktheclient's bloodpressure. vc vc




s w Evaluate the client's sodiumlevels. vc vc vc




s w Administerapotassium supplement. sw sw sw




7. Inascenariowherea4-year-
oldchildwithhydrocephaluspresentswith increasedirritabilityandvomiting s w s w




,whatshouldthenurseassessforasa priority? s w s w




s w s w Signs ofinfection sw sw




Signs of increased intracranialpressure
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s

, s w s w Signs ofdehydration sw sw




8. The nurse is reviewing the diagnostic tests prescribed for a client with a positiv e ski
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n test. Which subjective findings reported by the client supports the diagno sisoftub
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erculosis?

s w s w Barking cough and vomiting sw sw sw




s w Chronic coughandfattystools vc




s w s w Dry cough and chest tightness
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s w s w Mucopurulent cough and night sweats s w s w s w s w




9. Describehowincreasedheadcircumferenceandbulgingfontanelsrelateto incr ease sw sw




dintracranialpressureinpediatricpatients.
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Increasedheadcircumferenceandbulgingfontanelsaresignsof nor vc sw sw




malgrowthintoddlers. s
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Increased head circumference and bulging fontanels indicate that t he sw sw sw sw sw sw sw sw sw s




pressure inside the skull is rising, which can occurdue to cond ition
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slike hydrocephalus.
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These findings indicate that the child is experiencing a respiratory infe cti
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on.

s w Thesesignssuggestthatthechildisdehydratedandneedsfluid replacement. sw




10. Whatisthefirstactionanurseshouldtakewhena client presentswithgree nis
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h-brownvaginaldischargeinlaboranddelivery?

Begincontinuous fetal monitoring sw sw sw




Start an intravenous infusion s w sw sw

, s w s w Perform a vaginal exam sw sw sw




11. Inascenariowhereapost-
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operativepatientexhibitssignsofhypovolemia,includingasaturatedperinealp adandd sw sw sw sw sw sw sw




ecreasedurinaryoutput, howshould thenurseprioritizetheiractions? s w s w s w




The nurse should documentthe findings before taking anyaction.
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The nurse should administerIVfluids without furtherassessment.
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Thenurseshouldfirstassessthepatient's vitalsignsandlevelofconscious ness
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to evaluate hemodynamic status.
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s w s w s w s w Thenurseshouldimmediatelychangetheperinealpadtomanage bleeding. s w




12. In a scenario where multiple clients are presenting with gastrointestinal issu es,
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how should the nurse prioritize assessments if a new client arrives withseve reabdo
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minalpainandrigidity?

s w s w Prioritize the client with abdominal distention. sw sw vc sw sw




s w s w Assess the client with greenish fluid drainage next.
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s w s w Assess the new client with severe abdominal pain and rigidityfirst.
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Continue with the assessment of the client with absent bowel sounds.
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13. Medicalcontrolordersyoutoinfuse20cc/kgof0.9%sodiumchloridetoyour1 c
v c
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76 lb. patient over 4 hours.You have 1000 cc bags of IVfluids and a 10 gtt/mLadmi nistr
sw sw sw sw sw sw sw sw vc sw sw sw sw sw sw vc sw




ationset.Howmanydropsperminuteshouldyouinfuse?
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s w 42gtt/minute sw




s w 147gtt/minute sw




s w 67 gtt/minute sw




s w 54gtt/minute sw