HESI PN EXIT EXAM V6 | NGN-Style Questions,
Case Scenarios & Answers with Rationales |
Graded A+
1. A client with a stage II pressure ulcer has a clean wound bed with minimal exudate.
Which dressing is most appropriate for the PN to apply?
A. Dry gauze
B. Hydrocolloid dressing
C. Transparent film
D. Calcium alginate
☑ Correct Answer: B
☑ Explanation: Hydrocolloid dressings maintain a moist wound environment,
promote autolytic debridement, and are appropriate for stage II pressure ulcers with
minimal exudate. Dry gauze adheres to the wound and causes trauma upon removal.
Transparent film is used for stage I ulcers or as a secondary dressing. Calcium alginate is
indicated for wounds with moderate to heavy exudate.
,2. A client is prescribed a 2,000-calorie diet with 50% of calories from carbohydrates. How
many grams of carbohydrates should the client consume daily?
A. 100 grams
B. 200 grams
C. 250 grams
D. 300 grams
☑ Correct Answer: C
☑ Explanation: 50% of 2,000 calories is 1,000 calories from carbohydrates. Since
each gram of carbohydrate provides 4 calories, 1,000 ÷ 4 = 250 grams.
3. A client's IV is infusing at 100 mL/hr. How much fluid will the client receive in 8 hours?
A. 400 mL
B. 600 mL
C. 800 mL
D. 1,000 mL
☑ Correct Answer: C
, ☑ Explanation: Multiply the infusion rate (100 mL/hr) by time (8 hours): 100 × 8 =
800 mL.
4. A client is prescribed 500 mg of amoxicillin every 8 hours. The pharmacy provides 250
mg/5 mL. How many mL should the PN administer per dose?
A. 5 mL
B. 10 mL
C. 15 mL
D. 20 mL
☑ Correct Answer: B
☑ Explanation: Use the formula: (Desired dose ÷ Available dose) × Volume = (500
mg ÷ 250 mg) × 5 mL = 10 mL.
5. Which information should the PN include in the documentation of a client's wound
care?
A. The client's favorite activities
, B. Wound size, appearance, and dressing applied
C. The nurse's personal opinions
D. The client's dietary preferences
☑ Correct Answer: B
☑ Explanation: Wound documentation must include objective data such as size,
appearance, exudate, and interventions performed to ensure continuity of care. Personal
opinions and unrelated information should not be included in clinical documentation.
6. A client with a surgical wound reports increased pain and redness at the site. What
should the PN suspect?
A. Normal healing
B. Wound infection
C. Allergic reaction
D. Hematoma
☑ Correct Answer: B
☑ Explanation: Increased pain and redness are classic signs of wound infection
Case Scenarios & Answers with Rationales |
Graded A+
1. A client with a stage II pressure ulcer has a clean wound bed with minimal exudate.
Which dressing is most appropriate for the PN to apply?
A. Dry gauze
B. Hydrocolloid dressing
C. Transparent film
D. Calcium alginate
☑ Correct Answer: B
☑ Explanation: Hydrocolloid dressings maintain a moist wound environment,
promote autolytic debridement, and are appropriate for stage II pressure ulcers with
minimal exudate. Dry gauze adheres to the wound and causes trauma upon removal.
Transparent film is used for stage I ulcers or as a secondary dressing. Calcium alginate is
indicated for wounds with moderate to heavy exudate.
,2. A client is prescribed a 2,000-calorie diet with 50% of calories from carbohydrates. How
many grams of carbohydrates should the client consume daily?
A. 100 grams
B. 200 grams
C. 250 grams
D. 300 grams
☑ Correct Answer: C
☑ Explanation: 50% of 2,000 calories is 1,000 calories from carbohydrates. Since
each gram of carbohydrate provides 4 calories, 1,000 ÷ 4 = 250 grams.
3. A client's IV is infusing at 100 mL/hr. How much fluid will the client receive in 8 hours?
A. 400 mL
B. 600 mL
C. 800 mL
D. 1,000 mL
☑ Correct Answer: C
, ☑ Explanation: Multiply the infusion rate (100 mL/hr) by time (8 hours): 100 × 8 =
800 mL.
4. A client is prescribed 500 mg of amoxicillin every 8 hours. The pharmacy provides 250
mg/5 mL. How many mL should the PN administer per dose?
A. 5 mL
B. 10 mL
C. 15 mL
D. 20 mL
☑ Correct Answer: B
☑ Explanation: Use the formula: (Desired dose ÷ Available dose) × Volume = (500
mg ÷ 250 mg) × 5 mL = 10 mL.
5. Which information should the PN include in the documentation of a client's wound
care?
A. The client's favorite activities
, B. Wound size, appearance, and dressing applied
C. The nurse's personal opinions
D. The client's dietary preferences
☑ Correct Answer: B
☑ Explanation: Wound documentation must include objective data such as size,
appearance, exudate, and interventions performed to ensure continuity of care. Personal
opinions and unrelated information should not be included in clinical documentation.
6. A client with a surgical wound reports increased pain and redness at the site. What
should the PN suspect?
A. Normal healing
B. Wound infection
C. Allergic reaction
D. Hematoma
☑ Correct Answer: B
☑ Explanation: Increased pain and redness are classic signs of wound infection
