HESI
PN Exit Exam Questions and Answers | Practice
Questions, Detailed Rationales & Study Guide
Resource Features
➢ HESI PN Exit-style practice questions
➢ Answers with detailed rationales
➢ Clinical case scenarios
➢ Prioritization questions
➢ Patient-safety scenarios
, HESI PN Exit Exam Questions and Answers |
Practice Questions, Detailed Rationales & Study
Guide
QUESTION 1
A client with type 2 diabetes mellitus has been prescribed subcutaneous
insulin. The practical nurse (PN) observes the client preparing to administer
the insulin. Which action by the client indicates that the PN should reteach
the injection technique?
a. The client rotates the injection site to the abdomen
b. The client rotates the injection site to a site other than the same one
used for the previous dose
c. The client uses the same site for the second injection in a row
d. The client cleans the injection site with an alcohol swab
Correct Answer: c
Rationale: The PN should reteach the client to rotate the injection site to a
site other than the same one used for the previous dose. Using the same
,site repeatedly can cause lipodystrophy and poor insulin absorption.
Options a, b, and d represent appropriate technique.
QUESTION 2
The PN is teaching a client how to count their radial pulse. Which
instructions should the PN provide?
a. Use the thumb to palpate the radial pulse
b. Align the index and middle finger with the thumb for radial pulse
assessment
c. Count the pulse for 15 seconds and multiply by 4
d. Palpate the pulse on the medial aspect of the wrist
Correct Answer: b
Rationale: The index and middle finger should be aligned with the thumb
for radial pulse assessment. The thumb should not be used because it has
its own pulse. Counting for 30 seconds and multiplying by 2 is also
acceptable.
, QUESTION 3
An infant is delivered by a woman with gestational diabetes. The nurse
notes the infant's birth weight. Which finding is most concerning?
a. 7.2 pounds (3,265 grams)
b. 8.5 pounds (3,855 grams)
c. 9.0 pounds (4,082 grams)
d. 10.1 pounds (4,581 grams)
Correct Answer: d
Rationale: The birth weight of an infant delivered by a woman with
gestational diabetes is 10.1 pounds (4,581 grams), which indicates
macrosomia. Macrosomia is a common complication of gestational
diabetes and can lead to birth injuries, hypoglycemia, and other neonatal
complications.
QUESTION 4
A newborn's heel stick glucose level is 40 mg/dL (2.2 mmol/L) 30 minutes
after birth. Which action should the nurse take?
PN Exit Exam Questions and Answers | Practice
Questions, Detailed Rationales & Study Guide
Resource Features
➢ HESI PN Exit-style practice questions
➢ Answers with detailed rationales
➢ Clinical case scenarios
➢ Prioritization questions
➢ Patient-safety scenarios
, HESI PN Exit Exam Questions and Answers |
Practice Questions, Detailed Rationales & Study
Guide
QUESTION 1
A client with type 2 diabetes mellitus has been prescribed subcutaneous
insulin. The practical nurse (PN) observes the client preparing to administer
the insulin. Which action by the client indicates that the PN should reteach
the injection technique?
a. The client rotates the injection site to the abdomen
b. The client rotates the injection site to a site other than the same one
used for the previous dose
c. The client uses the same site for the second injection in a row
d. The client cleans the injection site with an alcohol swab
Correct Answer: c
Rationale: The PN should reteach the client to rotate the injection site to a
site other than the same one used for the previous dose. Using the same
,site repeatedly can cause lipodystrophy and poor insulin absorption.
Options a, b, and d represent appropriate technique.
QUESTION 2
The PN is teaching a client how to count their radial pulse. Which
instructions should the PN provide?
a. Use the thumb to palpate the radial pulse
b. Align the index and middle finger with the thumb for radial pulse
assessment
c. Count the pulse for 15 seconds and multiply by 4
d. Palpate the pulse on the medial aspect of the wrist
Correct Answer: b
Rationale: The index and middle finger should be aligned with the thumb
for radial pulse assessment. The thumb should not be used because it has
its own pulse. Counting for 30 seconds and multiplying by 2 is also
acceptable.
, QUESTION 3
An infant is delivered by a woman with gestational diabetes. The nurse
notes the infant's birth weight. Which finding is most concerning?
a. 7.2 pounds (3,265 grams)
b. 8.5 pounds (3,855 grams)
c. 9.0 pounds (4,082 grams)
d. 10.1 pounds (4,581 grams)
Correct Answer: d
Rationale: The birth weight of an infant delivered by a woman with
gestational diabetes is 10.1 pounds (4,581 grams), which indicates
macrosomia. Macrosomia is a common complication of gestational
diabetes and can lead to birth injuries, hypoglycemia, and other neonatal
complications.
QUESTION 4
A newborn's heel stick glucose level is 40 mg/dL (2.2 mmol/L) 30 minutes
after birth. Which action should the nurse take?
