PN Practical Nursing HESI
Exit Exam 2026/2027 –
Questions and Answers |
100% Verified | Detailed
Rationales – Pass
Guaranteed – A+ Graded|
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Section 1: Safety & Infection Control
Question 1: The PN is preparing to ambulate a postoperative
client after cardiac surgery. Which action is most important to
ensure client safety?
A) Place the bed in the highest position
B) Ensure the client has non-skid footwear
C) Position the bedside table directly in front of the client
D) Raise all four side rails before ambulating
,Correct Answer: B
Rationale: Non-skid footwear reduces the risk of slipping and
falling during ambulation. The bed should be in the lowest
position to prevent falls from height, and raising side rails would
impede ambulation rather than assist it.
Question 2: The PN enters a client's room and finds the client
unresponsive. What is the first action?
A) Call the family
B) Check for a pulse
C) Start chest compressions
D) Notify the healthcare provider
Correct Answer: B
Rationale: Checking for a pulse determines whether CPR is
needed. This follows the ABC (Airway, Breathing, Circulation)
approach to emergency assessment. Starting compressions
without checking a pulse could cause harm if not indicated.
Question 3: A client receiving a blood transfusion develops chills
and back pain. What is the PN's priority action?
A) Slow the transfusion rate
B) Stop the transfusion immediately
C) Administer acetaminophen as ordered
D) Continue the transfusion and monitor
,Correct Answer: B
Rationale: Chills and back pain are signs of a possible hemolytic
transfusion reaction. The transfusion must be stopped
immediately, then the provider should be notified and IV access
maintained with normal saline.
Question 4: The PN is preparing to administer a medication from
an unlabeled syringe found at the bedside. What should the PN
do?
A) Administer the medication as directed
B) Ask another nurse to identify the medication
C) Discard the medication and prepare a new, properly labeled
dose
D) Check the client's identification bracelet
Correct Answer: C
Rationale: An unlabeled syringe is a medication safety violation.
The nurse must discard it and prepare a new, correctly labeled
dose. Never administer an unlabeled medication.
Question 5: The PN is preparing to administer a medication via
the Z-track method. Which action is correct?
A) Inject the medication rapidly
B) Pull the skin laterally before injection and hold until after
withdrawal
, C) Massage the site after injection
D) Use a 45-degree angle for injection
Correct Answer: B
Rationale: The Z-track method involves displacing the skin
laterally before injection, which creates a zigzag path that seals
the medication in the muscle, preventing leakage into
subcutaneous tissue and reducing irritation.
Section 2: Fundamentals of Nursing
Question 6: A client has a prescription for oxygen at 4 L/min via
nasal cannula. Which finding indicates the therapy is effective?
A) Respiratory rate of 28/min
B) Oxygen saturation of 96%
C) Use of accessory muscles
D) Presence of cyanosis
Correct Answer: B
Rationale: Oxygen saturation of 96% indicates adequate
oxygenation. Normal SpO2 is 95-100%. Respiratory rate of
28/min, accessory muscle use, and cyanosis indicate respiratory
distress and inadequate oxygenation.
Question 7: A client is on fall precautions. Which intervention
should the nurse implement first?
Exit Exam 2026/2027 –
Questions and Answers |
100% Verified | Detailed
Rationales – Pass
Guaranteed – A+ Graded|
Instant Download
Section 1: Safety & Infection Control
Question 1: The PN is preparing to ambulate a postoperative
client after cardiac surgery. Which action is most important to
ensure client safety?
A) Place the bed in the highest position
B) Ensure the client has non-skid footwear
C) Position the bedside table directly in front of the client
D) Raise all four side rails before ambulating
,Correct Answer: B
Rationale: Non-skid footwear reduces the risk of slipping and
falling during ambulation. The bed should be in the lowest
position to prevent falls from height, and raising side rails would
impede ambulation rather than assist it.
Question 2: The PN enters a client's room and finds the client
unresponsive. What is the first action?
A) Call the family
B) Check for a pulse
C) Start chest compressions
D) Notify the healthcare provider
Correct Answer: B
Rationale: Checking for a pulse determines whether CPR is
needed. This follows the ABC (Airway, Breathing, Circulation)
approach to emergency assessment. Starting compressions
without checking a pulse could cause harm if not indicated.
Question 3: A client receiving a blood transfusion develops chills
and back pain. What is the PN's priority action?
A) Slow the transfusion rate
B) Stop the transfusion immediately
C) Administer acetaminophen as ordered
D) Continue the transfusion and monitor
,Correct Answer: B
Rationale: Chills and back pain are signs of a possible hemolytic
transfusion reaction. The transfusion must be stopped
immediately, then the provider should be notified and IV access
maintained with normal saline.
Question 4: The PN is preparing to administer a medication from
an unlabeled syringe found at the bedside. What should the PN
do?
A) Administer the medication as directed
B) Ask another nurse to identify the medication
C) Discard the medication and prepare a new, properly labeled
dose
D) Check the client's identification bracelet
Correct Answer: C
Rationale: An unlabeled syringe is a medication safety violation.
The nurse must discard it and prepare a new, correctly labeled
dose. Never administer an unlabeled medication.
Question 5: The PN is preparing to administer a medication via
the Z-track method. Which action is correct?
A) Inject the medication rapidly
B) Pull the skin laterally before injection and hold until after
withdrawal
, C) Massage the site after injection
D) Use a 45-degree angle for injection
Correct Answer: B
Rationale: The Z-track method involves displacing the skin
laterally before injection, which creates a zigzag path that seals
the medication in the muscle, preventing leakage into
subcutaneous tissue and reducing irritation.
Section 2: Fundamentals of Nursing
Question 6: A client has a prescription for oxygen at 4 L/min via
nasal cannula. Which finding indicates the therapy is effective?
A) Respiratory rate of 28/min
B) Oxygen saturation of 96%
C) Use of accessory muscles
D) Presence of cyanosis
Correct Answer: B
Rationale: Oxygen saturation of 96% indicates adequate
oxygenation. Normal SpO2 is 95-100%. Respiratory rate of
28/min, accessory muscle use, and cyanosis indicate respiratory
distress and inadequate oxygenation.
Question 7: A client is on fall precautions. Which intervention
should the nurse implement first?
