HESI PN Exit Exam 2026 NGN Nursing Prep Pack Formatted: Font: Arial Narrow, 22 pt, Font color: Green
Formatted: Centered
Complete Examplify Questions Formatted: Top: (Single solid line, Light Blue, 3 pt Line
width), Bottom: (Single solid line, Light Blue, 3 pt Line
width), Left: (Single solid line, Light Blue, 3 pt Line
Practice Exam – Version 1 width), Right: (Single solid line, Light Blue, 3 pt Line
width)
Formatted: Font: Arial Narrow, 12 pt
1. A practical nurse (PN) is caring for a client with dehydration. Which finding should the PN Formatted: Font: Arial Narrow, 12 pt
expect?
A. Dry mucous membranes
B. Bounding pulse
C. Hypertension
D. Edema
Correct Answer: A
Rationale: Dry mucous membranes are a classic sign of dehydration due to decreased fluid Formatted: Font: Arial Narrow, 14 pt
volume. Bounding pulse, hypertension, and edema are signs of fluid overload, not
dehydration. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
2. A PN is assisting with the care of a client who had a stroke. Which position should the PN place Formatted: Font: Arial Narrow, 12 pt
the client in to prevent aspiration during meals?
A. Supine
B. High Fowler's
C. Trendelenburg
D. Prone
Correct Answer: B
Rationale: High Fowler's position (sitting upright at 90 degrees) helps prevent aspiration Formatted: Font: Arial Narrow, 14 pt
during meals by allowing gravity to assist with swallowing. Supine, Trendelenburg, and
prone positions increase the risk of aspiration. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
3. A PN is caring for a client with a urinary tract infection. Which finding should the PN report to the
registered nurse (RN) immediately?
A. Cloudy urine
B. Dysuria
C. Fever and chills
D. Urgency
,Correct Answer: C
Rationale: Fever and chills indicate a systemic infection, possibly pyelonephritis, and require Formatted: Font: Arial Narrow, 14 pt
immediate intervention. Cloudy urine, dysuria, and urgency are common in lower UTIs but
are not as immediately concerning. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
4. A PN is caring for a client with a new colostomy. Which finding should the PN report?
A. Stoma is pink and moist
B. Stoma is dusky and dark
C. Small amount of bleeding at the stoma site
D. Output is liquid immediately after surgery
Correct Answer: B
Rationale: A dusky or dark stoma indicates inadequate blood supply and possible necrosis, Formatted: Font: Arial Narrow, 14 pt
which requires immediate reporting. A pink and moist stoma, small amounts of bleeding,
and liquid output are expected findings. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
5. A PN is caring for a client with a new diagnosis of diabetes. Which instruction should the PN
include about foot care?
A. "Soak your feet daily in hot water."
B. "Cut your toenails straight across."
C. "Walk barefoot at home."
D. "Apply lotion between your toes."
Correct Answer: B
Rationale: Cutting toenails straight across prevents ingrown toenails. Soaking feet in hot Formatted: Font: Arial Narrow, 14 pt
water can cause burns. Walking barefoot increases the risk of injury. Lotion should not be
applied between the toes as it can promote fungal growth. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
6. A PN is preparing to administer oxygen to a client with COPD. Which flow rate should the PN
use?
A. 1–2 liters per minute
B. 4–6 liters per minute
C. 8–10 liters per minute
D. 12–15 liters per minute
Correct Answer: A
,Rationale: Clients with COPD should receive oxygen at low flow rates (1–2 liters per minute) Formatted: Font: Arial Narrow, 14 pt
to avoid suppressing the hypoxic respiratory drive. Higher flow rates can lead to carbon
dioxide retention and respiratory failure. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
7. A PN is caring for a client with a suspected myocardial infarction. Which finding should the PN
prioritize?
A. Chest pain unrelieved by nitroglycerin
B. Nausea
C. Diaphoresis
D. Shortness of breath
Correct Answer: A
Rationale: Chest pain unrelieved by nitroglycerin is a classic sign of myocardial infarction Formatted: Font: Arial Narrow, 14 pt
and requires immediate intervention. Nausea, diaphoresis, and shortness of breath may
also occur but are not as specific. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
8. A PN is teaching a client about a new prescription for warfarin. Which instruction should the PN
include?
A. "Increase your intake of green leafy vegetables."
B. "Use a soft toothbrush."
C. "Take aspirin for headaches."
D. "Avoid all physical activity."
Correct Answer: B
Rationale: Using a soft toothbrush helps prevent bleeding in clients taking warfarin. Green Formatted: Font: Arial Narrow, 14 pt
leafy vegetables are high in vitamin K and should be consumed consistently, not increased.
Aspirin increases bleeding risk and should be avoided. Physical activity should be
encouraged as tolerated. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
9. A PN is assessing a client with a suspected urinary tract infection. Which finding should the PN
prioritize?
A. Dysuria
B. Fever and chills
C. Cloudy urine
D. Urgency
Correct Answer: B
, Rationale: Fever and chills indicate a systemic infection, possibly pyelonephritis, and require Formatted: Font: Arial Narrow, 14 pt
immediate intervention. Dysuria, cloudy urine, and urgency are common in lower UTIs but
are not as immediately concerning. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
10. A PN is caring for a client with a new diagnosis of osteoporosis. Which instruction should the
PN include?
A. "Increase your intake of calcium and vitamin D."
B. "Avoid all weight-bearing exercise."
C. "Take calcium supplements on an empty stomach."
D. "Limit sunlight exposure."
Correct Answer: A
Rationale: Increasing calcium and vitamin D intake helps prevent bone loss in osteoporosis. Formatted: Font: Arial Narrow, 14 pt
Weight-bearing exercise should be encouraged. Calcium supplements should be taken with
food. Sunlight exposure helps with vitamin D synthesis and should not be limited. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
11. A PN is assessing a client with a suspected head injury. Which finding should the PN prioritize?
A. Clear fluid leaking from the nose
B. Mild headache
C. Nausea
D. Dizziness
Correct Answer: A
Rationale: Clear fluid leaking from the nose (CSF rhinorrhea) indicates a basilar skull Formatted: Font: Arial Narrow, 14 pt
fracture and requires immediate intervention. Mild headache, nausea, and dizziness are
common after head injury but are not as immediately concerning. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
12. A PN is preparing to administer a medication to a client with a nasogastric tube. Which action Formatted: Font: Arial Narrow, 12 pt
should the PN take?
A. Administer medications with food
B. Flush the tube with water before and after administration
C. Mix all medications together
D. Administer medications rapidly
Correct Answer: B
Formatted: Centered
Complete Examplify Questions Formatted: Top: (Single solid line, Light Blue, 3 pt Line
width), Bottom: (Single solid line, Light Blue, 3 pt Line
width), Left: (Single solid line, Light Blue, 3 pt Line
Practice Exam – Version 1 width), Right: (Single solid line, Light Blue, 3 pt Line
width)
Formatted: Font: Arial Narrow, 12 pt
1. A practical nurse (PN) is caring for a client with dehydration. Which finding should the PN Formatted: Font: Arial Narrow, 12 pt
expect?
A. Dry mucous membranes
B. Bounding pulse
C. Hypertension
D. Edema
Correct Answer: A
Rationale: Dry mucous membranes are a classic sign of dehydration due to decreased fluid Formatted: Font: Arial Narrow, 14 pt
volume. Bounding pulse, hypertension, and edema are signs of fluid overload, not
dehydration. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
2. A PN is assisting with the care of a client who had a stroke. Which position should the PN place Formatted: Font: Arial Narrow, 12 pt
the client in to prevent aspiration during meals?
A. Supine
B. High Fowler's
C. Trendelenburg
D. Prone
Correct Answer: B
Rationale: High Fowler's position (sitting upright at 90 degrees) helps prevent aspiration Formatted: Font: Arial Narrow, 14 pt
during meals by allowing gravity to assist with swallowing. Supine, Trendelenburg, and
prone positions increase the risk of aspiration. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
3. A PN is caring for a client with a urinary tract infection. Which finding should the PN report to the
registered nurse (RN) immediately?
A. Cloudy urine
B. Dysuria
C. Fever and chills
D. Urgency
,Correct Answer: C
Rationale: Fever and chills indicate a systemic infection, possibly pyelonephritis, and require Formatted: Font: Arial Narrow, 14 pt
immediate intervention. Cloudy urine, dysuria, and urgency are common in lower UTIs but
are not as immediately concerning. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
4. A PN is caring for a client with a new colostomy. Which finding should the PN report?
A. Stoma is pink and moist
B. Stoma is dusky and dark
C. Small amount of bleeding at the stoma site
D. Output is liquid immediately after surgery
Correct Answer: B
Rationale: A dusky or dark stoma indicates inadequate blood supply and possible necrosis, Formatted: Font: Arial Narrow, 14 pt
which requires immediate reporting. A pink and moist stoma, small amounts of bleeding,
and liquid output are expected findings. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
5. A PN is caring for a client with a new diagnosis of diabetes. Which instruction should the PN
include about foot care?
A. "Soak your feet daily in hot water."
B. "Cut your toenails straight across."
C. "Walk barefoot at home."
D. "Apply lotion between your toes."
Correct Answer: B
Rationale: Cutting toenails straight across prevents ingrown toenails. Soaking feet in hot Formatted: Font: Arial Narrow, 14 pt
water can cause burns. Walking barefoot increases the risk of injury. Lotion should not be
applied between the toes as it can promote fungal growth. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
6. A PN is preparing to administer oxygen to a client with COPD. Which flow rate should the PN
use?
A. 1–2 liters per minute
B. 4–6 liters per minute
C. 8–10 liters per minute
D. 12–15 liters per minute
Correct Answer: A
,Rationale: Clients with COPD should receive oxygen at low flow rates (1–2 liters per minute) Formatted: Font: Arial Narrow, 14 pt
to avoid suppressing the hypoxic respiratory drive. Higher flow rates can lead to carbon
dioxide retention and respiratory failure. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
7. A PN is caring for a client with a suspected myocardial infarction. Which finding should the PN
prioritize?
A. Chest pain unrelieved by nitroglycerin
B. Nausea
C. Diaphoresis
D. Shortness of breath
Correct Answer: A
Rationale: Chest pain unrelieved by nitroglycerin is a classic sign of myocardial infarction Formatted: Font: Arial Narrow, 14 pt
and requires immediate intervention. Nausea, diaphoresis, and shortness of breath may
also occur but are not as specific. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
8. A PN is teaching a client about a new prescription for warfarin. Which instruction should the PN
include?
A. "Increase your intake of green leafy vegetables."
B. "Use a soft toothbrush."
C. "Take aspirin for headaches."
D. "Avoid all physical activity."
Correct Answer: B
Rationale: Using a soft toothbrush helps prevent bleeding in clients taking warfarin. Green Formatted: Font: Arial Narrow, 14 pt
leafy vegetables are high in vitamin K and should be consumed consistently, not increased.
Aspirin increases bleeding risk and should be avoided. Physical activity should be
encouraged as tolerated. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
9. A PN is assessing a client with a suspected urinary tract infection. Which finding should the PN
prioritize?
A. Dysuria
B. Fever and chills
C. Cloudy urine
D. Urgency
Correct Answer: B
, Rationale: Fever and chills indicate a systemic infection, possibly pyelonephritis, and require Formatted: Font: Arial Narrow, 14 pt
immediate intervention. Dysuria, cloudy urine, and urgency are common in lower UTIs but
are not as immediately concerning. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
10. A PN is caring for a client with a new diagnosis of osteoporosis. Which instruction should the
PN include?
A. "Increase your intake of calcium and vitamin D."
B. "Avoid all weight-bearing exercise."
C. "Take calcium supplements on an empty stomach."
D. "Limit sunlight exposure."
Correct Answer: A
Rationale: Increasing calcium and vitamin D intake helps prevent bone loss in osteoporosis. Formatted: Font: Arial Narrow, 14 pt
Weight-bearing exercise should be encouraged. Calcium supplements should be taken with
food. Sunlight exposure helps with vitamin D synthesis and should not be limited. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
11. A PN is assessing a client with a suspected head injury. Which finding should the PN prioritize?
A. Clear fluid leaking from the nose
B. Mild headache
C. Nausea
D. Dizziness
Correct Answer: A
Rationale: Clear fluid leaking from the nose (CSF rhinorrhea) indicates a basilar skull Formatted: Font: Arial Narrow, 14 pt
fracture and requires immediate intervention. Mild headache, nausea, and dizziness are
common after head injury but are not as immediately concerning. Formatted: Font: Arial Narrow, 12 pt
Formatted: Font: Arial Narrow, 12 pt
12. A PN is preparing to administer a medication to a client with a nasogastric tube. Which action Formatted: Font: Arial Narrow, 12 pt
should the PN take?
A. Administer medications with food
B. Flush the tube with water before and after administration
C. Mix all medications together
D. Administer medications rapidly
Correct Answer: B
