HESI PN EXIT EXAM COMPREHENSIVE
ORIGINAL PRACTICE EXAMINATION (2026-
2027) NEWEST UPDATED \HESI PN EXIT EXAM
WITH HIGH YIELD EXAM TYPE - 200
MULTIPLE-CHOICE QUESTIONS AND KEY
RELIABLE SOLUTIONS FOLLOWED BY
NURSING RATIONALES| CURRENTLY #
QUESTIONS 1–25: FUNDAMENTALS AND BASIC NURSING CARE
Question 1
A practical nurse is caring for a client who has difficulty swallowing after
a stroke. Which intervention is most appropriate?
A. Offer thin liquids frequently
B. Place the client flat after meals
C. Position the client upright during meals
D. Encourage the client to drink through a straw
Correct Answer: C. Position the client upright during meals
,Rationale: Maintaining an upright position during meals reduces the
risk of aspiration. Clients with dysphagia should receive appropriate
food and liquid consistency and remain upright after eating.
Question 2
A nurse enters a client's room and finds the client lying on the floor.
What should the nurse do first?
A. Move the client back to bed
B. Assess the client for injury
C. Complete an incident report
D. Notify the family
Correct Answer: B. Assess the client for injury
Rationale: The immediate priority is assessment for injury and
stabilization. The client should not be moved unnecessarily until injury
is assessed.
Question 3
Which finding requires immediate intervention in a postoperative
client?
,A. Pain rated 6/10
B. Temperature of 37.4°C (99.3°F)
C. Oxygen saturation of 88%
D. Incisional discomfort when coughing
Correct Answer: C. Oxygen saturation of 88%
Rationale: An oxygen saturation of 88% indicates hypoxemia and
requires prompt assessment and intervention. Airway and breathing
take priority over pain and routine postoperative findings.
Question 4
A nurse is preparing to administer medication through a feeding tube.
Which action is appropriate?
A. Mix all medications together
B. Crush enteric-coated tablets
C. Flush the tube according to protocol between medications
D. Add medications directly to the feeding formula
Correct Answer: C. Flush the tube according to protocol between
medications
, Rationale: Flushing helps maintain tube patency and prevents
medication interactions within the tube. Enteric-coated and extended-
release medications generally should not be crushed.
Question 5
A client is at high risk for falls. Which intervention is most appropriate?
A. Keep all four side rails raised
B. Place frequently used items within reach
C. Keep the room completely dark
D. Encourage the client to walk independently
Correct Answer: B. Place frequently used items within reach
Rationale: Keeping essential items within reach reduces unnecessary
attempts to get out of bed. Fall prevention should promote safety
without unnecessarily restricting the client.
Question 6
Which action by the nurse demonstrates proper infection-control
practice?
ORIGINAL PRACTICE EXAMINATION (2026-
2027) NEWEST UPDATED \HESI PN EXIT EXAM
WITH HIGH YIELD EXAM TYPE - 200
MULTIPLE-CHOICE QUESTIONS AND KEY
RELIABLE SOLUTIONS FOLLOWED BY
NURSING RATIONALES| CURRENTLY #
QUESTIONS 1–25: FUNDAMENTALS AND BASIC NURSING CARE
Question 1
A practical nurse is caring for a client who has difficulty swallowing after
a stroke. Which intervention is most appropriate?
A. Offer thin liquids frequently
B. Place the client flat after meals
C. Position the client upright during meals
D. Encourage the client to drink through a straw
Correct Answer: C. Position the client upright during meals
,Rationale: Maintaining an upright position during meals reduces the
risk of aspiration. Clients with dysphagia should receive appropriate
food and liquid consistency and remain upright after eating.
Question 2
A nurse enters a client's room and finds the client lying on the floor.
What should the nurse do first?
A. Move the client back to bed
B. Assess the client for injury
C. Complete an incident report
D. Notify the family
Correct Answer: B. Assess the client for injury
Rationale: The immediate priority is assessment for injury and
stabilization. The client should not be moved unnecessarily until injury
is assessed.
Question 3
Which finding requires immediate intervention in a postoperative
client?
,A. Pain rated 6/10
B. Temperature of 37.4°C (99.3°F)
C. Oxygen saturation of 88%
D. Incisional discomfort when coughing
Correct Answer: C. Oxygen saturation of 88%
Rationale: An oxygen saturation of 88% indicates hypoxemia and
requires prompt assessment and intervention. Airway and breathing
take priority over pain and routine postoperative findings.
Question 4
A nurse is preparing to administer medication through a feeding tube.
Which action is appropriate?
A. Mix all medications together
B. Crush enteric-coated tablets
C. Flush the tube according to protocol between medications
D. Add medications directly to the feeding formula
Correct Answer: C. Flush the tube according to protocol between
medications
, Rationale: Flushing helps maintain tube patency and prevents
medication interactions within the tube. Enteric-coated and extended-
release medications generally should not be crushed.
Question 5
A client is at high risk for falls. Which intervention is most appropriate?
A. Keep all four side rails raised
B. Place frequently used items within reach
C. Keep the room completely dark
D. Encourage the client to walk independently
Correct Answer: B. Place frequently used items within reach
Rationale: Keeping essential items within reach reduces unnecessary
attempts to get out of bed. Fall prevention should promote safety
without unnecessarily restricting the client.
Question 6
Which action by the nurse demonstrates proper infection-control
practice?
