2024 HESI PN EXIT EXAM V1, V2, V3, V4, V5, V6, V7,
EACH EXAM WITH 125 QUESTIONS AND ANSWERS
(VERIFIED REVISED FULL EXAM) UPDATED 2025
TABLE OF CONTEST;
❖ HESI PN EXIT V1 EXAM WITH NGN………………………………….
❖ HESI PN EXIT V2 EXAM WITH NGN………………………………….
❖ HESI PN EXIT V3 EXAM WITH NGN………………………………….
❖ HESI PN EXIT V4 EXAM WITH NGN………………………………….
❖ HESI PN EXIT V5 EXAM WITH NGN………………………………….
❖ HESI PN EXIT V6 EXAM WITH NGN………………………………….
❖ HESI PN EXIT V7 EXAM WITH NGN………………………………….
, HESI PN EXIT EXAM V1 EXAM WITH QUESTIONS AND
ANSWERS (VERIFIED REVISED FULL EXAM) 2024 ngn
The nurse who is working on a surgical unit receives change of shift
report on a group of clients for the upcoming shift. A client with which
condition requires the most immediate attention by the nurse?
a. Gunshot wound three hours ago with dark drainage of 2 cm noted
on the dressing.
b. Mastectomy 2 days ago with 50 ml bloody drainage noted in the
Jackson-pratt drain.
c. Collapsed lung after a fall 8h ago with 100 ml blood in the chest
tube collection container
d. Abdominal-perineal resection 2 days ago with no drainage on
dressing who has fever and chills.
Abdominal-perineal resection 2 days ago with no drainage on dressing who
has fever and chills.
Rationale: the client with an abdominal- perineal resection is at risk for
peritonitis and needs to be immediately assessed for other signs and
symptoms for sepsis.
The nurse is caring for a client who had gastric bypass surgery
yesterday. Which intervention is most important for the nurse to
implement during the first 24 postoperative hours?
a. Insert an indwelling urinary catheter
b. Monitor for the appearance of an incisional hernia
c. Instruct the client to eat small frequent meals
d. Measure hourly urinary output.
Measure hourly urinary output.
Rationale: a serious early complications of gastric bypass surgery is an
anastomoses leak, often resulting in death.
,When preparing to discharge a male client who has been hospitalized
for an adrenal crisis, the client expresses concern about having
another crisis. He tells the nurse that he wants to stay in the hospital
a few more days. Which intervention should the nurse implement?
a. Administer anti-anxiety medication prior to providing discharge
instructions
b. Schedule an appointment for an out-patient psychosocial
assessment.
c. Obtain a blood cortisol level after last dose of synthetic ACTH
d. Encourage the healthcare provider to delay the client's discharge.
Schedule an appointment for an out-patient psychosocial assessment.
Rationale: Emotional stress can precipitate another adrenal crisis and
should be monitored with periodic psychosocial assessments. A may be
indicated but does not address the problem after discharge. A blood
cortisol level is to diagnosis not to monitor the ongoing disease process.
Canceling the discharge only delays the resolution of the problem.
An adult female client tells the nurse that though she is afraid her
abusive boyfriend might one day kill her, she keeps hoping that he
will change. What action should the nurse take first?
a. Report the finding to the police department
b. Discuss treatment options for abusive partners
c. Determine the frequency and type of client's abuse
d. Explore client's readiness to discuss the situation.
Explore client's readiness to discuss the situation
Rationale: By assessing the client's level of readiness to discuss her
situation the nurse can begin to stablish trust so that further action can be
taken to protect her. The nurse needs the client's permission to report the
abuse to the police department, which may be obtained after trust is
established. B might be an option during the discussion it is most important
that the client has a safe refuge even if the abusive partner does not
commit seeking help.
, In caring for a client with Cushing syndrome, which serum laboratory
value is most important for the nurse to monitor?
a. Lactate
b. Glucose
c. Hemoglobin
d. Creatinine
Glucose
Rationale: Cushing syndrome, caused by excess corticosteroids causes
hyperglycemia and the client's serum glucose level should be monitor for
this side effect.
Azithromycin is prescribed for an adolescent female who has lower
lobe pneumonia and recurrent chlamydia. What information is most
important for the nurse to provide to this client
a. Have partner screened for human immunodeficiency virus
b. Report a sudden onset arthralgia to the healthcare provider
c. Decrease intake of high-fat-foods, caffeine, and alcohol
d. Use two forms of contraception while taking this drug.
Use two forms of contraception while taking this drug.
Rationale: Antibiotic, especially broad-spectrum drugs, like azithromycin,
decrease the effectiveness of oral contraceptives and some spermicides,
so the adolescent should be encouraging to use at least two forms of
contraception to prevent pregnancy
A client in the emergency center demonstrates rapid speech, flight of
ideas, and reports sleeping only three hours during the past 48h.
Based on these finding, it is most important for the nurse to review
the laboratory value for which medication?
a. Olanzapine
b. Divalproex.
c. Lorazepam
d. Fluoxetine
EACH EXAM WITH 125 QUESTIONS AND ANSWERS
(VERIFIED REVISED FULL EXAM) UPDATED 2025
TABLE OF CONTEST;
❖ HESI PN EXIT V1 EXAM WITH NGN………………………………….
❖ HESI PN EXIT V2 EXAM WITH NGN………………………………….
❖ HESI PN EXIT V3 EXAM WITH NGN………………………………….
❖ HESI PN EXIT V4 EXAM WITH NGN………………………………….
❖ HESI PN EXIT V5 EXAM WITH NGN………………………………….
❖ HESI PN EXIT V6 EXAM WITH NGN………………………………….
❖ HESI PN EXIT V7 EXAM WITH NGN………………………………….
, HESI PN EXIT EXAM V1 EXAM WITH QUESTIONS AND
ANSWERS (VERIFIED REVISED FULL EXAM) 2024 ngn
The nurse who is working on a surgical unit receives change of shift
report on a group of clients for the upcoming shift. A client with which
condition requires the most immediate attention by the nurse?
a. Gunshot wound three hours ago with dark drainage of 2 cm noted
on the dressing.
b. Mastectomy 2 days ago with 50 ml bloody drainage noted in the
Jackson-pratt drain.
c. Collapsed lung after a fall 8h ago with 100 ml blood in the chest
tube collection container
d. Abdominal-perineal resection 2 days ago with no drainage on
dressing who has fever and chills.
Abdominal-perineal resection 2 days ago with no drainage on dressing who
has fever and chills.
Rationale: the client with an abdominal- perineal resection is at risk for
peritonitis and needs to be immediately assessed for other signs and
symptoms for sepsis.
The nurse is caring for a client who had gastric bypass surgery
yesterday. Which intervention is most important for the nurse to
implement during the first 24 postoperative hours?
a. Insert an indwelling urinary catheter
b. Monitor for the appearance of an incisional hernia
c. Instruct the client to eat small frequent meals
d. Measure hourly urinary output.
Measure hourly urinary output.
Rationale: a serious early complications of gastric bypass surgery is an
anastomoses leak, often resulting in death.
,When preparing to discharge a male client who has been hospitalized
for an adrenal crisis, the client expresses concern about having
another crisis. He tells the nurse that he wants to stay in the hospital
a few more days. Which intervention should the nurse implement?
a. Administer anti-anxiety medication prior to providing discharge
instructions
b. Schedule an appointment for an out-patient psychosocial
assessment.
c. Obtain a blood cortisol level after last dose of synthetic ACTH
d. Encourage the healthcare provider to delay the client's discharge.
Schedule an appointment for an out-patient psychosocial assessment.
Rationale: Emotional stress can precipitate another adrenal crisis and
should be monitored with periodic psychosocial assessments. A may be
indicated but does not address the problem after discharge. A blood
cortisol level is to diagnosis not to monitor the ongoing disease process.
Canceling the discharge only delays the resolution of the problem.
An adult female client tells the nurse that though she is afraid her
abusive boyfriend might one day kill her, she keeps hoping that he
will change. What action should the nurse take first?
a. Report the finding to the police department
b. Discuss treatment options for abusive partners
c. Determine the frequency and type of client's abuse
d. Explore client's readiness to discuss the situation.
Explore client's readiness to discuss the situation
Rationale: By assessing the client's level of readiness to discuss her
situation the nurse can begin to stablish trust so that further action can be
taken to protect her. The nurse needs the client's permission to report the
abuse to the police department, which may be obtained after trust is
established. B might be an option during the discussion it is most important
that the client has a safe refuge even if the abusive partner does not
commit seeking help.
, In caring for a client with Cushing syndrome, which serum laboratory
value is most important for the nurse to monitor?
a. Lactate
b. Glucose
c. Hemoglobin
d. Creatinine
Glucose
Rationale: Cushing syndrome, caused by excess corticosteroids causes
hyperglycemia and the client's serum glucose level should be monitor for
this side effect.
Azithromycin is prescribed for an adolescent female who has lower
lobe pneumonia and recurrent chlamydia. What information is most
important for the nurse to provide to this client
a. Have partner screened for human immunodeficiency virus
b. Report a sudden onset arthralgia to the healthcare provider
c. Decrease intake of high-fat-foods, caffeine, and alcohol
d. Use two forms of contraception while taking this drug.
Use two forms of contraception while taking this drug.
Rationale: Antibiotic, especially broad-spectrum drugs, like azithromycin,
decrease the effectiveness of oral contraceptives and some spermicides,
so the adolescent should be encouraging to use at least two forms of
contraception to prevent pregnancy
A client in the emergency center demonstrates rapid speech, flight of
ideas, and reports sleeping only three hours during the past 48h.
Based on these finding, it is most important for the nurse to review
the laboratory value for which medication?
a. Olanzapine
b. Divalproex.
c. Lorazepam
d. Fluoxetine
