Hesi Pn Exit Exam V3(2026)
HESI PN EXIT EXAM V3 100 QUESTIONS
AND ANSWER(S) WITH RATIONALES|
2026 HESI PN EXIT EXAM V3 GRADED
A+/GUARANTEED PASS!
1. When conducting diet teaching for a client who is on a postoperative soft diet, which foods
should eat? (Select all that apply)
• Pasta, noodles, rice.
• Egg, tofu, ground meat.
• Mashed, potatoes, pudding, milk.
• Brussel sprouts, blackberries, seeds.
• Corn bran, whole wheat bread, whole grains.
• Rational: a client’s postoperative diet is commonly progressed as tolerated. A soft
diet includes foods that are mechanically soft in texture (pasta, egg, ground meat,
potatoes, and pudding. High fiber foods that require thorough chewing and gas
forming foods, such as cruciferous vegetables and fresh fruits with skin, grains
and seeds are omitted.
2. The nurse ends the assessment of a client by performing a mental status exam. Which
statement correctly describes the purpose of the mental status exam?
• Determine the client’s level of emotional functioning’
• Assess functional ability of the primary support system.
• Evaluate the client’s mood, cognition and orientation.
• Review the client’s pattern of adaptive coping skill
• Rational: the mental status exam assesses the client for abnormalities in cognitive
functioning; potential thought processes, mood and reasoning, the other options
listed are all components of the client’s psychosocial assessment.
3. An adult client experiences a gasoline tank fire when riding a motorcycle and is admitted to
the emergency department (ED) with full thickness burns to all surfaces of both lower
extremities. What percentage of body surface area should the nurse document in the
electronic medical record (EMR)?
• 9%
• 18 %
, Hesi Pn Exit Exam V3(2026)
• 36 %
• 45 %
• Rational: according to the rule of nines, the anterior and posterior surfaces of one
lower extremity is designated as 18 %of total body surface area (TBSA), so both
extremities equals 36% TBSA, other options are incorrect.
4. A client with hyperthyroidism is receiving propranolol (Inderal). Which finding indicates that
the medication is having the desired effect?
• Decrease in serum T4 levels
• Increase in blood pressure
• Decrease in pulse rate
• Goiter no longer palpable
5. An older male client with type 2 diabetes mellitus reports that has experiences legs pain
when walking short distances, and that the pain is relieved by rest. Which client behavior
indicates an understanding of healthcare teaching to promote more effective arterial
circulation?
• Consistently applies TED hose before getting dressed in the morning.
• Frequently elevated legs thorough the day.
• Inspect the leg frequently for any irritation or skin breakdown
• Completely stop cigarette/ cigar smoking.
• Rationale: Stopping cigarette smoking helps to decrease vasoconstriction and
improve arterial circulation to the extremity.
, Hesi Pn Exit Exam V3(2026)
6. A community health nurse is concerned about the spread of communicable diseases among
migrant farm workers in a rural community. What action should the nurse take to promote the
success of a healthcare program designed to address this problem?
• Establish trust with community leaders and respect cultural and family
values
7. The nurse performs a prescribed neurological check at the beginning of the shift on a client
who was admitted to the hospital with a subarachnoid brain attack (stroke). The client’s
Glasgow Coma Scale (GCS) score is 9. What information is most important for the nurse to
determine?
• The client’s previous GCS score
• When the client’s stroke symptoms started
• If the client is oriented to time
• The client’s blood pressure and respiration rate
• Rationale: The normal GCS is 15, and it is most important for the nurse to
determine if it abnormal score a sign of improvement or a deterioration in the
client’s condition
8. The charge nurse in a critical care unit is reviewing clients’ conditions to determine who is
stable enough to be transferred. Which client status report indicates readiness for transfer
from the critical care unit to a medical unit?
• Chronic liver failure with a hemoglobin of 10.1 and slight bilirubin elevation
9. Based on principles of asepsis, the nurse should consider which circumstance to be sterile?
• One inch- border around the edge of the sterile field set up in the operating room
• A wrapped unopened, sterile 4x4 gauze placed on a damp table top.
• An open sterile Foley catheter kit set up on a table at the nurse waist level
• Sterile syringe is placed on sterile area as the nurse riches over the sterile field.
• Rationale: A sterile package at or above the waist level is considered sterile. The
edge of sterile field is contaminated which include a 1-inch border (A). A sterile
objects become contaminated by capillary action when sterile objects become in
contact with a wet contaminated surface.
10. An unlicensed assistive personnel (UAP) reports that a client’s right hand and fingers spasms
when taking the blood pressure using the same arm. After confirming the presence of spams
what action should the nurse take?
• Ask the UAP to take the blood pressure in the other arm
HESI PN EXIT EXAM V3 100 QUESTIONS
AND ANSWER(S) WITH RATIONALES|
2026 HESI PN EXIT EXAM V3 GRADED
A+/GUARANTEED PASS!
1. When conducting diet teaching for a client who is on a postoperative soft diet, which foods
should eat? (Select all that apply)
• Pasta, noodles, rice.
• Egg, tofu, ground meat.
• Mashed, potatoes, pudding, milk.
• Brussel sprouts, blackberries, seeds.
• Corn bran, whole wheat bread, whole grains.
• Rational: a client’s postoperative diet is commonly progressed as tolerated. A soft
diet includes foods that are mechanically soft in texture (pasta, egg, ground meat,
potatoes, and pudding. High fiber foods that require thorough chewing and gas
forming foods, such as cruciferous vegetables and fresh fruits with skin, grains
and seeds are omitted.
2. The nurse ends the assessment of a client by performing a mental status exam. Which
statement correctly describes the purpose of the mental status exam?
• Determine the client’s level of emotional functioning’
• Assess functional ability of the primary support system.
• Evaluate the client’s mood, cognition and orientation.
• Review the client’s pattern of adaptive coping skill
• Rational: the mental status exam assesses the client for abnormalities in cognitive
functioning; potential thought processes, mood and reasoning, the other options
listed are all components of the client’s psychosocial assessment.
3. An adult client experiences a gasoline tank fire when riding a motorcycle and is admitted to
the emergency department (ED) with full thickness burns to all surfaces of both lower
extremities. What percentage of body surface area should the nurse document in the
electronic medical record (EMR)?
• 9%
• 18 %
, Hesi Pn Exit Exam V3(2026)
• 36 %
• 45 %
• Rational: according to the rule of nines, the anterior and posterior surfaces of one
lower extremity is designated as 18 %of total body surface area (TBSA), so both
extremities equals 36% TBSA, other options are incorrect.
4. A client with hyperthyroidism is receiving propranolol (Inderal). Which finding indicates that
the medication is having the desired effect?
• Decrease in serum T4 levels
• Increase in blood pressure
• Decrease in pulse rate
• Goiter no longer palpable
5. An older male client with type 2 diabetes mellitus reports that has experiences legs pain
when walking short distances, and that the pain is relieved by rest. Which client behavior
indicates an understanding of healthcare teaching to promote more effective arterial
circulation?
• Consistently applies TED hose before getting dressed in the morning.
• Frequently elevated legs thorough the day.
• Inspect the leg frequently for any irritation or skin breakdown
• Completely stop cigarette/ cigar smoking.
• Rationale: Stopping cigarette smoking helps to decrease vasoconstriction and
improve arterial circulation to the extremity.
, Hesi Pn Exit Exam V3(2026)
6. A community health nurse is concerned about the spread of communicable diseases among
migrant farm workers in a rural community. What action should the nurse take to promote the
success of a healthcare program designed to address this problem?
• Establish trust with community leaders and respect cultural and family
values
7. The nurse performs a prescribed neurological check at the beginning of the shift on a client
who was admitted to the hospital with a subarachnoid brain attack (stroke). The client’s
Glasgow Coma Scale (GCS) score is 9. What information is most important for the nurse to
determine?
• The client’s previous GCS score
• When the client’s stroke symptoms started
• If the client is oriented to time
• The client’s blood pressure and respiration rate
• Rationale: The normal GCS is 15, and it is most important for the nurse to
determine if it abnormal score a sign of improvement or a deterioration in the
client’s condition
8. The charge nurse in a critical care unit is reviewing clients’ conditions to determine who is
stable enough to be transferred. Which client status report indicates readiness for transfer
from the critical care unit to a medical unit?
• Chronic liver failure with a hemoglobin of 10.1 and slight bilirubin elevation
9. Based on principles of asepsis, the nurse should consider which circumstance to be sterile?
• One inch- border around the edge of the sterile field set up in the operating room
• A wrapped unopened, sterile 4x4 gauze placed on a damp table top.
• An open sterile Foley catheter kit set up on a table at the nurse waist level
• Sterile syringe is placed on sterile area as the nurse riches over the sterile field.
• Rationale: A sterile package at or above the waist level is considered sterile. The
edge of sterile field is contaminated which include a 1-inch border (A). A sterile
objects become contaminated by capillary action when sterile objects become in
contact with a wet contaminated surface.
10. An unlicensed assistive personnel (UAP) reports that a client’s right hand and fingers spasms
when taking the blood pressure using the same arm. After confirming the presence of spams
what action should the nurse take?
• Ask the UAP to take the blood pressure in the other arm
