HESI PN Exit Exam 2024-2025 with NGN
[Real Screenshots] Actual Exam & Verified
Answers | Guaranteed Pass
SECTION 1 – FOUNDATIONAL NURSING PRACTICE (30 Q × 2 = 60 marks)
NGN formats used: MC, multi-response, cloze-drop-down
1. A PN checks the MAR and finds “Metformin 500 mg PO BID × 3 days held.” The PN’s first
action is:
A. Give the next dose now
B. Ask the client why it was held
C. Notify the RN / provider
D. Document the hold in the EMR
Answer: C – PN cannot independently restart anti-diabetics; requires RN/Provider evaluation
(2024 PN Scope).
2. A client is receiving an IV piggy-back antibiotic. Which observation requires IMMEDIATE
intervention? (Select ALL that apply.) ☐ Infiltration noted at site ☐ 15 min delay in scheduled
start time ☐ Client reports “taste of medicine” ☐ Pump shows “Occlusion” alarm ☐ Vital signs
unchanged from baseline
Key: ☐ Infiltration ☐ Pump occlusion – both can cause harm; partial credit 1 mark each.
3. While preparing sub-cut heparin, the PN notes the vial is 6 months expired. The most
appropriate action is: ___ the vial and ___ the incident.
Drop-down options: (return / discard) – (report / document)
Correct: discard – report (follow 2024 ISMP hazard alert).
4. A client’s tympanic temperature is 37.9 °C (100.2 °F). The PN should:
A. Retake rectally for accuracy
B. Record and continue routine monitoring
C. Notify RN immediately
D. Apply ice packs
Answer: B – Mild elevation; falls within acceptable oral equivalent for adults.
5. When performing hand hygiene with ABHR, the minimum rub time is: ___ seconds.
Drop-down: /
Correct: 20 (CDC 2024).
6. A client on contact precautions asks the PN to hand them a newspaper. The PN should:
A. Give newspaper after performing hand hygiene
B. Wear gloves to hand it over
C. Place newspaper in isolation cart; client may handle it
, D. Refuse politely – items cannot enter room
Answer: C – Clean items can go in; perform hand hygiene before/after.
7. While obtaining BP with aneroid sphygmomanometer, the PN notices the gauge needle does
not move. Priority action:
A. Re-inflate quickly to 200 mmHg
B. Replace / obtain another cuff
C. Chart “Unable to obtain”
D. Auscultate S1-S2 instead
Answer: B – Equipment failure; replace.
8. The PN is assigned five clients. Which task should be performed FIRST?
A. 0900 routine vital signs
B. Change a saturated post-op dressing
C. Assist a new admit to bathroom who has fall-risk bracelet
D. Document intake/output from breakfast
Answer: C – Safety / fall risk supersedes routine tasks.
9. A client refuses morning medications. The PN must: (Select ALL that apply.) ☐ Ask reason for
refusal ☐ Document refusal ☐ Notify supervising RN ☐ Crush meds and hide in applesauce ☐
Re-offer once at bedside
Key: ☐ Ask ☐ Document ☐ Notify RN – 1 mark each; forced administration is assault.
10. Standard dwell time for a PIV catheter in adults is ___ hours.
Drop-down: /
Correct: 96 (INS 2024).
11. While giving a bedtime hypnotic, the PN notes the client is drowsy. The appropriate action is:
A. Withhold and notify RN
B. Give half the dose
C. Offer warm milk instead
D. Chart “given” so MAR is complete
Answer: A – PN cannot alter doses; reassess with RN.
12. A client’s pulse oximeter reads 87 % on room air; which action is OUTSIDE PN scope?
A. Raise head of bed
B. Apply oxygen 2 L via nasal cannula
C. Retake reading on another finger
D. Stay with client and reassure
Answer: B – Initiating oxygen therapy is RN task in most states.
13. When counting controlled drugs, a discrepancy of ½ tablet is noted. The PN must:
A. Finish count; sign with witness
B. Replace tablet from supply
C. Document variance and notify RN immediately
D. Leave note for next shift
Answer: C – Immediate reporting required.
14. PN is positioning a client to prevent heel pressure injury. Which statement is correct?
A. Place pillow under calves to float heels
B. Use rolled towel under heels only
C. Elevate foot of bed 30°
[Real Screenshots] Actual Exam & Verified
Answers | Guaranteed Pass
SECTION 1 – FOUNDATIONAL NURSING PRACTICE (30 Q × 2 = 60 marks)
NGN formats used: MC, multi-response, cloze-drop-down
1. A PN checks the MAR and finds “Metformin 500 mg PO BID × 3 days held.” The PN’s first
action is:
A. Give the next dose now
B. Ask the client why it was held
C. Notify the RN / provider
D. Document the hold in the EMR
Answer: C – PN cannot independently restart anti-diabetics; requires RN/Provider evaluation
(2024 PN Scope).
2. A client is receiving an IV piggy-back antibiotic. Which observation requires IMMEDIATE
intervention? (Select ALL that apply.) ☐ Infiltration noted at site ☐ 15 min delay in scheduled
start time ☐ Client reports “taste of medicine” ☐ Pump shows “Occlusion” alarm ☐ Vital signs
unchanged from baseline
Key: ☐ Infiltration ☐ Pump occlusion – both can cause harm; partial credit 1 mark each.
3. While preparing sub-cut heparin, the PN notes the vial is 6 months expired. The most
appropriate action is: ___ the vial and ___ the incident.
Drop-down options: (return / discard) – (report / document)
Correct: discard – report (follow 2024 ISMP hazard alert).
4. A client’s tympanic temperature is 37.9 °C (100.2 °F). The PN should:
A. Retake rectally for accuracy
B. Record and continue routine monitoring
C. Notify RN immediately
D. Apply ice packs
Answer: B – Mild elevation; falls within acceptable oral equivalent for adults.
5. When performing hand hygiene with ABHR, the minimum rub time is: ___ seconds.
Drop-down: /
Correct: 20 (CDC 2024).
6. A client on contact precautions asks the PN to hand them a newspaper. The PN should:
A. Give newspaper after performing hand hygiene
B. Wear gloves to hand it over
C. Place newspaper in isolation cart; client may handle it
, D. Refuse politely – items cannot enter room
Answer: C – Clean items can go in; perform hand hygiene before/after.
7. While obtaining BP with aneroid sphygmomanometer, the PN notices the gauge needle does
not move. Priority action:
A. Re-inflate quickly to 200 mmHg
B. Replace / obtain another cuff
C. Chart “Unable to obtain”
D. Auscultate S1-S2 instead
Answer: B – Equipment failure; replace.
8. The PN is assigned five clients. Which task should be performed FIRST?
A. 0900 routine vital signs
B. Change a saturated post-op dressing
C. Assist a new admit to bathroom who has fall-risk bracelet
D. Document intake/output from breakfast
Answer: C – Safety / fall risk supersedes routine tasks.
9. A client refuses morning medications. The PN must: (Select ALL that apply.) ☐ Ask reason for
refusal ☐ Document refusal ☐ Notify supervising RN ☐ Crush meds and hide in applesauce ☐
Re-offer once at bedside
Key: ☐ Ask ☐ Document ☐ Notify RN – 1 mark each; forced administration is assault.
10. Standard dwell time for a PIV catheter in adults is ___ hours.
Drop-down: /
Correct: 96 (INS 2024).
11. While giving a bedtime hypnotic, the PN notes the client is drowsy. The appropriate action is:
A. Withhold and notify RN
B. Give half the dose
C. Offer warm milk instead
D. Chart “given” so MAR is complete
Answer: A – PN cannot alter doses; reassess with RN.
12. A client’s pulse oximeter reads 87 % on room air; which action is OUTSIDE PN scope?
A. Raise head of bed
B. Apply oxygen 2 L via nasal cannula
C. Retake reading on another finger
D. Stay with client and reassure
Answer: B – Initiating oxygen therapy is RN task in most states.
13. When counting controlled drugs, a discrepancy of ½ tablet is noted. The PN must:
A. Finish count; sign with witness
B. Replace tablet from supply
C. Document variance and notify RN immediately
D. Leave note for next shift
Answer: C – Immediate reporting required.
14. PN is positioning a client to prevent heel pressure injury. Which statement is correct?
A. Place pillow under calves to float heels
B. Use rolled towel under heels only
C. Elevate foot of bed 30°
