HESI PN EXIT Exam – Version 1 (V1) FULL
EXAM | Questions 1–75 | Verified Questions &
Accurate Answers (2026) -Guaranteed Success
1.
The practical nurse enters a male client’s room to administer routine
morning medications, but the client is on the phone. Which action is best
for the PN to take?
A. Ask another nurse to return later
B. Wait for the client to finish the call and observe medication intake
C. Return medication and document refusal
D. Leave medication at bedside
Answer: B
Rationale:
Medication administration requires verification of the five rights and
direct observation of ingestion. Waiting respects the client while
maintaining safety. Leaving medications unattended violates policy and
increases risk of error. Documenting refusal without the client refusing
is inaccurate.
2.
A client with two chest tubes after a left lobectomy has tidaling and
bubbling in the suction chamber. What should the PN do?
A. Clamp the chest tube
B. Notify the RN immediately
C. Maintain the system as is
D. Apply an occlusive dressing
,Answer: C
Rationale:
Tidaling and gentle bubbling in the suction chamber are expected
findings. These indicate that negative pressure is functioning properly.
Clamping the tube can cause a tension pneumothorax. Maintaining
system integrity supports lung re-expansion.
3. (NGN – Case-Based)
A 9-month-old infant diagnosed with RSV is scheduled to attend a
birthday party. What should the nurse advise?
A. Avoid exposing other children
B. RSV is no longer contagious
C. The infant should wear a mask
D. Avoid children under 5 months only
Answer: A
Rationale:
RSV is highly contagious through droplets and surfaces. Infants can
transmit RSV even before severe symptoms appear. Social gatherings
increase spread risk. Avoiding exposure protects vulnerable infants and
children.
4.
A Korean female exchange student avoids eye contact when asked about
sexual activity. What is the best nursing action?
A. Omit the question
B. Use an interpreter
C. Reword the question
,D. Observe responses to other questions
Answer: D
Rationale:
Nonverbal behavior may reflect cultural norms rather than refusal.
Observing responses helps identify patterns of discomfort. Forcing
sensitive questions may reduce trust. Cultural awareness improves
assessment accuracy.
5.
Immediately after total hip replacement, which intervention is most
important?
A. Encourage walker use
B. Maintain hip abduction
C. Sit before standing
D. Monitor urinary output
Answer: B
Rationale:
Hip dislocation is a serious postoperative complication. Maintaining
abduction keeps the prosthesis aligned. Early ambulation is important
but only after alignment is ensured. Proper positioning is the priority in
the immediate phase.
6.
A client reports using herbal supplements instead of prescribed
antihypertensives. What is the PN’s best response?
A. Ask why the client prefers herbs
B. Reinforce provider instructions
, C. Explain hypertension risks
D. Warn about herb dangers
Answer: A
Rationale:
Open-ended questions build trust and encourage honest communication.
Understanding beliefs allows individualized education. A nonjudgmental
approach improves adherence. Teaching is more effective after assessing
motivation.
7.
A confused long-term care resident has no ID band. What should the PN
do before giving medication?
A. Ask staff to confirm identity
B. Wait for family
C. Reorient the resident
D. Verify room and bed number
Answer: D
Rationale:
Facility-approved identifiers must be used to confirm identity. Room
and bed number provide objective verification. Relying on staff memory
increases error risk. Medication safety requires multiple identifiers.
8.
A burn client with 40% TBSA has urine output of 20 mL/hr. What
action is required?
A. Encourage oral intake
B. Monitor closely
EXAM | Questions 1–75 | Verified Questions &
Accurate Answers (2026) -Guaranteed Success
1.
The practical nurse enters a male client’s room to administer routine
morning medications, but the client is on the phone. Which action is best
for the PN to take?
A. Ask another nurse to return later
B. Wait for the client to finish the call and observe medication intake
C. Return medication and document refusal
D. Leave medication at bedside
Answer: B
Rationale:
Medication administration requires verification of the five rights and
direct observation of ingestion. Waiting respects the client while
maintaining safety. Leaving medications unattended violates policy and
increases risk of error. Documenting refusal without the client refusing
is inaccurate.
2.
A client with two chest tubes after a left lobectomy has tidaling and
bubbling in the suction chamber. What should the PN do?
A. Clamp the chest tube
B. Notify the RN immediately
C. Maintain the system as is
D. Apply an occlusive dressing
,Answer: C
Rationale:
Tidaling and gentle bubbling in the suction chamber are expected
findings. These indicate that negative pressure is functioning properly.
Clamping the tube can cause a tension pneumothorax. Maintaining
system integrity supports lung re-expansion.
3. (NGN – Case-Based)
A 9-month-old infant diagnosed with RSV is scheduled to attend a
birthday party. What should the nurse advise?
A. Avoid exposing other children
B. RSV is no longer contagious
C. The infant should wear a mask
D. Avoid children under 5 months only
Answer: A
Rationale:
RSV is highly contagious through droplets and surfaces. Infants can
transmit RSV even before severe symptoms appear. Social gatherings
increase spread risk. Avoiding exposure protects vulnerable infants and
children.
4.
A Korean female exchange student avoids eye contact when asked about
sexual activity. What is the best nursing action?
A. Omit the question
B. Use an interpreter
C. Reword the question
,D. Observe responses to other questions
Answer: D
Rationale:
Nonverbal behavior may reflect cultural norms rather than refusal.
Observing responses helps identify patterns of discomfort. Forcing
sensitive questions may reduce trust. Cultural awareness improves
assessment accuracy.
5.
Immediately after total hip replacement, which intervention is most
important?
A. Encourage walker use
B. Maintain hip abduction
C. Sit before standing
D. Monitor urinary output
Answer: B
Rationale:
Hip dislocation is a serious postoperative complication. Maintaining
abduction keeps the prosthesis aligned. Early ambulation is important
but only after alignment is ensured. Proper positioning is the priority in
the immediate phase.
6.
A client reports using herbal supplements instead of prescribed
antihypertensives. What is the PN’s best response?
A. Ask why the client prefers herbs
B. Reinforce provider instructions
, C. Explain hypertension risks
D. Warn about herb dangers
Answer: A
Rationale:
Open-ended questions build trust and encourage honest communication.
Understanding beliefs allows individualized education. A nonjudgmental
approach improves adherence. Teaching is more effective after assessing
motivation.
7.
A confused long-term care resident has no ID band. What should the PN
do before giving medication?
A. Ask staff to confirm identity
B. Wait for family
C. Reorient the resident
D. Verify room and bed number
Answer: D
Rationale:
Facility-approved identifiers must be used to confirm identity. Room
and bed number provide objective verification. Relying on staff memory
increases error risk. Medication safety requires multiple identifiers.
8.
A burn client with 40% TBSA has urine output of 20 mL/hr. What
action is required?
A. Encourage oral intake
B. Monitor closely
