PN HESI
Exit Exam | Final Exam Study Guide 2026/2027
100 Accurate Practice Questions & Answers
,SECTION 1: FUNDAMENTALS OF NURSING (25 Questions)
1. What is the nurse's first action when discovering a fire in a client's room?
A. Extinguish the fire with an extinguisher
B. Activate the fire alarm
C. Remove the client from the room ✓
D. Close all doors on the unit
2. Which client should the nurse assess first during morning rounds?
A. Client with COPD requesting pain medication
B. Client post-op day 1 with heart rate of 120 and BP 90/60 ✓
C. Client with diabetes needing 8 AM insulin
D. Client scheduled for physical therapy at 9 AM
3. The nurse is teaching about digoxin. Which symptom should the client report immediately?
A. Mild headache
B. Increased appetite
C. Visual disturbances (yellow halos) ✓
D. Slight fatigue
4. When counting respirations, the nurse should:
A. Count for 15 seconds and multiply by 4
B. Count for 30 seconds and multiply by 2
C. Count for a full minute without the client's awareness ✓
D. Ask the client to breathe normally while counting
5. A client with a stage III pressure ulcer would have:
A. Non-blanchable erythema
B. Partial-thickness skin loss
C. Full-thickness skin loss with visible subcutaneous tissue ✓
D. Full-thickness skin loss with exposed bone
6. Which intervention is priority for a client having a seizure?
A. Insert a tongue blade
B. Restrain the client's limbs
C. Turn client to lateral position ✓
D. Administer PRN lorazepam
7. The correct needle angle for subcutaneous injection is:
A. 15 degrees
B. 45 degrees ✓
,C. 60 degrees
D. 90 degrees
8. When transferring a client from bed to chair, first:
A. Position chair close to bed
B. Lock wheels on bed and chair ✓
C. Get assistance from another nurse
D. Raise bed to working height
9. For ear drops in an adult, the nurse should:
A. Pull pinna upward and back ✓
B. Pull pinna downward and back
C. Insert dropper into ear canal
D. Instill drops while client is supine
10. Tuberculosis requires which type of isolation?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions ✓
D. Protective environment
11. A postoperative client hasn't voided for 8 hours. First action:
A. Insert straight catheter
B. Palpate bladder for distention ✓
C. Encourage fluid intake
D. Notify physician
12. To prevent UTIs in catheterized clients:
A. Clean catheter daily with soap
B. Maintain closed drainage system ✓
C. Empty bag every 2 hours
D. Irrigate with normal saline daily
13. For a client with low platelets:
A. Encourage ambulation
B. Use soft-bristled toothbrush ✓
C. Monitor temperature q4h
D. Restrict all visitors
14. During blood transfusion, which symptom indicates reaction?
A. Mild headache
, B. Flank pain and chills ✓
C. Slight nausea
D. Drowsiness
15. The best way to evaluate client teaching:
A. Ask client to repeat instructions ✓
B. Give written materials
C. Ask "Do you understand?"
D. Have family member repeat
16. When administering insulin, which can be given IV?
A. NPH insulin
B. Regular insulin ✓
C. Lantus (glargine)
D. Humalog (lispro)
17. Nasogastric tube insertion requires client position:
A. High Fowler's ✓
B. Supine
C. Left lateral
D. Trendelenburg
18. Chest tube becomes disconnected. First action:
A. Clamp immediately
B. Place end in sterile water
C. Reconnect quickly
D. Immerse end in sterile water ✓
19. Warfarin teaching should include limiting:
A. Dairy products
B. Leafy green vegetables ✓
C. Citrus fruits
D. Whole grains
20. Which depression statement shows improvement?
A. "My family is better without me"
B. "I'll visit my sister this weekend" ✓
C. "I don't deserve to feel better"
D. "Nothing will ever change"
Exit Exam | Final Exam Study Guide 2026/2027
100 Accurate Practice Questions & Answers
,SECTION 1: FUNDAMENTALS OF NURSING (25 Questions)
1. What is the nurse's first action when discovering a fire in a client's room?
A. Extinguish the fire with an extinguisher
B. Activate the fire alarm
C. Remove the client from the room ✓
D. Close all doors on the unit
2. Which client should the nurse assess first during morning rounds?
A. Client with COPD requesting pain medication
B. Client post-op day 1 with heart rate of 120 and BP 90/60 ✓
C. Client with diabetes needing 8 AM insulin
D. Client scheduled for physical therapy at 9 AM
3. The nurse is teaching about digoxin. Which symptom should the client report immediately?
A. Mild headache
B. Increased appetite
C. Visual disturbances (yellow halos) ✓
D. Slight fatigue
4. When counting respirations, the nurse should:
A. Count for 15 seconds and multiply by 4
B. Count for 30 seconds and multiply by 2
C. Count for a full minute without the client's awareness ✓
D. Ask the client to breathe normally while counting
5. A client with a stage III pressure ulcer would have:
A. Non-blanchable erythema
B. Partial-thickness skin loss
C. Full-thickness skin loss with visible subcutaneous tissue ✓
D. Full-thickness skin loss with exposed bone
6. Which intervention is priority for a client having a seizure?
A. Insert a tongue blade
B. Restrain the client's limbs
C. Turn client to lateral position ✓
D. Administer PRN lorazepam
7. The correct needle angle for subcutaneous injection is:
A. 15 degrees
B. 45 degrees ✓
,C. 60 degrees
D. 90 degrees
8. When transferring a client from bed to chair, first:
A. Position chair close to bed
B. Lock wheels on bed and chair ✓
C. Get assistance from another nurse
D. Raise bed to working height
9. For ear drops in an adult, the nurse should:
A. Pull pinna upward and back ✓
B. Pull pinna downward and back
C. Insert dropper into ear canal
D. Instill drops while client is supine
10. Tuberculosis requires which type of isolation?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions ✓
D. Protective environment
11. A postoperative client hasn't voided for 8 hours. First action:
A. Insert straight catheter
B. Palpate bladder for distention ✓
C. Encourage fluid intake
D. Notify physician
12. To prevent UTIs in catheterized clients:
A. Clean catheter daily with soap
B. Maintain closed drainage system ✓
C. Empty bag every 2 hours
D. Irrigate with normal saline daily
13. For a client with low platelets:
A. Encourage ambulation
B. Use soft-bristled toothbrush ✓
C. Monitor temperature q4h
D. Restrict all visitors
14. During blood transfusion, which symptom indicates reaction?
A. Mild headache
, B. Flank pain and chills ✓
C. Slight nausea
D. Drowsiness
15. The best way to evaluate client teaching:
A. Ask client to repeat instructions ✓
B. Give written materials
C. Ask "Do you understand?"
D. Have family member repeat
16. When administering insulin, which can be given IV?
A. NPH insulin
B. Regular insulin ✓
C. Lantus (glargine)
D. Humalog (lispro)
17. Nasogastric tube insertion requires client position:
A. High Fowler's ✓
B. Supine
C. Left lateral
D. Trendelenburg
18. Chest tube becomes disconnected. First action:
A. Clamp immediately
B. Place end in sterile water
C. Reconnect quickly
D. Immerse end in sterile water ✓
19. Warfarin teaching should include limiting:
A. Dairy products
B. Leafy green vegetables ✓
C. Citrus fruits
D. Whole grains
20. Which depression statement shows improvement?
A. "My family is better without me"
B. "I'll visit my sister this weekend" ✓
C. "I don't deserve to feel better"
D. "Nothing will ever change"
