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HESI PN FUNDAMENTALS EXIT EXAM LATEST 2026-2027 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
An elderly female client calls the clinic and states that she feels
very weak and dizzy. Further assessment by the practical nurse
(PN) indicates that the client self-administered an enema of 3
liters of tap water because she felt constipated. What is the most
likely cause of the client's symptoms?
A. Mucosal bleeding
B. Sodium retention
C. Fluid volume depletion
D. Water intoxication - ANSWER-D. Water Intoxication
Rationale:
Tap water is a hypotonic fluid, which can leave the intestine
and enter the interstitial fluid by osmosis, ultimately causing
systemic water intoxication (D). This is manifested by
weakness, dizziness, pallor, diaphoresis, and respiratory
distress. Excessive use of enemas can cause mucosal
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irritation, which might result in some bleeding (A), but the
client would not experience weakness and dizziness unless
she were hemorrhaging. (B and C) can occur with the use of
hypertonic, rather than hypotonic, solutions.
A postoperative client will need to perform daily dressing changes
after discharge. Which outcome statement should the practical
nurse (PN) identify that best demonstrates the client's readiness
to manage his wound care after discharge?
A. The client asks relevant questions regarding the dressing
change.
B. The client states that he will be able to complete the wound
care regimen.
C. The client demonstrates the wound care procedure correctly.
D. The client has all the necessary supplies for wound care. -
ANSWER-C. The client demonstrates the wound care procedure
correctly.
Rationale:
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A return demonstration of a procedure (C) provides an
objective assessment of the client's ability to perform a task,
whereas (A and B) are subjective measures. (D) is important
but is of less priority before discharge than the practical
nurse's assessment of the client's ability to complete the
wound care.
The practical nurse (PN) is applying the finger probe for
continuous pulse oximetry on a client. Which actions should help
prevent skin irritation or breakdown? (Select all that apply.)
A. Rotate the probe location site every 4 to 8 hours.
B. Remove fingernail polish with acetone.
C. Cleanse with soap and water as needed.
D. Secure with gauze if client has allergy to adhesives.
E. Apply lotion before attaching the probe. - ANSWER-A,C, and
D
Rationale:
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Site rotation (A), skin cleansing (C), and avoidance of
adhesives for allergies (D) should help prevent skin irritation
or breakdown. Removing fingernail polish will not help
prevent skin irritation (B), and application of lotion will not
help prevent skin irritation or breakdown (E).
A 65-year-old client who attends an adult day care program and is
wheelchair-mobile has redness in the sacral area. Which
information is most important for the practical nurse (PN) to
provide?
A. Take a vitamin supplement tablet once a day.
B. Change positions in the chair at least every hour.
C. Increase daily intake of water or other fluids.
D. Purchase a newer model wheelchair. - ANSWER-B. Change
positions in the chair at least every hour.
Rationale:
The most important teaching is to change positions
frequently (B) because pressure is the most significant factor
related to the development of pressure ulcers. (A and C) may
be beneficial as well to promote healing and to reduce further
HESI PN FUNDAMENTALS EXIT EXAM LATEST 2026-2027 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
An elderly female client calls the clinic and states that she feels
very weak and dizzy. Further assessment by the practical nurse
(PN) indicates that the client self-administered an enema of 3
liters of tap water because she felt constipated. What is the most
likely cause of the client's symptoms?
A. Mucosal bleeding
B. Sodium retention
C. Fluid volume depletion
D. Water intoxication - ANSWER-D. Water Intoxication
Rationale:
Tap water is a hypotonic fluid, which can leave the intestine
and enter the interstitial fluid by osmosis, ultimately causing
systemic water intoxication (D). This is manifested by
weakness, dizziness, pallor, diaphoresis, and respiratory
distress. Excessive use of enemas can cause mucosal
,2|Page
irritation, which might result in some bleeding (A), but the
client would not experience weakness and dizziness unless
she were hemorrhaging. (B and C) can occur with the use of
hypertonic, rather than hypotonic, solutions.
A postoperative client will need to perform daily dressing changes
after discharge. Which outcome statement should the practical
nurse (PN) identify that best demonstrates the client's readiness
to manage his wound care after discharge?
A. The client asks relevant questions regarding the dressing
change.
B. The client states that he will be able to complete the wound
care regimen.
C. The client demonstrates the wound care procedure correctly.
D. The client has all the necessary supplies for wound care. -
ANSWER-C. The client demonstrates the wound care procedure
correctly.
Rationale:
,3|Page
A return demonstration of a procedure (C) provides an
objective assessment of the client's ability to perform a task,
whereas (A and B) are subjective measures. (D) is important
but is of less priority before discharge than the practical
nurse's assessment of the client's ability to complete the
wound care.
The practical nurse (PN) is applying the finger probe for
continuous pulse oximetry on a client. Which actions should help
prevent skin irritation or breakdown? (Select all that apply.)
A. Rotate the probe location site every 4 to 8 hours.
B. Remove fingernail polish with acetone.
C. Cleanse with soap and water as needed.
D. Secure with gauze if client has allergy to adhesives.
E. Apply lotion before attaching the probe. - ANSWER-A,C, and
D
Rationale:
, 4|Page
Site rotation (A), skin cleansing (C), and avoidance of
adhesives for allergies (D) should help prevent skin irritation
or breakdown. Removing fingernail polish will not help
prevent skin irritation (B), and application of lotion will not
help prevent skin irritation or breakdown (E).
A 65-year-old client who attends an adult day care program and is
wheelchair-mobile has redness in the sacral area. Which
information is most important for the practical nurse (PN) to
provide?
A. Take a vitamin supplement tablet once a day.
B. Change positions in the chair at least every hour.
C. Increase daily intake of water or other fluids.
D. Purchase a newer model wheelchair. - ANSWER-B. Change
positions in the chair at least every hour.
Rationale:
The most important teaching is to change positions
frequently (B) because pressure is the most significant factor
related to the development of pressure ulcers. (A and C) may
be beneficial as well to promote healing and to reduce further
