HESI PN Exit V2 Exam Practical Nursing
Comprehensive Exit Examination
|Questions with Verified Answers
HESI PN Exit V2 — Questions
Q1: A patient with COPD has oxygen saturation of 88%. Which intervention
is priority?
A) Increase oxygen to 6 L/min via nasal cannula
B) Administer bronchodilator
C) Encourage pursed-lip breathing
D) Prepare for intubation
Answer: C
Rationale: Pursed-lip breathing improves gas exchange without causing oxygen toxicity.
Q2: A client on warfarin has INR 5.0 and mild bleeding. Next step?
A) Hold dose and notify provider
B) Give additional warfarin
C) Observe only
D) Increase vitamin K intake
Answer: A
Q3: Patient has hyperglycemia. Priority assessment?
A) Blood glucose
B) Potassium level
C) Vital signs
D) Weight
Answer: A
,Q4: Best method to prevent nosocomial infections?
A) Hand hygiene
B) Antibiotics
C) Isolation only
D) Gloves only
Answer: A
Q5: Nurse notes clear fluid from surgical drain. Type?
A) Serous
B) Sanguineous
C) Purulent
D) Serosanguineous
Answer: A
Q6: Postoperative patient develops tachycardia, hypotension, decreased
urine output. Likely cause?
A) Hypovolemic shock
B) Infection
C) Pain
D) Anxiety
Answer: A
Q7: Elderly patient with constipation. Best nursing intervention?
A) Encourage fluids, fiber, activity
B) Laxative only
C) Enema routinely
D) Suppository daily
Answer: A
,Q8: Priority action for a patient with suspected stroke?
A) Rapid assessment, CT scan
B) Start anticoagulants
C) Give fluids
D) Administer antibiotics
Answer: A
Q9: Signs of hypoglycemia:
A) Sweating, tremors, confusion
B) Polyuria, polydipsia
C) Dry skin
D) Fever
Answer: A
Q10: Patient on IV potassium. Safe administration?
A) Max 10–20 mEq/hr via infusion pump
B) Rapid IV push
C) IM injection
D) Oral only
Answer: A
Q11: Patient reports chest pain radiating to jaw, nausea, diaphoresis. ECG
shows ST elevation. Nursing priority?
A) Call rapid response / prepare for reperfusion therapy
B) Administer acetaminophen
C) Encourage rest only
D) Give beta-blocker orally
Answer: A
, Q12: Best method to assess hydration status?
A) Skin turgor, mucous membranes, daily weight
B) BP only
C) Pulse only
D) Temperature only
Answer: A
Q13: Priority nursing action for a patient with anaphylaxis?
A) Administer epinephrine IM
B) Give oral antihistamine
C) Apply ice
D) Monitor vital signs only
Answer: A
Q14: Post-op patient has sudden dyspnea, chest pain, anxiety, tachycardia.
Likely complication?
A) Pulmonary embolism
B) Pneumonia
C) MI
D) Atelectasis
Answer: A
Q15: Normal adult urine output per hour:
A) 30–50 mL/hr
B) 10–20 mL/hr
C) 60–100 mL/hr
D) 5–10 mL/hr
Answer: A
Comprehensive Exit Examination
|Questions with Verified Answers
HESI PN Exit V2 — Questions
Q1: A patient with COPD has oxygen saturation of 88%. Which intervention
is priority?
A) Increase oxygen to 6 L/min via nasal cannula
B) Administer bronchodilator
C) Encourage pursed-lip breathing
D) Prepare for intubation
Answer: C
Rationale: Pursed-lip breathing improves gas exchange without causing oxygen toxicity.
Q2: A client on warfarin has INR 5.0 and mild bleeding. Next step?
A) Hold dose and notify provider
B) Give additional warfarin
C) Observe only
D) Increase vitamin K intake
Answer: A
Q3: Patient has hyperglycemia. Priority assessment?
A) Blood glucose
B) Potassium level
C) Vital signs
D) Weight
Answer: A
,Q4: Best method to prevent nosocomial infections?
A) Hand hygiene
B) Antibiotics
C) Isolation only
D) Gloves only
Answer: A
Q5: Nurse notes clear fluid from surgical drain. Type?
A) Serous
B) Sanguineous
C) Purulent
D) Serosanguineous
Answer: A
Q6: Postoperative patient develops tachycardia, hypotension, decreased
urine output. Likely cause?
A) Hypovolemic shock
B) Infection
C) Pain
D) Anxiety
Answer: A
Q7: Elderly patient with constipation. Best nursing intervention?
A) Encourage fluids, fiber, activity
B) Laxative only
C) Enema routinely
D) Suppository daily
Answer: A
,Q8: Priority action for a patient with suspected stroke?
A) Rapid assessment, CT scan
B) Start anticoagulants
C) Give fluids
D) Administer antibiotics
Answer: A
Q9: Signs of hypoglycemia:
A) Sweating, tremors, confusion
B) Polyuria, polydipsia
C) Dry skin
D) Fever
Answer: A
Q10: Patient on IV potassium. Safe administration?
A) Max 10–20 mEq/hr via infusion pump
B) Rapid IV push
C) IM injection
D) Oral only
Answer: A
Q11: Patient reports chest pain radiating to jaw, nausea, diaphoresis. ECG
shows ST elevation. Nursing priority?
A) Call rapid response / prepare for reperfusion therapy
B) Administer acetaminophen
C) Encourage rest only
D) Give beta-blocker orally
Answer: A
, Q12: Best method to assess hydration status?
A) Skin turgor, mucous membranes, daily weight
B) BP only
C) Pulse only
D) Temperature only
Answer: A
Q13: Priority nursing action for a patient with anaphylaxis?
A) Administer epinephrine IM
B) Give oral antihistamine
C) Apply ice
D) Monitor vital signs only
Answer: A
Q14: Post-op patient has sudden dyspnea, chest pain, anxiety, tachycardia.
Likely complication?
A) Pulmonary embolism
B) Pneumonia
C) MI
D) Atelectasis
Answer: A
Q15: Normal adult urine output per hour:
A) 30–50 mL/hr
B) 10–20 mL/hr
C) 60–100 mL/hr
D) 5–10 mL/hr
Answer: A
