PN HESI Exit Exam V1 | Comprehensive Study Guide
& NCLEX-PN Practice Pack (Latest 2026-2027)
Pass your Practical Nursing exit assessment on your very first attempt with this
comprehensive study pack designed for the PN HESI Exit Exam V1. This high-yield
resource details critical nursing interventions, fundamental pharmacological principles,
pediatric and adult medical-surgical care, and priority delegation rules. Eliminate testing
anxiety and master high-stakes Next-Generation NCLEX (NGN) style items using
realistic clinical vignettes modeled directly after the official HESI blueprint. [1]
QUESTION 1
A client with diabetes mellitus is receiving intermediate-acting insulin and regular insulin
before breakfast and dinner. The client receives a snack of milk and cereal at bedtime.
What is the primary purpose of this snack?
A) Increase daily caloric intake
B) Prevent late-night hypoglycemia
C) Provide carbohydrates for the morning insulin dose
D) Prevent weight loss
Answer: B
Rationale: The bedtime snack prevents late-night hypoglycemia, which can occur when
intermediate-acting insulin peaks during the night.
,QUESTION 2
Several nurses on a unit access the electronic medical record of a well-known public
official who was admitted to the emergency department. What is the best response by
the nurse manager?
A) "We should only access records of clients we are directly caring for."
B) "This is a breach of confidentiality and is unethical."
C) "It is acceptable since the official is a public figure."
D) "We can access the record if we do not share the information."
Answer: B
Rationale: Accessing a client's medical record without a direct need for care is a breach of
HIPAA and confidentiality, regardless of the client's status.
QUESTION 3
A client who is 2 days post-operative following abdominal surgery has a nasogastric
(NG) tube set to low intermittent suction. The nurse notes that the NG tube is not
draining. What is the priority nursing action?
A) Irrigate the NG tube with normal saline
B) Reposition the client and check the tube for kinks
C) Notify the healthcare provider immediately
D) Increase the suction level
Answer: B
Rationale: The priority action is to reposition the client and check for kinks or obstructions
in the tubing. This is the least invasive and most common cause of poor drainage.
,QUESTION 4
A nurse is caring for a client with heart failure who is receiving digoxin. Which finding
indicates digoxin toxicity?
A) Heart rate of 72 bpm
B) Blood pressure of 130/80 mmHg
C) Nausea, vomiting, and visual disturbances
D) Increased urine output
Answer: C
Rationale: Signs of digoxin toxicity include nausea, vomiting, anorexia, visual disturbances
(yellow/green halos), and bradycardia.
QUESTION 5
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen at 2
L/min via nasal cannula. What is the most important assessment for the nurse to
perform?
A) Monitor oxygen saturation continuously
B) Assess the client's respiratory rate and depth
C) Check the client's level of consciousness
D) Evaluate the skin around the nasal cannula
Answer: A
Rationale: Clients with COPD are at risk for hypoxic drive; monitoring oxygen saturation
ensures adequate oxygenation without suppressing respiratory drive.
, QUESTION 6
A client is scheduled for a colonoscopy. Which instruction should the nurse provide
regarding bowel preparation?
A) "You may eat a light breakfast the morning of the procedure."
B) "You should drink only clear liquids for 24 hours before the procedure."
C) "You need to take all the bowel prep solution quickly in 15 minutes."
D) "You may continue taking your daily oral anticoagulant."
Answer: B
Rationale: Clear liquids are typically required for 24 hours before a colonoscopy to ensure
the bowel is clean for visualization.
QUESTION 7
A nurse is assessing a client who has just returned from hemodialysis. Which finding
requires immediate intervention?
A) Blood pressure of 110/70 mmHg
B) Heart rate of 88 bpm
C) Temperature of 101.2°F (38.4°C)
D) Weight loss of 2 kg
Answer: C
Rationale: An elevated temperature after hemodialysis may indicate infection or pyrogenic
reaction and requires immediate evaluation.
& NCLEX-PN Practice Pack (Latest 2026-2027)
Pass your Practical Nursing exit assessment on your very first attempt with this
comprehensive study pack designed for the PN HESI Exit Exam V1. This high-yield
resource details critical nursing interventions, fundamental pharmacological principles,
pediatric and adult medical-surgical care, and priority delegation rules. Eliminate testing
anxiety and master high-stakes Next-Generation NCLEX (NGN) style items using
realistic clinical vignettes modeled directly after the official HESI blueprint. [1]
QUESTION 1
A client with diabetes mellitus is receiving intermediate-acting insulin and regular insulin
before breakfast and dinner. The client receives a snack of milk and cereal at bedtime.
What is the primary purpose of this snack?
A) Increase daily caloric intake
B) Prevent late-night hypoglycemia
C) Provide carbohydrates for the morning insulin dose
D) Prevent weight loss
Answer: B
Rationale: The bedtime snack prevents late-night hypoglycemia, which can occur when
intermediate-acting insulin peaks during the night.
,QUESTION 2
Several nurses on a unit access the electronic medical record of a well-known public
official who was admitted to the emergency department. What is the best response by
the nurse manager?
A) "We should only access records of clients we are directly caring for."
B) "This is a breach of confidentiality and is unethical."
C) "It is acceptable since the official is a public figure."
D) "We can access the record if we do not share the information."
Answer: B
Rationale: Accessing a client's medical record without a direct need for care is a breach of
HIPAA and confidentiality, regardless of the client's status.
QUESTION 3
A client who is 2 days post-operative following abdominal surgery has a nasogastric
(NG) tube set to low intermittent suction. The nurse notes that the NG tube is not
draining. What is the priority nursing action?
A) Irrigate the NG tube with normal saline
B) Reposition the client and check the tube for kinks
C) Notify the healthcare provider immediately
D) Increase the suction level
Answer: B
Rationale: The priority action is to reposition the client and check for kinks or obstructions
in the tubing. This is the least invasive and most common cause of poor drainage.
,QUESTION 4
A nurse is caring for a client with heart failure who is receiving digoxin. Which finding
indicates digoxin toxicity?
A) Heart rate of 72 bpm
B) Blood pressure of 130/80 mmHg
C) Nausea, vomiting, and visual disturbances
D) Increased urine output
Answer: C
Rationale: Signs of digoxin toxicity include nausea, vomiting, anorexia, visual disturbances
(yellow/green halos), and bradycardia.
QUESTION 5
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen at 2
L/min via nasal cannula. What is the most important assessment for the nurse to
perform?
A) Monitor oxygen saturation continuously
B) Assess the client's respiratory rate and depth
C) Check the client's level of consciousness
D) Evaluate the skin around the nasal cannula
Answer: A
Rationale: Clients with COPD are at risk for hypoxic drive; monitoring oxygen saturation
ensures adequate oxygenation without suppressing respiratory drive.
, QUESTION 6
A client is scheduled for a colonoscopy. Which instruction should the nurse provide
regarding bowel preparation?
A) "You may eat a light breakfast the morning of the procedure."
B) "You should drink only clear liquids for 24 hours before the procedure."
C) "You need to take all the bowel prep solution quickly in 15 minutes."
D) "You may continue taking your daily oral anticoagulant."
Answer: B
Rationale: Clear liquids are typically required for 24 hours before a colonoscopy to ensure
the bowel is clean for visualization.
QUESTION 7
A nurse is assessing a client who has just returned from hemodialysis. Which finding
requires immediate intervention?
A) Blood pressure of 110/70 mmHg
B) Heart rate of 88 bpm
C) Temperature of 101.2°F (38.4°C)
D) Weight loss of 2 kg
Answer: C
Rationale: An elevated temperature after hemodialysis may indicate infection or pyrogenic
reaction and requires immediate evaluation.
