HESI PN EXIT EXAM V1, V2, V3,
V4, V5, V6, V7, EACH EXAM WITH
QUESTIONS AND ANSWERS
LATEST MOCK PRACTICE SET
239 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
HESI PN EXIT EXAM V1, V2, V3, V4, V5, V6, V7, EACH EXAM WITH QUESTIONS AND ANSWERS (VERIFIED
REVISED FULL EXAM)AUTHETIC GRADE A+ SCORE/2026 UPDATE WITH NEXT GENERATION NCLEX
(NGN GRADE A+!!!. It contains 239 carefully selected questions that reflect the most current exam content and
testing strategies. Each question is accompanied by a correct answer and a detailed rationale that explains the
underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 239 Questions
Foundations - Application - HESI PN EXIT V1 V2 V3 V4 V5 V6 V7 EACH WITH AND Revised FULL
Authetic Grade A Score/2026 Update WITH NEXT Generation Nclex NGN Grade A Practical Nursing
Comprehensive EXIT Examination Graduate Practical Nursing EXIT Level
All answers with rationales
,Table of Contents
Section A - Management OF CARE Section B - Safety AND Infection
Questions 1 to 60 Control
Questions 61 to 120
Section C - Health Promotion AND Section D - Psychosocial Integrity
Maintenance Questions 181 to 239
Questions 121 to 180
,Section A - Management OF CARE
Q1.
A nurse is evaluating arterial blood gas results for a patient with respiratory acidosis.
Which compensatory mechanism would the nurse expect to be activated?
A. Increased respiratory rate to blow off B. Renal retention of bicarbonate ions
CO2
C. Increased renal excretion of hydrogen D. Hyperventilation leading to respiratory
ions alkalosis
Correct: B - Renal retention of bicarbonate ions
Rationale:In respiratory acidosis, the primary disturbance is excess CO2. Renal
compensation involves retaining bicarbonate to buffer the acidosis. Option A describes a
respiratory response that would worsen acidosis if the problem is already respiratory. Option
C is incorrect because hydrogen ion excretion is part of renal compensation but bicarbonate
retention is the key compensatory mechanism. Option D is a metabolic alkalosis
compensation, not respiratory acidosis.
Q2.
A nurse is caring for a patient with a chest tube connected to a water seal drainage
system. Which assessment finding indicates a potential air leak?
A. Continuous bubbling in the water seal B. Intermittent bubbling on expiration
chamber
C. Fluctuations in the water seal chamber D. Absence of drainage in the collection
with inspiration chamber
Correct: A - Continuous bubbling in the water seal chamber
Rationale:Continuous bubbling in the water seal chamber indicates an air leak in the system,
requiring assessment of connections and the insertion site. Intermittent bubbling on expiration
is normal as air exits the pleural space. Fluctuations (tidaling) are normal with breathing.
Absence of drainage may indicate obstruction or resolution of the effusion, not an air leak.
Q3.
A nurse is preparing to administer a blood transfusion to a patient. Which action is most
important to prevent a hemolytic transfusion reaction?
A. Use a 22-gauge IV catheter B. Verify patient identification with two
identifiers
C. Administer the blood over 4 hours D. Prime the tubing with normal saline
Page 3
, Section A - Management OF CARE
Correct: B - Verify patient identification with two identifiers
Rationale:Hemolytic reactions are most often caused by ABO incompatibility due to
misidentification. Verification with two identifiers (e.g., name and date of birth) is critical.
Catheter size, infusion rate, and priming solution are important but do not directly prevent
hemolytic reactions.
Q4.
A nurse is assessing a patient who is receiving a continuous IV infusion of heparin. Which
laboratory value should the nurse monitor to evaluate therapeutic effect?
A. Prothrombin time (PT) B. International normalized ratio (INR)
C. Activated partial thromboplastin time D. Platelet count
(aPTT)
Correct: C - Activated partial thromboplastin time (aPTT)
Rationale:Heparin therapy is monitored by aPTT to assess the intrinsic pathway of
coagulation. PT/INR monitor warfarin effect. Platelet count is monitored for heparin-induced
thrombocytopenia but does not reflect therapeutic anticoagulation.
Q5.
A nurse is teaching a patient with type 2 diabetes about managing hyperglycemia during
illness. Which patient statement indicates understanding?
A. I will stop taking my insulin if I cannot eat. B. I should check my blood glucose every 4
hours and drink fluids.
C. I will take extra doses of insulin if my D. I should avoid all carbohydrates until I
glucose is high. feel better.
Correct: B - I should check my blood glucose every 4 hours and drink fluids.
Rationale:During illness, patients should monitor glucose frequently and stay hydrated to
prevent dehydration and hyperglycemia. Insulin should not be stopped; adjustments may be
needed based on glucose levels. Extra insulin without guidance can cause hypoglycemia.
Carbohydrates are needed for energy; sick-day rules typically include consuming small
amounts of carbohydrates.
Q6.
A nurse is assessing a patient who has just undergone a thyroidectomy. Which finding
requires immediate intervention?
A. Pain rating of 4 on a 0-10 scale B. Serum calcium level of 8.0 mg/dL
Page 4
V4, V5, V6, V7, EACH EXAM WITH
QUESTIONS AND ANSWERS
LATEST MOCK PRACTICE SET
239 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
HESI PN EXIT EXAM V1, V2, V3, V4, V5, V6, V7, EACH EXAM WITH QUESTIONS AND ANSWERS (VERIFIED
REVISED FULL EXAM)AUTHETIC GRADE A+ SCORE/2026 UPDATE WITH NEXT GENERATION NCLEX
(NGN GRADE A+!!!. It contains 239 carefully selected questions that reflect the most current exam content and
testing strategies. Each question is accompanied by a correct answer and a detailed rationale that explains the
underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 239 Questions
Foundations - Application - HESI PN EXIT V1 V2 V3 V4 V5 V6 V7 EACH WITH AND Revised FULL
Authetic Grade A Score/2026 Update WITH NEXT Generation Nclex NGN Grade A Practical Nursing
Comprehensive EXIT Examination Graduate Practical Nursing EXIT Level
All answers with rationales
,Table of Contents
Section A - Management OF CARE Section B - Safety AND Infection
Questions 1 to 60 Control
Questions 61 to 120
Section C - Health Promotion AND Section D - Psychosocial Integrity
Maintenance Questions 181 to 239
Questions 121 to 180
,Section A - Management OF CARE
Q1.
A nurse is evaluating arterial blood gas results for a patient with respiratory acidosis.
Which compensatory mechanism would the nurse expect to be activated?
A. Increased respiratory rate to blow off B. Renal retention of bicarbonate ions
CO2
C. Increased renal excretion of hydrogen D. Hyperventilation leading to respiratory
ions alkalosis
Correct: B - Renal retention of bicarbonate ions
Rationale:In respiratory acidosis, the primary disturbance is excess CO2. Renal
compensation involves retaining bicarbonate to buffer the acidosis. Option A describes a
respiratory response that would worsen acidosis if the problem is already respiratory. Option
C is incorrect because hydrogen ion excretion is part of renal compensation but bicarbonate
retention is the key compensatory mechanism. Option D is a metabolic alkalosis
compensation, not respiratory acidosis.
Q2.
A nurse is caring for a patient with a chest tube connected to a water seal drainage
system. Which assessment finding indicates a potential air leak?
A. Continuous bubbling in the water seal B. Intermittent bubbling on expiration
chamber
C. Fluctuations in the water seal chamber D. Absence of drainage in the collection
with inspiration chamber
Correct: A - Continuous bubbling in the water seal chamber
Rationale:Continuous bubbling in the water seal chamber indicates an air leak in the system,
requiring assessment of connections and the insertion site. Intermittent bubbling on expiration
is normal as air exits the pleural space. Fluctuations (tidaling) are normal with breathing.
Absence of drainage may indicate obstruction or resolution of the effusion, not an air leak.
Q3.
A nurse is preparing to administer a blood transfusion to a patient. Which action is most
important to prevent a hemolytic transfusion reaction?
A. Use a 22-gauge IV catheter B. Verify patient identification with two
identifiers
C. Administer the blood over 4 hours D. Prime the tubing with normal saline
Page 3
, Section A - Management OF CARE
Correct: B - Verify patient identification with two identifiers
Rationale:Hemolytic reactions are most often caused by ABO incompatibility due to
misidentification. Verification with two identifiers (e.g., name and date of birth) is critical.
Catheter size, infusion rate, and priming solution are important but do not directly prevent
hemolytic reactions.
Q4.
A nurse is assessing a patient who is receiving a continuous IV infusion of heparin. Which
laboratory value should the nurse monitor to evaluate therapeutic effect?
A. Prothrombin time (PT) B. International normalized ratio (INR)
C. Activated partial thromboplastin time D. Platelet count
(aPTT)
Correct: C - Activated partial thromboplastin time (aPTT)
Rationale:Heparin therapy is monitored by aPTT to assess the intrinsic pathway of
coagulation. PT/INR monitor warfarin effect. Platelet count is monitored for heparin-induced
thrombocytopenia but does not reflect therapeutic anticoagulation.
Q5.
A nurse is teaching a patient with type 2 diabetes about managing hyperglycemia during
illness. Which patient statement indicates understanding?
A. I will stop taking my insulin if I cannot eat. B. I should check my blood glucose every 4
hours and drink fluids.
C. I will take extra doses of insulin if my D. I should avoid all carbohydrates until I
glucose is high. feel better.
Correct: B - I should check my blood glucose every 4 hours and drink fluids.
Rationale:During illness, patients should monitor glucose frequently and stay hydrated to
prevent dehydration and hyperglycemia. Insulin should not be stopped; adjustments may be
needed based on glucose levels. Extra insulin without guidance can cause hypoglycemia.
Carbohydrates are needed for energy; sick-day rules typically include consuming small
amounts of carbohydrates.
Q6.
A nurse is assessing a patient who has just undergone a thyroidectomy. Which finding
requires immediate intervention?
A. Pain rating of 4 on a 0-10 scale B. Serum calcium level of 8.0 mg/dL
Page 4
