Comprehensive HESI PN Exit Exam NGN
Practice: 200 Sample Questions with Evidence-
Based Rationales Covering Pharmacology,
Medical-Surgical, Maternity, Pediatrics, and
Prioritization for 2025–2026 Success
Sample HESI PN Exit Exam Practice Questions
1. End-of-Life Care
A client with metastatic breast cancer has a living
will, and the family is requesting hospice care.
Which information should the PN reinforce?
• A) Instructions for care should be included in
the living will
• B) Hospice care can only be provided in hospital
settings
• C) Hospice care focuses on curing the disease
• D) Care focuses on comfort, dignity, and
emotional support
, • Correct ☑VERIFIED ANSWER: D - Hospice care
emphasizes comfort rather than curative
treatment and can be provided wherever the
client resides .
2. Wound Complication
A client had a colon resection 8 days ago and is
straining at stool. The PN observes bowel protruding
through the incision. What complication has
occurred?
• A) Hernia
• B) Evisceration
• C) Dehiscence
• D) Fistula formation
• Correct ☑VERIFIED ANSWER: B - Evisceration is
the protrusion of bowel through a surgical
wound and is a medical emergency requiring
immediate intervention .
,3. Postpartum Assessment
A gravida 1 para 0 client is transferred to the
recovery room after vaginal delivery. She is shaking
uncontrollably and reports feeling cold. What is the
best intervention?
• A) Administer antipyretics
• B) Apply a light warm blanket and reassure the
client this is normal
• C) Notify the healthcare provider of possible
infection
• D) Encourage the client to drink warm fluids
• Correct ☑VERIFIED ANSWER: B - Postpartum
shivering is common due to vasomotor
instability and residual anesthesia effects; it is
self-limiting and managed with warmth and
reassurance .
4. Heart Failure Assessment
When assessing an older client with left-sided heart
, failure, which is the most important intervention for
the PN to implement?
• A) Monitor daily weights only
• B) Auscultate all lung fields
• C) Measure peripheral pulses
• D) Encourage extra fluid intake
• Correct ☑VERIFIED ANSWER: B - Left-sided
heart failure often causes pulmonary
congestion. Lung auscultation provides critical
information on fluid accumulation, such as
crackles .
5. Fetal Heart Rate
The PN is obtaining fetal heart rates on four
antepartum clients in their third trimester. Which
fetal heart rate should the PN report immediately?
• A) 140 bpm
• B) 110 bpm
• C) 180 bpm
Practice: 200 Sample Questions with Evidence-
Based Rationales Covering Pharmacology,
Medical-Surgical, Maternity, Pediatrics, and
Prioritization for 2025–2026 Success
Sample HESI PN Exit Exam Practice Questions
1. End-of-Life Care
A client with metastatic breast cancer has a living
will, and the family is requesting hospice care.
Which information should the PN reinforce?
• A) Instructions for care should be included in
the living will
• B) Hospice care can only be provided in hospital
settings
• C) Hospice care focuses on curing the disease
• D) Care focuses on comfort, dignity, and
emotional support
, • Correct ☑VERIFIED ANSWER: D - Hospice care
emphasizes comfort rather than curative
treatment and can be provided wherever the
client resides .
2. Wound Complication
A client had a colon resection 8 days ago and is
straining at stool. The PN observes bowel protruding
through the incision. What complication has
occurred?
• A) Hernia
• B) Evisceration
• C) Dehiscence
• D) Fistula formation
• Correct ☑VERIFIED ANSWER: B - Evisceration is
the protrusion of bowel through a surgical
wound and is a medical emergency requiring
immediate intervention .
,3. Postpartum Assessment
A gravida 1 para 0 client is transferred to the
recovery room after vaginal delivery. She is shaking
uncontrollably and reports feeling cold. What is the
best intervention?
• A) Administer antipyretics
• B) Apply a light warm blanket and reassure the
client this is normal
• C) Notify the healthcare provider of possible
infection
• D) Encourage the client to drink warm fluids
• Correct ☑VERIFIED ANSWER: B - Postpartum
shivering is common due to vasomotor
instability and residual anesthesia effects; it is
self-limiting and managed with warmth and
reassurance .
4. Heart Failure Assessment
When assessing an older client with left-sided heart
, failure, which is the most important intervention for
the PN to implement?
• A) Monitor daily weights only
• B) Auscultate all lung fields
• C) Measure peripheral pulses
• D) Encourage extra fluid intake
• Correct ☑VERIFIED ANSWER: B - Left-sided
heart failure often causes pulmonary
congestion. Lung auscultation provides critical
information on fluid accumulation, such as
crackles .
5. Fetal Heart Rate
The PN is obtaining fetal heart rates on four
antepartum clients in their third trimester. Which
fetal heart rate should the PN report immediately?
• A) 140 bpm
• B) 110 bpm
• C) 180 bpm
