HESI PN EXIT EXAM TEST BANK 2
WITH LATEST PRACTICE
QUESTIONS AND CORRECT
LATEST MOCK PRACTICE SET
213 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 TEST BANK 2 WITH LATEST PRACTICE QUESTIONS AND CORRECT VERIFIED
ANSWERS/ PN HESI EXIT EXAM PREP TEST BANK / LPN HESI. It contains 213 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 concepts and reasoning required to master the
material.
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 213 Questions
Foundations - Application - HESI PN EXIT BANK 2 WITH AND Correct / PN HESI EXIT PREP BANK / LPN
HESI Practical Nursing Undergraduate YEAR 4 / Practical Nursing EXIT
All answers with rationales
,Table of Contents
Section A - Fundamentals OF Nursing Section B - Pharmacology
Questions 1 to 54 Questions 55 to 108
Section C - Medical-surgical Nursing Section D - Maternal-newborn Nursing
Questions 109 to 162 Questions 163 to 213
,Section A - Fundamentals OF Nursing
Q1.
A patient with chronic kidney disease (creatinine clearance 25 mL/min) is prescribed a
medication that is primarily excreted unchanged by the kidneys. The nurse anticipates
which modification to the dosing regimen?
A. Decrease the dose and increase the B. Increase the dose and decrease the
interval between doses interval
C. Administer the standard dose D. Discontinue the medication
Correct: A - Decrease the dose and increase the interval between doses
Rationale:
For medications excreted by the kidneys, renal impairment reduces clearance, leading to
accumulation and toxicity. Decreasing the dose and prolonging the interval maintains
therapeutic levels without toxicity. Increasing the dose would worsen accumulation; standard
dosing risks toxicity; discontinuation is not warranted without an alternative.
Q2.
A client with preeclampsia is receiving intravenous magnesium sulfate. The nurse
monitors the client's status. Review the exhibits and then specify for each assessment
finding whether it is anticipated (expected), contraindicated (requires immediate
intervention), or nonessential (not clinically significant at this time).
A. Anticipated B. Nonessential
C. Contraindicated D. Not applicable
Correct: A - Anticipated
Rationale:
Magnesium sulfate toxicity first manifests as respiratory depression (RR <12/min), which is
contraindicated and requires immediate intervention. Deep tendon reflexes +2, urine output
>30 mL/hr, BP 145/92 (elevated but expected in preeclampsia), and therapeutic magnesium
level (4-7 mg/dL) are anticipated findings.
Q3.
Which laboratory value is most consistent with syndrome of inappropriate antidiuretic
hormone (SIADH)?
A. Serum sodium 120 mEq/L B. Serum potassium 5.5 mEq/L
C. Serum osmolality 310 mOsm/kg D. Urine osmolality 100 mOsm/kg
Page 3
, Section A - Fundamentals OF Nursing
Correct: A - Serum sodium 120 mEq/L
Rationale:
SIADH causes water retention, leading to dilutional hyponatremia (serum Na <135 mEq/L).
Serum osmolality is low (<280 mOsm/kg), and urine osmolality is inappropriately high (>100
mOsm/kg). Hyperkalemia and hyperosmolality are not characteristic.
Q4.
A nurse is assessing fine motor development in a toddler. Which task would the nurse
expect the child to perform?
A. Builds a tower of 6 cubes B. Uses scissors to cut paper
C. Copies a circle D. Writes first name
Correct: A - Builds a tower of 6 cubes
Rationale:
At 24 months, a toddler can build a tower of 6 cubes. Using scissors and copying a circle are
typical for 3-4 years. Writing a name is achieved later (preschool).
Q5.
A client with major depressive disorder states, 'I feel like a burden to everyone.' Which
response by the nurse is most therapeutic?
A. 'You are not a burden.' B. 'What makes you feel that way?'
C. 'I understand you feel that way.' D. 'Let's focus on your strengths.'
Correct: B - 'What makes you feel that way?'
Rationale:
An open-ended question encourages exploration of feelings, facilitating therapeutic
communication. Reassuring (A) may invalidate feelings; validation (C) is supportive but less
probing; focusing on strengths (D) may be premature.
Q6.
A charge nurse on a medical unit is making assignments for the shift. The unit has one
RN, two LPNs, and one unlicensed assistive personnel (UAP). For each task, indicate if it
is appropriate to delegate to an LPN (anticipated), requires RN assessment
(contraindicated), or is not needed at this time (nonessential).
A. Anticipated B. Nonessential
C. Contraindicated D. Not applicable
Correct: A - Anticipated
Page 4
WITH LATEST PRACTICE
QUESTIONS AND CORRECT
LATEST MOCK PRACTICE SET
213 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 TEST BANK 2 WITH LATEST PRACTICE QUESTIONS AND CORRECT VERIFIED
ANSWERS/ PN HESI EXIT EXAM PREP TEST BANK / LPN HESI. It contains 213 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 concepts and reasoning required to master the
material.
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 213 Questions
Foundations - Application - HESI PN EXIT BANK 2 WITH AND Correct / PN HESI EXIT PREP BANK / LPN
HESI Practical Nursing Undergraduate YEAR 4 / Practical Nursing EXIT
All answers with rationales
,Table of Contents
Section A - Fundamentals OF Nursing Section B - Pharmacology
Questions 1 to 54 Questions 55 to 108
Section C - Medical-surgical Nursing Section D - Maternal-newborn Nursing
Questions 109 to 162 Questions 163 to 213
,Section A - Fundamentals OF Nursing
Q1.
A patient with chronic kidney disease (creatinine clearance 25 mL/min) is prescribed a
medication that is primarily excreted unchanged by the kidneys. The nurse anticipates
which modification to the dosing regimen?
A. Decrease the dose and increase the B. Increase the dose and decrease the
interval between doses interval
C. Administer the standard dose D. Discontinue the medication
Correct: A - Decrease the dose and increase the interval between doses
Rationale:
For medications excreted by the kidneys, renal impairment reduces clearance, leading to
accumulation and toxicity. Decreasing the dose and prolonging the interval maintains
therapeutic levels without toxicity. Increasing the dose would worsen accumulation; standard
dosing risks toxicity; discontinuation is not warranted without an alternative.
Q2.
A client with preeclampsia is receiving intravenous magnesium sulfate. The nurse
monitors the client's status. Review the exhibits and then specify for each assessment
finding whether it is anticipated (expected), contraindicated (requires immediate
intervention), or nonessential (not clinically significant at this time).
A. Anticipated B. Nonessential
C. Contraindicated D. Not applicable
Correct: A - Anticipated
Rationale:
Magnesium sulfate toxicity first manifests as respiratory depression (RR <12/min), which is
contraindicated and requires immediate intervention. Deep tendon reflexes +2, urine output
>30 mL/hr, BP 145/92 (elevated but expected in preeclampsia), and therapeutic magnesium
level (4-7 mg/dL) are anticipated findings.
Q3.
Which laboratory value is most consistent with syndrome of inappropriate antidiuretic
hormone (SIADH)?
A. Serum sodium 120 mEq/L B. Serum potassium 5.5 mEq/L
C. Serum osmolality 310 mOsm/kg D. Urine osmolality 100 mOsm/kg
Page 3
, Section A - Fundamentals OF Nursing
Correct: A - Serum sodium 120 mEq/L
Rationale:
SIADH causes water retention, leading to dilutional hyponatremia (serum Na <135 mEq/L).
Serum osmolality is low (<280 mOsm/kg), and urine osmolality is inappropriately high (>100
mOsm/kg). Hyperkalemia and hyperosmolality are not characteristic.
Q4.
A nurse is assessing fine motor development in a toddler. Which task would the nurse
expect the child to perform?
A. Builds a tower of 6 cubes B. Uses scissors to cut paper
C. Copies a circle D. Writes first name
Correct: A - Builds a tower of 6 cubes
Rationale:
At 24 months, a toddler can build a tower of 6 cubes. Using scissors and copying a circle are
typical for 3-4 years. Writing a name is achieved later (preschool).
Q5.
A client with major depressive disorder states, 'I feel like a burden to everyone.' Which
response by the nurse is most therapeutic?
A. 'You are not a burden.' B. 'What makes you feel that way?'
C. 'I understand you feel that way.' D. 'Let's focus on your strengths.'
Correct: B - 'What makes you feel that way?'
Rationale:
An open-ended question encourages exploration of feelings, facilitating therapeutic
communication. Reassuring (A) may invalidate feelings; validation (C) is supportive but less
probing; focusing on strengths (D) may be premature.
Q6.
A charge nurse on a medical unit is making assignments for the shift. The unit has one
RN, two LPNs, and one unlicensed assistive personnel (UAP). For each task, indicate if it
is appropriate to delegate to an LPN (anticipated), requires RN assessment
(contraindicated), or is not needed at this time (nonessential).
A. Anticipated B. Nonessential
C. Contraindicated D. Not applicable
Correct: A - Anticipated
Page 4
