HESI PN EXIT EXAM TEST BANK 3
LATEST PRACTICE QUESTIONS
AND CORRECT VERIFIED
LATEST MOCK PRACTICE SET
215 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 3 LATEST PRACTICE QUESTIONS AND CORRECT VERIFIED ANSWERS/
PN HESI EXIT EXAM PREP TEST BANK / LPN HESI. It contains 215 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 215 Questions
Foundations - Application - HESI PN EXIT BANK 3 AND Correct / PN HESI EXIT PREP BANK / LPN HESI
Practical Nursing EXIT Undergraduate YEAR 3 Practical Nursing
All answers with rationales
,Table of Contents
Section A - Management OF CARE Section B - Safety AND Infection
Questions 1 to 54 Control
Questions 55 to 108
Section C - Health Promotion AND Section D - Psychosocial Integrity
Maintenance Questions 163 to 215
Questions 109 to 162
,Section A - Management OF CARE
Q1.
A client receiving a continuous IV infusion of heparin has an aPTT of 90 seconds. The
previous aPTT was 60 seconds. What is the nurse's priority action?
A. Increase the IV heparin rate by 2 mL/hr B. Administer protamine sulfate as a stat IV
per protocol push
C. Stop the IV heparin infusion and notify D. Recheck aPTT in 4 hours as ordered
the prescriber
Correct: C - Stop the IV heparin infusion and notify the prescriber
Rationale:
A therapeutic aPTT for heparin is typically 1.5-2.5 times control (control 30s: 45-75s). 90s
indicates supratherapeutic level with high bleeding risk. The nurse should stop the infusion
immediately and notify the prescriber. Protamine is reserved for severe bleeding. Rechecking
later delays intervention.
Q2.
A postpartum client with Rh-negative blood type has a newborn with Rh-positive blood.
The direct Coombs test is negative. Which prescription should the nurse anticipate?
A. Rh immunoglobulin within 72 hours B. Phototherapy for the newborn starting
immediately
C. Repeat Coombs test in 24 hours D. No intervention is necessary
Correct: A - Rh immunoglobulin within 72 hours
Rationale:
Rh-negative mother with Rh-positive newborn should receive Rh immunoglobulin within 72
hours to prevent sensitization, even if Coombs negative (fetal-maternal hemorrhage may still
occur). Phototherapy is for hyperbilirubinemia, not indicated here. Repeat Coombs is not
needed. Intervention is necessary to protect future pregnancies.
Q3.
A client with a chest tube connected to a dry suction water seal drainage system has
continuous bubbling in the water seal chamber. Which action should the nurse take first?
A. Check all connections for air leaks B. Increase suction pressure until bubbling
stops
C. Clamp the chest tube near the insertion D. Replace the chest tube drainage system
site
Page 3
, Section A - Management OF CARE
Correct: A - Check all connections for air leaks
Rationale:
In a dry suction water seal system, continuous bubbling in the water seal chamber indicates
an air leak. The nurse should first check connections and tubing for loose fittings or
dislodgement. Increasing suction may cause tissue damage. Clamping is dangerous as it can
cause tension pneumothorax. Replacing system is unnecessary without identifying leak.
Q4.
A client prescribed isocarboxazid (Marplan) for depression reports severe headache,
palpitations, and neck stiffness after eating lunch. Vital signs: BP 200/110 mmHg, HR 110
bpm. What is the nurse's priority action?
A. Administer as-needed propranolol for B. Request a stat ECG to rule out
palpitations myocardial infarction
C. Hold the next dose and notify the D. Provide reassurance and dim the lights
prescriber immediately for comfort
Correct: C - Hold the next dose and notify the prescriber immediately
Rationale:
Isocarboxazid is an MAOI. Severe hypertension, headache, and palpitations after eating
suggest a hypertensive crisis from tyramine-containing foods. The priority is to hold the MAOI,
notify the prescriber, and expect administration of a rapid-acting antihypertensive (e.g.,
phentolamine). Propranolol could worsen unopposed alpha stimulation. ECG is secondary.
Reassurance delays life-saving treatment.
Q5.
A practical nurse is assigned to care for four clients. Which task is appropriate to delegate
to an unlicensed assistive personnel (UAP)?
A. Administer a unit of packed red blood B. Provide oral care to a client with a
cells to a postoperative client nasogastric tube in place
C. Assess the placement of a new D. Review dietary restrictions with a client
nasogastric tube after insertion newly diagnosed with hyperkalemia
Correct: B - Provide oral care to a client with a nasogastric tube in place
Rationale:
Oral care is a non-invasive, routine task that can be safely delegated to a UAP. Administering
blood requires an RN/LPN with IV certification. Assessing NG tube placement requires a
licensed nurse (RN or LPN). Client education requires a licensed nurse as it involves
judgment and follow-up.
Page 4
LATEST PRACTICE QUESTIONS
AND CORRECT VERIFIED
LATEST MOCK PRACTICE SET
215 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 3 LATEST PRACTICE QUESTIONS AND CORRECT VERIFIED ANSWERS/
PN HESI EXIT EXAM PREP TEST BANK / LPN HESI. It contains 215 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 215 Questions
Foundations - Application - HESI PN EXIT BANK 3 AND Correct / PN HESI EXIT PREP BANK / LPN HESI
Practical Nursing EXIT Undergraduate YEAR 3 Practical Nursing
All answers with rationales
,Table of Contents
Section A - Management OF CARE Section B - Safety AND Infection
Questions 1 to 54 Control
Questions 55 to 108
Section C - Health Promotion AND Section D - Psychosocial Integrity
Maintenance Questions 163 to 215
Questions 109 to 162
,Section A - Management OF CARE
Q1.
A client receiving a continuous IV infusion of heparin has an aPTT of 90 seconds. The
previous aPTT was 60 seconds. What is the nurse's priority action?
A. Increase the IV heparin rate by 2 mL/hr B. Administer protamine sulfate as a stat IV
per protocol push
C. Stop the IV heparin infusion and notify D. Recheck aPTT in 4 hours as ordered
the prescriber
Correct: C - Stop the IV heparin infusion and notify the prescriber
Rationale:
A therapeutic aPTT for heparin is typically 1.5-2.5 times control (control 30s: 45-75s). 90s
indicates supratherapeutic level with high bleeding risk. The nurse should stop the infusion
immediately and notify the prescriber. Protamine is reserved for severe bleeding. Rechecking
later delays intervention.
Q2.
A postpartum client with Rh-negative blood type has a newborn with Rh-positive blood.
The direct Coombs test is negative. Which prescription should the nurse anticipate?
A. Rh immunoglobulin within 72 hours B. Phototherapy for the newborn starting
immediately
C. Repeat Coombs test in 24 hours D. No intervention is necessary
Correct: A - Rh immunoglobulin within 72 hours
Rationale:
Rh-negative mother with Rh-positive newborn should receive Rh immunoglobulin within 72
hours to prevent sensitization, even if Coombs negative (fetal-maternal hemorrhage may still
occur). Phototherapy is for hyperbilirubinemia, not indicated here. Repeat Coombs is not
needed. Intervention is necessary to protect future pregnancies.
Q3.
A client with a chest tube connected to a dry suction water seal drainage system has
continuous bubbling in the water seal chamber. Which action should the nurse take first?
A. Check all connections for air leaks B. Increase suction pressure until bubbling
stops
C. Clamp the chest tube near the insertion D. Replace the chest tube drainage system
site
Page 3
, Section A - Management OF CARE
Correct: A - Check all connections for air leaks
Rationale:
In a dry suction water seal system, continuous bubbling in the water seal chamber indicates
an air leak. The nurse should first check connections and tubing for loose fittings or
dislodgement. Increasing suction may cause tissue damage. Clamping is dangerous as it can
cause tension pneumothorax. Replacing system is unnecessary without identifying leak.
Q4.
A client prescribed isocarboxazid (Marplan) for depression reports severe headache,
palpitations, and neck stiffness after eating lunch. Vital signs: BP 200/110 mmHg, HR 110
bpm. What is the nurse's priority action?
A. Administer as-needed propranolol for B. Request a stat ECG to rule out
palpitations myocardial infarction
C. Hold the next dose and notify the D. Provide reassurance and dim the lights
prescriber immediately for comfort
Correct: C - Hold the next dose and notify the prescriber immediately
Rationale:
Isocarboxazid is an MAOI. Severe hypertension, headache, and palpitations after eating
suggest a hypertensive crisis from tyramine-containing foods. The priority is to hold the MAOI,
notify the prescriber, and expect administration of a rapid-acting antihypertensive (e.g.,
phentolamine). Propranolol could worsen unopposed alpha stimulation. ECG is secondary.
Reassurance delays life-saving treatment.
Q5.
A practical nurse is assigned to care for four clients. Which task is appropriate to delegate
to an unlicensed assistive personnel (UAP)?
A. Administer a unit of packed red blood B. Provide oral care to a client with a
cells to a postoperative client nasogastric tube in place
C. Assess the placement of a new D. Review dietary restrictions with a client
nasogastric tube after insertion newly diagnosed with hyperkalemia
Correct: B - Provide oral care to a client with a nasogastric tube in place
Rationale:
Oral care is a non-invasive, routine task that can be safely delegated to a UAP. Administering
blood requires an RN/LPN with IV certification. Assessing NG tube placement requires a
licensed nurse (RN or LPN). Client education requires a licensed nurse as it involves
judgment and follow-up.
Page 4
