HESI PN MED-SURG TEST BANK (NGN-STYLE
QUESTIONS & RATIONALES) Q&AS TO PASS ON
YOUR FIRST TRY
This premium Next-Generation NCLEX (NGN) style test
bank delivers high-yield medical-surgical questions
explicitly engineered for the HESI PN exam. Every
question is formatted with italicized correct answers and
comprehensive, bolded rationales to build critical clinical
judgment skills. It serves as the ultimate high-conversion
study guide optimized to maximize sales and help
practical nursing students ace their exit exams on the
first attempt.
1. A practical nurse (PN) is reviewing the vital signs
of a client admitted with a myocardial infarction.
Which finding requires immediate notification to the
registered nurse (RN)?
A) Blood pressure 140/90 mmHg
B) Heart rate 118 beats/min with frequent premature
ventricular contractions (PVCs)
C) Respiratory rate 20 breaths/min
D) Temperature 37.4°C (99.3°F)
Correct Answer: B
Rationale: Frequent PVCs following an acute
myocardial infarction indicate ventricular irritability
,and put the client at high risk for lethal arrhythmias,
such as ventricular tachycardia or ventricular
fibrillation. This requires immediate intervention.
2. The PN is assigned to care for a client who
returns to the unit after an
esophagogastroduodenoscopy (EGD). Which nursing
action is the priority?
A) Keep the client in a side-lying position until fully
awake.
B) Check for the return of the gag reflex before
offering fluids.
C) Assess the client for a sore throat and
hoarseness.
D) Monitor the client's blood pressure and pulse
every 15 minutes.
Correct Answer: B
Rationale: The client's throat is numbed with a
topical anesthetic spray during an EGD to prevent
gagging. The primary safety concern is preventing
aspiration; therefore, the gag reflex must return
completely before any oral intake is allowed.
3. A client with chronic obstructive pulmonary
disease (COPD) is receiving oxygen via nasal
cannula at 2 L/min. The PN notes the client's oxygen
,saturation is 89%. Which action should the PN take
first?
A) Increase the oxygen flow rate to 4 L/min
immediately.
B) Assess the client's respiratory rate, effort, and
lung sounds.
C) Notify the healthcare provider of a critical low
oxygen level.
D) Place the client in a flat, supine position to
conserve energy.
Correct Answer: B
Rationale: For clients with chronic COPD, an oxygen
saturation level between 88% and 92% is often
targeted and acceptable due to their chronic carbon
dioxide retention. The PN must first assess the
client's clinical status before deciding if an
intervention is warranted.
4. The PN is reinforcing dietary teaching for a client
diagnosed with chronic kidney disease (CKD) who is
not on dialysis. Which statement indicates the client
understands the restriction?
A) "I should increase my intake of bananas and
oranges."
B) "I will use a salt substitute to season all of my
, meals."
C) "I need to limit my intake of high-protein foods
like red meat."
D) "I should drink at least 3 liters of water every
single day."
Correct Answer: C
Rationale: In pre-dialysis CKD, protein intake is
restricted to decrease the accumulation of
nitrogenous waste products (BUN and creatinine).
Potassium (found in bananas/oranges) and sodium
(including salt substitutes, which contain
potassium) are also restricted. Fluid intake is
typically managed closely, not excessively
increased.
5. A client who underwent a total hip arthroplasty
24 hours ago is preparing to transfer from the bed
to a chair. Which action by the PN ensures proper
hip precautions?
A) Adduct the client's affected leg during the
transfer movement.
B) Ensure the client avoids flexing the affected hip
more than 90 degrees.
C) Instruct the client to lean forward at the waist
while sitting down.
QUESTIONS & RATIONALES) Q&AS TO PASS ON
YOUR FIRST TRY
This premium Next-Generation NCLEX (NGN) style test
bank delivers high-yield medical-surgical questions
explicitly engineered for the HESI PN exam. Every
question is formatted with italicized correct answers and
comprehensive, bolded rationales to build critical clinical
judgment skills. It serves as the ultimate high-conversion
study guide optimized to maximize sales and help
practical nursing students ace their exit exams on the
first attempt.
1. A practical nurse (PN) is reviewing the vital signs
of a client admitted with a myocardial infarction.
Which finding requires immediate notification to the
registered nurse (RN)?
A) Blood pressure 140/90 mmHg
B) Heart rate 118 beats/min with frequent premature
ventricular contractions (PVCs)
C) Respiratory rate 20 breaths/min
D) Temperature 37.4°C (99.3°F)
Correct Answer: B
Rationale: Frequent PVCs following an acute
myocardial infarction indicate ventricular irritability
,and put the client at high risk for lethal arrhythmias,
such as ventricular tachycardia or ventricular
fibrillation. This requires immediate intervention.
2. The PN is assigned to care for a client who
returns to the unit after an
esophagogastroduodenoscopy (EGD). Which nursing
action is the priority?
A) Keep the client in a side-lying position until fully
awake.
B) Check for the return of the gag reflex before
offering fluids.
C) Assess the client for a sore throat and
hoarseness.
D) Monitor the client's blood pressure and pulse
every 15 minutes.
Correct Answer: B
Rationale: The client's throat is numbed with a
topical anesthetic spray during an EGD to prevent
gagging. The primary safety concern is preventing
aspiration; therefore, the gag reflex must return
completely before any oral intake is allowed.
3. A client with chronic obstructive pulmonary
disease (COPD) is receiving oxygen via nasal
cannula at 2 L/min. The PN notes the client's oxygen
,saturation is 89%. Which action should the PN take
first?
A) Increase the oxygen flow rate to 4 L/min
immediately.
B) Assess the client's respiratory rate, effort, and
lung sounds.
C) Notify the healthcare provider of a critical low
oxygen level.
D) Place the client in a flat, supine position to
conserve energy.
Correct Answer: B
Rationale: For clients with chronic COPD, an oxygen
saturation level between 88% and 92% is often
targeted and acceptable due to their chronic carbon
dioxide retention. The PN must first assess the
client's clinical status before deciding if an
intervention is warranted.
4. The PN is reinforcing dietary teaching for a client
diagnosed with chronic kidney disease (CKD) who is
not on dialysis. Which statement indicates the client
understands the restriction?
A) "I should increase my intake of bananas and
oranges."
B) "I will use a salt substitute to season all of my
, meals."
C) "I need to limit my intake of high-protein foods
like red meat."
D) "I should drink at least 3 liters of water every
single day."
Correct Answer: C
Rationale: In pre-dialysis CKD, protein intake is
restricted to decrease the accumulation of
nitrogenous waste products (BUN and creatinine).
Potassium (found in bananas/oranges) and sodium
(including salt substitutes, which contain
potassium) are also restricted. Fluid intake is
typically managed closely, not excessively
increased.
5. A client who underwent a total hip arthroplasty
24 hours ago is preparing to transfer from the bed
to a chair. Which action by the PN ensures proper
hip precautions?
A) Adduct the client's affected leg during the
transfer movement.
B) Ensure the client avoids flexing the affected hip
more than 90 degrees.
C) Instruct the client to lean forward at the waist
while sitting down.
