HESI PN
Fundamentals
3 FULL SET EXAMS
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass The Exam Score With Confidence
This Document contains:
➢ Achieve a 900+ or Higher Exam Score
➢ Passing Score Guarantee
➢ multiple-choice format with correct answers
➢ Some questions feature “case scenarios”
, DIGITAL DOCUMENT PREVIEW
PREVIEW QUESTIONS BELOW
Get the Complete PDF After Purchase
If you require further clarification or in need of any study
resources, feel free to Message me.
,Table of Contents
HESI PN Fundamentals Exam 1 .................................... 2
HESI PN Fundamentals Exam 2 .................................. 38
HESI PN Fundamentals Exam 3 .................................. 63
HESI PN Fundamentals Exam 1
1. Post-op wound-healing scenario (converted into 3 NGN-style questions)
The client is awake and alert, denies pain. The client is still unable to tolerate
solid foods but is drinking full liquids with no issues. No signs of hypovolemia.
The surgical wound is slow- healing and red around the edges. Serosanguinous
drainage noted coming from the wound.
Vital signs:
BP 122/78 mm Hg, HR 86/min, RR 18/min, Temp 37.0°C (98.6°F), SpO₂ 98% on
room air.
1a. Actions to take
Which action by the practical nurse (PN) best promotes this client’s wound healing
while respecting the current diet order?
A. Encourage the client to drink only clear fluids to reduce nausea
B. Hold all oral intake until the wound is fully healed
C. Include protein supplement shakes in the client's diet
D. Advance diet to regular as tolerated, despite current intolerance
Correct Answer: C. Include protein supplement shakes in the client's diet
, Expert rationale:
The wound is slow-healing and the client can tolerate full liquids. Protein is
essential for collagen synthesis and tissue repair. Adding high-protein liquid
supplements provides needed nutrients without violating the full-liquid
restriction. Advancing to solids is premature (option D), and restricting intake (A or
B) would further impair nutritional status and slow healing.
1b. Potential condition
Based on the client’s slow-healing wound and current nutritional intake, which
potential condition is the PN most concerned about?
A. Protein deficiency
B. Hypovolemia
C. Acute blood loss anemia
D. Hyperglycemia
Correct Answer: A. Protein deficiency
Expert rationale:
Slow wound healing in the context of limited intake and no signs of hypovolemia
suggests inadequate protein stores. Protein deficiency delays granulation tissue
formation and collagen deposition. There are no data indicating hypovolemia,
anemia, or hyperglycemia in the stem.
1c. Parameters to monitor
Which parameter is most important for the PN to monitor to detect complications
early?
A. Daily urine output
B. Signs of infection at the wound site
C. Bowel sounds in all four quadrants
D. Client’s sleep pattern
Fundamentals
3 FULL SET EXAMS
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass The Exam Score With Confidence
This Document contains:
➢ Achieve a 900+ or Higher Exam Score
➢ Passing Score Guarantee
➢ multiple-choice format with correct answers
➢ Some questions feature “case scenarios”
, DIGITAL DOCUMENT PREVIEW
PREVIEW QUESTIONS BELOW
Get the Complete PDF After Purchase
If you require further clarification or in need of any study
resources, feel free to Message me.
,Table of Contents
HESI PN Fundamentals Exam 1 .................................... 2
HESI PN Fundamentals Exam 2 .................................. 38
HESI PN Fundamentals Exam 3 .................................. 63
HESI PN Fundamentals Exam 1
1. Post-op wound-healing scenario (converted into 3 NGN-style questions)
The client is awake and alert, denies pain. The client is still unable to tolerate
solid foods but is drinking full liquids with no issues. No signs of hypovolemia.
The surgical wound is slow- healing and red around the edges. Serosanguinous
drainage noted coming from the wound.
Vital signs:
BP 122/78 mm Hg, HR 86/min, RR 18/min, Temp 37.0°C (98.6°F), SpO₂ 98% on
room air.
1a. Actions to take
Which action by the practical nurse (PN) best promotes this client’s wound healing
while respecting the current diet order?
A. Encourage the client to drink only clear fluids to reduce nausea
B. Hold all oral intake until the wound is fully healed
C. Include protein supplement shakes in the client's diet
D. Advance diet to regular as tolerated, despite current intolerance
Correct Answer: C. Include protein supplement shakes in the client's diet
, Expert rationale:
The wound is slow-healing and the client can tolerate full liquids. Protein is
essential for collagen synthesis and tissue repair. Adding high-protein liquid
supplements provides needed nutrients without violating the full-liquid
restriction. Advancing to solids is premature (option D), and restricting intake (A or
B) would further impair nutritional status and slow healing.
1b. Potential condition
Based on the client’s slow-healing wound and current nutritional intake, which
potential condition is the PN most concerned about?
A. Protein deficiency
B. Hypovolemia
C. Acute blood loss anemia
D. Hyperglycemia
Correct Answer: A. Protein deficiency
Expert rationale:
Slow wound healing in the context of limited intake and no signs of hypovolemia
suggests inadequate protein stores. Protein deficiency delays granulation tissue
formation and collagen deposition. There are no data indicating hypovolemia,
anemia, or hyperglycemia in the stem.
1c. Parameters to monitor
Which parameter is most important for the PN to monitor to detect complications
early?
A. Daily urine output
B. Signs of infection at the wound site
C. Bowel sounds in all four quadrants
D. Client’s sleep pattern
