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HESI PN EXIT EXAM WITH 1000+ Q | NGN-STYLE |
(2026/027) ACTUAL QUESTIONS AND VERIFIED
ANSWERS TO PASS THE EXAM | ANSWERS ARE
BELOW
NGN-Style Clinical Judgment • Separate Answer Key
Contents
1. Section 1 — Fundamentals, Safety & Infection Control
2. Section 2 — Adult Health / Medical-Surgical Nursing
3. Section 3 — Pharmacology
4. Section 4 — Maternal-Newborn Nursing
5. Section 5 — Pediatric Nursing
6. Section 6 — Mental Health Nursing
7. Section 7 — Geriatric Nursing
8. Section 8 — Community & Public Health
9. Section 9 — Leadership, Delegation, Legal & Ethical Nursing
10. Section 10 — Dosage Calculation & Clinical Judgment
11. Section 11 — NGN-Style Unfolding Cases & Clinical Judgment
Total: 1,100 questions (100 per section).
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Section 1 — Fundamentals, Safety & Infection Control
1. A client has a new prescription for oxygen at 2 L/min by nasal
cannula. Which action is appropriate?
A. Apply petroleum jelly around the nares for comfort.
B. Verify the prescription and assess oxygen saturation before
and after therapy.
C. Increase the flow rate until the client reports no dyspnea.
D. Place the oxygen equipment near an open flame.
2. Which finding requires the PN to intervene first?
A. A client reports incisional pain of 5/10.
B. A client has a respiratory rate of 8/min after an opioid.
C. A client asks when lunch will arrive.
D. A client needs assistance changing position.
3. Which intervention best reduces the risk of a hospital-acquired
pressure injury?
A. Massage reddened bony prominences.
B. Reposition the immobile client regularly and offload pressure.
C. Keep the head of bed at 90 degrees continuously.
D. Use a donut-shaped ring under the sacrum.
4. A sterile field becomes wet during a dressing change. What
should the PN do?
A. Continue because moisture does not affect sterility.
B. Consider the field contaminated and replace the sterile
supplies.
C. Dry the field with sterile gauze.
D. Cover the wet area with a clean towel.
5. Which action is most appropriate when using a gait belt?
A. Place it loosely over the client's chest.
B. Apply it snugly around the client's waist over clothing.
C. Use it to lift the client completely off the floor.
D. Place it around the client's neck for balance.
6. A client is at high risk for falls. Which intervention is best?
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A. Keep all four side rails raised at all times.
B. Place the call light within reach and keep the bed in the lowest
position.
C. Encourage the client to walk without assistance to build
confidence.
D. Keep the room dark during waking hours.
7. Which hand-hygiene action is required after removing gloves?
A. No hand hygiene is needed if the gloves were intact.
B. Perform hand hygiene because gloves do not replace hand
hygiene.
C. Wash hands only if visible soil is present.
D. Use lotion instead of hand hygiene.
8. A client develops chills and dyspnea shortly after a blood
transfusion begins. What is the priority action?
A. Slow the transfusion and continue monitoring.
B. Stop the transfusion and maintain IV access with appropriate
solution per protocol.
C. Discard the IV catheter immediately.
D. Give the next unit of blood.
9. Which client statement indicates correct understanding of
incentive spirometer use?
A. I will use it only when I feel short of breath.
B. I will inhale slowly through the mouthpiece and repeat as
prescribed.
C. I should exhale forcefully into the device.
D. I should use it once each morning.
10. Which action is appropriate when removing personal protective
equipment after contact precautions?
A. Remove contaminated gloves and gown according to facility
sequence, then perform hand hygiene.
B. Shake the gown before placing it in the hamper.
C. Reuse disposable gloves if they look clean.
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D. Remove the mask first in the client's room.
11. A client has a new prescription for oxygen at 2 L/min by nasal
cannula. Which action is appropriate?
A. Increase the flow rate until the client reports no dyspnea.
B. Place the oxygen equipment near an open flame.
C. Apply petroleum jelly around the nares for comfort.
D. Verify the prescription and assess oxygen saturation before
and after therapy.
12. Which finding requires the PN to intervene first?
A. A client has a respiratory rate of 8/min after an opioid.
B. A client asks when lunch will arrive.
C. A client needs assistance changing position.
D. A client reports incisional pain of 5/10.
13. Which intervention best reduces the risk of a hospital-acquired
pressure injury?
A. Massage reddened bony prominences.
B. Reposition the immobile client regularly and offload pressure.
C. Keep the head of bed at 90 degrees continuously.
D. Use a donut-shaped ring under the sacrum.
14. A sterile field becomes wet during a dressing change. What
should the PN do?
A. Cover the wet area with a clean towel.
B. Continue because moisture does not affect sterility.
C. Consider the field contaminated and replace the sterile
supplies.
D. Dry the field with sterile gauze.
15. Which action is most appropriate when using a gait belt?
A. Use it to lift the client completely off the floor.
B. Place it around the client's neck for balance.
C. Place it loosely over the client's chest.
D. Apply it snugly around the client's waist over clothing.
16. A client is at high risk for falls. Which intervention is best?
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HESI PN EXIT EXAM WITH 1000+ Q | NGN-STYLE |
(2026/027) ACTUAL QUESTIONS AND VERIFIED
ANSWERS TO PASS THE EXAM | ANSWERS ARE
BELOW
NGN-Style Clinical Judgment • Separate Answer Key
Contents
1. Section 1 — Fundamentals, Safety & Infection Control
2. Section 2 — Adult Health / Medical-Surgical Nursing
3. Section 3 — Pharmacology
4. Section 4 — Maternal-Newborn Nursing
5. Section 5 — Pediatric Nursing
6. Section 6 — Mental Health Nursing
7. Section 7 — Geriatric Nursing
8. Section 8 — Community & Public Health
9. Section 9 — Leadership, Delegation, Legal & Ethical Nursing
10. Section 10 — Dosage Calculation & Clinical Judgment
11. Section 11 — NGN-Style Unfolding Cases & Clinical Judgment
Total: 1,100 questions (100 per section).
1
, 2
Section 1 — Fundamentals, Safety & Infection Control
1. A client has a new prescription for oxygen at 2 L/min by nasal
cannula. Which action is appropriate?
A. Apply petroleum jelly around the nares for comfort.
B. Verify the prescription and assess oxygen saturation before
and after therapy.
C. Increase the flow rate until the client reports no dyspnea.
D. Place the oxygen equipment near an open flame.
2. Which finding requires the PN to intervene first?
A. A client reports incisional pain of 5/10.
B. A client has a respiratory rate of 8/min after an opioid.
C. A client asks when lunch will arrive.
D. A client needs assistance changing position.
3. Which intervention best reduces the risk of a hospital-acquired
pressure injury?
A. Massage reddened bony prominences.
B. Reposition the immobile client regularly and offload pressure.
C. Keep the head of bed at 90 degrees continuously.
D. Use a donut-shaped ring under the sacrum.
4. A sterile field becomes wet during a dressing change. What
should the PN do?
A. Continue because moisture does not affect sterility.
B. Consider the field contaminated and replace the sterile
supplies.
C. Dry the field with sterile gauze.
D. Cover the wet area with a clean towel.
5. Which action is most appropriate when using a gait belt?
A. Place it loosely over the client's chest.
B. Apply it snugly around the client's waist over clothing.
C. Use it to lift the client completely off the floor.
D. Place it around the client's neck for balance.
6. A client is at high risk for falls. Which intervention is best?
2
, 3
A. Keep all four side rails raised at all times.
B. Place the call light within reach and keep the bed in the lowest
position.
C. Encourage the client to walk without assistance to build
confidence.
D. Keep the room dark during waking hours.
7. Which hand-hygiene action is required after removing gloves?
A. No hand hygiene is needed if the gloves were intact.
B. Perform hand hygiene because gloves do not replace hand
hygiene.
C. Wash hands only if visible soil is present.
D. Use lotion instead of hand hygiene.
8. A client develops chills and dyspnea shortly after a blood
transfusion begins. What is the priority action?
A. Slow the transfusion and continue monitoring.
B. Stop the transfusion and maintain IV access with appropriate
solution per protocol.
C. Discard the IV catheter immediately.
D. Give the next unit of blood.
9. Which client statement indicates correct understanding of
incentive spirometer use?
A. I will use it only when I feel short of breath.
B. I will inhale slowly through the mouthpiece and repeat as
prescribed.
C. I should exhale forcefully into the device.
D. I should use it once each morning.
10. Which action is appropriate when removing personal protective
equipment after contact precautions?
A. Remove contaminated gloves and gown according to facility
sequence, then perform hand hygiene.
B. Shake the gown before placing it in the hamper.
C. Reuse disposable gloves if they look clean.
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, 4
D. Remove the mask first in the client's room.
11. A client has a new prescription for oxygen at 2 L/min by nasal
cannula. Which action is appropriate?
A. Increase the flow rate until the client reports no dyspnea.
B. Place the oxygen equipment near an open flame.
C. Apply petroleum jelly around the nares for comfort.
D. Verify the prescription and assess oxygen saturation before
and after therapy.
12. Which finding requires the PN to intervene first?
A. A client has a respiratory rate of 8/min after an opioid.
B. A client asks when lunch will arrive.
C. A client needs assistance changing position.
D. A client reports incisional pain of 5/10.
13. Which intervention best reduces the risk of a hospital-acquired
pressure injury?
A. Massage reddened bony prominences.
B. Reposition the immobile client regularly and offload pressure.
C. Keep the head of bed at 90 degrees continuously.
D. Use a donut-shaped ring under the sacrum.
14. A sterile field becomes wet during a dressing change. What
should the PN do?
A. Cover the wet area with a clean towel.
B. Continue because moisture does not affect sterility.
C. Consider the field contaminated and replace the sterile
supplies.
D. Dry the field with sterile gauze.
15. Which action is most appropriate when using a gait belt?
A. Use it to lift the client completely off the floor.
B. Place it around the client's neck for balance.
C. Place it loosely over the client's chest.
D. Apply it snugly around the client's waist over clothing.
16. A client is at high risk for falls. Which intervention is best?
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