PN HESI Exit Exam Study Guide | Versions 1, 2 & 3 Practice Questions & Answers | Latest Update 2026

PN HESI EXIT EXAM 2026 VERSION 1, 2, 3
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TEST QUESTIONS WITH ANSWERS LATEST UPDATEGRADEDA+
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1. During admission to the psychiatric unit, a female client is extremely anxious and states thatshe
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is worried about the sun coming up the next day. What intervention is most important forthe RN
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to implement during the admission process?
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A. Assistthe client indevelopingalternative copingskills. j j j j j j j




B. Remain calm anduseamatter-of-fact approach. j j j j j j




C. Askthe client whyshe isso anxious j j j j j j j




D. Administera PRN sedative tohelp relieveheranxiety. j j j j j j j j




2. A female client is brought to the emergency department after police officers found her
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disoriented, disorganized, and confused. The RN also determines that the client is homelessand
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is exhibiting suspiciousness. The client’s plan of care should include what priority problem?
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A. Acuteconfusion. j




B. Ineffectivecommunitycoping j j




C. Disturbedsensoryperception. j j




D. Self-caredeficit. j




3. Theoccupationalhealthnurseisworkingwith afemale employee whowasjustnotified thather
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child was involved in a MVA and taken to the hospital. The employee states, “I can’t believethis.
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What should I do?” Which responseisbestfortheRNtoprovide in this crisis?
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A. Tell mewhatyouthinkshould happen. j j j j j j




B. Howseriouswasthecollision? j j j j




C. Whatdoyou thinkyou should do? j j j j j j




D. Callfortransportation tothehospital. j j j j j




4. A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports that
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he is married to a female movie star and thinks that his brother wants a sexualrelationship with
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her. What is the priority nursing problem for admission to the psychiatric unit?
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A. Ineffectivesexualpatterns. j j




B. Impairedenvironmentalinterpretation. j j




C. Disturbedsensoryperception. j j




D. Compromisedfamily coping. j j




LATEST PN HESI EXIT EXAM WITH ANSWERS 2023
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, 5. The RN is providing care for a client diagnosed with borderline personality disorder who hasself-
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inflicted lacerations on the abdomen. Which approach should the RN use when changingthis j j j j j j j j j j j j j




client’sdressing?
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A. Provide detailed thorough explanations when cleansing wound.B. j j j j j j j




Performthedressing change in a non-judgmental manner.
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C. Askin anon-threateningmannerwhythe client cut own abdomen. j j j j j j j j j j




D. Requestanother staff memberassist withthedressingchange. j j j j j j j j




6. While sitting in the day room of the mental health unit, a male adolescent avoids eye contact,
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looks at the floor, and talks softly when interacting verbally with the RN. The two trade places,
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and the RN demonstrates the client’s behaviors. What is the main goal of thistherapeutic
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technique?
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A. Initiateanon-threatening conversationwiththeclient. j j j j j j




B. Dialog about the ineffectiveness of his interactions.C. j j j j j j j




Allowthe client to identifythe way he interacts.
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D. Discussthe client’sfeelings whenhe responds.
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7. An antidepressant medication is prescribed for a client who reports sleeping only 4 hours inthe
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past 2 days and weight loss of 9 lbs within the last month. Which client goal is most important to
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achieve within the first three days of treatment?
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A. Meet scheduled appointment with dietitian. j j j j




B. Sleep at least 6 hoursa night.
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C. Understandsthepurpose ofthemedication regimen. j j j j j j




D. Describesthe reasonsfor hospitalization. j j j j




E.
8. Whenpreparingtoadministertodomesticviolence screeningtooltoa female client,which
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statement should the RN provide?
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A. If yourpartner is abusing you, Ineed to askthesequestions.
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B. Statelawmandates thatI ask if you are a victimof domestic violence. j j j j j j j j j j j j j




C. The HCPproviderneedsto knowif you areexperiencinganydomesticabuse. j j j j j j j j j j j j




D. Allclientsare screenedfor domestic abuse because itis common in our society.
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9. Ayoungadultfemale visitsthementalhealth cliniccomplainingofdiarrhea,headache,and
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muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits.
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During the physical assessment, the client tells the RN that her sister thinks she is neurotic and
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calls her a hypochondriac. Which response isbest forthe RNto provide?
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LATEST PN HESI EXIT EXAM WITH ANSWERS 2023
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, A. Unlessyoursisterhasamedicaleducation,ignore hercomments. j j j j j j j j j




B. Ican hearthat yoursister comments areover-whelmingyou.
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C. Do you thinkit’spossiblethat you mightbeahypochondriac?
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D. Besides yoursister’scomments,what in yourlifeistroubling you? j j j j j j j j j j




10. The RN is leading a group on the inpatient psychiatric unit. Which approach should the RNuse
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jduring the working phase of group development?
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A. Establishingarapportwith group members. j j j j j




B. Clarifyingthenurse’sroleandclients’responsibilities. j j j j j j




C. Discussingwaysto usenew copingskills learned. j j j j j j j




D. Helpingclientsidentify areasofproblem intheirlives. j j j j j j j j




11. A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to
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jother clientson the unit. What intervention isbest for the RN to implement?
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A. Isolatetheclientfromthe other clients. j j j j j j




B. AdministerPRN sedative. j j




C. Avoid recognizing the behavior. j j j




jD. Escort the clientto his room.
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12. A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase. Based on
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jwhich assessmentfinding willthe RN withholdthe clonidine (Catapres)prescription?
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A. Blood pressure readingsof 90/62 mmHgto92/58 mmHg. j j j j j j j j




B. Pulse rateof 68-78 BPM. j j j j




C. Temperatureof99.5-99.7 F. j j j




D. Respiration rateof 24breathsper minute. j j j j j j




13. The RN on the evening shift receives report that a client is scheduled for electroconvulsive
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jtreatment (ECT) in the morning. Which intervention should the Rn implement the evening j j j j j j j j j j j j




jbefore the scheduled ECT? j j j




A. Hold allbedtime medications. j j j




B. Keepthe clientNPO after mid-night. j j j j j




C. Implementelopementprecautions. j j




D. Give the client an enemaat bedtime. j j j j j j




LATEST PN HESI EXIT EXAM WITH ANSWERS 2023
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, 14. A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is
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jadmitted to an acute care hospital for uncontrolled hypertension. What dietary choices
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jshould the RN instruct the client to avoid? j j j j j j j




A. Pan-seared catfish. j




jB. Peperonipizza.
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C. Deepfried shrimp. j j




D. Beef tripswith gravy. j j j




15. A mental health worker is caring for a client with escalating aggressive behavior. Which
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jaction bythementalhealth worker warrants immediate intervention bythe RN?
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A. Isattemptingthephysically restrainthepatient.
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B. Remains at a distance of4 feet fromthe client. j j j j j j j j j




C. Tellsthe client to go tothe quiet area oftheunit. j j j j j j j j j j j




D. Is using aload voicetotalkto the client.
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16. A client who recently experienced the death of a significant other arrives at the mental health
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jcenter. The client reports loss of interest in usual activities, expresses a wish to be with the
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jdecreased significant other, has been eating very little, and has not slept in severaldays. Which j j j j j j j j j j j j j j j




jclient statement is most important for the RN to explore atthis time?
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A. Notsleepingforseveraldays. j j j j




B. Wishingto be with spouse. j j j j




C. Lackof interest inusualactivities. j j j j j




D. Eatingvery little. j j




17. A middle aged adult with major depressive disorder suffers from psychomotor retardation,
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jhypersomnia, and motivation. Which intervention is likely to be most effective in returningthis j j j j j j j j j j j j j




jclient to a normal level of functioning?
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A. Provideeducation onmethodsto enhancesleep. j j j j j j




B. Teachtheclient to develop aplanfordailystructured activities. j j j j j j j j j j




C. Suggestthat the clientdevelopa listof pleasurable activities. j j j j j j j j j




D. Encouragethe clientto exercise. j j j j




18. When developing a plan of care for a client admitted to the psychiatric unit following aspiration
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jof a caustic material related to a suicide attempt, which nursing problem has thehighest
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jpriority?
A. Impairedcomfort. j





LATEST PN HESI EXIT EXAM WITH ANSWERS 2023
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