PN HESI EXIT EXAM V1 NEWEST 2026
ACTUAL EXAM | ELSEVIER HESI PN EXIT
EXAM V1 EXAM PRACTICE 250 QUESTIONS
|ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED
A+*INSTANT DOWNLOAD PDF
Fundamentals, Safety & Clinical Judgment
1.
A client with pneumonia has a respiratory rate of 30/min, oxygen
saturation of 86%, and increasing confusion. Which action should the
practical nurse take first?
A. Encourage oral fluids
B. Obtain a sputum specimen
C. Apply oxygen as prescribed
D. Administer the scheduled antibiotic
Answer: C. Apply oxygen as prescribed
Rationale: Hypoxemia with altered mental status is an immediate
priority. Oxygen should be provided to improve oxygenation while
additional interventions are initiated.
2.
A practical nurse is caring for four clients. Which client should be
assessed first?
,A. Client with chronic arthritis reporting pain of 6/10
B. Client with diabetes whose glucose is 210 mg/dL
C. Client with COPD whose oxygen saturation decreased from 94% to
84%
D. Client awaiting discharge instructions
Answer: C. Client with COPD whose oxygen saturation decreased
from 94% to 84%
Rationale: An acute decline in oxygen saturation represents an
immediate airway/breathing concern.
3.
Which intervention is most appropriate when caring for a client with
neutropenia?
A. Place fresh flowers in the room
B. Encourage raw fruits and vegetables
C. Avoid visitors who are ill
D. Use rectal thermometers routinely
Answer: C. Avoid visitors who are ill
Rationale: Neutropenic clients have impaired defenses against
infection. Exposure to people with infections should be minimized.
4.
A client receiving chemotherapy has a platelet count of 38,000/mm³.
Which intervention is appropriate?
A. Use an electric razor
B. Administer IM injections
C. Encourage vigorous tooth brushing
D. Give aspirin for headache
,Answer: A. Use an electric razor
Rationale: Thrombocytopenia increases bleeding risk. Electric razors
reduce the risk of skin injury and bleeding.
5.
Which finding requires immediate intervention for a client receiving
a blood transfusion?
A. Temperature increase of 0.2°C
B. Mild hunger
C. Sudden chills and flank pain
D. Heart rate of 82/min
Answer: C. Sudden chills and flank pain
Rationale: Chills and flank pain may indicate an acute hemolytic
transfusion reaction. The transfusion should be stopped and
emergency protocols initiated.
6.
A client develops wheezing and dyspnea shortly after receiving a
medication. Which action is the priority?
A. Document the reaction
B. Assess the airway and breathing
C. Ask about medication history
D. Obtain a dietary history
Answer: B. Assess the airway and breathing
Rationale: Airway compromise can rapidly become life-threatening
and takes priority.
, 7.
Which finding is most concerning in a client receiving opioid
analgesia?
A. Respiratory rate of 8/min
B. Pain rating of 4/10
C. Mild nausea
D. Blood pressure of 124/76 mmHg
Answer: A. Respiratory rate of 8/min
Rationale: Opioids can cause respiratory depression. A respiratory
rate of 8/min requires immediate assessment and intervention.
8.
Which client should the PN see first?
A. Client with a new tracheostomy who has noisy respirations
B. Client requesting a blanket
C. Client reporting chronic back pain
D. Client awaiting dietary teaching
Answer: A. Client with a new tracheostomy who has noisy
respirations
Rationale: Noisy respirations after tracheostomy may indicate airway
obstruction.
9.
A client is at risk for falls. Which intervention is most appropriate?
A. Keep all four side rails raised
B. Place the call light within reach
ACTUAL EXAM | ELSEVIER HESI PN EXIT
EXAM V1 EXAM PRACTICE 250 QUESTIONS
|ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED
A+*INSTANT DOWNLOAD PDF
Fundamentals, Safety & Clinical Judgment
1.
A client with pneumonia has a respiratory rate of 30/min, oxygen
saturation of 86%, and increasing confusion. Which action should the
practical nurse take first?
A. Encourage oral fluids
B. Obtain a sputum specimen
C. Apply oxygen as prescribed
D. Administer the scheduled antibiotic
Answer: C. Apply oxygen as prescribed
Rationale: Hypoxemia with altered mental status is an immediate
priority. Oxygen should be provided to improve oxygenation while
additional interventions are initiated.
2.
A practical nurse is caring for four clients. Which client should be
assessed first?
,A. Client with chronic arthritis reporting pain of 6/10
B. Client with diabetes whose glucose is 210 mg/dL
C. Client with COPD whose oxygen saturation decreased from 94% to
84%
D. Client awaiting discharge instructions
Answer: C. Client with COPD whose oxygen saturation decreased
from 94% to 84%
Rationale: An acute decline in oxygen saturation represents an
immediate airway/breathing concern.
3.
Which intervention is most appropriate when caring for a client with
neutropenia?
A. Place fresh flowers in the room
B. Encourage raw fruits and vegetables
C. Avoid visitors who are ill
D. Use rectal thermometers routinely
Answer: C. Avoid visitors who are ill
Rationale: Neutropenic clients have impaired defenses against
infection. Exposure to people with infections should be minimized.
4.
A client receiving chemotherapy has a platelet count of 38,000/mm³.
Which intervention is appropriate?
A. Use an electric razor
B. Administer IM injections
C. Encourage vigorous tooth brushing
D. Give aspirin for headache
,Answer: A. Use an electric razor
Rationale: Thrombocytopenia increases bleeding risk. Electric razors
reduce the risk of skin injury and bleeding.
5.
Which finding requires immediate intervention for a client receiving
a blood transfusion?
A. Temperature increase of 0.2°C
B. Mild hunger
C. Sudden chills and flank pain
D. Heart rate of 82/min
Answer: C. Sudden chills and flank pain
Rationale: Chills and flank pain may indicate an acute hemolytic
transfusion reaction. The transfusion should be stopped and
emergency protocols initiated.
6.
A client develops wheezing and dyspnea shortly after receiving a
medication. Which action is the priority?
A. Document the reaction
B. Assess the airway and breathing
C. Ask about medication history
D. Obtain a dietary history
Answer: B. Assess the airway and breathing
Rationale: Airway compromise can rapidly become life-threatening
and takes priority.
, 7.
Which finding is most concerning in a client receiving opioid
analgesia?
A. Respiratory rate of 8/min
B. Pain rating of 4/10
C. Mild nausea
D. Blood pressure of 124/76 mmHg
Answer: A. Respiratory rate of 8/min
Rationale: Opioids can cause respiratory depression. A respiratory
rate of 8/min requires immediate assessment and intervention.
8.
Which client should the PN see first?
A. Client with a new tracheostomy who has noisy respirations
B. Client requesting a blanket
C. Client reporting chronic back pain
D. Client awaiting dietary teaching
Answer: A. Client with a new tracheostomy who has noisy
respirations
Rationale: Noisy respirations after tracheostomy may indicate airway
obstruction.
9.
A client is at risk for falls. Which intervention is most appropriate?
A. Keep all four side rails raised
B. Place the call light within reach
