HESI PN EXIT EXAM Actual 2025 Latest Version
with NGN Questions and Answers
Fundamentals and Patient Safety (Questions 1–10)
Question 1 (Multiple Choice)
A client with a history of falls is admitted. What is the most important intervention for the
practical nurse (PN) to implement?
A. Place a call bell within reach
B. Administer a sedative at bedtime
C. Restrain the client during ambulation
D. Encourage independent ambulation
Correct Answer: A. Place a call bell within reach
Rationale: Ensuring the call bell is accessible promotes safety by allowing the client to request
help, reducing fall risk. Sedatives (B) may increase fall risk, restraints (C) are a last resort, and
independent ambulation (D) is unsafe without assessment (web:17, web:20).
Question 2 (Select All That Apply)
Which interventions should the PN implement for a client with a pressure ulcer? (Select all that
apply.)
A. Reposition the client every 2 hours
B. Apply a dry gauze dressing daily
C. Encourage a high-protein diet
D. Use a donut-shaped cushion
E. Assess the wound daily
Correct Answers: A, C, E
Rationale: Repositioning (A) prevents further tissue damage, a high-protein diet (C) supports
healing, and daily assessment (E) monitors progress. Dry gauze (B) may adhere to the wound,
and donut cushions (D) increase pressure on surrounding tissue (web:9, web:15).
Question 3 (NGN Bow-Tie)
Case Study: A 78-year-old client with left-sided heart failure presents with dyspnea and crackles
in the lungs. Vital signs: BP 160/90 mm Hg, HR 100 beats/min, RR 28 breaths/min, SpO2 92%.
Bow-Tie Question: Complete the bow-tie diagram for this client’s care.
Condition: Left-sided heart failure exacerbation
, Actions to Take: (Select two)
A. Administer prescribed furosemide
B. Elevate the head of the bed
Parameters to Monitor: (Select two)
C. Oxygen saturation
D. Daily weight
Potential Complications: (Select one)
E. Pulmonary edema
Correct Answers: Actions: A, B; Parameters: C, D; Complication: E
Rationale: Furosemide (A) reduces fluid overload, and elevating the head of the bed (B) eases
breathing. Monitor oxygen saturation (C) for respiratory status and daily weight (D) for fluid
retention. Pulmonary edema (E) is a key complication (web:20).
Question 4 (Multiple Choice)
The PN observes a client with a new colostomy. Which finding requires immediate intervention?
A. Slight redness around the stoma
B. Liquid stool output
C. Dusky stoma color
D. Mild odor from the ostomy bag
Correct Answer: C. Dusky stoma color
Rationale: A dusky stoma indicates ischemia, requiring urgent intervention. Slight redness (A) is
normal, liquid stool (B) is expected initially, and mild odor (D) is typical (web:4, web:15).
Question 5 (Hot Spot)
Hot Spot Question: The PN is assessing a client’s abdomen for bowel sounds. Identify the area
to auscultate for the right upper quadrant.
[Image: Diagram of abdomen with quadrants labeled]
Correct Answer: Right upper quadrant (top-right section of the abdomen)
Rationale: The right upper quadrant is located above the umbilicus and to the client’s right,
where the liver and gallbladder are assessed (web:19).
Question 6 (Multiple Choice)
A client with a nasogastric (NG) tube reports nausea. What should the PN do first?
A. Administer an antiemetic
B. Check NG tube placement
C. Flush the NG tube with saline
D. Remove the NG tube
with NGN Questions and Answers
Fundamentals and Patient Safety (Questions 1–10)
Question 1 (Multiple Choice)
A client with a history of falls is admitted. What is the most important intervention for the
practical nurse (PN) to implement?
A. Place a call bell within reach
B. Administer a sedative at bedtime
C. Restrain the client during ambulation
D. Encourage independent ambulation
Correct Answer: A. Place a call bell within reach
Rationale: Ensuring the call bell is accessible promotes safety by allowing the client to request
help, reducing fall risk. Sedatives (B) may increase fall risk, restraints (C) are a last resort, and
independent ambulation (D) is unsafe without assessment (web:17, web:20).
Question 2 (Select All That Apply)
Which interventions should the PN implement for a client with a pressure ulcer? (Select all that
apply.)
A. Reposition the client every 2 hours
B. Apply a dry gauze dressing daily
C. Encourage a high-protein diet
D. Use a donut-shaped cushion
E. Assess the wound daily
Correct Answers: A, C, E
Rationale: Repositioning (A) prevents further tissue damage, a high-protein diet (C) supports
healing, and daily assessment (E) monitors progress. Dry gauze (B) may adhere to the wound,
and donut cushions (D) increase pressure on surrounding tissue (web:9, web:15).
Question 3 (NGN Bow-Tie)
Case Study: A 78-year-old client with left-sided heart failure presents with dyspnea and crackles
in the lungs. Vital signs: BP 160/90 mm Hg, HR 100 beats/min, RR 28 breaths/min, SpO2 92%.
Bow-Tie Question: Complete the bow-tie diagram for this client’s care.
Condition: Left-sided heart failure exacerbation
, Actions to Take: (Select two)
A. Administer prescribed furosemide
B. Elevate the head of the bed
Parameters to Monitor: (Select two)
C. Oxygen saturation
D. Daily weight
Potential Complications: (Select one)
E. Pulmonary edema
Correct Answers: Actions: A, B; Parameters: C, D; Complication: E
Rationale: Furosemide (A) reduces fluid overload, and elevating the head of the bed (B) eases
breathing. Monitor oxygen saturation (C) for respiratory status and daily weight (D) for fluid
retention. Pulmonary edema (E) is a key complication (web:20).
Question 4 (Multiple Choice)
The PN observes a client with a new colostomy. Which finding requires immediate intervention?
A. Slight redness around the stoma
B. Liquid stool output
C. Dusky stoma color
D. Mild odor from the ostomy bag
Correct Answer: C. Dusky stoma color
Rationale: A dusky stoma indicates ischemia, requiring urgent intervention. Slight redness (A) is
normal, liquid stool (B) is expected initially, and mild odor (D) is typical (web:4, web:15).
Question 5 (Hot Spot)
Hot Spot Question: The PN is assessing a client’s abdomen for bowel sounds. Identify the area
to auscultate for the right upper quadrant.
[Image: Diagram of abdomen with quadrants labeled]
Correct Answer: Right upper quadrant (top-right section of the abdomen)
Rationale: The right upper quadrant is located above the umbilicus and to the client’s right,
where the liver and gallbladder are assessed (web:19).
Question 6 (Multiple Choice)
A client with a nasogastric (NG) tube reports nausea. What should the PN do first?
A. Administer an antiemetic
B. Check NG tube placement
C. Flush the NG tube with saline
D. Remove the NG tube
