HESI PN EXIT
V3 EXAM
NCLEX (NGN), Case-based Scenarios,
Actual Qs & Ans to Pass the Exam
THIS HESI PN EXIT CONSISTS OF
❖75 Questions and Answers
❖ multiple-choice questions (MCQs)** with four options
(A–D), answers, and detailed rationales aligned with
HESI PN Exit Exam 2025 standards.
❖ Some questions are flagged as **NCLEX-style (NGN)**, and
relevant **case studies/vitals** are integrated where applicable.
,### 1. The practical nurse (PN) is observing a client self-administering a
dose of subcutaneous insulin. Which step of the injection technique
should the PN reteach?
A. Injects air into the insulin vial to displace the dose
B. Selects the same site that was used for the previous injection
C. Inserts the needle at a 90-degree angle to the skin surface
D. Uses a circular motion when applying an alcohol pad to the site
Answer: B. Selects the same site that was used for the previous
injection
Rationale:
Repeatedly using the same injection site can cause lipodystrophy and
impaired insulin absorption. Clients should rotate injection sites
systematically within the same body region to enhance insulin
absorption and reduce discomfort. Air injection into the vial, needle
,insertion angle, and alcohol pad application are appropriate
techniques.
---
### 2. The birth weight of an infant delivered by a woman with
gestational diabetes is 10.1 pounds (4,581 grams). The infant is jittery
and has a heel stick glucose level of 40 mg/dL (2.2 mmol/L) 30 minutes
after birth. Which intervention should the PN implement first?
A. Repeat the heel stick for glucose in one hour
B. Offer nipple feedings of 10% dextrose
C. Begin frequent feedings of breast milk or formula
D. Assess for signs of hypocalcemia
Answer: C. Begin frequent feedings of breast milk or formula
Rationale:
, This infant exhibits signs of hypoglycemia, common in infants of
diabetic mothers. Early frequent feedings provide glucose to stabilize
blood sugar levels and prevent neurological damage. Delaying
intervention or offering 10% dextrose without IV access may increase
risk. Monitoring for hypocalcemia is important but secondary to
treating hypoglycemia.
---
### 3. The nurse is very busy and running late with administering
medications and asks the PN to administer a medication already drawn
up in an unlabeled syringe. How should the PN respond?
A. "You should know that I cannot administer the medication in this
syringe."
B. "As long as the charge nurse checks the syringe, I can give the
medication."
C. "Teamwork is the best approach. I will be glad to help you get
caught up."
V3 EXAM
NCLEX (NGN), Case-based Scenarios,
Actual Qs & Ans to Pass the Exam
THIS HESI PN EXIT CONSISTS OF
❖75 Questions and Answers
❖ multiple-choice questions (MCQs)** with four options
(A–D), answers, and detailed rationales aligned with
HESI PN Exit Exam 2025 standards.
❖ Some questions are flagged as **NCLEX-style (NGN)**, and
relevant **case studies/vitals** are integrated where applicable.
,### 1. The practical nurse (PN) is observing a client self-administering a
dose of subcutaneous insulin. Which step of the injection technique
should the PN reteach?
A. Injects air into the insulin vial to displace the dose
B. Selects the same site that was used for the previous injection
C. Inserts the needle at a 90-degree angle to the skin surface
D. Uses a circular motion when applying an alcohol pad to the site
Answer: B. Selects the same site that was used for the previous
injection
Rationale:
Repeatedly using the same injection site can cause lipodystrophy and
impaired insulin absorption. Clients should rotate injection sites
systematically within the same body region to enhance insulin
absorption and reduce discomfort. Air injection into the vial, needle
,insertion angle, and alcohol pad application are appropriate
techniques.
---
### 2. The birth weight of an infant delivered by a woman with
gestational diabetes is 10.1 pounds (4,581 grams). The infant is jittery
and has a heel stick glucose level of 40 mg/dL (2.2 mmol/L) 30 minutes
after birth. Which intervention should the PN implement first?
A. Repeat the heel stick for glucose in one hour
B. Offer nipple feedings of 10% dextrose
C. Begin frequent feedings of breast milk or formula
D. Assess for signs of hypocalcemia
Answer: C. Begin frequent feedings of breast milk or formula
Rationale:
, This infant exhibits signs of hypoglycemia, common in infants of
diabetic mothers. Early frequent feedings provide glucose to stabilize
blood sugar levels and prevent neurological damage. Delaying
intervention or offering 10% dextrose without IV access may increase
risk. Monitoring for hypocalcemia is important but secondary to
treating hypoglycemia.
---
### 3. The nurse is very busy and running late with administering
medications and asks the PN to administer a medication already drawn
up in an unlabeled syringe. How should the PN respond?
A. "You should know that I cannot administer the medication in this
syringe."
B. "As long as the charge nurse checks the syringe, I can give the
medication."
C. "Teamwork is the best approach. I will be glad to help you get
caught up."
