HESI PN EXIT EXAM
ACTUAL PROCTORED EXAM | DUE MAY 2026
(EXAM PROCTORED THROUGH EXAMLIFY)
200 QUESTIONS AND ANSWERS WITH DETAILED RATIONALES
SCORED 100% | PASS GUARANTEED
CHAMBERLAIN UNIVERSITY
Course Code: HESI PN | Course Title: Exit Exam
Document Type: Actual Exam Screenshots + Complete Rationales
Prepared By: Nursingsolutions
1
, Disclaimer: This is a legit exam and contains officially sanctioned
examination content. Updated for 2026 NGN-style testing.
Proctored Exams Help | Your Success, Our Priority
Date: ______________________
TABLE OF CONTENTS
Section 1: Fundamentals of Nursing
Q 1–40
Section 2: Medical-Surgical Nursing
Q 41–80
Section 3: Maternal & Newborn Care
Q 81–110
Section 4: Pediatric Nursing
Q 111–140
Section 5: Mental Health Nursing
Q 141–170
Section 6: Pharmacology & IV Therapy
Q 171–200
SECTION 1: FUNDAMENTALS OF
NURSING
2
,Prioritization, safety, infection control, basic care, comfort, and legal/ethical
issues.
QUESTION 1
The practical nurse is caring for a client who had a total hip
arthroplasty 12 hours ago. Which finding requires immediate
intervention?
A. Pain rating 4/10 at surgical site B. Serosanguineous drainage on dressing C.
Right foot cool to touch with absent pedal pulse D. Temperature 99.8°F (37.7°C)
E. Urine output 30 mL in past hour
CORRECT ANSWER: C. Right foot cool to touch with absent pedal
pulse
RATIONALE:
A cool extremity with an absent pedal pulse indicates acute arterial occlusion
or compartment syndrome — a limb-threatening emergency. The 6 P's (Pain,
Pallor, Pulselessness, Paresthesia, Paralysis, Poikilothermia) must be assessed.
Absent pulse is a late and critical finding. Notify the surgeon stat. While urine
output of 30 mL/hr is low, it does not present the same immediate threat to
limb viability.
QUESTION 2
3
, The PN is caring for a client receiving furosemide 40 mg IV push.
Which finding indicates the medication is having the desired effect?
A. BP increased from 140/90 to 148/92 B. Urine output of 200 mL in 2 hours C.
Weight gain of 1 kg in 24 hours D. Crackles in bilateral lung bases E. Jugular vein
distension
CORRECT ANSWER: B. Urine output of 200 mL in 2 hours
RATIONALE:
Furosemide is a potent loop diuretic. The desired effect is increased urine
output (diuresis), reducing fluid overload. Expected output increases within
30 minutes of IV administration. Crackles, JVD, weight gain, and increased BP
are signs of fluid overload that should improve—not worsen—with effective
diuresis.
QUESTION 3
The PN is preparing to administer digoxin 0.125 mg PO. The client's
apical pulse is 54/min. What action should the PN take?
A. Administer the medication as prescribed B. Hold the medication and notify
the healthcare provider C. Retake the pulse in 15 minutes D. Administer half the
prescribed dose E. Administer with an antacid
4
ACTUAL PROCTORED EXAM | DUE MAY 2026
(EXAM PROCTORED THROUGH EXAMLIFY)
200 QUESTIONS AND ANSWERS WITH DETAILED RATIONALES
SCORED 100% | PASS GUARANTEED
CHAMBERLAIN UNIVERSITY
Course Code: HESI PN | Course Title: Exit Exam
Document Type: Actual Exam Screenshots + Complete Rationales
Prepared By: Nursingsolutions
1
, Disclaimer: This is a legit exam and contains officially sanctioned
examination content. Updated for 2026 NGN-style testing.
Proctored Exams Help | Your Success, Our Priority
Date: ______________________
TABLE OF CONTENTS
Section 1: Fundamentals of Nursing
Q 1–40
Section 2: Medical-Surgical Nursing
Q 41–80
Section 3: Maternal & Newborn Care
Q 81–110
Section 4: Pediatric Nursing
Q 111–140
Section 5: Mental Health Nursing
Q 141–170
Section 6: Pharmacology & IV Therapy
Q 171–200
SECTION 1: FUNDAMENTALS OF
NURSING
2
,Prioritization, safety, infection control, basic care, comfort, and legal/ethical
issues.
QUESTION 1
The practical nurse is caring for a client who had a total hip
arthroplasty 12 hours ago. Which finding requires immediate
intervention?
A. Pain rating 4/10 at surgical site B. Serosanguineous drainage on dressing C.
Right foot cool to touch with absent pedal pulse D. Temperature 99.8°F (37.7°C)
E. Urine output 30 mL in past hour
CORRECT ANSWER: C. Right foot cool to touch with absent pedal
pulse
RATIONALE:
A cool extremity with an absent pedal pulse indicates acute arterial occlusion
or compartment syndrome — a limb-threatening emergency. The 6 P's (Pain,
Pallor, Pulselessness, Paresthesia, Paralysis, Poikilothermia) must be assessed.
Absent pulse is a late and critical finding. Notify the surgeon stat. While urine
output of 30 mL/hr is low, it does not present the same immediate threat to
limb viability.
QUESTION 2
3
, The PN is caring for a client receiving furosemide 40 mg IV push.
Which finding indicates the medication is having the desired effect?
A. BP increased from 140/90 to 148/92 B. Urine output of 200 mL in 2 hours C.
Weight gain of 1 kg in 24 hours D. Crackles in bilateral lung bases E. Jugular vein
distension
CORRECT ANSWER: B. Urine output of 200 mL in 2 hours
RATIONALE:
Furosemide is a potent loop diuretic. The desired effect is increased urine
output (diuresis), reducing fluid overload. Expected output increases within
30 minutes of IV administration. Crackles, JVD, weight gain, and increased BP
are signs of fluid overload that should improve—not worsen—with effective
diuresis.
QUESTION 3
The PN is preparing to administer digoxin 0.125 mg PO. The client's
apical pulse is 54/min. What action should the PN take?
A. Administer the medication as prescribed B. Hold the medication and notify
the healthcare provider C. Retake the pulse in 15 minutes D. Administer half the
prescribed dose E. Administer with an antacid
4
