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HESI PN EXIT EXAM (V5) - ACTUAL EXAM 2026/2027 |
NGN-STYLE | EXPERT VERIFIED | 75 VERIFIED Q&A |
DETAILED RATIONALES | PASS GUARANTEED - A+
GRADED
QUESTION 1
The PN is assigned to care for four clients. Which client should the PN assess first?
A. A client with diabetes mellitus who has a blood glucose level of 120 mg/dL
B. A client with pneumonia who has a temperature of 99.8°F (37.7°C)
C. A client with chest pain who is diaphoretic and nauseated
D. A client with a urinary tract infection who has flank pain
Rationale: The client with chest pain, diaphoresis, and nausea is at risk for a myocardial infarction and should
be assessed first. The other clients have stable conditions that can be addressed after the priority client is
stabilized.
QUESTION 2
The PN is delegating tasks to a UAP. Which task can the PN safely delegate to the UAP?
A. Assisting a client with ambulation
B. Administering oral medications
C. Performing a wound dressing change
D. Assessing a client's lung sounds
Rationale: Assisting with ambulation is within the scope of practice for a UAP. Administering medications,
performing wound care, and assessing lung sounds require nursing judgment and cannot be delegated to a
UAP.
QUESTION 3
The PN is caring for a client with an NG tube. Which finding requires immediate intervention?
A. The client's abdomen is distended and firm
B. The NG tube is draining greenish fluid
C. The client reports a sore throat
D. The pH of the gastric aspirate is 4
,2
Rationale: Abdominal distention and firmness may indicate a blocked tube or paralytic ileus, requiring
immediate intervention. Greenish drainage, sore throat, and gastric pH of 4 are expected findings with an NG
tube.
QUESTION 4
The PN is providing education to a client about advance directives. Which statement by the client indicates
understanding?
A. "Advance directives are only for elderly clients"
B. "An advance directive allows me to express my wishes for future medical care"
C. "Advance directives are legally binding only in certain states"
D. "Advance directives are the same as a living will"
Rationale: Advance directives allow clients to express their wishes for future medical care. They are not only
for elderly clients, are legally binding in all states, and include living wills and durable power of attorney for
healthcare.
QUESTION 5
The PN is preparing to administer a medication via a nasogastric tube. Which action should the PN take?
A. Verify tube placement before administering the medication
B. Administer the medication without checking placement
C. Administer the medication with 50 mL of water
D. Mix the medication with the tube feeding formula
Rationale: Verifying tube placement is essential before administering medications via an NG tube to prevent
aspiration. Medications should be administered with 30 mL of water and should not be mixed with tube
feeding formula without specific instructions.
QUESTION 6
The PN is caring for a client with a new diagnosis of diabetes mellitus. Which statement by the client indicates
a need for further teaching?
A. "I will check my blood glucose before meals"
B. "I will rotate my insulin injection sites"
C. "I will skip my insulin if I am not eating"
D. "I will monitor my feet for cuts and blisters"
, 3
Rationale: Clients with diabetes should not skip insulin even if they are not eating. Insulin should be taken as
prescribed, and the healthcare provider should be notified if there are concerns about eating. Checking blood
glucose, rotating injection sites, and foot care are appropriate.
QUESTION 7
The PN is providing education to a client about the use of a patient-controlled analgesia (PCA) pump. Which
statement by the client indicates understanding?
A. "I will push the button when I feel pain"
B. "I will push the button every 15 minutes even if I don't have pain"
C. "I will let my family push the button for me"
D. "I will push the button only when the nurse tells me to"
Rationale: Clients should push the PCA button when they feel pain. Pushing the button without pain, having
family members push it, or waiting for the nurse to instruct are not appropriate uses of PCA.
QUESTION 8
The PN is caring for a client with a wound infection. Which finding indicates the wound is healing?
A. Pink granulation tissue
B. Yellow, slough tissue
C. Black, necrotic tissue
D. Foul odor
Rationale: Pink granulation tissue indicates a healing wound. Yellow slough tissue and black necrotic tissue
are signs of infection or poor perfusion. Foul odor is a sign of infection.
QUESTION 9
The PN is preparing to administer a medication to a client. Which action should the PN take to ensure the
right dose?
A. Verify the medication label with the MAR
B. Ask the client what dose they usually take
C. Estimate the dose based on the client's weight
D. Administer the medication without checking
Rationale: Verifying the medication label with the MAR is essential to ensure the right dose. Asking the client,
estimating the dose, or administering without checking can lead to medication errors.
HESI PN EXIT EXAM (V5) - ACTUAL EXAM 2026/2027 |
NGN-STYLE | EXPERT VERIFIED | 75 VERIFIED Q&A |
DETAILED RATIONALES | PASS GUARANTEED - A+
GRADED
QUESTION 1
The PN is assigned to care for four clients. Which client should the PN assess first?
A. A client with diabetes mellitus who has a blood glucose level of 120 mg/dL
B. A client with pneumonia who has a temperature of 99.8°F (37.7°C)
C. A client with chest pain who is diaphoretic and nauseated
D. A client with a urinary tract infection who has flank pain
Rationale: The client with chest pain, diaphoresis, and nausea is at risk for a myocardial infarction and should
be assessed first. The other clients have stable conditions that can be addressed after the priority client is
stabilized.
QUESTION 2
The PN is delegating tasks to a UAP. Which task can the PN safely delegate to the UAP?
A. Assisting a client with ambulation
B. Administering oral medications
C. Performing a wound dressing change
D. Assessing a client's lung sounds
Rationale: Assisting with ambulation is within the scope of practice for a UAP. Administering medications,
performing wound care, and assessing lung sounds require nursing judgment and cannot be delegated to a
UAP.
QUESTION 3
The PN is caring for a client with an NG tube. Which finding requires immediate intervention?
A. The client's abdomen is distended and firm
B. The NG tube is draining greenish fluid
C. The client reports a sore throat
D. The pH of the gastric aspirate is 4
,2
Rationale: Abdominal distention and firmness may indicate a blocked tube or paralytic ileus, requiring
immediate intervention. Greenish drainage, sore throat, and gastric pH of 4 are expected findings with an NG
tube.
QUESTION 4
The PN is providing education to a client about advance directives. Which statement by the client indicates
understanding?
A. "Advance directives are only for elderly clients"
B. "An advance directive allows me to express my wishes for future medical care"
C. "Advance directives are legally binding only in certain states"
D. "Advance directives are the same as a living will"
Rationale: Advance directives allow clients to express their wishes for future medical care. They are not only
for elderly clients, are legally binding in all states, and include living wills and durable power of attorney for
healthcare.
QUESTION 5
The PN is preparing to administer a medication via a nasogastric tube. Which action should the PN take?
A. Verify tube placement before administering the medication
B. Administer the medication without checking placement
C. Administer the medication with 50 mL of water
D. Mix the medication with the tube feeding formula
Rationale: Verifying tube placement is essential before administering medications via an NG tube to prevent
aspiration. Medications should be administered with 30 mL of water and should not be mixed with tube
feeding formula without specific instructions.
QUESTION 6
The PN is caring for a client with a new diagnosis of diabetes mellitus. Which statement by the client indicates
a need for further teaching?
A. "I will check my blood glucose before meals"
B. "I will rotate my insulin injection sites"
C. "I will skip my insulin if I am not eating"
D. "I will monitor my feet for cuts and blisters"
, 3
Rationale: Clients with diabetes should not skip insulin even if they are not eating. Insulin should be taken as
prescribed, and the healthcare provider should be notified if there are concerns about eating. Checking blood
glucose, rotating injection sites, and foot care are appropriate.
QUESTION 7
The PN is providing education to a client about the use of a patient-controlled analgesia (PCA) pump. Which
statement by the client indicates understanding?
A. "I will push the button when I feel pain"
B. "I will push the button every 15 minutes even if I don't have pain"
C. "I will let my family push the button for me"
D. "I will push the button only when the nurse tells me to"
Rationale: Clients should push the PCA button when they feel pain. Pushing the button without pain, having
family members push it, or waiting for the nurse to instruct are not appropriate uses of PCA.
QUESTION 8
The PN is caring for a client with a wound infection. Which finding indicates the wound is healing?
A. Pink granulation tissue
B. Yellow, slough tissue
C. Black, necrotic tissue
D. Foul odor
Rationale: Pink granulation tissue indicates a healing wound. Yellow slough tissue and black necrotic tissue
are signs of infection or poor perfusion. Foul odor is a sign of infection.
QUESTION 9
The PN is preparing to administer a medication to a client. Which action should the PN take to ensure the
right dose?
A. Verify the medication label with the MAR
B. Ask the client what dose they usually take
C. Estimate the dose based on the client's weight
D. Administer the medication without checking
Rationale: Verifying the medication label with the MAR is essential to ensure the right dose. Asking the client,
estimating the dose, or administering without checking can lead to medication errors.
