HESI PN Exit Exam Comprehensive Review

Free preview · Original latest version

Sample questions from HESI PN Exit Exam Comprehensive Review

This material has 20 questions with answers and rationales. Here are the first 5.

1. 1.The PN receives reports on four clients. Which client should the PN assess first while arranging appropriate assistance?

   • A.A client with COPD whose oxygen saturation is 91% within a prescribed target of 88%-92% and who is speaking comfortably
   • B.A client with pneumonia who has new confusion, a respiratory rate of 32/min, and blood pressure of 88/50 mm Hg
   • C.A client one day after knee surgery who reports pain of 6/10 without other changes
   • D.A client with diabetes whose premeal glucose is 184 mg/dL

   Rationale: B has acute neurologic, respiratory, and circulatory changes suggesting severe deterioration and possible sepsis. A is within the stated oxygen target without distress. C needs timely pain care but has no described instability. D requires prescribed diabetes management, not priority over shock findings.

2. 2.An adult client with diabetes is awake, diaphoretic, and able to swallow. The glucose is 54 mg/dL. Which action is best?

   • A.Administer the scheduled rapid-acting insulin
   • B.Provide a high-fat snack and recheck glucose in two hours
   • C.Give 15 g of rapid-acting carbohydrate and recheck glucose in 15 minutes according to protocol
   • D.Keep the client NPO until the clinician arrives

   Rationale: C provides prompt treatment for hypoglycemia in a client who can swallow and includes timely reassessment. A worsens hypoglycemia. B delays absorption and reassessment. D unnecessarily delays treatment; NPO status is not appropriate solely because the glucose is low when safe oral treatment is available.

3. 3.A client with kidney failure has potassium of 6.6 mEq/L, muscle weakness, and new peaked T waves. Which action is the priority?

   • A.Offer a potassium-rich snack
   • B.Activate urgent clinical assistance and prepare for prescribed hyperkalemia treatment
   • C.Document the finding as expected in kidney failure
   • D.Wait until the next routine laboratory draw

   Rationale: B addresses potentially life-threatening hyperkalemia with cardiac changes. A could worsen the problem. C incorrectly treats a dangerous complication as harmless. D delays needed treatment; repeat testing may be appropriate, but it must not replace urgent action when symptoms and ECG changes support danger.

4. 4.A client receiving an opioid is difficult to arouse and has a respiratory rate of 6/min. Which response is most appropriate?

   • A.Apply oxygen and leave to complete the medication record
   • B.Encourage the client to sleep because postoperative rest is important
   • C.Give another opioid dose if the pain score was previously high
   • D.Summon emergency assistance, support ventilation, and administer naloxone according to protocol

   Answer and rationale are in the full material.

5. 5.Which task is most appropriate to assign to trained unlicensed assistive personnel?

   • A.Determine whether new chest pain is cardiac
   • B.Teach a client how to adjust insulin doses
   • C.Assist a stable client with routine bathing and report any observed skin changes
   • D.Evaluate whether treatment for acute dyspnea was effective

   Answer and rationale are in the full material.