HESI PN 2025 Exit June

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Sample questions from HESI PN 2025 Exit June

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a medical-surgical unit, the PN receives report on four clients. Which client should the PN assess and report to the RN first?

   • A.A 58-year-old 2 hours after thyroidectomy who is restless and has new inspiratory stridor
   • B.A 66-year-old with a urinary catheter whose urine output was 45 mL during the past hour
   • C.A 40-year-old with diabetes whose premeal glucose is 218 mg/dL
   • D.A 72-year-old with heart failure who gained 0.5 kg (1.1 lb) overnight and has 1+ ankle edema

   Rationale: New stridor after thyroid surgery can indicate airway obstruction and requires immediate attention and prompt RN notification. The weight gain, elevated glucose, and urine output require follow-up but do not signal the same immediate threat. Prioritize a potentially compromised airway.

2. 2.During an evening shift at a long-term care facility, a PN is organizing care for four assigned residents. Which tasks are appropriate for the PN to assign to an experienced unlicensed assistive personnel (UAP)? Select all that apply.

   • A.Teach a resident how to use a newly prescribed walker
   • B.Obtain routine vital signs for a stable resident and report values outside the facility parameters
   • C.Measure and record intake and output for a stable resident
   • D.Assist a stable resident with bathing and dressing
   • E.Evaluate whether a PRN analgesic relieved a resident's pain
   • F.Assess a resident who reports new chest pressure

   Rationale: Routine measurements, basic personal care, and recording intake and output for stable residents are appropriate UAP tasks. Teaching, assessment of a new symptom, and evaluation of medication effectiveness require nursing judgment and are not delegated to UAP. The PN remains responsible for reviewing reported data and notifying the RN of concerning findings.

3. 3.During a home health visit, a 76-year-old client with heart failure tells the PN, "I cannot afford all these pills, so I take them every other day." The client is alert, has BP 138/82 mm Hg, and denies shortness of breath. What is the PN's best action?

   • A.Call the pharmacy and change the prescriptions to less expensive medications
   • B.Ask which medications are being skipped and report the concern to the RN
   • C.Tell the client to stop the medications until they can be purchased consistently
   • D.Explain that taking every other dose is a safe way to reduce costs

   Rationale: The PN should collect specific information about the medication access problem and promptly report it to the RN for coordinated follow-up. Stopping therapy or changing prescriptions is outside PN authority, and endorsing alternate-day dosing may worsen the client's condition. Identify barriers without judgment and communicate them to the supervising nurse.

4. 4.In a rehabilitation unit, a 69-year-old client with a new stroke coughs repeatedly while drinking water and has a wet-sounding voice. Which action should the PN take first?

   • A.Place the client flat and encourage coughing
   • B.Document the findings and reassess at the next meal
   • C.Offer smaller sips through a straw
   • D.Stop oral intake and promptly report the findings to the RN

   Answer and rationale are in the full material.

5. 5.In an outpatient clinic, a 54-year-old client with diabetes becomes pale and diaphoretic before lunch. The client is awake, can swallow, and has a point-of-care glucose of 54 mg/dL. Which action should the PN take?

   • A.Ask the client to walk while waiting for the meal
   • B.Administer the scheduled rapid-acting insulin before the meal
   • C.Give 15 g of rapid-acting carbohydrate according to protocol and recheck glucose in 15 minutes
   • D.Offer a high-protein snack and recheck glucose in 1 hour

   Answer and rationale are in the full material.