HESI Exit PN 2022

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Sample questions from HESI Exit PN 2022

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

1. 1.In the emergency department, a client with a suspected stroke develops difficulty swallowing during a sip of water. What is the priority action within the PN role?

   • A.Stop oral intake and report the change to the RN immediately
   • B.Place the client supine and continue the neurologic checks
   • C.Ask the client to cough forcefully and then resume the water
   • D.Offer thickened fluids and reassess swallowing in 30 minutes

   Rationale: Stopping oral intake reduces the immediate risk of aspiration, and new swallowing difficulty must be reported promptly. Thickened fluids should not be started without an appropriate swallowing evaluation and direction. Supine positioning increases aspiration risk, and coughing does not establish that swallowing is safe.

2. 2.A client states, "I have crushing chest pressure and feel sweaty." Which action should the PN take first?

   • A.Offer an antacid and reassess the pain in 30 minutes
   • B.Ask the client to walk to the treatment room for an ECG
   • C.Stay with the client, obtain vital signs, and alert the RN immediately
   • D.Review the client's diet history before notifying the RN

   Rationale: Crushing chest pressure with diaphoresis may indicate acute coronary syndrome and requires immediate escalation while the client is monitored. Walking may worsen cardiac demand and delay care. An antacid trial or a diet history does not address the potentially life-threatening change.

3. 3.A client's potassium is 6.1 mEq/L (reference range 3.5 to 5.0 mEq/L). Which findings or actions should the PN promptly report to the RN? Select all that apply.

   • A.Request for a banana with breakfast
   • B.Peaked T waves on the monitor
   • C.New muscle weakness
   • D.New palpitations
   • E.A repeat potassium of 6.0 mEq/L from a nonhemolyzed specimen

   Rationale: Muscle weakness and palpitations can accompany dangerous hyperkalemia, and peaked T waves suggest cardiac effects. A confirmed repeat elevation supports that the result is not simply due to specimen hemolysis and requires prompt reporting. A banana contains potassium, but the request alone is not an urgent finding; dietary decisions should be addressed with the care team.

4. 4.Which instruction should the PN reinforce for a client with heart failure who is monitoring weight at home?

   • A.Weigh once weekly unless shortness of breath develops
   • B.Weigh at the same time each morning using the same scale
   • C.Use a different scale if the home scale shows a gain
   • D.Stop the prescribed diuretic when the weight decreases

   Answer and rationale are in the full material.

5. 5.A client with diabetes is awake, diaphoretic, and has a blood glucose of 54 mg/dL. The client can swallow safely. What should the PN do?

   • A.Withhold all food and report the result at the end of the shift
   • B.Give a high-fat snack and wait 30 minutes before checking glucose
   • C.Administer the scheduled insulin and recheck glucose in 1 hour
   • D.Give 15 g of a rapid-acting carbohydrate and recheck glucose in 15 minutes

   Answer and rationale are in the full material.