HESI Exit PN Proctored 2026

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Sample questions from HESI Exit PN Proctored 2026

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. Which action is the priority while awaiting further evaluation?

   • A.Offer small sips of water to assess swallowing
   • B.Give prescribed oral medication with applesauce
   • C.Keep the client NPO and report the change promptly
   • D.Place food on the stronger side of the mouth

   Rationale: Keeping the client NPO reduces aspiration risk until swallowing safety is evaluated, and the new difficulty should be reported promptly. Offering water, food, or oral medication could cause aspiration. The PN should promptly report new neurologic changes and maintain immediate safety.

2. 2.Refer to the client's chart. Which findings require prompt reporting to the RN? Select all that apply.

   • A.The client's oxygen saturation has fallen from 95% to 89% on room air
   • B.The client has a temperature of 37.1 C at 1000
   • C.The client is more restless and confused than at 0800
   • D.The client's heart rate decreased from 96/min to 88/min
   • E.The client reports new sharp chest pain with deep breathing

   Rationale: The chart shows a falling oxygen saturation, new pleuritic chest pain, and worsening restlessness and confusion, all of which may signal respiratory or circulatory deterioration. The temperature is within the expected range, and the heart rate has decreased toward normal. Report concerning changes promptly rather than waiting for the next routine observation.

3. 3.A client with heart failure is receiving daily weights. Which finding should the PN report to the RN?

   • A.Urine is pale yellow
   • B.Weight increased 1.1 kg (2.4 lb) since yesterday
   • C.Client rests after walking to the bathroom
   • D.Mild ankle edema is unchanged from yesterday

   Rationale: A rapid weight gain can indicate fluid retention and worsening heart failure and should be reported. Pale urine and resting after activity are not independently concerning in this context. Unchanged mild edema is less urgent than the documented weight increase.

4. 4.Which instruction should the PN reinforce for a client with a new colostomy?

   • A.Empty the pouch when it is one-third to one-half full
   • B.Scrub the stoma with alcohol at each pouch change
   • C.Cut the skin barrier opening slightly larger than the stoma
   • D.Keep the pouch off overnight to air the stoma

   Answer and rationale are in the full material.

5. 5.A client with chronic obstructive pulmonary disease asks how to manage breathlessness at home. Which measures should the PN reinforce? Select all that apply.

   • A.Take prescribed bronchodilators as directed
   • B.Stop activity and use the prescribed oxygen plan if symptoms worsen
   • C.Use pursed-lip breathing during exhalation
   • D.Lean forward with arms supported when short of breath
   • E.Breathe rapidly through the mouth during activity

   Answer and rationale are in the full material.