HESI PN EXIT EXAM VERSION 2 QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
,Safe and Effective Care Environment - Coordinated Care
Safety and Infection Control
Health Promotion and Maintenance
Basic Care and Comfort
Pharmacological Therapies
Reduction of Risk Potential
Physiological Adaptation
Psychosocial Integrity
Leadership and Management: Legal Aspects of Nursing
Maternity and Pediatric Nursing This comprehensive assessment is designed to evaluate proficiency in
essential nursing concepts required for practical nursing practice. The exam assesses critical skills including
clinical decision-making, patient safety interventions, pharmacological knowledge, health promotion, and
physiological care management. Featuring multiple-choice and scenario-based questions, this test mirrors
real-world clinical situations that demand sound judgment and prioritization. The content emphasizes
application of knowledge in diverse healthcare settings, ensuring candidates can demonstrate competency in
evidence-based interventions, ethical practice, regulatory compliance, and professional standards necessary for
successful licensed practical nursing practice.
Section One: Questions 1–100
,Question 1
A nurse is caring for a postoperative patient who reports sudden shortness of breath and chest pain. Which
intervention should the nurse prioritize?
A. Administer prescribed pain medication
B. Elevate the patient's legs
C. Apply oxygen and notify the provider
D. Encourage deep breathing exercises
🟢 Correct answer: C
🔴 RATIONALE: Sudden shortness of breath and chest pain postoperatively suggest pulmonary embolism, a
life-threatening complication. Applying oxygen addresses hypoxia immediately, and notifying the provider
enables rapid diagnostic testing and treatment. Pain medication, leg elevation, and deep breathing do not
address the emergency.
Question 2
Which action by a practical nurse demonstrates proper infection control when caring for a patient with
Clostridium difficile?
A. Using an alcohol-based hand sanitizer
B. Wearing a mask and eye protection
C. Washing hands with soap and water
D. Leaving the door open when entering
🟢 Correct answer: C
, 🔴 RATIONALE: C. difficile spores are not killed by alcohol-based sanitizers. Soap and water with mechanical
friction are required to remove spores. A mask is not typically needed for C. difficile (contact precautions only),
and keeping the door closed maintains the designated area.
Question 3
A 65-year-old patient is being discharged after a total hip replacement. Which instruction is most important for
preventing dislocation?
A. Avoid crossing legs at the knees
B. Sleep only on the operative side
C. Use a regular pillow between legs
D. Bend forward to pick objects
🟢 Correct answer: A
🔴 RATIONALE: Crossing legs at the knees can cause hip dislocation by creating internal rotation and
adduction forces. The patient should sleep on the non-operative side, use a special wedge pillow between legs,
and avoid bending past 90 degrees.
Question 4
The nurse is administering insulin to a patient with diabetes. Which action indicates safe practice?
A. Mixing NPH and regular insulin in one syringe
B. Injecting into the same site repeatedly
C. Rotating injection sites systematically
D. Shaking the insulin vial vigorously
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
,Safe and Effective Care Environment - Coordinated Care
Safety and Infection Control
Health Promotion and Maintenance
Basic Care and Comfort
Pharmacological Therapies
Reduction of Risk Potential
Physiological Adaptation
Psychosocial Integrity
Leadership and Management: Legal Aspects of Nursing
Maternity and Pediatric Nursing This comprehensive assessment is designed to evaluate proficiency in
essential nursing concepts required for practical nursing practice. The exam assesses critical skills including
clinical decision-making, patient safety interventions, pharmacological knowledge, health promotion, and
physiological care management. Featuring multiple-choice and scenario-based questions, this test mirrors
real-world clinical situations that demand sound judgment and prioritization. The content emphasizes
application of knowledge in diverse healthcare settings, ensuring candidates can demonstrate competency in
evidence-based interventions, ethical practice, regulatory compliance, and professional standards necessary for
successful licensed practical nursing practice.
Section One: Questions 1–100
,Question 1
A nurse is caring for a postoperative patient who reports sudden shortness of breath and chest pain. Which
intervention should the nurse prioritize?
A. Administer prescribed pain medication
B. Elevate the patient's legs
C. Apply oxygen and notify the provider
D. Encourage deep breathing exercises
🟢 Correct answer: C
🔴 RATIONALE: Sudden shortness of breath and chest pain postoperatively suggest pulmonary embolism, a
life-threatening complication. Applying oxygen addresses hypoxia immediately, and notifying the provider
enables rapid diagnostic testing and treatment. Pain medication, leg elevation, and deep breathing do not
address the emergency.
Question 2
Which action by a practical nurse demonstrates proper infection control when caring for a patient with
Clostridium difficile?
A. Using an alcohol-based hand sanitizer
B. Wearing a mask and eye protection
C. Washing hands with soap and water
D. Leaving the door open when entering
🟢 Correct answer: C
, 🔴 RATIONALE: C. difficile spores are not killed by alcohol-based sanitizers. Soap and water with mechanical
friction are required to remove spores. A mask is not typically needed for C. difficile (contact precautions only),
and keeping the door closed maintains the designated area.
Question 3
A 65-year-old patient is being discharged after a total hip replacement. Which instruction is most important for
preventing dislocation?
A. Avoid crossing legs at the knees
B. Sleep only on the operative side
C. Use a regular pillow between legs
D. Bend forward to pick objects
🟢 Correct answer: A
🔴 RATIONALE: Crossing legs at the knees can cause hip dislocation by creating internal rotation and
adduction forces. The patient should sleep on the non-operative side, use a special wedge pillow between legs,
and avoid bending past 90 degrees.
Question 4
The nurse is administering insulin to a patient with diabetes. Which action indicates safe practice?
A. Mixing NPH and regular insulin in one syringe
B. Injecting into the same site repeatedly
C. Rotating injection sites systematically
D. Shaking the insulin vial vigorously
