HESI PN Exit Exam Test Bank 2026
– 160 Questions & Answers
Based on verified 2026 HESI PN Exit Exam resources, here is a comprehensive study guide
with sample questions, rationales, and information on where to access complete test banks.
📋 EXAM OVERVIEW
| Detail | Information |
|:|:|
| Exam | HESI PN Exit Exam (Practical Nursing) |
| Latest Version | |
| Question Count | 160 questions per exam version |
| Format | Multiple-choice, NCLEX-NGN style, case scenarios, SATA |
| Key Topics | Fundamentals, Med-Surg, Pharmacology, Maternity, Pediatrics, Mental Health,
Prioritization, Delegation, Patient Safety |
📝 Sample Practice Questions with Rationales
The following questions are representative of the 2026 HESI PN Exit Exam, drawn from verified
resources:
QUESTION 1
A client with chronic heart failure reports a 2.5-kg weight gain in 48 hours and increased
dyspnea. Which action should the PN take first?
A) Restrict oral fluids to 1 L/day
B) Administer furosemide as prescribed
C) Place the client in high-Fowler's position
D) Notify the healthcare provider
Correct Answer: C
, Rationale: High-Fowler's position uses gravity to reduce preload and improve breathing. It is the
immediate first action before medication or notification.
QUESTION 2
A client with a new colostomy asks how to know when to empty the pouch. Which response is
correct?
A) "Empty it every morning and evening."
B) "Empty it when it is one-third to one-half full."
C) "Empty it every 4 hours around the clock."
D) "Empty it only when you feel it is heavy."
Correct Answer: B
Rationale: Emptying at 1/3 to 1/2 full prevents leakage, skin breakdown, and pouch detachment
due to weight.
QUESTION 3
A client with type 2 diabetes has a blood glucose of 52 mg/dL and is drowsy but can swallow.
What should the PN administer?
A) 1 mg glucagon IM
B) 15 g of fast-acting carbohydrate (4 oz fruit juice)
C) 50 mL of 50% dextrose IV push
D) 2 units of regular insulin subcutaneously
Correct Answer: B
Rationale: Client is conscious and can swallow, so oral fast-acting carbohydrate (rule of 15) is
appropriate. Glucagon or IV dextrose is for unconscious clients.
QUESTION 4
A client receiving a blood transfusion develops chills, low back pain, and a temperature of
102°F. What is the priority action?
A) Slow the transfusion rate to 20 mL/hr
B) Stop the transfusion and infuse normal saline
C) Administer acetaminophen as prescribed
D) Notify the healthcare provider immediately
– 160 Questions & Answers
Based on verified 2026 HESI PN Exit Exam resources, here is a comprehensive study guide
with sample questions, rationales, and information on where to access complete test banks.
📋 EXAM OVERVIEW
| Detail | Information |
|:|:|
| Exam | HESI PN Exit Exam (Practical Nursing) |
| Latest Version | |
| Question Count | 160 questions per exam version |
| Format | Multiple-choice, NCLEX-NGN style, case scenarios, SATA |
| Key Topics | Fundamentals, Med-Surg, Pharmacology, Maternity, Pediatrics, Mental Health,
Prioritization, Delegation, Patient Safety |
📝 Sample Practice Questions with Rationales
The following questions are representative of the 2026 HESI PN Exit Exam, drawn from verified
resources:
QUESTION 1
A client with chronic heart failure reports a 2.5-kg weight gain in 48 hours and increased
dyspnea. Which action should the PN take first?
A) Restrict oral fluids to 1 L/day
B) Administer furosemide as prescribed
C) Place the client in high-Fowler's position
D) Notify the healthcare provider
Correct Answer: C
, Rationale: High-Fowler's position uses gravity to reduce preload and improve breathing. It is the
immediate first action before medication or notification.
QUESTION 2
A client with a new colostomy asks how to know when to empty the pouch. Which response is
correct?
A) "Empty it every morning and evening."
B) "Empty it when it is one-third to one-half full."
C) "Empty it every 4 hours around the clock."
D) "Empty it only when you feel it is heavy."
Correct Answer: B
Rationale: Emptying at 1/3 to 1/2 full prevents leakage, skin breakdown, and pouch detachment
due to weight.
QUESTION 3
A client with type 2 diabetes has a blood glucose of 52 mg/dL and is drowsy but can swallow.
What should the PN administer?
A) 1 mg glucagon IM
B) 15 g of fast-acting carbohydrate (4 oz fruit juice)
C) 50 mL of 50% dextrose IV push
D) 2 units of regular insulin subcutaneously
Correct Answer: B
Rationale: Client is conscious and can swallow, so oral fast-acting carbohydrate (rule of 15) is
appropriate. Glucagon or IV dextrose is for unconscious clients.
QUESTION 4
A client receiving a blood transfusion develops chills, low back pain, and a temperature of
102°F. What is the priority action?
A) Slow the transfusion rate to 20 mL/hr
B) Stop the transfusion and infuse normal saline
C) Administer acetaminophen as prescribed
D) Notify the healthcare provider immediately
