Fortis HESI PN Exit Exam V2 Practice Test Actual
2026/2027 with Detailed Rationales | 100% Verified |
Pass Guaranteed – A+ Graded
SECTION 1: MANAGEMENT OF CARE (15 Questions)
Q1: A charge nurse is assigning tasks to the nursing team. Which task is most
appropriate to delegate to an unlicensed assistive personnel (UAP)?
A. Administering oral medications to a stable client
B. Assessing a postoperative client for signs of infection
C. Assisting a client with ambulation to the bathroom
D. Teaching a client about wound care before discharge
Correct Answer: C
Rationale: Correct because UAPs can assist with ambulation and basic hygiene
tasks; medication administration, assessments, and client education require
licensed nursing judgment.
Q2: A practical nurse is caring for four clients. Which client should the nurse assess
first?
A. A client with a blood pressure of 138/88 mmHg
B. A client reporting a pain level of 4/10 after receiving analgesic
,C. A client with a respiratory rate of 8 breaths/min and pinpoint pupils
D. A client requesting assistance with repositioning in bed
Correct Answer: C
Rationale: Correct because a respiratory rate of 8 breaths/min with pinpoint pupils
indicates possible opioid overdose and respiratory depression, requiring immediate
intervention.
Q3: A practical nurse overhears a colleague discussing a client's HIV status in the
hospital cafeteria. What is the nurse's priority action?
A. Ignore the conversation to avoid conflict with the colleague
B. Report the incident to the state board of nursing immediately
C. Confront the colleague privately and report to the nurse manager
D. Document the incident in the client's medical record
Correct Answer: C
Rationale: Correct because HIPAA violations require immediate correction; the nurse
should first address the colleague directly and then escalate to the nurse manager
per chain of command.
Q4: A client with terminal cancer states, "I don't want any more treatment. I just want
to go home and die in peace." The family insists on aggressive treatment. What is the
practical nurse's best action?
A. Support the family's decision because they are the legal decision-makers
,B. Inform the client that the family has the final say in medical decisions
C. Advocate for the client's wishes and notify the healthcare provider
D. Suggest the client and family reach a compromise on treatment
Correct Answer: C
Rationale: Correct because the client is competent and has the right to
self-determination; the nurse must advocate for the client's expressed wishes and
involve the provider.
Q5: A practical nurse is supervising a newly hired UAP. The UAP is observed
performing a blood glucose check without verifying the client's identity. What is the
nurse's priority intervention?
A. Allow the UAP to complete the task and provide feedback later
B. Stop the UAP immediately and review the correct procedure
C. Document the incident as a medication error in the chart
D. Reassign the UAP to non-client care duties for the remainder of the shift
Correct Answer: B
Rationale: Correct because client safety is the priority; the nurse must intervene
immediately to prevent potential harm and use the opportunity for real-time
education.
Q6: A client is scheduled for surgery and the informed consent form is incomplete.
The surgeon is unavailable. What is the practical nurse's appropriate action?
, A. Have the client sign the form and complete the missing information later
B. Notify the surgeon that the consent form cannot be obtained
C. Ask the client's spouse to sign the consent form instead
D. Explain the procedure to the client and obtain verbal consent
Correct Answer: B
Rationale: Correct because informed consent must be obtained by the provider
performing the procedure; the nurse must notify the surgeon and cannot delegate or
assume this responsibility.
Q7: A practical nurse is caring for a client who is a Jehovah's Witness and refuses a
blood transfusion. The client's hemoglobin is 6.2 g/dL. What is the nurse's best
response?
A. Explain that the transfusion is necessary to save the client's life
B. Obtain a court order to override the client's refusal
C. Respect the client's religious beliefs and notify the provider
D. Ask the family to convince the client to accept the transfusion
Correct Answer: C
Rationale: Correct because competent adults have the right to refuse treatment
based on religious beliefs; the nurse must respect autonomy while ensuring the
provider is aware to explore alternatives.
2026/2027 with Detailed Rationales | 100% Verified |
Pass Guaranteed – A+ Graded
SECTION 1: MANAGEMENT OF CARE (15 Questions)
Q1: A charge nurse is assigning tasks to the nursing team. Which task is most
appropriate to delegate to an unlicensed assistive personnel (UAP)?
A. Administering oral medications to a stable client
B. Assessing a postoperative client for signs of infection
C. Assisting a client with ambulation to the bathroom
D. Teaching a client about wound care before discharge
Correct Answer: C
Rationale: Correct because UAPs can assist with ambulation and basic hygiene
tasks; medication administration, assessments, and client education require
licensed nursing judgment.
Q2: A practical nurse is caring for four clients. Which client should the nurse assess
first?
A. A client with a blood pressure of 138/88 mmHg
B. A client reporting a pain level of 4/10 after receiving analgesic
,C. A client with a respiratory rate of 8 breaths/min and pinpoint pupils
D. A client requesting assistance with repositioning in bed
Correct Answer: C
Rationale: Correct because a respiratory rate of 8 breaths/min with pinpoint pupils
indicates possible opioid overdose and respiratory depression, requiring immediate
intervention.
Q3: A practical nurse overhears a colleague discussing a client's HIV status in the
hospital cafeteria. What is the nurse's priority action?
A. Ignore the conversation to avoid conflict with the colleague
B. Report the incident to the state board of nursing immediately
C. Confront the colleague privately and report to the nurse manager
D. Document the incident in the client's medical record
Correct Answer: C
Rationale: Correct because HIPAA violations require immediate correction; the nurse
should first address the colleague directly and then escalate to the nurse manager
per chain of command.
Q4: A client with terminal cancer states, "I don't want any more treatment. I just want
to go home and die in peace." The family insists on aggressive treatment. What is the
practical nurse's best action?
A. Support the family's decision because they are the legal decision-makers
,B. Inform the client that the family has the final say in medical decisions
C. Advocate for the client's wishes and notify the healthcare provider
D. Suggest the client and family reach a compromise on treatment
Correct Answer: C
Rationale: Correct because the client is competent and has the right to
self-determination; the nurse must advocate for the client's expressed wishes and
involve the provider.
Q5: A practical nurse is supervising a newly hired UAP. The UAP is observed
performing a blood glucose check without verifying the client's identity. What is the
nurse's priority intervention?
A. Allow the UAP to complete the task and provide feedback later
B. Stop the UAP immediately and review the correct procedure
C. Document the incident as a medication error in the chart
D. Reassign the UAP to non-client care duties for the remainder of the shift
Correct Answer: B
Rationale: Correct because client safety is the priority; the nurse must intervene
immediately to prevent potential harm and use the opportunity for real-time
education.
Q6: A client is scheduled for surgery and the informed consent form is incomplete.
The surgeon is unavailable. What is the practical nurse's appropriate action?
, A. Have the client sign the form and complete the missing information later
B. Notify the surgeon that the consent form cannot be obtained
C. Ask the client's spouse to sign the consent form instead
D. Explain the procedure to the client and obtain verbal consent
Correct Answer: B
Rationale: Correct because informed consent must be obtained by the provider
performing the procedure; the nurse must notify the surgeon and cannot delegate or
assume this responsibility.
Q7: A practical nurse is caring for a client who is a Jehovah's Witness and refuses a
blood transfusion. The client's hemoglobin is 6.2 g/dL. What is the nurse's best
response?
A. Explain that the transfusion is necessary to save the client's life
B. Obtain a court order to override the client's refusal
C. Respect the client's religious beliefs and notify the provider
D. Ask the family to convince the client to accept the transfusion
Correct Answer: C
Rationale: Correct because competent adults have the right to refuse treatment
based on religious beliefs; the nurse must respect autonomy while ensuring the
provider is aware to explore alternatives.
