HESI PN Exit Exam NGN | 2026/2027 | Actual
Exam Screenshot- Based Questions with
Verified Correct Answers | GRADED A+
1. The practical nurse (PN) is removing personal protective equipment (PPE) worn
when caring for a client. Which PPE should be removed first?
A. Disposable gloves
B. Face mask
C. Gown
D. Cap
Correct Answer: A
Rationale: Gloves are the most contaminated PPE and should be removed first to
prevent contamination of other equipment. The CDC recommends removing gloves first,
followed by gown, mask, and eye protection .
2. A client with a history of falls is admitted. What is the most important
intervention for the PN to implement?
A. Place a call bell within reach
B. Administer a sedative at bedtime
C. Keep bed in lowest position with side rails up
D. Place the client near the nurses' station
Correct Answer: A
Rationale: Ensuring the call bell is within reach allows the client to summon help when
needed, which is a fundamental fall prevention measure. Sedatives (B) increase fall risk
and should be avoided if possible .
3. Which action by a PN indicates the best understanding of principles related to
medical asepsis and effective handwashing?
A. Dry the hands above the wrists first to dry from clean to dirty
B. Use antibacterial hand gel instead of handwashing between clients
,C. Turn water volume to a low level to decrease splashing
D. Hold the hands lower than the elbows to promote microbe removal
Correct Answer: D
Rationale: Hands should be held lower than the elbows to allow water to flow from the
cleanest area (arms) to the dirtiest area (hands), promoting removal of microorganisms .
4. The PN notices that a client's urine is pale yellow, with a cloudy appearance, and
has a foul odor. Which assessment should the PN complete next?
A. Check blood pressure
B. Ask the client about urinary frequency
C. Palpate the abdomen for distention
D. Obtain a urine specimen for culture
Correct Answer: B
Rationale: Cloudy, foul-smelling urine with a pale yellow color suggests a urinary tract
infection. The PN should first assess for associated symptoms such as urinary frequency,
urgency, or pain before further intervention .
5. The PN is caring for a client with a new prescription for fluticasone furoate nasal
spray for allergy symptoms. Before self-administration, the PN should emphasize
the need for which action?
A. Gently blow the nose
B. Check glucose level
C. Exhale through the mouth
D. Deep breathe and cough
Correct Answer: A
Rationale: The nasal passages should be cleared by gently blowing the nose before
using a nasal spray to ensure medication reaches the nasal mucosa. Fluticasone is a
corticosteroid; glucose monitoring is not directly related .
6. An older adult client in a long-term care facility has a friend who visits in the
evenings. The PN enters the room to administer medications and finds the couple
in bed together. Which action should the PN take?
A. Report the incident to the family
B. Exit the room and quietly close the door
,C. Ask when the nurse should return
D. Request that the friend get up and leave
Correct Answer: B
Rationale: Residents have the right to privacy and intimate relationships. The PN should
respect the resident's privacy, exit the room, and return later to administer medications .
7. Several residents are receiving eye drops to treat glaucoma. The PN should
caution UAPs caring for these clients to observe for which effect that places clients
at risk for falls?
A. Pupillary constriction
B. Increased heart rate
C. Conjunctival redness
D. Elevated blood pressure
Correct Answer: A
Rationale: Pupillary constriction (miosis) caused by miotic eye drops used for glaucoma
can reduce vision, especially in low light, increasing fall risk .
8. Which instruction should the PN include for a client with a new colostomy
regarding stoma care?
A. Apply petroleum jelly to keep the stoma moist
B. Use alcohol wipes to clean around the stoma
C. Clean the stoma with mild soap and water
D. Cover the stoma with an airtight dressing
Correct Answer: C
Rationale: The stoma should be cleaned with mild soap and water and patted dry.
Petroleum jelly can prevent the pouch from adhering; alcohol can dry and irritate the
skin .
9. A client is in hospice care and complains of increasing pain. The healthcare
provider prescribes an analgesic every four hours as needed. Which action should
the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics
B. Administer analgesic medication as needed when the pain is severe
, C. Provide medication to keep the client sedated and unaware of stimuli
D. Offer a medication-free period for daily activities
Correct Answer: A
Rationale: Pain is best managed using an around-the-clock schedule to provide
consistent analgesic coverage. Waiting until pain is severe makes it harder to control
effectively .
10. The PN observes a UAP taking a client's blood pressure with a cuff that is too
small. The reading obtained is within the client's usual range. What action is most
important for the PN to implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment
B. Reassess the client's blood pressure using a larger cuff
C. Have the unit educator review this procedure with the UAPs
D. Teach the UAP the correct technique for assessing blood pressure
Correct Answer: B
Rationale: The most important action is to ensure an accurate BP reading. A too-small
cuff can produce falsely elevated readings. The nurse should reassess the BP with the
correct size cuff immediately .
11. A client who is a Jehovah's Witness is admitted. Which concern should the
nurse have for planning care based on the client's beliefs?
A. Autopsy of the body is prohibited
B. Blood transfusions are forbidden
C. Alcohol use is not allowed
D. Certain foods such as pork are not permitted
Correct Answer: B
Rationale: Jehovah's Witnesses refuse blood transfusions based on religious beliefs. The
nurse should plan care that respects this decision and explore alternative treatments .
12. The PN is caring for a client with cirrhosis of the liver. Which interventions
should the nurse implement? (Select all that apply.)
A. Monitor abdominal girth
B. Report serum albumin and globulin levels
C. Note signs of swelling and edema
Exam Screenshot- Based Questions with
Verified Correct Answers | GRADED A+
1. The practical nurse (PN) is removing personal protective equipment (PPE) worn
when caring for a client. Which PPE should be removed first?
A. Disposable gloves
B. Face mask
C. Gown
D. Cap
Correct Answer: A
Rationale: Gloves are the most contaminated PPE and should be removed first to
prevent contamination of other equipment. The CDC recommends removing gloves first,
followed by gown, mask, and eye protection .
2. A client with a history of falls is admitted. What is the most important
intervention for the PN to implement?
A. Place a call bell within reach
B. Administer a sedative at bedtime
C. Keep bed in lowest position with side rails up
D. Place the client near the nurses' station
Correct Answer: A
Rationale: Ensuring the call bell is within reach allows the client to summon help when
needed, which is a fundamental fall prevention measure. Sedatives (B) increase fall risk
and should be avoided if possible .
3. Which action by a PN indicates the best understanding of principles related to
medical asepsis and effective handwashing?
A. Dry the hands above the wrists first to dry from clean to dirty
B. Use antibacterial hand gel instead of handwashing between clients
,C. Turn water volume to a low level to decrease splashing
D. Hold the hands lower than the elbows to promote microbe removal
Correct Answer: D
Rationale: Hands should be held lower than the elbows to allow water to flow from the
cleanest area (arms) to the dirtiest area (hands), promoting removal of microorganisms .
4. The PN notices that a client's urine is pale yellow, with a cloudy appearance, and
has a foul odor. Which assessment should the PN complete next?
A. Check blood pressure
B. Ask the client about urinary frequency
C. Palpate the abdomen for distention
D. Obtain a urine specimen for culture
Correct Answer: B
Rationale: Cloudy, foul-smelling urine with a pale yellow color suggests a urinary tract
infection. The PN should first assess for associated symptoms such as urinary frequency,
urgency, or pain before further intervention .
5. The PN is caring for a client with a new prescription for fluticasone furoate nasal
spray for allergy symptoms. Before self-administration, the PN should emphasize
the need for which action?
A. Gently blow the nose
B. Check glucose level
C. Exhale through the mouth
D. Deep breathe and cough
Correct Answer: A
Rationale: The nasal passages should be cleared by gently blowing the nose before
using a nasal spray to ensure medication reaches the nasal mucosa. Fluticasone is a
corticosteroid; glucose monitoring is not directly related .
6. An older adult client in a long-term care facility has a friend who visits in the
evenings. The PN enters the room to administer medications and finds the couple
in bed together. Which action should the PN take?
A. Report the incident to the family
B. Exit the room and quietly close the door
,C. Ask when the nurse should return
D. Request that the friend get up and leave
Correct Answer: B
Rationale: Residents have the right to privacy and intimate relationships. The PN should
respect the resident's privacy, exit the room, and return later to administer medications .
7. Several residents are receiving eye drops to treat glaucoma. The PN should
caution UAPs caring for these clients to observe for which effect that places clients
at risk for falls?
A. Pupillary constriction
B. Increased heart rate
C. Conjunctival redness
D. Elevated blood pressure
Correct Answer: A
Rationale: Pupillary constriction (miosis) caused by miotic eye drops used for glaucoma
can reduce vision, especially in low light, increasing fall risk .
8. Which instruction should the PN include for a client with a new colostomy
regarding stoma care?
A. Apply petroleum jelly to keep the stoma moist
B. Use alcohol wipes to clean around the stoma
C. Clean the stoma with mild soap and water
D. Cover the stoma with an airtight dressing
Correct Answer: C
Rationale: The stoma should be cleaned with mild soap and water and patted dry.
Petroleum jelly can prevent the pouch from adhering; alcohol can dry and irritate the
skin .
9. A client is in hospice care and complains of increasing pain. The healthcare
provider prescribes an analgesic every four hours as needed. Which action should
the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics
B. Administer analgesic medication as needed when the pain is severe
, C. Provide medication to keep the client sedated and unaware of stimuli
D. Offer a medication-free period for daily activities
Correct Answer: A
Rationale: Pain is best managed using an around-the-clock schedule to provide
consistent analgesic coverage. Waiting until pain is severe makes it harder to control
effectively .
10. The PN observes a UAP taking a client's blood pressure with a cuff that is too
small. The reading obtained is within the client's usual range. What action is most
important for the PN to implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment
B. Reassess the client's blood pressure using a larger cuff
C. Have the unit educator review this procedure with the UAPs
D. Teach the UAP the correct technique for assessing blood pressure
Correct Answer: B
Rationale: The most important action is to ensure an accurate BP reading. A too-small
cuff can produce falsely elevated readings. The nurse should reassess the BP with the
correct size cuff immediately .
11. A client who is a Jehovah's Witness is admitted. Which concern should the
nurse have for planning care based on the client's beliefs?
A. Autopsy of the body is prohibited
B. Blood transfusions are forbidden
C. Alcohol use is not allowed
D. Certain foods such as pork are not permitted
Correct Answer: B
Rationale: Jehovah's Witnesses refuse blood transfusions based on religious beliefs. The
nurse should plan care that respects this decision and explore alternative treatments .
12. The PN is caring for a client with cirrhosis of the liver. Which interventions
should the nurse implement? (Select all that apply.)
A. Monitor abdominal girth
B. Report serum albumin and globulin levels
C. Note signs of swelling and edema
