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Hondros HESI PN Exit Exam – Complete Test (2026) Questions with
correct Answers and Rationale 2026 UPDATE!!!!!
Instructions: Detailed rationales are provided to reinforce NCLEX-PN clinical
reasoning.
Domain 1: Management of Care (Prioritization, Delegation, Legal/Ethical, Safety)
1. The LPN/LVN is caring for a group of patients. Which patient should the nurse
assess first?
A) A 72-year-old patient with pneumonia who has a temperature of 101.2°F
B) A 55-year-old patient with diabetes who has a blood glucose of 180 mg/dL
C) A 68-year-old patient who had a hip replacement 2 days ago and is reporting
sudden shortness of breath and chest pain
D) A 45-year-old patient with hypertension who has a blood pressure of 148/92
mmHg
Answer: C
Rationale: The nurse should use ABCs (Airway, Breathing,
Circulation) and Maslow's Hierarchy to prioritize. Sudden shortness of breath and
chest pain in a post-operative patient is a classic sign of a pulmonary embolism
(PE)—a life-threatening emergency. The nurse must assess this patient first.
2. The LPN is caring for a patient with a DNR (Do Not Resuscitate) order. The
patient goes into cardiac arrest. The LPN should:
A) Begin CPR immediately
B) Notify the provider and the family, and provide comfort care (per the DNR
order, CPR is not initiated)
C) Call a code blue
D) Administer epinephrine
Answer: B
Rationale: A DNR order is a legal medical order that must be followed. The LPN
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should not initiate CPR. The correct action is to notify the provider and the family,
and provide comfort care to the patient in accordance with the DNR protocol.
3. The LPN is preparing to delegate a task to a nursing assistant (CNA). Which of
the following tasks can the LPN safely delegate?
A) Administering oral medications
B) Performing a sterile dressing change
C) Measuring and recording a patient's vital signs
D) Inserting a Foley catheter
Answer: C
Rationale: The LPN can delegate tasks that are routine, stable, and do not require
nursing judgment. Measuring and recording vital signs is within the scope of
practice for a CNA. Administering medications, sterile dressing changes, and
catheter insertion require the knowledge and skill of a licensed nurse.
4. A patient tells the LPN, "I'm going to sue this hospital for everything they
have!" The LPN's best response is:
A) "You don't have a case; the staff did everything right."
B) "I understand you're upset. I will let your provider know about your concerns."
C) "Suing the hospital won't help you heal."
D) "That's not a good idea."
Answer: B
Rationale: The LPN should use therapeutic communication to validate the
patient's feelings without agreeing or arguing. The nurse should not dismiss the
patient's concerns. The best response is to acknowledge the patient's frustration
and offer to facilitate communication with the provider.
5. The LPN is providing discharge teaching to a patient. Which of the following
statements by the patient indicates an understanding of the "teach-back"
method?
A) "The nurse is testing me by asking me to repeat the instructions."
B) "I understand everything the nurse said."
C) "The nurse asked me to explain the instructions in my own words to make sure I
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understood them correctly."
D) "The nurse said I could call if I have questions."
Answer: C
Rationale: The "teach-back" method involves asking the patient to repeat the
instructions in their own words to verify understanding. This is a standard practice
for ensuring patient safety and comprehension.
6. The LPN observes another nurse preparing to administer a medication. The
nurse calculates the dose incorrectly and is about to give the patient a double
dose. The LPN should:
A) Ignore the error and let the nurse give the medication.
B) Quietly report the nurse to the charge nurse.
C) Stop the nurse immediately, point out the error, and double-check the
calculation together.
D) Wait until after the medication is given to say something.
Answer: C
Rationale: The LPN has a duty to act to protect the patient. The nurse should stop
the error immediately and professionally address the calculation error. Patient
safety is the priority. Reporting to the charge nurse should happen after the
immediate threat is resolved.
7. A patient is admitted to the hospital. The LPN is completing the admission
paperwork. Which of the following must the patient sign?
A) A living will
B) An informed consent for all treatments
C) A general consent for treatment (which authorizes routine care and
procedures)
D) A Do Not Resuscitate (DNR) order
Answer: C
Rationale: Upon admission, the patient must sign a general consent for
treatment, which authorizes routine care, assessment, and diagnostic procedures.
Hondros HESI PN Exit Exam – Complete Test (2026) Questions with
correct Answers and Rationale 2026 UPDATE!!!!!
Instructions: Detailed rationales are provided to reinforce NCLEX-PN clinical
reasoning.
Domain 1: Management of Care (Prioritization, Delegation, Legal/Ethical, Safety)
1. The LPN/LVN is caring for a group of patients. Which patient should the nurse
assess first?
A) A 72-year-old patient with pneumonia who has a temperature of 101.2°F
B) A 55-year-old patient with diabetes who has a blood glucose of 180 mg/dL
C) A 68-year-old patient who had a hip replacement 2 days ago and is reporting
sudden shortness of breath and chest pain
D) A 45-year-old patient with hypertension who has a blood pressure of 148/92
mmHg
Answer: C
Rationale: The nurse should use ABCs (Airway, Breathing,
Circulation) and Maslow's Hierarchy to prioritize. Sudden shortness of breath and
chest pain in a post-operative patient is a classic sign of a pulmonary embolism
(PE)—a life-threatening emergency. The nurse must assess this patient first.
2. The LPN is caring for a patient with a DNR (Do Not Resuscitate) order. The
patient goes into cardiac arrest. The LPN should:
A) Begin CPR immediately
B) Notify the provider and the family, and provide comfort care (per the DNR
order, CPR is not initiated)
C) Call a code blue
D) Administer epinephrine
Answer: B
Rationale: A DNR order is a legal medical order that must be followed. The LPN
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should not initiate CPR. The correct action is to notify the provider and the family,
and provide comfort care to the patient in accordance with the DNR protocol.
3. The LPN is preparing to delegate a task to a nursing assistant (CNA). Which of
the following tasks can the LPN safely delegate?
A) Administering oral medications
B) Performing a sterile dressing change
C) Measuring and recording a patient's vital signs
D) Inserting a Foley catheter
Answer: C
Rationale: The LPN can delegate tasks that are routine, stable, and do not require
nursing judgment. Measuring and recording vital signs is within the scope of
practice for a CNA. Administering medications, sterile dressing changes, and
catheter insertion require the knowledge and skill of a licensed nurse.
4. A patient tells the LPN, "I'm going to sue this hospital for everything they
have!" The LPN's best response is:
A) "You don't have a case; the staff did everything right."
B) "I understand you're upset. I will let your provider know about your concerns."
C) "Suing the hospital won't help you heal."
D) "That's not a good idea."
Answer: B
Rationale: The LPN should use therapeutic communication to validate the
patient's feelings without agreeing or arguing. The nurse should not dismiss the
patient's concerns. The best response is to acknowledge the patient's frustration
and offer to facilitate communication with the provider.
5. The LPN is providing discharge teaching to a patient. Which of the following
statements by the patient indicates an understanding of the "teach-back"
method?
A) "The nurse is testing me by asking me to repeat the instructions."
B) "I understand everything the nurse said."
C) "The nurse asked me to explain the instructions in my own words to make sure I
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understood them correctly."
D) "The nurse said I could call if I have questions."
Answer: C
Rationale: The "teach-back" method involves asking the patient to repeat the
instructions in their own words to verify understanding. This is a standard practice
for ensuring patient safety and comprehension.
6. The LPN observes another nurse preparing to administer a medication. The
nurse calculates the dose incorrectly and is about to give the patient a double
dose. The LPN should:
A) Ignore the error and let the nurse give the medication.
B) Quietly report the nurse to the charge nurse.
C) Stop the nurse immediately, point out the error, and double-check the
calculation together.
D) Wait until after the medication is given to say something.
Answer: C
Rationale: The LPN has a duty to act to protect the patient. The nurse should stop
the error immediately and professionally address the calculation error. Patient
safety is the priority. Reporting to the charge nurse should happen after the
immediate threat is resolved.
7. A patient is admitted to the hospital. The LPN is completing the admission
paperwork. Which of the following must the patient sign?
A) A living will
B) An informed consent for all treatments
C) A general consent for treatment (which authorizes routine care and
procedures)
D) A Do Not Resuscitate (DNR) order
Answer: C
Rationale: Upon admission, the patient must sign a general consent for
treatment, which authorizes routine care, assessment, and diagnostic procedures.
