HESI PN EXIT Exam Test Bank 2 | 2026/2027 Edition | 440
Questions with Answers and Rationales
PN HESI Exit Exam 2026-2027 QUESTIONS AND ANSWERS
ALREADY GRADED A+. 100% Verified Solutions | Updated Per
Latest Elsevier HESI Standards | Graded A+
This comprehensive study guide contains 440 verified questions and answers for
the HESI PN Exit Examination (E2), covering all essential domains including
medical-surgical nursing, pharmacology, maternity, pediatrics, mental health,
leadership, and clinical judgment. Designed for Practical Nursing (PN/LPN)
students preparing for graduation and NCLEX-PN success, this resource reflects
the latest 2026/2027 Elsevier HESI testing standards. Each question is
accompanied by detailed rationales to reinforce learning and ensure exam
readiness.
Abstract:
This document serves as a definitive preparation resource for the HESI PN Exit
Exam (E2), aligned with the latest 2026/2027 NCLEX-PN test plan and HESI testing
standards. The 440 verified questions are systematically organized into core
content areas reflecting the official HESI PN Exit exam blueprint: Fundamentals of
Nursing, Medical-Surgical Nursing, Pharmacology and Medication Safety,
Maternal-Newborn Nursing, Pediatric Nursing, Mental Health Nursing, Leadership
and Delegation, and Clinical Judgment (Next Generation NCLEX-style). Each
question is meticulously crafted to mirror the exam's format and difficulty, with
answers graded A+ by subject matter experts. Detailed rationales elucidate
correct responses and explain common distractor traps, promoting deep
conceptual understanding. The guide emphasizes practical application through
scenario-based questions and case studies that simulate real-world nursing
situations. Updated to incorporate the latest evidence-based practices and the
Next Generation NCLEX (NGN) item types, this resource ensures candidates are
thoroughly prepared to achieve exam success and NCLEX-PN readiness.
,Content Area Overview:
Content Area Questions Key Topics Weight
Fundamentals of Nursing 1-70 Safety, infection control, basic care, nursing
process, vital signs, ADLs 16%
Medical-Surgical Nursing 71-180 Cardiovascular, respiratory, GI, renal,
endocrine, neurological, musculoskeletal 25%
Pharmacology and Medication Safety 181-240 Dosage calculations, drug
actions, side effects, interactions, administration 14%
Maternal-Newborn Nursing 241-290 Prenatal care, labor/delivery,
postpartum, newborn assessment, complications 11%
Pediatric Nursing 291-340 Growth/development, common illnesses,
immunizations, pediatric emergencies 11%
Mental Health Nursing 341-380 Psychiatric disorders, therapeutic
communication, medications, crisis intervention 9%
Leadership and Delegation 381-410 Prioritization, delegation,
legal/ethical issues, management, quality improvement 7%
Clinical Judgment (NGN-Style) 411-440 Case scenarios, unfolding cases,
SATA, ordering, fill-in-the-blank 7%
,SECTION 1: FUNDAMENTALS OF NURSING (Questions 1-70)
Question 1: The practical nurse (PN) is providing care to a client who is 2 hours
postoperative following abdominal surgery. The PN notes the client's wound
dressing has a small amount of sanguineous drainage. What action should the PN
take?
A) Immediately notify the healthcare provider.
B) Document the finding and continue to monitor.
C) Reinforce the dressing with additional gauze.
D) Remove the dressing and assess the wound.
Answer: B) Document the finding and continue to monitor.
Rationale: A small amount of sanguineous drainage immediately postoperative is
expected. The PN should document the finding and continue to monitor for any
increase in drainage or changes in color or odor.
Question 2: The PN is reinforcing teaching to a client who will be discharged with
a new colostomy. Which statement by the client indicates a need for further
teaching?
A) "I will empty the pouch when it is one-third to one-half full."
B) "I will change the pouch system every 3 to 7 days."
C) "I can continue to eat all my favorite foods."
D) "I will clean the skin with warm water and pat it dry."
, Answer: C) "I can continue to eat all my favorite foods."
Rationale: Clients with colostomies may need to avoid certain foods that cause
gas, odor, or blockage, such as popcorn, nuts, and carbonated beverages. The
statement about continuing to eat all favorite foods indicates a need for further
teaching.
Question 3: A client with type 2 diabetes mellitus is experiencing symptoms of
hypoglycemia. The PN checks the client's blood glucose level and it is 55 mg/dL.
What should the PN do first?
A) Administer glucagon intramuscularly.
B) Provide 15 grams of fast-acting carbohydrate.
C) Give 4 ounces of orange juice.
D) Recheck the blood glucose in 15 minutes.
Answer: C) Give 4 ounces of orange juice.
Rationale: For a conscious client with hypoglycemia (blood glucose below 70
mg/dL), the PN should provide 15 grams of fast-acting carbohydrate, such as 4
ounces of orange juice or 3-4 glucose tablets. The rule of 15 is to recheck blood
glucose in 15 minutes and repeat if symptoms persist.
Question 4: The PN is preparing to insert a nasogastric (NG) tube for a client with
a bowel obstruction. Which position should the PN place the client in for this
procedure?
Questions with Answers and Rationales
PN HESI Exit Exam 2026-2027 QUESTIONS AND ANSWERS
ALREADY GRADED A+. 100% Verified Solutions | Updated Per
Latest Elsevier HESI Standards | Graded A+
This comprehensive study guide contains 440 verified questions and answers for
the HESI PN Exit Examination (E2), covering all essential domains including
medical-surgical nursing, pharmacology, maternity, pediatrics, mental health,
leadership, and clinical judgment. Designed for Practical Nursing (PN/LPN)
students preparing for graduation and NCLEX-PN success, this resource reflects
the latest 2026/2027 Elsevier HESI testing standards. Each question is
accompanied by detailed rationales to reinforce learning and ensure exam
readiness.
Abstract:
This document serves as a definitive preparation resource for the HESI PN Exit
Exam (E2), aligned with the latest 2026/2027 NCLEX-PN test plan and HESI testing
standards. The 440 verified questions are systematically organized into core
content areas reflecting the official HESI PN Exit exam blueprint: Fundamentals of
Nursing, Medical-Surgical Nursing, Pharmacology and Medication Safety,
Maternal-Newborn Nursing, Pediatric Nursing, Mental Health Nursing, Leadership
and Delegation, and Clinical Judgment (Next Generation NCLEX-style). Each
question is meticulously crafted to mirror the exam's format and difficulty, with
answers graded A+ by subject matter experts. Detailed rationales elucidate
correct responses and explain common distractor traps, promoting deep
conceptual understanding. The guide emphasizes practical application through
scenario-based questions and case studies that simulate real-world nursing
situations. Updated to incorporate the latest evidence-based practices and the
Next Generation NCLEX (NGN) item types, this resource ensures candidates are
thoroughly prepared to achieve exam success and NCLEX-PN readiness.
,Content Area Overview:
Content Area Questions Key Topics Weight
Fundamentals of Nursing 1-70 Safety, infection control, basic care, nursing
process, vital signs, ADLs 16%
Medical-Surgical Nursing 71-180 Cardiovascular, respiratory, GI, renal,
endocrine, neurological, musculoskeletal 25%
Pharmacology and Medication Safety 181-240 Dosage calculations, drug
actions, side effects, interactions, administration 14%
Maternal-Newborn Nursing 241-290 Prenatal care, labor/delivery,
postpartum, newborn assessment, complications 11%
Pediatric Nursing 291-340 Growth/development, common illnesses,
immunizations, pediatric emergencies 11%
Mental Health Nursing 341-380 Psychiatric disorders, therapeutic
communication, medications, crisis intervention 9%
Leadership and Delegation 381-410 Prioritization, delegation,
legal/ethical issues, management, quality improvement 7%
Clinical Judgment (NGN-Style) 411-440 Case scenarios, unfolding cases,
SATA, ordering, fill-in-the-blank 7%
,SECTION 1: FUNDAMENTALS OF NURSING (Questions 1-70)
Question 1: The practical nurse (PN) is providing care to a client who is 2 hours
postoperative following abdominal surgery. The PN notes the client's wound
dressing has a small amount of sanguineous drainage. What action should the PN
take?
A) Immediately notify the healthcare provider.
B) Document the finding and continue to monitor.
C) Reinforce the dressing with additional gauze.
D) Remove the dressing and assess the wound.
Answer: B) Document the finding and continue to monitor.
Rationale: A small amount of sanguineous drainage immediately postoperative is
expected. The PN should document the finding and continue to monitor for any
increase in drainage or changes in color or odor.
Question 2: The PN is reinforcing teaching to a client who will be discharged with
a new colostomy. Which statement by the client indicates a need for further
teaching?
A) "I will empty the pouch when it is one-third to one-half full."
B) "I will change the pouch system every 3 to 7 days."
C) "I can continue to eat all my favorite foods."
D) "I will clean the skin with warm water and pat it dry."
, Answer: C) "I can continue to eat all my favorite foods."
Rationale: Clients with colostomies may need to avoid certain foods that cause
gas, odor, or blockage, such as popcorn, nuts, and carbonated beverages. The
statement about continuing to eat all favorite foods indicates a need for further
teaching.
Question 3: A client with type 2 diabetes mellitus is experiencing symptoms of
hypoglycemia. The PN checks the client's blood glucose level and it is 55 mg/dL.
What should the PN do first?
A) Administer glucagon intramuscularly.
B) Provide 15 grams of fast-acting carbohydrate.
C) Give 4 ounces of orange juice.
D) Recheck the blood glucose in 15 minutes.
Answer: C) Give 4 ounces of orange juice.
Rationale: For a conscious client with hypoglycemia (blood glucose below 70
mg/dL), the PN should provide 15 grams of fast-acting carbohydrate, such as 4
ounces of orange juice or 3-4 glucose tablets. The rule of 15 is to recheck blood
glucose in 15 minutes and repeat if symptoms persist.
Question 4: The PN is preparing to insert a nasogastric (NG) tube for a client with
a bowel obstruction. Which position should the PN place the client in for this
procedure?
