HESI PN Exit Exam with 400+ Questions, NGN-Style
Questions & Case Scenarios | (100% Guarantee Pass)
2026 Update
Document Information
Exam: HESI PN Exit Exam
Academic Year: 2025/2026
Total Questions: 400+
Format: NGN-Style, Case Scenarios, Multiple Choice
Content Areas: Medical-Surgical, Maternity, Pediatrics, Psychiatric Nursing,
Pharmacology, Fundamentals, Leadership
About This Study Guide
This comprehensive study guide is designed to help Practical Nursing students prepare
for the HESI PN Exit Exam. The HESI PN Exit Exam is widely used to assess readiness for
the NCLEX-PN and evaluate nursing program completion requirements. This resource
features NGN-style questions with detailed rationales covering all core areas including
Medical-Surgical Nursing, Pharmacology, Maternal-Newborn, Pediatrics, Psychiatric
Nursing, Fundamentals, and Professional Issues.
SECTION 1: FUNDAMENTALS & SAFETY (Questions 1-50)
,Question 1
The practical nurse enters a male client's room to administer routine morning
medications, but the client is on the phone. Which action is best for the PN to take?
A) Ask another nurse to go back with the medication when the client's phone call ends
B) Wait for the client to excuse himself from the telephone conversation and observe
the client taking the medication
C) Leave the medication at the bedside and tell the client to take it when the call is over
D) Document that the client refused the medication
Correct Answer: B) Wait for the client to excuse himself from the telephone
conversation and observe the client taking the medication
Rationale: The PN must never leave medication unattended and should always observe
the client taking the medication. Waiting for the client to finish the call ensures safety and
proper administration. Leaving medication unattended is unsafe.
Question 2
During the immediate postoperative period following total hip replacement surgery,
which intervention is most important?
A) Encourage the client to use a walker or cane
B) Maintain abduction of the affected leg
C) Position the client with the affected leg internally rotated
D) Perform passive range-of-motion exercises
,Correct Answer: B) Maintain abduction of the affected leg
Rationale: Post-hip replacement, the affected leg must be maintained in abduction to
prevent dislocation. Adduction, internal rotation, and crossing the legs increase the risk of
dislocation. Hip abduction is critical for the immediate postoperative period.
Question 3
The PN and UAP find a client unresponsive in bed. What action should the PN instruct
the UAP to take first?
A) Call the rapid response team
B) Check the client's pulse
C) Lower the bed and open the airway
D) Get the crash cart
Correct Answer: C) Lower the bed and open the airway
Rationale: The priority in an unresponsive client is airway management. The UAP should
be instructed to lower the bed and open the airway while the PN assesses the client.
Question 4
The PN observes a UAP bathing a bedfast client with the bed in the high position. Which
action should the PN take?
A) Remain in the room to supervise the UAP
B) Determine if the UAP would like assistance
C) Assume care of the client immediately
D) Instruct the UAP to lower the bed for safety
, Correct Answer: D) Instruct the UAP to lower the bed for safety
Rationale: The bed should be in the lowest position for patient safety during care. The PN
should correct this safety issue immediately. Falls are a significant safety concern in
healthcare settings.
Question 5
A disoriented resident in a long-term care facility has no ID band or picture. What is the
best action for the PN before administering medication?
A) Ask a regular staff member to confirm the resident's identity
B) Hold the medication until a family member arrives
C) Reorient the resident to name, place, and situation
D) Confirm the room and bed number match the medication record
Correct Answer: A) Ask a regular staff member to confirm the resident's identity
Rationale: Confirming multiple identifiers, including room and bed number, is essential to
ensure patient safety before medication administration. Reliance solely on staff or family
confirmation risks error. Facility policy dictates proper identification procedures .
Question 6
A Korean female exchange student admitted with acute abdominal pain answers
questions easily but looks away when asked about sexual activity. What should the PN
do?
A) Omit this section of the assessment
B) Ask if she would prefer an interpreter to ask this question
Questions & Case Scenarios | (100% Guarantee Pass)
2026 Update
Document Information
Exam: HESI PN Exit Exam
Academic Year: 2025/2026
Total Questions: 400+
Format: NGN-Style, Case Scenarios, Multiple Choice
Content Areas: Medical-Surgical, Maternity, Pediatrics, Psychiatric Nursing,
Pharmacology, Fundamentals, Leadership
About This Study Guide
This comprehensive study guide is designed to help Practical Nursing students prepare
for the HESI PN Exit Exam. The HESI PN Exit Exam is widely used to assess readiness for
the NCLEX-PN and evaluate nursing program completion requirements. This resource
features NGN-style questions with detailed rationales covering all core areas including
Medical-Surgical Nursing, Pharmacology, Maternal-Newborn, Pediatrics, Psychiatric
Nursing, Fundamentals, and Professional Issues.
SECTION 1: FUNDAMENTALS & SAFETY (Questions 1-50)
,Question 1
The practical nurse enters a male client's room to administer routine morning
medications, but the client is on the phone. Which action is best for the PN to take?
A) Ask another nurse to go back with the medication when the client's phone call ends
B) Wait for the client to excuse himself from the telephone conversation and observe
the client taking the medication
C) Leave the medication at the bedside and tell the client to take it when the call is over
D) Document that the client refused the medication
Correct Answer: B) Wait for the client to excuse himself from the telephone
conversation and observe the client taking the medication
Rationale: The PN must never leave medication unattended and should always observe
the client taking the medication. Waiting for the client to finish the call ensures safety and
proper administration. Leaving medication unattended is unsafe.
Question 2
During the immediate postoperative period following total hip replacement surgery,
which intervention is most important?
A) Encourage the client to use a walker or cane
B) Maintain abduction of the affected leg
C) Position the client with the affected leg internally rotated
D) Perform passive range-of-motion exercises
,Correct Answer: B) Maintain abduction of the affected leg
Rationale: Post-hip replacement, the affected leg must be maintained in abduction to
prevent dislocation. Adduction, internal rotation, and crossing the legs increase the risk of
dislocation. Hip abduction is critical for the immediate postoperative period.
Question 3
The PN and UAP find a client unresponsive in bed. What action should the PN instruct
the UAP to take first?
A) Call the rapid response team
B) Check the client's pulse
C) Lower the bed and open the airway
D) Get the crash cart
Correct Answer: C) Lower the bed and open the airway
Rationale: The priority in an unresponsive client is airway management. The UAP should
be instructed to lower the bed and open the airway while the PN assesses the client.
Question 4
The PN observes a UAP bathing a bedfast client with the bed in the high position. Which
action should the PN take?
A) Remain in the room to supervise the UAP
B) Determine if the UAP would like assistance
C) Assume care of the client immediately
D) Instruct the UAP to lower the bed for safety
, Correct Answer: D) Instruct the UAP to lower the bed for safety
Rationale: The bed should be in the lowest position for patient safety during care. The PN
should correct this safety issue immediately. Falls are a significant safety concern in
healthcare settings.
Question 5
A disoriented resident in a long-term care facility has no ID band or picture. What is the
best action for the PN before administering medication?
A) Ask a regular staff member to confirm the resident's identity
B) Hold the medication until a family member arrives
C) Reorient the resident to name, place, and situation
D) Confirm the room and bed number match the medication record
Correct Answer: A) Ask a regular staff member to confirm the resident's identity
Rationale: Confirming multiple identifiers, including room and bed number, is essential to
ensure patient safety before medication administration. Reliance solely on staff or family
confirmation risks error. Facility policy dictates proper identification procedures .
Question 6
A Korean female exchange student admitted with acute abdominal pain answers
questions easily but looks away when asked about sexual activity. What should the PN
do?
A) Omit this section of the assessment
B) Ask if she would prefer an interpreter to ask this question
