HESI PN Exit Exam 2026/2027
150 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 PN Scope of Practice
2 Five Rights of Delegation
3 UAP Delegation
4 Prioritization Frameworks
5 Reporting & Escalation
6 Assignment Making
7 SBAR & Handoff
8 Supervision & Evaluation
9 Legal & Ethical
10 Emergency Prioritization
Page 1
,Q1
A PN is working with an RN and two UAPs. Which task should the PN delegate to a UAP?
A) *Obtaining a routine blood pressure on a stable client CORRECT
B) Administering a scheduled oral medication
C) Performing a sterile dressing change
D) Teaching a client about a new diet
Rationale
Vital signs on stable clients are within UAP scope; medication, sterile procedures, and teaching
require licensed staff.
Q2
A PN receives a report that a client's oxygen saturation has dropped from 96% to 88%.
Which action should the PN take first?
A) Document the finding and recheck in 30 minutes
B) Increase the oxygen flow rate
C) *Assess the client and report to the RN immediately CORRECT
D) Ask the UAP to recheck the saturation
Rationale
A drop below 90% is a change in condition requiring immediate assessment and RN notification.
Q3
A PN is assigning tasks for the shift. Which client should the PN assess first?
A) Client requesting pain medication for a headache
B) Client with a new colostomy asking about pouch care
C) Client with a fever of 38.1°C awaiting antibiotics
D) *Client with new-onset confusion and a heart rate of 122 bpm CORRECT
Page 2
,Rationale
New confusion with tachycardia suggests a deteriorating condition requiring immediate
assessment.
Q4
A UAP reports that a client's urine output has been 20 mL/hr for the past 3 hours. Which
action should the PN take first?
A) *Assess the client and notify the RN CORRECT
B) Encourage the client to drink more fluids
C) Document the output and continue monitoring
D) Ask the UAP to recheck the output in 1 hour
Rationale
Output below 30 mL/hr indicates oliguria and requires assessment and RN notification.
Q5
Which task is outside the PN scope of practice and must be performed by the RN?
A) Administering a subcutaneous insulin injection
B) Inserting a peripheral IV catheter
C) *Performing the initial admission assessment on a new client CORRECT
D) Reinforcing teaching about a new medication
Rationale
Initial comprehensive assessment is an RN responsibility; PNs can perform focused
assessments.
Page 3
, Q6
A PN is preparing to delegate a bed bath to a UAP. Which of the five rights of delegation
is being applied when the PN confirms the client is stable?
A) Right task
B) *Right circumstance CORRECT
C) Right person
D) Right direction
Rationale
Right circumstance ensures the client's condition is stable and appropriate for delegation.
Q7
A PN overhears a UAP telling a client, "Your test results are normal." Which action
should the PN take first?
A) Ignore the comment to avoid conflict
B) Document the incident and report to the RN after the shift
C) *Interrupt the conversation and clarify that the provider will discuss
CORRECT
results
D) Tell the client to disregard the UAP
Rationale
UAPs should not interpret results; the PN must correct the statement immediately.
Q8
A PN is caring for four clients. Which client should be seen first?
A) Client with diabetes requesting a snack
B) Client with a new ileostomy asking about diet
C) Client awaiting discharge paperwork
D) *Client with sudden shortness of breath and chest pain CORRECT
Page 4
150 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 PN Scope of Practice
2 Five Rights of Delegation
3 UAP Delegation
4 Prioritization Frameworks
5 Reporting & Escalation
6 Assignment Making
7 SBAR & Handoff
8 Supervision & Evaluation
9 Legal & Ethical
10 Emergency Prioritization
Page 1
,Q1
A PN is working with an RN and two UAPs. Which task should the PN delegate to a UAP?
A) *Obtaining a routine blood pressure on a stable client CORRECT
B) Administering a scheduled oral medication
C) Performing a sterile dressing change
D) Teaching a client about a new diet
Rationale
Vital signs on stable clients are within UAP scope; medication, sterile procedures, and teaching
require licensed staff.
Q2
A PN receives a report that a client's oxygen saturation has dropped from 96% to 88%.
Which action should the PN take first?
A) Document the finding and recheck in 30 minutes
B) Increase the oxygen flow rate
C) *Assess the client and report to the RN immediately CORRECT
D) Ask the UAP to recheck the saturation
Rationale
A drop below 90% is a change in condition requiring immediate assessment and RN notification.
Q3
A PN is assigning tasks for the shift. Which client should the PN assess first?
A) Client requesting pain medication for a headache
B) Client with a new colostomy asking about pouch care
C) Client with a fever of 38.1°C awaiting antibiotics
D) *Client with new-onset confusion and a heart rate of 122 bpm CORRECT
Page 2
,Rationale
New confusion with tachycardia suggests a deteriorating condition requiring immediate
assessment.
Q4
A UAP reports that a client's urine output has been 20 mL/hr for the past 3 hours. Which
action should the PN take first?
A) *Assess the client and notify the RN CORRECT
B) Encourage the client to drink more fluids
C) Document the output and continue monitoring
D) Ask the UAP to recheck the output in 1 hour
Rationale
Output below 30 mL/hr indicates oliguria and requires assessment and RN notification.
Q5
Which task is outside the PN scope of practice and must be performed by the RN?
A) Administering a subcutaneous insulin injection
B) Inserting a peripheral IV catheter
C) *Performing the initial admission assessment on a new client CORRECT
D) Reinforcing teaching about a new medication
Rationale
Initial comprehensive assessment is an RN responsibility; PNs can perform focused
assessments.
Page 3
, Q6
A PN is preparing to delegate a bed bath to a UAP. Which of the five rights of delegation
is being applied when the PN confirms the client is stable?
A) Right task
B) *Right circumstance CORRECT
C) Right person
D) Right direction
Rationale
Right circumstance ensures the client's condition is stable and appropriate for delegation.
Q7
A PN overhears a UAP telling a client, "Your test results are normal." Which action
should the PN take first?
A) Ignore the comment to avoid conflict
B) Document the incident and report to the RN after the shift
C) *Interrupt the conversation and clarify that the provider will discuss
CORRECT
results
D) Tell the client to disregard the UAP
Rationale
UAPs should not interpret results; the PN must correct the statement immediately.
Q8
A PN is caring for four clients. Which client should be seen first?
A) Client with diabetes requesting a snack
B) Client with a new ileostomy asking about diet
C) Client awaiting discharge paperwork
D) *Client with sudden shortness of breath and chest pain CORRECT
Page 4
