HONDROS HESI PN EXIT EXAM 2 PRACTICE TEST
2026/2027 | 150 PRACTICE QUESTIONS WITH
RATIONALES
SECTION 1: SAFE AND EFFECTIVE CARE
ENVIRONMENT (Questions 1–30)
1. A practical nurse (PN) is preparing to administer
medications. The eMAR shows a newly ordered antibiotic
not yet verified by pharmacy. The client is due for the first
dose in 15 minutes. What action should the PN take FIRST?
A. Administer the dose as scheduled
B. Contact pharmacy to verify the order before administering
C. Ask the charge nurse to co-sign administration
D. Hold the medication and notify the provider
B. Contact pharmacy to verify the order before
administering
RATIONALE: Medication safety requires pharmacy
verification before first-dose administration. Administering
without verification risks error; simply holding delays necessary
treatment without clarification .
2. A PN receives report on a client on contact precautions for
MRSA. Which infection-control action is the priority when
entering the room?
,A. Don gloves only after removing the dressing
B. Perform hand hygiene and don gloves and gown before
entering
C. Wear a surgical mask and eye protection
D. Place the client in a private room only if culture is positive
B. Perform hand hygiene and don gloves and gown before
entering
RATIONALE: Contact precautions require gown and gloves
upon room entry. Hand hygiene before donning PPE is essential.
Mask/eye protection is not routinely required unless splash risk
exists .
3. A PN is caring for four clients. Which client should the
nurse assess FIRST after receiving shift report?
A. Client with total hip replacement reporting 4/10 pain
B. Client with type 2 diabetes whose morning glucose is 148
mg/dL
C. Client with continuous bladder irrigation and dark red urine
with clots
D. Client scheduled for discharge needing wound care teaching
C. Client with continuous bladder irrigation and dark red
urine with clots
RATIONALE: Dark red urine with clots after continuous
bladder irrigation may indicate active bleeding or catheter
,obstruction requiring immediate assessment. Other clients have
expected findings or non-urgent needs .
4. A PN notices three falls occurred on the unit in one week,
all involving clients getting out of bed unassisted. Which
intervention should the nurse recommend as HIGHEST
priority?
A. Increase sitters for all fall-risk clients
B. Implement hourly purposeful rounding with toileting focus
C. Place all fall-risk clients near nurses' station
D. Require two nurses for every ambulation
B. Implement hourly purposeful rounding with toileting
focus
RATIONALE: Hourly rounding addresses the most
common reason for unassisted exits (toileting and needing items
within reach) and has strong evidence for reducing falls .
5. A PN accidentally brushes the sterile drape against non-
sterile bed linen during catheter insertion. What is the most
appropriate action?
A. Continue with the procedure
B. Replace the contaminated drape with a new sterile one
C. Notify the provider of the contamination
D. Complete the procedure and document the breach
B. Replace the contaminated drape with a new sterile one
, RATIONALE: Any break in sterile technique requires
correction before proceeding. Replacing the drape maintains
sterility and prevents infection .
6. A client receiving a blood transfusion develops chills, back
pain, and hypotension. What is the PN's PRIORITY action?
A. Slow the transfusion rate to 50 mL/hr
B. Stop the transfusion immediately
C. Administer acetaminophen as ordered
D. Notify the healthcare provider first
B. Stop the transfusion immediately
RATIONALE: These are signs of a hemolytic transfusion
reaction. The transfusion must be stopped immediately, then
notify provider and maintain IV access with normal saline .
7. A confused resident has no ID band. What is the best
action before administering medications?
A. Ask a regular staff member to confirm identity
B. Hold medication until family arrives
C. Reorient the resident to name and situation
D. Use the room number for identification
A. Ask a regular staff member to confirm identity
2026/2027 | 150 PRACTICE QUESTIONS WITH
RATIONALES
SECTION 1: SAFE AND EFFECTIVE CARE
ENVIRONMENT (Questions 1–30)
1. A practical nurse (PN) is preparing to administer
medications. The eMAR shows a newly ordered antibiotic
not yet verified by pharmacy. The client is due for the first
dose in 15 minutes. What action should the PN take FIRST?
A. Administer the dose as scheduled
B. Contact pharmacy to verify the order before administering
C. Ask the charge nurse to co-sign administration
D. Hold the medication and notify the provider
B. Contact pharmacy to verify the order before
administering
RATIONALE: Medication safety requires pharmacy
verification before first-dose administration. Administering
without verification risks error; simply holding delays necessary
treatment without clarification .
2. A PN receives report on a client on contact precautions for
MRSA. Which infection-control action is the priority when
entering the room?
,A. Don gloves only after removing the dressing
B. Perform hand hygiene and don gloves and gown before
entering
C. Wear a surgical mask and eye protection
D. Place the client in a private room only if culture is positive
B. Perform hand hygiene and don gloves and gown before
entering
RATIONALE: Contact precautions require gown and gloves
upon room entry. Hand hygiene before donning PPE is essential.
Mask/eye protection is not routinely required unless splash risk
exists .
3. A PN is caring for four clients. Which client should the
nurse assess FIRST after receiving shift report?
A. Client with total hip replacement reporting 4/10 pain
B. Client with type 2 diabetes whose morning glucose is 148
mg/dL
C. Client with continuous bladder irrigation and dark red urine
with clots
D. Client scheduled for discharge needing wound care teaching
C. Client with continuous bladder irrigation and dark red
urine with clots
RATIONALE: Dark red urine with clots after continuous
bladder irrigation may indicate active bleeding or catheter
,obstruction requiring immediate assessment. Other clients have
expected findings or non-urgent needs .
4. A PN notices three falls occurred on the unit in one week,
all involving clients getting out of bed unassisted. Which
intervention should the nurse recommend as HIGHEST
priority?
A. Increase sitters for all fall-risk clients
B. Implement hourly purposeful rounding with toileting focus
C. Place all fall-risk clients near nurses' station
D. Require two nurses for every ambulation
B. Implement hourly purposeful rounding with toileting
focus
RATIONALE: Hourly rounding addresses the most
common reason for unassisted exits (toileting and needing items
within reach) and has strong evidence for reducing falls .
5. A PN accidentally brushes the sterile drape against non-
sterile bed linen during catheter insertion. What is the most
appropriate action?
A. Continue with the procedure
B. Replace the contaminated drape with a new sterile one
C. Notify the provider of the contamination
D. Complete the procedure and document the breach
B. Replace the contaminated drape with a new sterile one
, RATIONALE: Any break in sterile technique requires
correction before proceeding. Replacing the drape maintains
sterility and prevents infection .
6. A client receiving a blood transfusion develops chills, back
pain, and hypotension. What is the PN's PRIORITY action?
A. Slow the transfusion rate to 50 mL/hr
B. Stop the transfusion immediately
C. Administer acetaminophen as ordered
D. Notify the healthcare provider first
B. Stop the transfusion immediately
RATIONALE: These are signs of a hemolytic transfusion
reaction. The transfusion must be stopped immediately, then
notify provider and maintain IV access with normal saline .
7. A confused resident has no ID band. What is the best
action before administering medications?
A. Ask a regular staff member to confirm identity
B. Hold medication until family arrives
C. Reorient the resident to name and situation
D. Use the room number for identification
A. Ask a regular staff member to confirm identity
