Verified Questions and 100% Correct Answers | Graded A+
PN Fundamentals HESI Exit Exam | Updated for the 2025/2026 testing cycle, featuring
verified test bank questions with 100% correct answers. Core topics include nursing
foundations, basic patient care, vital signs, infection control, safety and hygiene, communication
and documentation, pharmacology basics, patient education, and delegation/prioritization in
the PN role. Fully aligned with HESI and NCLEX-PN fundamentals domains.
Overview
This PN Fundamentals HESI Exit Test Bank provides authentic exam-style questions with
expert-confirmed answers, ensuring complete accuracy. Designed to strengthen foundational
nursing knowledge and prepare students for HESI Exit and NCLEX-PN success, it is graded A+
for reliability and effectiveness.
Answer Format
Correct answers are highlighted in bold green, with rationales that explain nursing principles,
safety priorities, and fundamental care strategies to reinforce understanding and critical
thinking.
PN Fundamentals HESI Exit Exam 2025/2026
Question 1: What is the primary role of a practical nurse (PN)?
A) Diagnose patient conditions
B) Provide basic nursing care
C) Perform surgical procedures
D) Develop care plans independently
B) Provide basic nursing care
Rationale: PNs assist with daily care under RN or physician supervision.
Question 2: A patient’s oral temperature is 99.6°F (37.6°C). Is this normal?
A) Yes
B) No
C) Recheck in 1 hour
D) Notify the provider
A) Yes
Rationale: 97°F-100.4°F (36.1°C-38°C) is within normal range.
Question 3: What is the first step in hand hygiene?
A) Apply lotion
,B) Wet hands with water
C) Apply soap
D) Dry hands
B) Wet hands with water
Rationale: Wetting hands prepares them for effective soap use.
Question 4: A patient is at risk for falls. What safety measure is priority?
A) Keep bed rails up
B) Encourage ambulation
C) Remove call bell
D) Dim the lights
A) Keep bed rails up
Rationale: Rails prevent falls in at-risk patients.
Question 5: How should the nurse document a patient’s pain level?
A) Ignore unless severe
B) Use a pain scale (e.g., 0-10)
C) Estimate without asking
D) Document only if medicated
B) Use a pain scale (e.g., 0-10)
Rationale: A pain scale provides objective documentation.
Question 6: A patient is prescribed acetaminophen 500 mg. What should the nurse
teach?
A) Take with food
B) Avoid alcohol
C) Expect drowsiness
D) Stop if fever persists
B) Avoid alcohol
Rationale: Alcohol increases the risk of liver damage with acetaminophen.
Question 7: What is the best way to educate a patient about medication?
A) Provide written instructions
B) Use medical jargon
C) Avoid follow-up questions
D) Give information once
A) Provide written instructions
Rationale: Written materials reinforce verbal education.
Question 8: A nurse delegates vital signs to a nursing assistant. Who is
responsible?
A) Nursing assistant
B) Charge nurse
C) Registered nurse
D) Unit clerk
C) Registered nurse
Rationale: The delegating nurse retains accountability.
, Question 9: What is a normal adult pulse rate?
A) 40-60 bpm
B) 60-100 bpm
C) 100-120 bpm
D) 120-140 bpm
B) 60-100 bpm
Rationale: 60-100 bpm is the normal adult range.
Question 10: A patient has a pressure ulcer. What is the priority intervention?
A) Reposition every 2 hours
B) Apply heat
C) Encourage lying still
D) Remove dressings
A) Reposition every 2 hours
Rationale: Repositioning prevents worsening.
Question 11: What is the first step in donning personal protective equipment
(PPE)?
A) Put on gloves
B) Wear gown
C) Apply mask
D) Perform hand hygiene
D) Perform hand hygiene
Rationale: Hand hygiene is the initial step before PPE.
Question 12: A patient refuses a bath. What should the nurse do?
A) Force the bath
B) Explore the refusal
C) Document and leave
D) Inform the supervisor
B) Explore the refusal
Rationale: Understanding the reason respects patient autonomy.
Question 13: How should the nurse measure a patient’s respiratory rate?
A) Count for 15 seconds and multiply by 4
B) Observe for 1 full minute
C) Estimate without watching
D) Count during conversation
B) Observe for 1 full minute
Rationale: A full minute ensures accuracy, especially if irregular.
Question 14: A patient has a catheter. What safety measure is priority?
A) Keep bag below bladder
B) Empty bag daily
C) Encourage ambulation
D) Remove catheter