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HESI PN Fundamentals Exit Exam 2025 — Study Guide,
Practice Questions & Practical Nursing Prep
Prepare for the HESI PN Fundamentals Exit Exam 2025 with a comprehensive study guide,
practice questions, and review materials. Master essential basic nursing concepts, patient
care, safety procedures, clinical skills, and documentation to excel in your Practical Nursing
fundamentals exit exam and advance your nursing career.
• HESI PN Fundamentals Exit 2025
• Practical Nursing fundamentals exam
• HESI PN practice test questions
• PN fundamentals study guide 2025
A client comes to the walk-in clinic with reports of abdominal pain and diarrhea. While taking
the client's vital signs, the nurse is implementing which phase of the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation - ANSWER-A. Assessment
Rationale: The first step in the nursing process is assessment, the process of collecting data. All
subsequent phases of the nursing process (options 2, 3, and 4) rely on accurate and complete
data.
The nurse is measuring the client's urine output and straining the urine to assess for stones.
Which of the following should the nurse record as objective data?
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A. The client reports abdominal pain
B. The client's urine output was 450 mL
C. The client states, "I didn't see any stones in my urine."
D. The client states, "I feel like I have passed a stone." - ANSWER-B. The client's urine output
was 450 mL.
Rationale: Objective data is measurable data that can be seen, heard, or verified by the nurse.
The objective data is the measurement of the urine output. A client's statements and reports of
symptoms are documented as subjective data, such as the data found in options 1, 3, and 4.
A patient has limited mobility as a result of a recent knee replacement. The nurse identifies that
he has altered balance and assists him in ambulation. The patient uses a walker presently as
part of his therapy. the nurse notes how far the patient is able to walk and then assists him back
to his room. Which of the following is an evaluative measure? [20]
1. Uses walker during ambulation
2. Presence of altered balance
3. Limited mobility in lower extremities
4. Observation of distance patient is able to walk - ANSWER-4
A patient is being discharged today. In preparation the nurse removes the IV line from the right
arm and documents that the site was "clean and dry with no signs of redness or tenderness."
On discharge the nurse reviews the care plan for goals met. Which of the following goals can be
evaluated with what you know about this patient? [20]
1. Patient expresses acceptance of health status by day of discharge
2. Patient's surgical would will remain free of infection
3. Patient's IV site will remain free of phlebitis
4. Patient understands when to call physician to report possible complications - ANSWER-3
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A nursing student is talking with one of the staff nurses who works on a surgical unit. The
student's care plan is to include nursing-sensitive outcomes for the nursing diagnosis of "acute
pain." A nursing-sensitive outcome suitable for this diagnosis would be: [20]
1. Patient will achieve pain relief by discharge
2. Patient will be free of a surgical wound infection by discharge
3. Patient will report reduced pain severity in 2 days
4. Patient will describe purpose of pain medicine by discharge - ANSWER-3
When evaluating an elderly client's blood pressure (BP) of 146/78 mmHg, the nurse does which
of the following before determining whether the BP is normal or represents hypertension?
A. Compare this reading against defined standards
B. Compare the reading with one taken in the opposite arm
C. Determine gaps in the vital signs in the client record
D. Compare the current measurement with previous ones - ANSWER-A. Compare this reading
against defined
Rationale: Analysis of the client's BP requires knowledge of the normal BP range for an older
adult. The nurse compares the client's data against identified standards to determine whether
this reading is normal or abnormal. Measuring the BP in the other arm (option 2) and
comparing the reading to previous ones (option 4) will give additional client data, but the
comparison alone will not determine whether the BP is normal. Gaps in the record (option 3)
will not aid in interpreting the current measurement.
Which of the following behaviors by the nurse demonstrates that the nurse is participating in
critical thinking? Select all that apply.
A. Admitting not knowing how to do a procedure and requesting help
B. Using clever and persuasive remarks to support an opinion or position
, 4|Page
C. Accepting without question the values acquired in nursing school
D. Finding a quick and logical answer, even to complex questions
E. Gathering three assistants to transfer the client to a stretcher after noting the client weighs
300 lbs. - ANSWER-A. Admitting not knowing how to do a procedure and requesting help
E. Gathering three assistants to transfer the client to a stretcher after noting the client weighs
300 lbs.
Rationale: Critical thinking in nursing is self-directed, supporting what nurses know and making
clear what they do not know. It is important for nurses to recognize when they lack the
knowledge they need to provide safe care for a client (option 1). Nurses must also utilize their
resources to acquire the support they need to care for a client safely (option 5). Options 2, 3,
and 4 do not demonstrate critical thinking.
The nurse has documented the following outcome goal in the care plan: "The client will transfer
from bed to chair with two-person assist." The charge nurse tells the nurse to add which of the
following to complete the goal?
A. Client behavior
B. Conditions or modifiers
C. Performance criteria
D. Target time - ANSWER-D. Target time
Rationale: The outcome goal does not state the target timeframe for when the nurse should
expect to see the client behavior ("transfer"). The condition or modifier is present ("with two
assists"). The performance criterion is "from bed to chair."
The nurse who documents on the client's care plan the outcome goal "Anxiety will be relieved
within 20 to 40 minutes following administration of lorazepam (Ativan)" is engaged in which
step of the nursing process?
HESI PN Fundamentals Exit Exam 2025 — Study Guide,
Practice Questions & Practical Nursing Prep
Prepare for the HESI PN Fundamentals Exit Exam 2025 with a comprehensive study guide,
practice questions, and review materials. Master essential basic nursing concepts, patient
care, safety procedures, clinical skills, and documentation to excel in your Practical Nursing
fundamentals exit exam and advance your nursing career.
• HESI PN Fundamentals Exit 2025
• Practical Nursing fundamentals exam
• HESI PN practice test questions
• PN fundamentals study guide 2025
A client comes to the walk-in clinic with reports of abdominal pain and diarrhea. While taking
the client's vital signs, the nurse is implementing which phase of the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation - ANSWER-A. Assessment
Rationale: The first step in the nursing process is assessment, the process of collecting data. All
subsequent phases of the nursing process (options 2, 3, and 4) rely on accurate and complete
data.
The nurse is measuring the client's urine output and straining the urine to assess for stones.
Which of the following should the nurse record as objective data?
,2|Page
A. The client reports abdominal pain
B. The client's urine output was 450 mL
C. The client states, "I didn't see any stones in my urine."
D. The client states, "I feel like I have passed a stone." - ANSWER-B. The client's urine output
was 450 mL.
Rationale: Objective data is measurable data that can be seen, heard, or verified by the nurse.
The objective data is the measurement of the urine output. A client's statements and reports of
symptoms are documented as subjective data, such as the data found in options 1, 3, and 4.
A patient has limited mobility as a result of a recent knee replacement. The nurse identifies that
he has altered balance and assists him in ambulation. The patient uses a walker presently as
part of his therapy. the nurse notes how far the patient is able to walk and then assists him back
to his room. Which of the following is an evaluative measure? [20]
1. Uses walker during ambulation
2. Presence of altered balance
3. Limited mobility in lower extremities
4. Observation of distance patient is able to walk - ANSWER-4
A patient is being discharged today. In preparation the nurse removes the IV line from the right
arm and documents that the site was "clean and dry with no signs of redness or tenderness."
On discharge the nurse reviews the care plan for goals met. Which of the following goals can be
evaluated with what you know about this patient? [20]
1. Patient expresses acceptance of health status by day of discharge
2. Patient's surgical would will remain free of infection
3. Patient's IV site will remain free of phlebitis
4. Patient understands when to call physician to report possible complications - ANSWER-3
,3|Page
A nursing student is talking with one of the staff nurses who works on a surgical unit. The
student's care plan is to include nursing-sensitive outcomes for the nursing diagnosis of "acute
pain." A nursing-sensitive outcome suitable for this diagnosis would be: [20]
1. Patient will achieve pain relief by discharge
2. Patient will be free of a surgical wound infection by discharge
3. Patient will report reduced pain severity in 2 days
4. Patient will describe purpose of pain medicine by discharge - ANSWER-3
When evaluating an elderly client's blood pressure (BP) of 146/78 mmHg, the nurse does which
of the following before determining whether the BP is normal or represents hypertension?
A. Compare this reading against defined standards
B. Compare the reading with one taken in the opposite arm
C. Determine gaps in the vital signs in the client record
D. Compare the current measurement with previous ones - ANSWER-A. Compare this reading
against defined
Rationale: Analysis of the client's BP requires knowledge of the normal BP range for an older
adult. The nurse compares the client's data against identified standards to determine whether
this reading is normal or abnormal. Measuring the BP in the other arm (option 2) and
comparing the reading to previous ones (option 4) will give additional client data, but the
comparison alone will not determine whether the BP is normal. Gaps in the record (option 3)
will not aid in interpreting the current measurement.
Which of the following behaviors by the nurse demonstrates that the nurse is participating in
critical thinking? Select all that apply.
A. Admitting not knowing how to do a procedure and requesting help
B. Using clever and persuasive remarks to support an opinion or position
, 4|Page
C. Accepting without question the values acquired in nursing school
D. Finding a quick and logical answer, even to complex questions
E. Gathering three assistants to transfer the client to a stretcher after noting the client weighs
300 lbs. - ANSWER-A. Admitting not knowing how to do a procedure and requesting help
E. Gathering three assistants to transfer the client to a stretcher after noting the client weighs
300 lbs.
Rationale: Critical thinking in nursing is self-directed, supporting what nurses know and making
clear what they do not know. It is important for nurses to recognize when they lack the
knowledge they need to provide safe care for a client (option 1). Nurses must also utilize their
resources to acquire the support they need to care for a client safely (option 5). Options 2, 3,
and 4 do not demonstrate critical thinking.
The nurse has documented the following outcome goal in the care plan: "The client will transfer
from bed to chair with two-person assist." The charge nurse tells the nurse to add which of the
following to complete the goal?
A. Client behavior
B. Conditions or modifiers
C. Performance criteria
D. Target time - ANSWER-D. Target time
Rationale: The outcome goal does not state the target timeframe for when the nurse should
expect to see the client behavior ("transfer"). The condition or modifier is present ("with two
assists"). The performance criterion is "from bed to chair."
The nurse who documents on the client's care plan the outcome goal "Anxiety will be relieved
within 20 to 40 minutes following administration of lorazepam (Ativan)" is engaged in which
step of the nursing process?
