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PN HESI EXIT REAL EXAM (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)
GUARANTEED PASS A+ UPDATED THIS YEAR
PN HESI Practice Exam –
FUNDAMENTALS & SAFETY
1. A patient is confused and trying to get out of bed without assistance. What is the nurse’s
priority action?
A) Restrain the patient immediately
B) Call for assistance and ensure the bed is in a low position
C) Ignore the behavior
D) Give a sedative
Answer: B
Rationale: Patient safety is the priority. Ensure the environment is safe and call for assistance to
prevent falls. Restraints are last resort.
2. When performing hand hygiene, the nurse should:
A) Use plain water only
B) Rub hands together for at least 20 seconds with soap and water
C) Wipe hands on clothing
D) Use gloves instead of washing hands
Answer: B
Rationale: Proper hand hygiene requires scrubbing for at least 20 seconds with soap and water
or using alcohol-based sanitizer to prevent infection.
3. A patient has a new IV line. Which action ensures safety?
A) Place the IV bag on the floor
B) Label the IV site and monitor for infiltration
2026 2027 GRADED A+
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C) Ignore patient complaints about discomfort
D) Leave the dressing loose
Answer: B
Rationale: Proper labeling and monitoring prevent complications such as infiltration or
infection.
4. Which patient is at greatest risk for pressure ulcers?
A) A mobile young adult
B) An immobile elderly patient with poor nutrition
C) A patient taking oral antibiotics
D) A patient who walks frequently
Answer: B
Rationale: Immobility and poor nutrition increase risk for skin breakdown and pressure injuries.
5. The nurse is preparing to lift a heavy patient. What is the best technique?
A) Bend at the waist and lift
B) Keep the back straight, bend at the knees, and use leg muscles
C) Lift quickly without assistance
D) Twist while lifting
Answer: B
Rationale: Proper body mechanics prevent injury; use legs rather than back and avoid twisting.
6. Which is the most accurate method to assess a patient’s temperature?
A) Axillary
B) Oral
C) Rectal
D) Temporal
Answer: C
Rationale: Rectal temperature is generally the most accurate core measurement.
2026 2027 GRADED A+
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7. The nurse observes a frayed electrical cord on a medical device. What should be done?
A) Continue using it carefully
B) Remove the device from service and report
C) Tape the cord and continue
D) Only use when patient is awake
Answer: B
Rationale: Frayed cords are a safety hazard. Remove from use and report to prevent electrical
injury.
8. Standard precautions include:
A) Hand hygiene and gloves when exposure is possible
B) Only gloves for blood exposure
C) Masks for all patients
D) No precautions for non-infectious patients
Answer: A
Rationale: Standard precautions prevent transmission of infectious agents; use gloves, hand
hygiene, masks, eye protection as indicated.
9. A patient is at risk for falls. Which intervention is most appropriate?
A) Keep bed in high position
B) Place call light within reach and ensure non-slip footwear
C) Allow patient to walk freely
D) Avoid frequent monitoring
Answer: B
Rationale: Fall prevention includes safe environment, call light accessibility, and proper
footwear.
10. A patient has shortness of breath. Which action should the nurse take first?
A) Administer a sedative
B) Assess oxygen saturation and respiratory effort
C) Call the family
D) Record vital signs later
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Answer: B
Rationale: Airway and breathing are priorities; assessment guides appropriate interventions.
11. Which is a sign of infection at a surgical site?
A) Redness, warmth, swelling, and drainage
B) Dry, intact skin
C) No complaints of pain
D) Clear skin color
Answer: A
Rationale: Classic signs of infection include erythema, warmth, edema, and purulent drainage.
12. When feeding a patient with dysphagia, the nurse should:
A) Feed quickly to finish meal
B) Position patient upright and provide small bites
C) Allow patient to lie down
D) Give liquids first
Answer: B
Rationale: Upright position and small bites reduce risk of aspiration.
13. When removing gloves, which technique prevents contamination?
A) Pull gloves off inside out and dispose properly
B) Remove quickly by snapping
C) Leave gloves on hands
D) Wash gloves with soap
Answer: A
Rationale: Proper glove removal reduces risk of self-contamination.
14. A patient with a urinary catheter reports discomfort. The nurse should:
A) Reposition and assess the catheter
B) Ignore complaints
C) Remove the catheter immediately without assessment
D) Only document
2026 2027 GRADED A+
PN HESI EXIT REAL EXAM (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)
GUARANTEED PASS A+ UPDATED THIS YEAR
PN HESI Practice Exam –
FUNDAMENTALS & SAFETY
1. A patient is confused and trying to get out of bed without assistance. What is the nurse’s
priority action?
A) Restrain the patient immediately
B) Call for assistance and ensure the bed is in a low position
C) Ignore the behavior
D) Give a sedative
Answer: B
Rationale: Patient safety is the priority. Ensure the environment is safe and call for assistance to
prevent falls. Restraints are last resort.
2. When performing hand hygiene, the nurse should:
A) Use plain water only
B) Rub hands together for at least 20 seconds with soap and water
C) Wipe hands on clothing
D) Use gloves instead of washing hands
Answer: B
Rationale: Proper hand hygiene requires scrubbing for at least 20 seconds with soap and water
or using alcohol-based sanitizer to prevent infection.
3. A patient has a new IV line. Which action ensures safety?
A) Place the IV bag on the floor
B) Label the IV site and monitor for infiltration
2026 2027 GRADED A+
,2|Page
C) Ignore patient complaints about discomfort
D) Leave the dressing loose
Answer: B
Rationale: Proper labeling and monitoring prevent complications such as infiltration or
infection.
4. Which patient is at greatest risk for pressure ulcers?
A) A mobile young adult
B) An immobile elderly patient with poor nutrition
C) A patient taking oral antibiotics
D) A patient who walks frequently
Answer: B
Rationale: Immobility and poor nutrition increase risk for skin breakdown and pressure injuries.
5. The nurse is preparing to lift a heavy patient. What is the best technique?
A) Bend at the waist and lift
B) Keep the back straight, bend at the knees, and use leg muscles
C) Lift quickly without assistance
D) Twist while lifting
Answer: B
Rationale: Proper body mechanics prevent injury; use legs rather than back and avoid twisting.
6. Which is the most accurate method to assess a patient’s temperature?
A) Axillary
B) Oral
C) Rectal
D) Temporal
Answer: C
Rationale: Rectal temperature is generally the most accurate core measurement.
2026 2027 GRADED A+
,3|Page
7. The nurse observes a frayed electrical cord on a medical device. What should be done?
A) Continue using it carefully
B) Remove the device from service and report
C) Tape the cord and continue
D) Only use when patient is awake
Answer: B
Rationale: Frayed cords are a safety hazard. Remove from use and report to prevent electrical
injury.
8. Standard precautions include:
A) Hand hygiene and gloves when exposure is possible
B) Only gloves for blood exposure
C) Masks for all patients
D) No precautions for non-infectious patients
Answer: A
Rationale: Standard precautions prevent transmission of infectious agents; use gloves, hand
hygiene, masks, eye protection as indicated.
9. A patient is at risk for falls. Which intervention is most appropriate?
A) Keep bed in high position
B) Place call light within reach and ensure non-slip footwear
C) Allow patient to walk freely
D) Avoid frequent monitoring
Answer: B
Rationale: Fall prevention includes safe environment, call light accessibility, and proper
footwear.
10. A patient has shortness of breath. Which action should the nurse take first?
A) Administer a sedative
B) Assess oxygen saturation and respiratory effort
C) Call the family
D) Record vital signs later
2026 2027 GRADED A+
, 4|Page
Answer: B
Rationale: Airway and breathing are priorities; assessment guides appropriate interventions.
11. Which is a sign of infection at a surgical site?
A) Redness, warmth, swelling, and drainage
B) Dry, intact skin
C) No complaints of pain
D) Clear skin color
Answer: A
Rationale: Classic signs of infection include erythema, warmth, edema, and purulent drainage.
12. When feeding a patient with dysphagia, the nurse should:
A) Feed quickly to finish meal
B) Position patient upright and provide small bites
C) Allow patient to lie down
D) Give liquids first
Answer: B
Rationale: Upright position and small bites reduce risk of aspiration.
13. When removing gloves, which technique prevents contamination?
A) Pull gloves off inside out and dispose properly
B) Remove quickly by snapping
C) Leave gloves on hands
D) Wash gloves with soap
Answer: A
Rationale: Proper glove removal reduces risk of self-contamination.
14. A patient with a urinary catheter reports discomfort. The nurse should:
A) Reposition and assess the catheter
B) Ignore complaints
C) Remove the catheter immediately without assessment
D) Only document
2026 2027 GRADED A+
