1
PN HESI Exit Exam Actual Exam Questions and
Answers with Rationales 2026/2027 | NGN
Format | Practical Nursing Predictor | Pass
Guarantee
Q001: A 68-year-old client with a history of COPD presents with increased
shortness of breath, productive cough with green sputum, and fever. The LPN
receives new orders during shift change. Which action should the LPN take first?
A. Administer prescribed antibiotics
B. Obtain a sputum specimen for culture
C. Apply oxygen at 2L per NC
D. Document the report
Answer: B
Q002: The client is receiving a subcutaneous injection of insulin. The LPN notes
that the site is bruised and has lipohypertrophy. What is the best action?
A. Use the site anyway to avoid wasting insulin
B. Apply ice before injection
C. Select a new site at least 2 inches away
D. Massage the site after injection
Answer: C
Q003: A client has a stage 2 pressure injury on the coccyx. Which interventions are
within LPN scope? (Select all that apply)
A. Perform wound care as ordered
B. Reposition every 2 hours
C. Stage the wound
D. Document wound characteristics
, 2
E. Order support surface
Answer: A, B, D
Q004: The charge nurse assigns a post-op client to an LPN. Which task is outside
LPN scope?
A. Administer PO pain medication
B. Assess surgical incision
C. Remove Foley catheter per order
D. Develop plan of care
Answer: D
Q005: A client with diabetes has a blood glucose of 45 mg/dL and is confused.
What should the LPN do first?
A. Give 15g quick-acting carbohydrate
B. Recheck in 15 minutes
C. Call provider
D. Administer glucagon
Answer: A
Q006: The LPN is delegating tasks to a UAP. Which task is appropriate?
A. Empty Foley catheter bag
B. Perform accu-check
C. Help client with ambulation
D. Give a bed bath
Answer: A, C, D
Q007: A client is receiving digoxin 0.25 mg PO daily. The apical pulse is 58. What
is the LPN's priority?
A. Hold medication and notify RN
, 3
B. Give medication and recheck in 1 hour
C. Give half the dose
D. Document and recheck pulse
Answer: A
Q008: The LPN is caring for a client with a colostomy. The skin around the stoma
is red and irritated. What could be the cause? (Select all that apply)
A. Wafer cut too large
B. Stoma below skin level
C. Allergic reaction
D. Use of skin barrier
E. Underlying disease
Answer: A, B, C
Q009: A client has a new prescription for warfarin. Which food should be limited?
A. Spinach
B. Chicken
C. White bread
D. Apples
Answer: A
Q010: The LPN is administering a scheduled opioid. Which assessment is most
important?
A. Pain level
B. Respiratory rate
C. Blood pressure
D. Last bowel movement
Answer: B
, 4
Q011: A client with CHF is on fluid restriction. The client asks for ice chips. How
should the LPN count this?
A. Free fluid
B. Half the volume
C. Full volume
D. Not counted
Answer: C
Q012: The LPN is preparing to give an IM injection to a thin elderly client. What is
the best site?
A. Dorsogluteal
B. Ventrogluteal
C. Deltoid
D. Vastus lateralis
Answer: B
Q013: A client is receiving oxygen via nasal cannula at 2L/min. What is the
priority nursing care?
A. Check oxygen levels
B. Ensure prongs are in nares
C. Pad tubing over ears
D. Assess for dryness
Answer: C
Q014: The LPN is caring for a postpartum client. Which finding requires
immediate RN notification?
A. Fundus firm at umbilicus
B. Saturating 1 pad per hour
PN HESI Exit Exam Actual Exam Questions and
Answers with Rationales 2026/2027 | NGN
Format | Practical Nursing Predictor | Pass
Guarantee
Q001: A 68-year-old client with a history of COPD presents with increased
shortness of breath, productive cough with green sputum, and fever. The LPN
receives new orders during shift change. Which action should the LPN take first?
A. Administer prescribed antibiotics
B. Obtain a sputum specimen for culture
C. Apply oxygen at 2L per NC
D. Document the report
Answer: B
Q002: The client is receiving a subcutaneous injection of insulin. The LPN notes
that the site is bruised and has lipohypertrophy. What is the best action?
A. Use the site anyway to avoid wasting insulin
B. Apply ice before injection
C. Select a new site at least 2 inches away
D. Massage the site after injection
Answer: C
Q003: A client has a stage 2 pressure injury on the coccyx. Which interventions are
within LPN scope? (Select all that apply)
A. Perform wound care as ordered
B. Reposition every 2 hours
C. Stage the wound
D. Document wound characteristics
, 2
E. Order support surface
Answer: A, B, D
Q004: The charge nurse assigns a post-op client to an LPN. Which task is outside
LPN scope?
A. Administer PO pain medication
B. Assess surgical incision
C. Remove Foley catheter per order
D. Develop plan of care
Answer: D
Q005: A client with diabetes has a blood glucose of 45 mg/dL and is confused.
What should the LPN do first?
A. Give 15g quick-acting carbohydrate
B. Recheck in 15 minutes
C. Call provider
D. Administer glucagon
Answer: A
Q006: The LPN is delegating tasks to a UAP. Which task is appropriate?
A. Empty Foley catheter bag
B. Perform accu-check
C. Help client with ambulation
D. Give a bed bath
Answer: A, C, D
Q007: A client is receiving digoxin 0.25 mg PO daily. The apical pulse is 58. What
is the LPN's priority?
A. Hold medication and notify RN
, 3
B. Give medication and recheck in 1 hour
C. Give half the dose
D. Document and recheck pulse
Answer: A
Q008: The LPN is caring for a client with a colostomy. The skin around the stoma
is red and irritated. What could be the cause? (Select all that apply)
A. Wafer cut too large
B. Stoma below skin level
C. Allergic reaction
D. Use of skin barrier
E. Underlying disease
Answer: A, B, C
Q009: A client has a new prescription for warfarin. Which food should be limited?
A. Spinach
B. Chicken
C. White bread
D. Apples
Answer: A
Q010: The LPN is administering a scheduled opioid. Which assessment is most
important?
A. Pain level
B. Respiratory rate
C. Blood pressure
D. Last bowel movement
Answer: B
, 4
Q011: A client with CHF is on fluid restriction. The client asks for ice chips. How
should the LPN count this?
A. Free fluid
B. Half the volume
C. Full volume
D. Not counted
Answer: C
Q012: The LPN is preparing to give an IM injection to a thin elderly client. What is
the best site?
A. Dorsogluteal
B. Ventrogluteal
C. Deltoid
D. Vastus lateralis
Answer: B
Q013: A client is receiving oxygen via nasal cannula at 2L/min. What is the
priority nursing care?
A. Check oxygen levels
B. Ensure prongs are in nares
C. Pad tubing over ears
D. Assess for dryness
Answer: C
Q014: The LPN is caring for a postpartum client. Which finding requires
immediate RN notification?
A. Fundus firm at umbilicus
B. Saturating 1 pad per hour
