1
PN HESI Exit Exam Actual Exam
Questions and Answers with
Rationales 2026/2027 | NGN Format |
Practical Nursing Predictor | Pass
Guarantee
Q001: An 82-year-old resident in long-term care has a stage 3 pressure injury on
the sacrum. The wound bed is red, moist, and without slough. The LPN is
reinforcing the RN’s plan of care during morning rounds.
Options:
A. Reposition the client every 2 hours
B. Apply a hydrocolloid dressing as ordered
C. Measure the wound length and width daily - CORRECT
D. Report increased warmth around the wound to the RN
(Correct Answer: C)
Q002: A clinic LPN receives a call from a patient 3 days post-cholecystectomy
who says, “My incision is really red and there’s yellow stuff coming out.”
Options:
A. “Apply an antibiotic ointment and call back tomorrow.”
B. “Come to the clinic this morning so we can assess the incision.” - CORRECT
C. “This is normal drainage—just keep the area clean.”
D. “Take an oral antibiotic until you see the doctor next week.”
(Correct Answer: B)
, 2
Q003: The LPN is assisting the RN to develop a teaching plan for a newly
diagnosed type 2 diabetic. Place the following topics in order of basic-to-complex
sequence for the first three teaching sessions.
Options:
A. How to draw up insulin
B. Signs of hypoglycemia - CORRECT
C. Relationship between food, activity, and blood sugar
D. How to use a glucometer
(Correct Answer: B)
Q004: A client in a pediatric office receives an MMR vaccine. Five minutes later
the LPN notes facial swelling and hoarse voice.
Options:
A. Record vital signs and continue observation
B. Administer epinephrine 0.5 mg IM per protocol and call for the RN/MD -
CORRECT
C. Apply a cool compress to the face
D. Offer the child a drink of water
(Correct Answer: B)
Q005: An LPN is assigned to a team including an RN and a nursing assistant (NA).
A client on contact precautions needs a bed-bath, VS q4h, IV antibiotics hung, and
blood glucose accuchecks before meals.
Options:
A. Bed-bath
B. Vital signs
C. Accucheck glucose
D. Hang IV antibiotic bag - CORRECT
, 3
(Correct Answer: D)
Q006: The LPN is preparing to give a subcutaneous injection of insulin. The vial
has been opened for 35 days and stored at room temp per policy (28 days max).
Options:
A. Use the insulin and document the lot number
B. Discard the vial and obtain a new one - CORRECT
C. Send the vial to pharmacy for testing
D. Use it only if it appears clear
(Correct Answer: B)
Q007: The LPN is assigned to a client with a new colostomy. The client states,
“I’m afraid to look at it.”
Options:
A. Encourage the client to look in a mirror while LPN provides support -
CORRECT
B. Tell the client the RN will discuss it later
C. Cover the stoma with opaque dressing
D. Offer to change the pouch quickly
(Correct Answer: A)
Q008: An 82-year-old resident in long-term care has a stage 3 pressure injury on
the sacrum. The wound bed is red, moist, and without slough. The LPN is
reinforcing the RN’s plan of care during morning rounds.
Options:
A. Reposition the client every 2 hours
B. Apply a hydrocolloid dressing as ordered
C. Measure the wound length and width daily
D. Report increased warmth around the wound to the RN - CORRECT
, 4
(Correct Answer: D)
Q009: A client with COPD is receiving 2 L/min O2 via nasal cannula. The LPN
enters the room and finds the client slumped, O2 sat 82%, RR 8.
Options:
A. Call for help/RN
B. Increase O2 to 6 L/min
C. Remove cannula and begin mouth-to-mouth
D. Apply a non-rebreather at 15 L/min - CORRECT
(Correct Answer: D)
Q010: A client with a broken arm in a cast reports increasing pain unrelieved by
analgesics and numb fingers. The cast feels tight.
Options:
A. Elevate the arm on a pillow
B. Notify the RN immediately - CORRECT
C. Offer relaxation breathing
D. Apply ice around cast
(Correct Answer: B)
Q011: A client with diabetes has a blood glucose of 47 mg/dL. The client is awake
and follows commands.
Options:
A. Give 4 oz orange juice and recheck in 15 min - CORRECT
B. Administer 1 mg glucagon IM
C. Start an IV D5W
D. Notify the RN after recheck in 30 min
(Correct Answer: A)
PN HESI Exit Exam Actual Exam
Questions and Answers with
Rationales 2026/2027 | NGN Format |
Practical Nursing Predictor | Pass
Guarantee
Q001: An 82-year-old resident in long-term care has a stage 3 pressure injury on
the sacrum. The wound bed is red, moist, and without slough. The LPN is
reinforcing the RN’s plan of care during morning rounds.
Options:
A. Reposition the client every 2 hours
B. Apply a hydrocolloid dressing as ordered
C. Measure the wound length and width daily - CORRECT
D. Report increased warmth around the wound to the RN
(Correct Answer: C)
Q002: A clinic LPN receives a call from a patient 3 days post-cholecystectomy
who says, “My incision is really red and there’s yellow stuff coming out.”
Options:
A. “Apply an antibiotic ointment and call back tomorrow.”
B. “Come to the clinic this morning so we can assess the incision.” - CORRECT
C. “This is normal drainage—just keep the area clean.”
D. “Take an oral antibiotic until you see the doctor next week.”
(Correct Answer: B)
, 2
Q003: The LPN is assisting the RN to develop a teaching plan for a newly
diagnosed type 2 diabetic. Place the following topics in order of basic-to-complex
sequence for the first three teaching sessions.
Options:
A. How to draw up insulin
B. Signs of hypoglycemia - CORRECT
C. Relationship between food, activity, and blood sugar
D. How to use a glucometer
(Correct Answer: B)
Q004: A client in a pediatric office receives an MMR vaccine. Five minutes later
the LPN notes facial swelling and hoarse voice.
Options:
A. Record vital signs and continue observation
B. Administer epinephrine 0.5 mg IM per protocol and call for the RN/MD -
CORRECT
C. Apply a cool compress to the face
D. Offer the child a drink of water
(Correct Answer: B)
Q005: An LPN is assigned to a team including an RN and a nursing assistant (NA).
A client on contact precautions needs a bed-bath, VS q4h, IV antibiotics hung, and
blood glucose accuchecks before meals.
Options:
A. Bed-bath
B. Vital signs
C. Accucheck glucose
D. Hang IV antibiotic bag - CORRECT
, 3
(Correct Answer: D)
Q006: The LPN is preparing to give a subcutaneous injection of insulin. The vial
has been opened for 35 days and stored at room temp per policy (28 days max).
Options:
A. Use the insulin and document the lot number
B. Discard the vial and obtain a new one - CORRECT
C. Send the vial to pharmacy for testing
D. Use it only if it appears clear
(Correct Answer: B)
Q007: The LPN is assigned to a client with a new colostomy. The client states,
“I’m afraid to look at it.”
Options:
A. Encourage the client to look in a mirror while LPN provides support -
CORRECT
B. Tell the client the RN will discuss it later
C. Cover the stoma with opaque dressing
D. Offer to change the pouch quickly
(Correct Answer: A)
Q008: An 82-year-old resident in long-term care has a stage 3 pressure injury on
the sacrum. The wound bed is red, moist, and without slough. The LPN is
reinforcing the RN’s plan of care during morning rounds.
Options:
A. Reposition the client every 2 hours
B. Apply a hydrocolloid dressing as ordered
C. Measure the wound length and width daily
D. Report increased warmth around the wound to the RN - CORRECT
, 4
(Correct Answer: D)
Q009: A client with COPD is receiving 2 L/min O2 via nasal cannula. The LPN
enters the room and finds the client slumped, O2 sat 82%, RR 8.
Options:
A. Call for help/RN
B. Increase O2 to 6 L/min
C. Remove cannula and begin mouth-to-mouth
D. Apply a non-rebreather at 15 L/min - CORRECT
(Correct Answer: D)
Q010: A client with a broken arm in a cast reports increasing pain unrelieved by
analgesics and numb fingers. The cast feels tight.
Options:
A. Elevate the arm on a pillow
B. Notify the RN immediately - CORRECT
C. Offer relaxation breathing
D. Apply ice around cast
(Correct Answer: B)
Q011: A client with diabetes has a blood glucose of 47 mg/dL. The client is awake
and follows commands.
Options:
A. Give 4 oz orange juice and recheck in 15 min - CORRECT
B. Administer 1 mg glucagon IM
C. Start an IV D5W
D. Notify the RN after recheck in 30 min
(Correct Answer: A)
