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HESI PN Exit Exam 2026 | Questions, Answers & Detailed Rationales Study Guide

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Prepare for the HESI PN Exit Exam with this comprehensive study guide featuring practice questions, answers, and detailed rationales. Covers essential topics including medical-surgical nursing, pharmacology, maternal-newborn nursing, pediatrics, mental health, fundamentals, leadership, and NCLEX-PN clinical judgment concepts. Designed for practical nursing students and PN candidates, this resource strengthens clinical reasoning, improves exam readiness, and supports NCLEX-PN success. Ideal for HESI preparation, practice tests, comprehensive reviews, and structured nursing study.

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Institution
Hesi
Course
Hesi

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HESI PN Exit Exam 2026 |
Questions, Answers &
Detailed Rationales Study
Guide
|Graded A+ | Guaranteed
success|




Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included

,The practical nurse (PN) is charting vital signs on a A. Draw one line through the entry and insert the correct information.
hand-written flow sheet and realizes that an error has
been made. What should the PN do to rectify the error?
A. Draw one line through the entry and insert the correct
information.
B. Chart the correct information in the column.
C. Obliterate the entry and insert the correct information.
D. Notify the charge nurse that the entry needs to be
revised.




The practical nurse (PN) selects the ventrogluteal site
to administer intramuscular (IM) injection to an adult.
Identify the site (Click the chosen location)




The Charge nurse brings a #18 catheter with a 30 mL C. Consult with the charge nurse about the catheter.
balloon to the practical nurse (PN) who is preparing to
insert a catheter in a female client who weighs 50kg.
Which action should the PN take first?
A. Ask the client if she has previously been catheterized.
B. Obtain a 30 mL syringe and a vial of sterile water.
C. Consult with the charge nurse about the catheter.
D. Position the client and observe the urinary meatus.


The practical nurse (PN) is caring for a client newly B. Tremors
diagnosed with diabetes mellitus (DM). Which finding is
an early sign of hypoglycemia?
A. Bradycardia
B. Tremors
C. Polyuria
D. Difficulty swallowing


While caring for a client with Gillian Barres syndrome. A. Lower leg weakness/cramping
Which finding should the practical nurse (PN) report to
the charge nurse?
While caring for a client with Gillian Barres syndrome.
Which finding should the practical nurse (PN) report to
the charge nurse?
A. Lower leg weakness/cramping
B. Irregular heart rate
C. Profuse Diaphoresis
D. Full facial flushing

, A client at 39 weeks gestation is admitted in early labor. A. Term 3, Premature 0, Abortion 3, Living 2
During the focused assessment the practical nurse (PN)
reviews the obstetrical history with the client who states
that she has been pregnant five times but only has two
living children, both of whom were full-term. The other
three pregnancies were miscarriages during the first
trimester. Which parity should the PN document for
term, premature, abortion, and living (TPAL) for the
client?
A. Term 3, Premature 0, Abortion 3, Living 2
B. Term 6, Premature 3, Abortion 3, Living 2
C. Term 2, Premature 3, Abortion 3, Living 2
D. Term 2, Premature 1, Abortion 0, Living 3


A client who is at full term gestation active labor C. Extend the leg and flex the foot.
complains of a cramp in her legs. Which intervention
should the practical nurse (PN) implement?
A. Massage the calf and foot.
B. Check the pedal pulse in the affected leg.
C. Extend the leg and flex the foot.
D. Elevate the leg above the heart.


The practical nurse (PN) is caring for a client with B. Engage in regular contact.
psychosis who demonstrates an inability to
communicate effectively. Which method should the PN
use to interact with the client?
A. Touch the client when speaking.
B. Engage in regular contact.
C. Discourage group activities.
D. Establish a no harm contract.


The practical nurse (PN) is preparing cefazolin 400mg 1 mL
IM for a client with positive infection. The available vial
is labeled Cefazolin 1 gram and the instructions for the
reconstitution state for IM add 2mL sterile water for
injection. Total volume after reconstitution is 2.5mL.
After reconstitution how many mL should be
administered to the client? (ENTER NUMERIC VALUE
ONLY. IF ROUNDING IS REQUIRED ROUND TO THE
NEAREST WHOLE NUMBER, TENTHS, HUNDRETHS)


An older client who fell down several stairs 4 hours ago C. Last time food was consumed.
is scheduled for a magnetic resonance imaging (MRI).
What information should the practical nurse (PN) obtain
from the client?
A. Allergy to iodine-based dyes.
B. History of previous myelogram.
C. Last time food was consumed.
D. Presents of a metal implant.

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