2025/2026 HESI PN LPN FUNDAMENTALS EXIT EXAM:] QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
CORE DOMAINS
* Nursing Process and Clinical Decision Making
* Patient Safety and Infection Control
* Fundamental Nursing Skills and Procedures
* Pharmacology and Medication Administration
* Ethical and Legal Responsibilities
* Therapeutic Communication and Documentation
* Health Promotion and Maintenance
* Nursing Leadership and Collaboration
INTRODUCTION
*The purpose of this examination is to evaluate the clinical proficiency and theoretical knowledg
SECTION ONE: QUESTIONS 1–100
A nurse is caring for a patient who is at high risk for falls. Which intervention should the nurse
implement first?
A. Request a prescription for physical therapy
B. Keep the patient's bed in the lowest position
C. Assess the patient's gait and balance
D. Place a yellow fall-risk bracelet on the patient
,🟢B
🔴 RATIONALE: Maintaining the bed in the lowest position is a primary safety intervention that
immediately reduces the risk of injury should a patient attempt to exit the bed unassisted.
A patient asks the nurse why informed consent is necessary before a surgical procedure. Which
response is most accurate?
A. It releases the hospital from all legal liability
B. It ensures the patient understands the risks, benefits, and alternatives
C. It allows the physician to perform any procedure deemed necessary
D. It proves the patient is competent to make decisions
🟢B
🔴 RATIONALE: Informed consent is a legal and ethical requirement ensuring the patient has
adequate information to make an autonomous decision regarding their care.
Which action by the nurse demonstrates an understanding of standard precautions?
A. Wearing gloves when touching a patient's intact skin
B. Changing gloves between tasks on the same patient
C. Washing hands only after removing gloves
D. Wearing a gown for all patient interactions
🟢B
🔴 RATIONALE: Standard precautions require changing gloves between tasks or procedures on
the same patient to prevent cross-contamination.
A patient is prescribed 500 mg of a medication. The medication is available as 250 mg tablets. How
many tablets should the nurse administer?
A. 0.5 tablets
B. 1 tablet
C. 1.5 tablets
,D. 2 tablets
🟢D
🔴 RATIONALE: Using the formula (Desired/Have), 500 mg divided by 250 mg equals 2 tablets.
When assessing a patient's radial pulse, the nurse notes an irregular rhythm. What is the priority
action?
A. Document the finding in the chart
B. Notify the healthcare provider immediately
C. Assess the apical pulse for a full minute
D. Check the blood pressure on the opposite arm
🟢C
🔴 RATIONALE: An irregular radial pulse requires verification via an apical pulse assessment to
determine if a pulse deficit exists.
Which stage of the nursing process involves the nurse establishing measurable goals for the
patient?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
🟢B
🔴 RATIONALE: The planning phase involves setting goals and identifying nursing interventions to
achieve desired patient outcomes.
A patient with a pressure ulcer has thick, yellow drainage. How should the nurse document this
finding?
A. Serous
B. Sanguineous
, C. Purulent
D. Serosanguineous
🟢C
🔴 RATIONALE: Purulent drainage contains white blood cells and debris and is typically thick and
yellow or green, indicating infection.
What is the primary purpose of a sentinel event report?
A. To punish the staff member involved
B. To identify system improvements to prevent recurrence
C. To provide evidence for a lawsuit
D. To inform the patient's family of the error
🟢B
🔴 RATIONALE: Sentinel event reporting is a quality improvement tool focused on root cause
analysis to improve patient safety systems rather than individual blame.
When administering an intramuscular injection into the ventrogluteal site, where should the nurse
palpate to locate the landmark?
A. The greater trochanter and the anterior superior iliac spine
B. The acromion process and the axilla
C. The mid-thigh between the greater trochanter and the knee
D. The posterior iliac crest
🟢A
🔴 RATIONALE: The ventrogluteal site is located by placing the heel of the hand on the greater
trochanter and the index finger on the anterior superior iliac spine.
Which statement indicates that a patient needs further education regarding the use of a walker?
A. I should move the walker forward 6 to 12 inches
B. I should step with my affected leg first
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
CORE DOMAINS
* Nursing Process and Clinical Decision Making
* Patient Safety and Infection Control
* Fundamental Nursing Skills and Procedures
* Pharmacology and Medication Administration
* Ethical and Legal Responsibilities
* Therapeutic Communication and Documentation
* Health Promotion and Maintenance
* Nursing Leadership and Collaboration
INTRODUCTION
*The purpose of this examination is to evaluate the clinical proficiency and theoretical knowledg
SECTION ONE: QUESTIONS 1–100
A nurse is caring for a patient who is at high risk for falls. Which intervention should the nurse
implement first?
A. Request a prescription for physical therapy
B. Keep the patient's bed in the lowest position
C. Assess the patient's gait and balance
D. Place a yellow fall-risk bracelet on the patient
,🟢B
🔴 RATIONALE: Maintaining the bed in the lowest position is a primary safety intervention that
immediately reduces the risk of injury should a patient attempt to exit the bed unassisted.
A patient asks the nurse why informed consent is necessary before a surgical procedure. Which
response is most accurate?
A. It releases the hospital from all legal liability
B. It ensures the patient understands the risks, benefits, and alternatives
C. It allows the physician to perform any procedure deemed necessary
D. It proves the patient is competent to make decisions
🟢B
🔴 RATIONALE: Informed consent is a legal and ethical requirement ensuring the patient has
adequate information to make an autonomous decision regarding their care.
Which action by the nurse demonstrates an understanding of standard precautions?
A. Wearing gloves when touching a patient's intact skin
B. Changing gloves between tasks on the same patient
C. Washing hands only after removing gloves
D. Wearing a gown for all patient interactions
🟢B
🔴 RATIONALE: Standard precautions require changing gloves between tasks or procedures on
the same patient to prevent cross-contamination.
A patient is prescribed 500 mg of a medication. The medication is available as 250 mg tablets. How
many tablets should the nurse administer?
A. 0.5 tablets
B. 1 tablet
C. 1.5 tablets
,D. 2 tablets
🟢D
🔴 RATIONALE: Using the formula (Desired/Have), 500 mg divided by 250 mg equals 2 tablets.
When assessing a patient's radial pulse, the nurse notes an irregular rhythm. What is the priority
action?
A. Document the finding in the chart
B. Notify the healthcare provider immediately
C. Assess the apical pulse for a full minute
D. Check the blood pressure on the opposite arm
🟢C
🔴 RATIONALE: An irregular radial pulse requires verification via an apical pulse assessment to
determine if a pulse deficit exists.
Which stage of the nursing process involves the nurse establishing measurable goals for the
patient?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
🟢B
🔴 RATIONALE: The planning phase involves setting goals and identifying nursing interventions to
achieve desired patient outcomes.
A patient with a pressure ulcer has thick, yellow drainage. How should the nurse document this
finding?
A. Serous
B. Sanguineous
, C. Purulent
D. Serosanguineous
🟢C
🔴 RATIONALE: Purulent drainage contains white blood cells and debris and is typically thick and
yellow or green, indicating infection.
What is the primary purpose of a sentinel event report?
A. To punish the staff member involved
B. To identify system improvements to prevent recurrence
C. To provide evidence for a lawsuit
D. To inform the patient's family of the error
🟢B
🔴 RATIONALE: Sentinel event reporting is a quality improvement tool focused on root cause
analysis to improve patient safety systems rather than individual blame.
When administering an intramuscular injection into the ventrogluteal site, where should the nurse
palpate to locate the landmark?
A. The greater trochanter and the anterior superior iliac spine
B. The acromion process and the axilla
C. The mid-thigh between the greater trochanter and the knee
D. The posterior iliac crest
🟢A
🔴 RATIONALE: The ventrogluteal site is located by placing the heel of the hand on the greater
trochanter and the index finger on the anterior superior iliac spine.
Which statement indicates that a patient needs further education regarding the use of a walker?
A. I should move the walker forward 6 to 12 inches
B. I should step with my affected leg first
