HESI PN EXIT EXAM NGN | 2025–2026 | ACTUAL
EXAM SCREENSHOT BASED 250 QUESTIONS
WITH VERIFIED CORRECT ANSWERS | GRADED
A+
HESI PN Exit Exam NGN Table Of Content
Section 1: Fundamentals & Patient Safety — Questions 1–30
Section 2: MedicalSurgical Nursing — Questions 31–65
Section 3: Maternity & Newborn — Questions 66–85
Section 4: Pediatric Nursing — Questions 86–105
Section 5: Mental Health — Questions 106–125
Section 6: Pharmacology — Questions 126–140
Section 7: Leadership, Delegation & Prioritization — Questions 141–150
SECTION 1: FUNDAMENTALS & PATIENT SAFETY (Questions 1–30)
Question 1
An older client with metastatic breast cancer is experiencing shortness of
breath due to bilateral pneumonia. The client has a living will, and the family
is requesting hospice care. Which information should the practical nurse (PN)
reinforce with the client and family regarding hospice care?
A) Instructions for care should be included in the client's living will
,B) Hospice care can only be provided in hospital settings
C) Hospice care focuses on curing the disease
D) Care focuses on comfort, dignity, and emotional support
Correct Answer: D
Rationale: Hospice care emphasizes comfort measures rather than curative
treatment. It can be provided wherever the client resides, including home or
facility, and focuses on dignity and psychosocial support. While a living will
provides care preferences, it is not the same as hospice instructions.
Question 2
A client with a history of falls is admitted. What is the most important
intervention for the practical nurse (PN) to implement?
A) Place a call bell within reach
B) Administer a sedative at bedtime
C) Apply wrist restraints
D) Keep the bed in the highest position
Correct Answer: A
Rationale: Ensuring the call bell is within reach allows the client to call for
assistance, reducing the risk of falls. Sedatives can increase fall risk. Restraints
should be a last resort. The bed should be in the lowest position.
,Question 3
The practical nurse (PN) is charting vital signs on a handwritten 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 next column
C) Obliterate the entry and insert the correct information
D) Notify the charge nurse that the entry needs to be revised
Correct Answer: A
Rationale: The correct method for correcting a charting error is to draw a
single line through the incorrect entry, write the correct information above or
next to it, and initial and date the correction. This maintains a clear record
while preserving the original documentation. Obliterating the entry is
unacceptable.
Question 4
A nurse is preparing to insert an indwelling urinary catheter for a female
client. Which of the following actions should the nurse take?
A) Use sterile gloves for the entire procedure
B) Open the catheter kit before washing hands
C) Place the client in a supine position with legs extended
D) Cleanse the meatus with antiseptic solution using a circular motion from
the outside in
Correct Answer: A
, Rationale: Sterile gloves must be worn for the entire catheter insertion
procedure to maintain sterility. Hand hygiene should precede opening the kit.
The client should be in dorsal recumbent or Sims' position. Cleansing should
be from the inside out (meatus outward).
Question 5
The practical nurse (PN) notices that a client's urine is pale yellow, with a
cloudy appearance, and has a foul odor. Which assessment should the PN
complete next?
A) Check the client's fluid intake for the past 8 hours
B) Ask the client about urinary frequency
C) Obtain a clean catch urine specimen
D) Notify the healthcare provider immediately
Correct Answer: B
Rationale: Cloudy urine with foul odor suggests possible urinary tract
infection. The PN should first assess for associated symptoms such as urinary
frequency, urgency, or dysuria before proceeding with further interventions.
Question 6
While caring for a client with GuillainBarré syndrome, which finding should
the practical nurse (PN) report to the charge nurse?
A) Lower leg weakness/cramping
B) Irregular heart rate
EXAM SCREENSHOT BASED 250 QUESTIONS
WITH VERIFIED CORRECT ANSWERS | GRADED
A+
HESI PN Exit Exam NGN Table Of Content
Section 1: Fundamentals & Patient Safety — Questions 1–30
Section 2: MedicalSurgical Nursing — Questions 31–65
Section 3: Maternity & Newborn — Questions 66–85
Section 4: Pediatric Nursing — Questions 86–105
Section 5: Mental Health — Questions 106–125
Section 6: Pharmacology — Questions 126–140
Section 7: Leadership, Delegation & Prioritization — Questions 141–150
SECTION 1: FUNDAMENTALS & PATIENT SAFETY (Questions 1–30)
Question 1
An older client with metastatic breast cancer is experiencing shortness of
breath due to bilateral pneumonia. The client has a living will, and the family
is requesting hospice care. Which information should the practical nurse (PN)
reinforce with the client and family regarding hospice care?
A) Instructions for care should be included in the client's living will
,B) Hospice care can only be provided in hospital settings
C) Hospice care focuses on curing the disease
D) Care focuses on comfort, dignity, and emotional support
Correct Answer: D
Rationale: Hospice care emphasizes comfort measures rather than curative
treatment. It can be provided wherever the client resides, including home or
facility, and focuses on dignity and psychosocial support. While a living will
provides care preferences, it is not the same as hospice instructions.
Question 2
A client with a history of falls is admitted. What is the most important
intervention for the practical nurse (PN) to implement?
A) Place a call bell within reach
B) Administer a sedative at bedtime
C) Apply wrist restraints
D) Keep the bed in the highest position
Correct Answer: A
Rationale: Ensuring the call bell is within reach allows the client to call for
assistance, reducing the risk of falls. Sedatives can increase fall risk. Restraints
should be a last resort. The bed should be in the lowest position.
,Question 3
The practical nurse (PN) is charting vital signs on a handwritten 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 next column
C) Obliterate the entry and insert the correct information
D) Notify the charge nurse that the entry needs to be revised
Correct Answer: A
Rationale: The correct method for correcting a charting error is to draw a
single line through the incorrect entry, write the correct information above or
next to it, and initial and date the correction. This maintains a clear record
while preserving the original documentation. Obliterating the entry is
unacceptable.
Question 4
A nurse is preparing to insert an indwelling urinary catheter for a female
client. Which of the following actions should the nurse take?
A) Use sterile gloves for the entire procedure
B) Open the catheter kit before washing hands
C) Place the client in a supine position with legs extended
D) Cleanse the meatus with antiseptic solution using a circular motion from
the outside in
Correct Answer: A
, Rationale: Sterile gloves must be worn for the entire catheter insertion
procedure to maintain sterility. Hand hygiene should precede opening the kit.
The client should be in dorsal recumbent or Sims' position. Cleansing should
be from the inside out (meatus outward).
Question 5
The practical nurse (PN) notices that a client's urine is pale yellow, with a
cloudy appearance, and has a foul odor. Which assessment should the PN
complete next?
A) Check the client's fluid intake for the past 8 hours
B) Ask the client about urinary frequency
C) Obtain a clean catch urine specimen
D) Notify the healthcare provider immediately
Correct Answer: B
Rationale: Cloudy urine with foul odor suggests possible urinary tract
infection. The PN should first assess for associated symptoms such as urinary
frequency, urgency, or dysuria before proceeding with further interventions.
Question 6
While caring for a client with GuillainBarré syndrome, which finding should
the practical nurse (PN) report to the charge nurse?
A) Lower leg weakness/cramping
B) Irregular heart rate
