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HESI Practical Nursing Exit Exam | 1000+ NGN-Style Questions & Answers | Exam Prep | 2026/2027 Edition

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Ace your HESI PN Exit Exam with this comprehensive study guide featuring 1000+ NGN-style questions and scenarios with verified answers designed to support effective exam preparation. This resource covers the essential nursing concepts tested on the HESI Practical Nursing Exit Exam, including medical-surgical nursing, pharmacology, fundamentals of nursing, maternity, pediatrics, mental health, leadership, delegation, prioritization, infection control, nutrition, pathophysiology, dosage calculations, patient safety, clinical judgment, and Next Generation Nursing (NGN) case studies and scenario-based questions. Ideal for practical nursing (PN/LPN) students preparing for HESI exit testing and NCLEX-PN success, this organized study material helps reinforce high-yield nursing concepts, strengthen clinical reasoning, improve exam readiness, and maximize your chances of success on the 2026/2027 HESI PN Exit Examination.

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HESI PN Exit Exam- 1000+ NGN-Style Questions & Scenarios

What should the PN do if a newly hired PN is using the Demonstrate how to administer medication via a feeding tube.
wrong procedure for administering medication via a
feeding tube?


Which intervention should the PN reinforce for a client Keep fingernails trimmed short.
with pruritus?



What information should the PN include for evacuees Take all doses of prophylactic prescriptions for diarrhea, Drink only boiled water
after a natural flooding disaster? (Select all that apply) or bottled oral rehydration solutions, Wash all fruits and vegetables thoroughly in
running tap water, Clean hands using soap, clean water, or waterless
antibacterial solutions.


What action is most important for the PN to implement Ensure the client has minimal clutter in the room.
for a client with immune thrombocytopenic purpura (ITP)
to prevent injury?


What information should the PN obtain from a client Presence of a metal implant.
scheduled for an MRI after a fall?



What factors are important in determining the level of Oxygen concentration of the ambient air, Temperature of water, The amount of
hypoxemia during submersion? (Select all that apply) time the child was submerged.



What common manifestation of Cushing's syndrome is Mood alterations.
indicated by a client telling family to leave her room
angrily?


What should the PN do first if a UAP consistently records Observe how UAP obtains temperatures.
subnormal temperatures?



What instruction should the PN reinforce for a client Use electric razor when shaving.
receiving an anticoagulant after cardioversion?



What should the PN prepare before a thoracentesis at Gather the procedure tray and equipment.
the bedside?



What action should the PN take to assist a businessman Teach him to limit sugar and caffeine intake.
with anxiety over financial status?



What should the PN do first for a postoperative client Determine if the suction is working.
with a nasogastric tube reporting nausea?



Which snack choice should the PN recommend Cheddar cheese.
eliminating for a client wanting to reduce migraine
headaches?


What observation indicates that UAP needs additional The client is told to keep both legs straight and together while turning.
information about turning a client after hip arthroplasty?



Which client finding should the PN report to the RN Coffee-ground secretions draining via nasogastric tube suction.
immediately?



Which laboratory values should the PN monitor to White blood cell count, Sputum culture and sensitivity.
evaluate the effectiveness of an antibiotic for a
respiratory tract infection? (Select all that apply)

, HESI PN Exit Exam- 1000+ NGN-Style Questions & Scenarios
How should the PN document a radial pulse that Thready pulse volume.
disappears with light pressure?



What indicates that a client understands the goal of Recovery attainment is when one's highest level of functioning is achieved.
rehabilitation after a burn injury?



What should the PN's initial action be for a postpartum Assess the bladder for distension.
client with moderate lochia rubra?



What should the PN do if they believe a child's Call the healthcare provider and clarify the prescription.
prescription is incorrect?



What is the first action if the PN gets stuck with a used Cleanse the finger with soap and water.
needle?



What factors should the PN recognize in an older adult Increase in age, history of diabetes mellitus, hyperlipidemia.
with increased blood pressure?



What nursing interventions should be implemented for a Measure head circumference daily, document strict intake and output, monitor
2-day-old infant post-ventriculoperitoneal shunt surgery? body temperature every 4 hours.



What follow-up actions should the PN take regarding a Report the appearance of the dressing to the charge nurse, compress the
client's postoperative dressing? drainage device before closing the tab.



What is the correct TPAL documentation for a client with Term 3, Premature 0, Abortion 3, Living 2.
five pregnancies and two living children?



What is the best nursing action upon overhearing a UAP Approach the individuals involved and ask them to stop.
discussing a client's terminal diagnosis?



What is the most important intervention for a client Inform the healthcare provider who discharged the client.
expressing intent to self-harm with a knife?



What should the PN remind a client using pilocarpine The action of the eye drops is to decrease internal eye pressure.
eye drops for glaucoma?



What is the highest priority nursing intervention for a Instruct her to avoid sexual intercourse while active, visible lesions are present.
client experiencing genital herpes during the first
trimester?


Which serum value result has the greatest implication for Hemoglobin 8.9 grams/dL.
safety in a postoperative elderly female client?



What should the practical nurse correlate with an infant Exploration beyond caregiver presence.
searching for a fallen toy according to Piaget?



What is the highest priority nursing intervention for a Instruct her to avoid sexual intercourse while active, visible lesions are present.
client experiencing genital herpes during pregnancy?

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