PN HESI EXIT REAL EXAM TEST BANK
WITH 400 EXAM QUESTIONS AND
CORRECT ANSWERS (100% CORRECT
ANSWERS) HESI PN EXIT EXAM TEST
BANK (BEST FOR EXAM PREPARATION)
2026/2027
Comprehensive Test Bank for LPN/LVN Candidates
Passing Score: 75% | A+ Verified
Edition
SECTIONS COVERED
1. Fundamentals of Nursing
2. Medical-Surgical Nursing
3. Pharmacology
4. Maternal-Newborn Nursing
5. Pediatric Nursing
6. Psychiatric & Mental Health Nursing
7. Leadership, Management & Delegation A+ Verified
8. Nutrition, Community Health & Geriatrics
For Exam Preparation Use Only
,PN HESI EXIT REAL EXAM TEST BANK WITH 400 EXAM QUESTIONS AND CORRECT ANSWERS (100% CORRECT ANSWERS) HESI PN EX...
SECTIONS COVERED
Section Content Area
1 Fundamentals of Nursing
2 Medical-Surgical Nursing
3 Pharmacology
4 Maternal-Newborn Nursing
5 Pediatric Nursing
6 Psychiatric & Mental Health Nursing
7 Leadership, Management & Delegation
8 Nutrition, Community Health & Geriatrics
Passing Score: 75% A+ Verified 2026/2027 Edition
Page 2
PN HESI EXIT EXAM
,PN HESI EXIT REAL EXAM TEST BANK WITH 400 EXAM QUESTIONS AND CORRECT ANSWERS (100% CORRECT ANSWERS) HESI PN EX...
SECTION: SECTION 1: FUNDAMENTALS OF NURSING
Question 1: A 68-year-old client admitted with pneumonia has a temperature of 102.4F, heart rate of 96
bpm, and respirations of 22 per minute. The nurse notes the client is diaphoretic and reports feeling
chilled. Which nursing action is the priority at this time?
A. Apply a cooling blanket to lower the temperature
B. Obtain a blood culture before administering the prescribed antibiotic
C. Encourage the client to drink 2 liters of water immediately
D. Administer acetaminophen and reassess in 4 hours
Rationale: Blood cultures must be obtained before antibiotic administration to ensure accurate identification of the
causative organism. While antipyretics and hydration are appropriate interventions, obtaining cultures first is the priority
to guide effective treatment.
Question 2: A nurse is caring for a client with a new colostomy. The client reports the pouch is leaking at
the skin barrier. The nurse observes mild erythema around the stoma site. What should the nurse do
first?
A. Apply a new pouch without further assessment
B. Assess peristomal skin for breakdown and measure the stoma
C. Tell the client to limit fluid intake to reduce output
D. Apply adhesive tape around the edges of the pouch
Rationale: Assessment is the first step in nursing care. The nurse must evaluate skin integrity and ensure proper pouch
fit before reapplying. Limiting fluids and using tape are inappropriate interventions for a leaking ostomy pouch.
Question 3: A client with heart failure is on strict intake and output monitoring. The nurse notes 800 mL
intake and 1200 mL output over an 8-hour shift. Which action is most appropriate?
A. Notify the provider immediately of the imbalance
B. Document the findings as a normal finding
C. Restrict fluids further to match output
D. Insert a Foley catheter for accurate measurement
Rationale: Output exceeding intake is an acceptable finding in heart failure management as it indicates effective fluid
reduction. No immediate intervention is required unless the client shows signs of dehydration or hemodynamic instability.
Question 4: A nurse enters a client's room and finds the client on the floor next to the bed. The client is
alert and oriented with no visible bleeding. What is the priority nursing action?
A. Help the client back to bed immediately
B. Assess for injuries and obtain vital signs
C. Complete the incident report before doing anything else
D. Call the provider to report the fall
Rationale: The priority after a fall is to assess for injuries and check vital signs before moving the client. Incident reports
and provider notification are important but occur after the initial assessment and stabilization.
Page 3
PN HESI EXIT EXAM
, PN HESI EXIT REAL EXAM TEST BANK WITH 400 EXAM QUESTIONS AND CORRECT ANSWERS (100% CORRECT ANSWERS) HESI PN EX...
Question 5: A client with a wound infection has a culture and sensitivity ordered. The nurse knows the
specimen should be collected at which time?
A. After starting the prescribed antibiotic therapy
B. Before initiating any antibiotic therapy
C. Twenty-four hours after completing antibiotics
D. Anytime during the treatment course
Rationale: Culture and sensitivity specimens must be collected before antibiotics are started to accurately identify the
causative organism and determine antibiotic susceptibility. Prior antibiotic exposure can produce false-negative results.
Question 6: A nurse is performing morning vital signs on a postoperative client. The blood pressure is
90/58 mmHg, heart rate is 112 bpm, and respirations are 24 per minute. The client reports feeling dizzy.
Which action should the nurse take first?
A. Administer the prescribed pain medication
B. Assist the client to a supine position and recheck vital signs
C. Encourage the client to drink oral fluids
D. Document the findings and continue with the assessment
Rationale: The client is showing signs of orthostatic hypotension or possible hypovolemia. The nurse should first ensure
safety by placing the client supine and rechecking vital signs to confirm the findings before notifying the provider.
Question 7: A client with a nasogastric tube connected to low intermittent suction complains of nausea
and abdominal distention. The nurse notes the suction container is empty. Which action is the priority?
A. Irrigate the nasogastric tube with 30 mL of normal saline
B. Check the tube for kinks and verify suction settings
C. Remove the tube and reinsert a new one
D. Administer an antiemetic as prescribed
Rationale: The priority is to assess the equipment first. Kinks or incorrect suction settings can prevent drainage and
cause distention. Irrigation and medication may be appropriate after verifying tube patency and function.
Question 8: A nurse is teaching a client with diabetes about foot care. The client asks why daily foot
inspection is necessary. Which response by the nurse is most accurate?
A. Daily inspection prevents all foot problems from occurring
B. Peripheral neuropathy may cause loss of protective sensation
C. Foot inspection is only necessary if you have an open wound
D. Daily inspection replaces the need for podiatry visits
Rationale: Diabetic peripheral neuropathy can cause loss of sensation, meaning the client may not feel injuries. Daily
inspection allows early detection of problems. It does not replace professional care or prevent all problems.
Page 4
PN HESI EXIT EXAM
WITH 400 EXAM QUESTIONS AND
CORRECT ANSWERS (100% CORRECT
ANSWERS) HESI PN EXIT EXAM TEST
BANK (BEST FOR EXAM PREPARATION)
2026/2027
Comprehensive Test Bank for LPN/LVN Candidates
Passing Score: 75% | A+ Verified
Edition
SECTIONS COVERED
1. Fundamentals of Nursing
2. Medical-Surgical Nursing
3. Pharmacology
4. Maternal-Newborn Nursing
5. Pediatric Nursing
6. Psychiatric & Mental Health Nursing
7. Leadership, Management & Delegation A+ Verified
8. Nutrition, Community Health & Geriatrics
For Exam Preparation Use Only
,PN HESI EXIT REAL EXAM TEST BANK WITH 400 EXAM QUESTIONS AND CORRECT ANSWERS (100% CORRECT ANSWERS) HESI PN EX...
SECTIONS COVERED
Section Content Area
1 Fundamentals of Nursing
2 Medical-Surgical Nursing
3 Pharmacology
4 Maternal-Newborn Nursing
5 Pediatric Nursing
6 Psychiatric & Mental Health Nursing
7 Leadership, Management & Delegation
8 Nutrition, Community Health & Geriatrics
Passing Score: 75% A+ Verified 2026/2027 Edition
Page 2
PN HESI EXIT EXAM
,PN HESI EXIT REAL EXAM TEST BANK WITH 400 EXAM QUESTIONS AND CORRECT ANSWERS (100% CORRECT ANSWERS) HESI PN EX...
SECTION: SECTION 1: FUNDAMENTALS OF NURSING
Question 1: A 68-year-old client admitted with pneumonia has a temperature of 102.4F, heart rate of 96
bpm, and respirations of 22 per minute. The nurse notes the client is diaphoretic and reports feeling
chilled. Which nursing action is the priority at this time?
A. Apply a cooling blanket to lower the temperature
B. Obtain a blood culture before administering the prescribed antibiotic
C. Encourage the client to drink 2 liters of water immediately
D. Administer acetaminophen and reassess in 4 hours
Rationale: Blood cultures must be obtained before antibiotic administration to ensure accurate identification of the
causative organism. While antipyretics and hydration are appropriate interventions, obtaining cultures first is the priority
to guide effective treatment.
Question 2: A nurse is caring for a client with a new colostomy. The client reports the pouch is leaking at
the skin barrier. The nurse observes mild erythema around the stoma site. What should the nurse do
first?
A. Apply a new pouch without further assessment
B. Assess peristomal skin for breakdown and measure the stoma
C. Tell the client to limit fluid intake to reduce output
D. Apply adhesive tape around the edges of the pouch
Rationale: Assessment is the first step in nursing care. The nurse must evaluate skin integrity and ensure proper pouch
fit before reapplying. Limiting fluids and using tape are inappropriate interventions for a leaking ostomy pouch.
Question 3: A client with heart failure is on strict intake and output monitoring. The nurse notes 800 mL
intake and 1200 mL output over an 8-hour shift. Which action is most appropriate?
A. Notify the provider immediately of the imbalance
B. Document the findings as a normal finding
C. Restrict fluids further to match output
D. Insert a Foley catheter for accurate measurement
Rationale: Output exceeding intake is an acceptable finding in heart failure management as it indicates effective fluid
reduction. No immediate intervention is required unless the client shows signs of dehydration or hemodynamic instability.
Question 4: A nurse enters a client's room and finds the client on the floor next to the bed. The client is
alert and oriented with no visible bleeding. What is the priority nursing action?
A. Help the client back to bed immediately
B. Assess for injuries and obtain vital signs
C. Complete the incident report before doing anything else
D. Call the provider to report the fall
Rationale: The priority after a fall is to assess for injuries and check vital signs before moving the client. Incident reports
and provider notification are important but occur after the initial assessment and stabilization.
Page 3
PN HESI EXIT EXAM
, PN HESI EXIT REAL EXAM TEST BANK WITH 400 EXAM QUESTIONS AND CORRECT ANSWERS (100% CORRECT ANSWERS) HESI PN EX...
Question 5: A client with a wound infection has a culture and sensitivity ordered. The nurse knows the
specimen should be collected at which time?
A. After starting the prescribed antibiotic therapy
B. Before initiating any antibiotic therapy
C. Twenty-four hours after completing antibiotics
D. Anytime during the treatment course
Rationale: Culture and sensitivity specimens must be collected before antibiotics are started to accurately identify the
causative organism and determine antibiotic susceptibility. Prior antibiotic exposure can produce false-negative results.
Question 6: A nurse is performing morning vital signs on a postoperative client. The blood pressure is
90/58 mmHg, heart rate is 112 bpm, and respirations are 24 per minute. The client reports feeling dizzy.
Which action should the nurse take first?
A. Administer the prescribed pain medication
B. Assist the client to a supine position and recheck vital signs
C. Encourage the client to drink oral fluids
D. Document the findings and continue with the assessment
Rationale: The client is showing signs of orthostatic hypotension or possible hypovolemia. The nurse should first ensure
safety by placing the client supine and rechecking vital signs to confirm the findings before notifying the provider.
Question 7: A client with a nasogastric tube connected to low intermittent suction complains of nausea
and abdominal distention. The nurse notes the suction container is empty. Which action is the priority?
A. Irrigate the nasogastric tube with 30 mL of normal saline
B. Check the tube for kinks and verify suction settings
C. Remove the tube and reinsert a new one
D. Administer an antiemetic as prescribed
Rationale: The priority is to assess the equipment first. Kinks or incorrect suction settings can prevent drainage and
cause distention. Irrigation and medication may be appropriate after verifying tube patency and function.
Question 8: A nurse is teaching a client with diabetes about foot care. The client asks why daily foot
inspection is necessary. Which response by the nurse is most accurate?
A. Daily inspection prevents all foot problems from occurring
B. Peripheral neuropathy may cause loss of protective sensation
C. Foot inspection is only necessary if you have an open wound
D. Daily inspection replaces the need for podiatry visits
Rationale: Diabetic peripheral neuropathy can cause loss of sensation, meaning the client may not feel injuries. Daily
inspection allows early detection of problems. It does not replace professional care or prevent all problems.
Page 4
PN HESI EXIT EXAM
