HESI PN Exit Exam — Foundation PN Practice Questions
2026 Comprehensive Review for the NCLEX-PN Examination
Instructions
This practice examination contains 50 multiple-choice questions designed to assess foundational practical nursing knowledge in alignment with the 2026
NCLEX-PN Test Plan and HESI PN Exit Exam (E2) standards. The exam covers all four major Client Needs categories: Safe and Effective Care
Environment (28–40%), Health Promotion and Maintenance (6–12%), Psychosocial Integrity (9–15%), and Physiological Integrity (38–52%).
Questions incorporate Next Generation NCLEX (NGN) -style clinical judgment scenarios, select-all-that-apply (SATA), ordered response, and prioritization
formats. The HESI PN Exit Exam consists of approximately 130 items including scored, unscored, and NGN unfolding case studies with a recommended 214-
minute testing time.
Scoring Benchmark: A HESI Exit Exam score of 850+ is associated with a 95.90–99.25% probability of passing the NCLEX-PN on the first attempt. A score
of 900+ is recommended for optimal NCLEX-PN success.
Select the single best answer for each question unless otherwise indicated.
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT — COORDINATED CARE & SAFETY
Questions 1–12
Question 1
The practical nurse (PN) is caring for four clients on a medical-surgical unit. Which client should the PN assess first?
1. A client with diabetes mellitus who has a blood glucose reading of 180 mg/dL
2. A client who is 2 days post-operative following a cholecystectomy and reports incisional pain rated 4 on a 0–10 scale
3. A client with heart failure who has an oxygen saturation of 89% on room air and reports increased shortness of breath
4. A client with a urinary tract infection who has a temperature of 100.2°F (37.9°C)
Question 2
An LPN is preparing to delegate tasks to an unlicensed assistive personnel (UAP) on a busy medical unit. Which task is most appropriate for the LPN to
delegate to the UAP?
1. Administer a scheduled oral antibiotic to a stable client
2. Perform an initial admission assessment on a newly admitted client
3. Measure intake and output for a client with heart failure
4. Develop the nursing care plan for a client with diabetes
Question 3
A client is wearing a continuous cardiac monitor, which suddenly alarms at the nurses' station. The PN observes no electrocardiographic complexes on the
screen. What action should the PN take first?
1. Call a code blue
2. Notify the healthcare provider immediately
3. Assess the client and check lead placement
4. Press the recorder button on the ECG console
Question 4
, The PN is caring for a client with a wound infection. Which action is most important to prevent the spread of infection to other clients?
1. Wear a mask when entering the client's room
2. Place the client in a private room with contact precautions
3. Restrict visitors from entering the client's room
4. Double-bag all linen from the client's room
Question 5
(Select All That Apply)
The PN is reviewing the five rights of delegation with a newly licensed practical nurse. Which of the following are included in the rights of delegation as
outlined in the 2026 NCLEX-PN Test Plan? (Select all that apply.)
1. Right task
2. Right circumstances
3. Right person
4. Right time of day
5. Right direction and communication
6. Right supervision and evaluation
Question 6
The PN is preparing to ambulate a post-operative client who underwent cardiac surgery earlier today. Which action best enables the client to tolerate
ambulation?
1. Provide the client with a walker for support
2. Remove telemetry equipment to allow freedom of movement
3. Encourage the client to cough and deep breathe before ambulating
4. Premedicate the client with an analgesic before ambulating
Question 7
A client with an abdominal aortic aneurysm (AAA) is being monitored by the PN. Which finding is probably unrelated to the AAA and should be evaluated
for other causes?
1. Pulsatile abdominal mass
2. Hyperactive bowel sounds in the area
3. Systolic bruit over the area of the mass
4. Subjective sensation of "heart beating" in the abdomen
Question 8
The PN is caring for a client who has been placed in restraints after attempting to pull out their IV line. Which action demonstrates appropriate restraint
use?
1. Apply restraints tightly to prevent any movement
2. Remove restraints every 4 hours for range of motion exercises
3. Document the client's behavior and alternative interventions attempted
4. Keep restraints in place for 24 hours before reassessment
Question 9
A client's family member asks the PN about the client's diagnosis and prognosis. Which response by the PN is most appropriate?
1. "I cannot discuss that information with you without the client's permission"
2. "The client is doing well and should be discharged soon"
2026 Comprehensive Review for the NCLEX-PN Examination
Instructions
This practice examination contains 50 multiple-choice questions designed to assess foundational practical nursing knowledge in alignment with the 2026
NCLEX-PN Test Plan and HESI PN Exit Exam (E2) standards. The exam covers all four major Client Needs categories: Safe and Effective Care
Environment (28–40%), Health Promotion and Maintenance (6–12%), Psychosocial Integrity (9–15%), and Physiological Integrity (38–52%).
Questions incorporate Next Generation NCLEX (NGN) -style clinical judgment scenarios, select-all-that-apply (SATA), ordered response, and prioritization
formats. The HESI PN Exit Exam consists of approximately 130 items including scored, unscored, and NGN unfolding case studies with a recommended 214-
minute testing time.
Scoring Benchmark: A HESI Exit Exam score of 850+ is associated with a 95.90–99.25% probability of passing the NCLEX-PN on the first attempt. A score
of 900+ is recommended for optimal NCLEX-PN success.
Select the single best answer for each question unless otherwise indicated.
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT — COORDINATED CARE & SAFETY
Questions 1–12
Question 1
The practical nurse (PN) is caring for four clients on a medical-surgical unit. Which client should the PN assess first?
1. A client with diabetes mellitus who has a blood glucose reading of 180 mg/dL
2. A client who is 2 days post-operative following a cholecystectomy and reports incisional pain rated 4 on a 0–10 scale
3. A client with heart failure who has an oxygen saturation of 89% on room air and reports increased shortness of breath
4. A client with a urinary tract infection who has a temperature of 100.2°F (37.9°C)
Question 2
An LPN is preparing to delegate tasks to an unlicensed assistive personnel (UAP) on a busy medical unit. Which task is most appropriate for the LPN to
delegate to the UAP?
1. Administer a scheduled oral antibiotic to a stable client
2. Perform an initial admission assessment on a newly admitted client
3. Measure intake and output for a client with heart failure
4. Develop the nursing care plan for a client with diabetes
Question 3
A client is wearing a continuous cardiac monitor, which suddenly alarms at the nurses' station. The PN observes no electrocardiographic complexes on the
screen. What action should the PN take first?
1. Call a code blue
2. Notify the healthcare provider immediately
3. Assess the client and check lead placement
4. Press the recorder button on the ECG console
Question 4
, The PN is caring for a client with a wound infection. Which action is most important to prevent the spread of infection to other clients?
1. Wear a mask when entering the client's room
2. Place the client in a private room with contact precautions
3. Restrict visitors from entering the client's room
4. Double-bag all linen from the client's room
Question 5
(Select All That Apply)
The PN is reviewing the five rights of delegation with a newly licensed practical nurse. Which of the following are included in the rights of delegation as
outlined in the 2026 NCLEX-PN Test Plan? (Select all that apply.)
1. Right task
2. Right circumstances
3. Right person
4. Right time of day
5. Right direction and communication
6. Right supervision and evaluation
Question 6
The PN is preparing to ambulate a post-operative client who underwent cardiac surgery earlier today. Which action best enables the client to tolerate
ambulation?
1. Provide the client with a walker for support
2. Remove telemetry equipment to allow freedom of movement
3. Encourage the client to cough and deep breathe before ambulating
4. Premedicate the client with an analgesic before ambulating
Question 7
A client with an abdominal aortic aneurysm (AAA) is being monitored by the PN. Which finding is probably unrelated to the AAA and should be evaluated
for other causes?
1. Pulsatile abdominal mass
2. Hyperactive bowel sounds in the area
3. Systolic bruit over the area of the mass
4. Subjective sensation of "heart beating" in the abdomen
Question 8
The PN is caring for a client who has been placed in restraints after attempting to pull out their IV line. Which action demonstrates appropriate restraint
use?
1. Apply restraints tightly to prevent any movement
2. Remove restraints every 4 hours for range of motion exercises
3. Document the client's behavior and alternative interventions attempted
4. Keep restraints in place for 24 hours before reassessment
Question 9
A client's family member asks the PN about the client's diagnosis and prognosis. Which response by the PN is most appropriate?
1. "I cannot discuss that information with you without the client's permission"
2. "The client is doing well and should be discharged soon"
