HESI PN EXIT Exam Test Bank 3 | 2026/2027 Edition | 700
Questions with Answers and Rationales
PN HESI Exit Exam 2026-2027 QUESTIONS AND ANSWERS
ALREADY GRADED A+. 100% Verified Solutions | Updated Per
Latest Elsevier HESI Standards | Graded A+
This comprehensive study guide contains 700 verified questions and answers for
the HESI PN Exit Examination (E2), covering all essential domains including
medical-surgical nursing, pharmacology, maternity, pediatrics, mental health,
leadership, and clinical judgment. Designed for Practical Nursing (PN/LPN)
students preparing for graduation and NCLEX-PN success, this resource reflects
the latest 2026/2027 Elsevier HESI testing standards. Each question is
accompanied by detailed rationales to reinforce learning and ensure exam
readiness.
Abstract
This document serves as a definitive preparation resource for the HESI PN Exit
Exam (E2), aligned with the latest 2026/2027 NCLEX-PN test plan and HESI testing
standards. The 700 verified questions are systematically organized into core
content areas reflecting the official HESI PN Exit exam blueprint: Fundamentals of
Nursing, Medical-Surgical Nursing, Pharmacology and Medication Safety,
Maternal-Newborn Nursing, Pediatric Nursing, Mental Health Nursing, Leadership
and Delegation, and Clinical Judgment (Next Generation NCLEX-style). Each
question is meticulously crafted to mirror the exam's format and difficulty, with
answers graded A+ by subject matter experts. Detailed rationales elucidate
correct responses and explain common distractor traps, promoting deep
conceptual understanding. The guide emphasizes practical application through
scenario-based questions and case studies that simulate real-world nursing
situations. Updated to incorporate the latest evidence-based practices and the
Next Generation NCLEX (NGN) item types, this resource ensures candidates are
thoroughly prepared to achieve exam success and NCLEX-PN readiness.
,Content Area Overview:
Content Area Questions Key Topics Weight
Safety, infection control, basic
Fundamentals of
1-110 care, nursing process, vital 16%
Nursing
signs, ADLs
Cardiovascular, respiratory, GI,
Medical-Surgical
111-300 renal, endocrine, neurological, 27%
Nursing
musculoskeletal
Pharmacology Dosage calculations, drug
and Medication 301-380 actions, side effects, 11%
Safety interactions, administration
Prenatal care, labor/delivery,
Maternal-
381-460 postpartum, newborn 11%
Newborn Nursing
assessment, complications
Growth/development, common
Pediatric Nursing 461-540 illnesses, immunizations, 11%
pediatric emergencies
Psychiatric disorders,
Mental Health
541-610 therapeutic communication, 10%
Nursing
medications, crisis intervention
Leadership and Prioritization, delegation,
611-640 4%
Delegation legal/ethical issues,
,Content Area Questions Key Topics Weight
management, quality
improvement
Clinical Judgment Case scenarios, unfolding cases,
641-700 10%
(NGN-Style) SATA, ordering, fill-in-the-blank
SECTION 1: FUNDAMENTALS OF NURSING (Questions 1-110)
Question 1: The practical nurse (PN) is providing care to a client who is 1 day
postoperative following abdominal surgery. The client reports feeling nauseated.
The PN notes the client's abdomen is distended, and no bowel sounds are
auscultated. Which nursing action is most appropriate?
A) Administer an antiemetic as prescribed.
B) Encourage the client to drink clear liquids.
C) Insert a nasogastric tube.
D) Notify the healthcare provider.
Answer: D) Notify the healthcare provider.
Rationale: Abdominal distention and absent bowel sounds following abdominal
surgery may indicate the development of paralytic ileus or other complications.
The healthcare provider should be notified for further evaluation.
Question 2: The PN is reinforcing teaching to a client prescribed a low-sodium
diet for heart failure. Which food item should the PN recommend the client
avoid?
A) Fresh apples.
B) Broiled chicken.
C) Canned vegetable soup.
D) Brown rice.
Answer: C) Canned vegetable soup.
, Rationale: Canned vegetable soup is typically high in sodium. Fresh fruits, broiled
chicken without added salt, and brown rice are low-sodium options. Clients
should be taught to read labels and choose low-sodium products.
Question 3: The PN is caring for a client who is receiving continuous enteral
feedings via a nasogastric tube. Which action should the PN take to reduce the
client's risk of aspiration?
A) Elevate the head of the bed to at least 30 degrees.
B) Check gastric residual volume every 2 hours.
C) Flush the tube with water before and after feedings.
D) Administer feedings at room temperature.
Answer: A) Elevate the head of the bed to at least 30 degrees.
Rationale: Elevating the head of the bed to 30-45 degrees during continuous
enteral feedings reduces the risk of aspiration. Checking residuals and flushing the
tube are also important but do not directly reduce aspiration risk.
Question 4: The PN is assisting a client with a warm compress application. Which
statement indicates the client understands the purpose of a warm compress?
A) "The warm compress will help to stop bleeding."
B) "The warm compress will promote healing and increase blood flow."
C) "The warm compress will prevent infection."
D) "The warm compress will reduce swelling."
Answer: B) "The warm compress will promote healing and increase blood flow."
Rationale: Warm compresses promote vasodilation, which increases blood flow
to the area and promotes healing. Cold compresses reduce swelling and bleeding.
Question 5: The PN is caring for a client with a new diagnosis of diabetes mellitus.
The client asks why it is important to monitor blood glucose levels. Which
response should the PN provide?
A) "Monitoring helps you adjust your diet and medication."
B) "Monitoring helps prevent complications."
C) "Monitoring helps you maintain your target levels."
D) "All of the above."
Questions with Answers and Rationales
PN HESI Exit Exam 2026-2027 QUESTIONS AND ANSWERS
ALREADY GRADED A+. 100% Verified Solutions | Updated Per
Latest Elsevier HESI Standards | Graded A+
This comprehensive study guide contains 700 verified questions and answers for
the HESI PN Exit Examination (E2), covering all essential domains including
medical-surgical nursing, pharmacology, maternity, pediatrics, mental health,
leadership, and clinical judgment. Designed for Practical Nursing (PN/LPN)
students preparing for graduation and NCLEX-PN success, this resource reflects
the latest 2026/2027 Elsevier HESI testing standards. Each question is
accompanied by detailed rationales to reinforce learning and ensure exam
readiness.
Abstract
This document serves as a definitive preparation resource for the HESI PN Exit
Exam (E2), aligned with the latest 2026/2027 NCLEX-PN test plan and HESI testing
standards. The 700 verified questions are systematically organized into core
content areas reflecting the official HESI PN Exit exam blueprint: Fundamentals of
Nursing, Medical-Surgical Nursing, Pharmacology and Medication Safety,
Maternal-Newborn Nursing, Pediatric Nursing, Mental Health Nursing, Leadership
and Delegation, and Clinical Judgment (Next Generation NCLEX-style). Each
question is meticulously crafted to mirror the exam's format and difficulty, with
answers graded A+ by subject matter experts. Detailed rationales elucidate
correct responses and explain common distractor traps, promoting deep
conceptual understanding. The guide emphasizes practical application through
scenario-based questions and case studies that simulate real-world nursing
situations. Updated to incorporate the latest evidence-based practices and the
Next Generation NCLEX (NGN) item types, this resource ensures candidates are
thoroughly prepared to achieve exam success and NCLEX-PN readiness.
,Content Area Overview:
Content Area Questions Key Topics Weight
Safety, infection control, basic
Fundamentals of
1-110 care, nursing process, vital 16%
Nursing
signs, ADLs
Cardiovascular, respiratory, GI,
Medical-Surgical
111-300 renal, endocrine, neurological, 27%
Nursing
musculoskeletal
Pharmacology Dosage calculations, drug
and Medication 301-380 actions, side effects, 11%
Safety interactions, administration
Prenatal care, labor/delivery,
Maternal-
381-460 postpartum, newborn 11%
Newborn Nursing
assessment, complications
Growth/development, common
Pediatric Nursing 461-540 illnesses, immunizations, 11%
pediatric emergencies
Psychiatric disorders,
Mental Health
541-610 therapeutic communication, 10%
Nursing
medications, crisis intervention
Leadership and Prioritization, delegation,
611-640 4%
Delegation legal/ethical issues,
,Content Area Questions Key Topics Weight
management, quality
improvement
Clinical Judgment Case scenarios, unfolding cases,
641-700 10%
(NGN-Style) SATA, ordering, fill-in-the-blank
SECTION 1: FUNDAMENTALS OF NURSING (Questions 1-110)
Question 1: The practical nurse (PN) is providing care to a client who is 1 day
postoperative following abdominal surgery. The client reports feeling nauseated.
The PN notes the client's abdomen is distended, and no bowel sounds are
auscultated. Which nursing action is most appropriate?
A) Administer an antiemetic as prescribed.
B) Encourage the client to drink clear liquids.
C) Insert a nasogastric tube.
D) Notify the healthcare provider.
Answer: D) Notify the healthcare provider.
Rationale: Abdominal distention and absent bowel sounds following abdominal
surgery may indicate the development of paralytic ileus or other complications.
The healthcare provider should be notified for further evaluation.
Question 2: The PN is reinforcing teaching to a client prescribed a low-sodium
diet for heart failure. Which food item should the PN recommend the client
avoid?
A) Fresh apples.
B) Broiled chicken.
C) Canned vegetable soup.
D) Brown rice.
Answer: C) Canned vegetable soup.
, Rationale: Canned vegetable soup is typically high in sodium. Fresh fruits, broiled
chicken without added salt, and brown rice are low-sodium options. Clients
should be taught to read labels and choose low-sodium products.
Question 3: The PN is caring for a client who is receiving continuous enteral
feedings via a nasogastric tube. Which action should the PN take to reduce the
client's risk of aspiration?
A) Elevate the head of the bed to at least 30 degrees.
B) Check gastric residual volume every 2 hours.
C) Flush the tube with water before and after feedings.
D) Administer feedings at room temperature.
Answer: A) Elevate the head of the bed to at least 30 degrees.
Rationale: Elevating the head of the bed to 30-45 degrees during continuous
enteral feedings reduces the risk of aspiration. Checking residuals and flushing the
tube are also important but do not directly reduce aspiration risk.
Question 4: The PN is assisting a client with a warm compress application. Which
statement indicates the client understands the purpose of a warm compress?
A) "The warm compress will help to stop bleeding."
B) "The warm compress will promote healing and increase blood flow."
C) "The warm compress will prevent infection."
D) "The warm compress will reduce swelling."
Answer: B) "The warm compress will promote healing and increase blood flow."
Rationale: Warm compresses promote vasodilation, which increases blood flow
to the area and promotes healing. Cold compresses reduce swelling and bleeding.
Question 5: The PN is caring for a client with a new diagnosis of diabetes mellitus.
The client asks why it is important to monitor blood glucose levels. Which
response should the PN provide?
A) "Monitoring helps you adjust your diet and medication."
B) "Monitoring helps prevent complications."
C) "Monitoring helps you maintain your target levels."
D) "All of the above."
