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 440 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 440 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
1-70 care, nursing process, vital 16%
Nursing
signs, ADLs
Cardiovascular, respiratory, GI,
Medical-Surgical
71-180 renal, endocrine, neurological, 25%
Nursing
musculoskeletal
Pharmacology Dosage calculations, drug
and Medication 181-240 actions, side effects, 14%
Safety interactions, administration
Prenatal care, labor/delivery,
Maternal-
241-290 postpartum, newborn 11%
Newborn Nursing
assessment, complications
Growth/development, common
Pediatric Nursing 291-340 illnesses, immunizations, 11%
pediatric emergencies
Psychiatric disorders,
Mental Health
341-380 therapeutic communication, 9%
Nursing
medications, crisis intervention
Prioritization, delegation,
Leadership and legal/ethical issues,
381-410 7%
Delegation management, quality
improvement
,Content Area Questions Key Topics Weight
Case scenarios, unfolding cases,
Clinical Judgment
411-440 SATA, ordering, fill-in-the- 7%
(NGN-Style)
blank
SECTION 1: FUNDAMENTALS OF NURSING (Questions 1-70)
Question 1: The practical nurse (PN) is providing care to a client who is 2 hours
postoperative following abdominal surgery. The PN notes the client's wound
dressing has a small amount of sanguineous drainage. What action should the PN
take?
A) Immediately notify the healthcare provider.
B) Document the finding and continue to monitor.
C) Reinforce the dressing with additional gauze.
D) Remove the dressing and assess the wound.
Answer: B) Document the finding and continue to monitor.
Rationale: A small amount of sanguineous drainage immediately postoperative is
expected. The PN should document the finding and continue to monitor for any
increase in drainage or changes in color or odor.
Question 2: The PN is reinforcing teaching to a client who will be discharged with
a new colostomy. Which statement by the client indicates a need for further
teaching?
A) "I will empty the pouch when it is one-third to one-half full."
B) "I will change the pouch system every 3 to 7 days."
C) "I can continue to eat all my favorite foods."
D) "I will clean the skin with warm water and pat it dry."
Answer: C) "I can continue to eat all my favorite foods."
Rationale: Clients with colostomies may need to avoid certain foods that cause
gas, odor, or blockage, such as popcorn, nuts, and carbonated beverages. The
statement about continuing to eat all favorite foods indicates a need for further
teaching.
, Question 3: A client with type 2 diabetes mellitus is experiencing symptoms of
hypoglycemia. The PN checks the client's blood glucose level and it is 55 mg/dL.
What should the PN do first?
A) Administer glucagon intramuscularly.
B) Provide 15 grams of fast-acting carbohydrate.
C) Give 4 ounces of orange juice.
D) Recheck the blood glucose in 15 minutes.
Answer: C) Give 4 ounces of orange juice.
Rationale: For a conscious client with hypoglycemia (blood glucose below 70
mg/dL), the PN should provide 15 grams of fast-acting carbohydrate, such as 4
ounces of orange juice or 3-4 glucose tablets. The rule of 15 is to recheck blood
glucose in 15 minutes and repeat if symptoms persist.
Question 4: The PN is preparing to insert a nasogastric (NG) tube for a client with
a bowel obstruction. Which position should the PN place the client in for this
procedure?
A) Supine with head flat.
B) High Fowler's position.
C) Left lateral position.
D) Trendelenburg position.
Answer: B) High Fowler's position.
Rationale: High Fowler's position facilitates passage of the NG tube by aligning
the oral cavity, pharynx, and esophagus. This position also reduces the risk of
aspiration.
Question 5: The PN is caring for a client with a pressure ulcer that is healing by
secondary intention. Which type of wound drainage is expected during the healing
process?
A) Purulent drainage.
B) Serosanguineous drainage.
C) Serous drainage.
D) Sanguineous drainage.
Answer: C) Serous drainage.
AND ANSWERS ALREADY GRADED A+.
100% Verified Solutions | Updated Per Latest
Elsevier HESI Standards | Graded A+
This comprehensive study guide contains 440 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 440 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
1-70 care, nursing process, vital 16%
Nursing
signs, ADLs
Cardiovascular, respiratory, GI,
Medical-Surgical
71-180 renal, endocrine, neurological, 25%
Nursing
musculoskeletal
Pharmacology Dosage calculations, drug
and Medication 181-240 actions, side effects, 14%
Safety interactions, administration
Prenatal care, labor/delivery,
Maternal-
241-290 postpartum, newborn 11%
Newborn Nursing
assessment, complications
Growth/development, common
Pediatric Nursing 291-340 illnesses, immunizations, 11%
pediatric emergencies
Psychiatric disorders,
Mental Health
341-380 therapeutic communication, 9%
Nursing
medications, crisis intervention
Prioritization, delegation,
Leadership and legal/ethical issues,
381-410 7%
Delegation management, quality
improvement
,Content Area Questions Key Topics Weight
Case scenarios, unfolding cases,
Clinical Judgment
411-440 SATA, ordering, fill-in-the- 7%
(NGN-Style)
blank
SECTION 1: FUNDAMENTALS OF NURSING (Questions 1-70)
Question 1: The practical nurse (PN) is providing care to a client who is 2 hours
postoperative following abdominal surgery. The PN notes the client's wound
dressing has a small amount of sanguineous drainage. What action should the PN
take?
A) Immediately notify the healthcare provider.
B) Document the finding and continue to monitor.
C) Reinforce the dressing with additional gauze.
D) Remove the dressing and assess the wound.
Answer: B) Document the finding and continue to monitor.
Rationale: A small amount of sanguineous drainage immediately postoperative is
expected. The PN should document the finding and continue to monitor for any
increase in drainage or changes in color or odor.
Question 2: The PN is reinforcing teaching to a client who will be discharged with
a new colostomy. Which statement by the client indicates a need for further
teaching?
A) "I will empty the pouch when it is one-third to one-half full."
B) "I will change the pouch system every 3 to 7 days."
C) "I can continue to eat all my favorite foods."
D) "I will clean the skin with warm water and pat it dry."
Answer: C) "I can continue to eat all my favorite foods."
Rationale: Clients with colostomies may need to avoid certain foods that cause
gas, odor, or blockage, such as popcorn, nuts, and carbonated beverages. The
statement about continuing to eat all favorite foods indicates a need for further
teaching.
, Question 3: A client with type 2 diabetes mellitus is experiencing symptoms of
hypoglycemia. The PN checks the client's blood glucose level and it is 55 mg/dL.
What should the PN do first?
A) Administer glucagon intramuscularly.
B) Provide 15 grams of fast-acting carbohydrate.
C) Give 4 ounces of orange juice.
D) Recheck the blood glucose in 15 minutes.
Answer: C) Give 4 ounces of orange juice.
Rationale: For a conscious client with hypoglycemia (blood glucose below 70
mg/dL), the PN should provide 15 grams of fast-acting carbohydrate, such as 4
ounces of orange juice or 3-4 glucose tablets. The rule of 15 is to recheck blood
glucose in 15 minutes and repeat if symptoms persist.
Question 4: The PN is preparing to insert a nasogastric (NG) tube for a client with
a bowel obstruction. Which position should the PN place the client in for this
procedure?
A) Supine with head flat.
B) High Fowler's position.
C) Left lateral position.
D) Trendelenburg position.
Answer: B) High Fowler's position.
Rationale: High Fowler's position facilitates passage of the NG tube by aligning
the oral cavity, pharynx, and esophagus. This position also reduces the risk of
aspiration.
Question 5: The PN is caring for a client with a pressure ulcer that is healing by
secondary intention. Which type of wound drainage is expected during the healing
process?
A) Purulent drainage.
B) Serosanguineous drainage.
C) Serous drainage.
D) Sanguineous drainage.
Answer: C) Serous drainage.
