A+ VERIFIED
NURSING EXIT · OBJECTIVE ASSESSMENT
HESI PN Exit Exam 2026/2027 | Questions
& Verified Answers **2026/2027** — Complete
Official Exam
A+ Verified Full Rationales Verified Answers
A+ 4 100%
QUESTIONS SECTIONS RATIONALES
Complete coverage Core exam domains Every answer explained
WHAT THIS COVERS
01 Safe and Effective Care Environment
02 Health Promotion and Maintenance
03 Psychosocial Integrity
04 Physiological Integrity
ABOUT THIS ASSESSMENT
Build mastery in practical nursing exit readiness — from safe and effective
care and health promotion to psychosocial integrity and physiological integrity,
with clinical judgment woven throughout. This original study bank targets
application and analysis skills for HESI PN Exit Exam, with full rationales
for every answer. For review use only; not an institutional proctored assessment.
PASSING SCORE LEVEL FORMAT
850 scaled (75%) Advanced (HESI PN Exit) Application / Analysis
STUVIA ACTUAL EXAM Page 1
, SECTION 1: Safe and Effective Care Environment
Q1. A newly admitted client with a history of falls is being oriented to the unit. The practical nurse notices the client has unsteady gait
and is wearing non-skid socks that are too large. The most appropriate immediate action is to:
A. Obtain properly fitting non-skid footwear and place the call light within reach
B. Instruct the client to stay in bed until physical therapy arrives
C. Document the observation and continue the admission assessment
D. Ask a family member to sit with the client for the remainder of the shift
Correct Answer: A
Rationale:
Properly fitting non-skid footwear and accessible call light are immediate fall-prevention interventions. Documentation alone does not reduce risk,
and waiting for therapy or family is not the priority action.
Q2. While preparing to administer a medication, the practical nurse notes that the client’s identification band is missing. The client
states, “I know who I am.” The correct action is to:
A. Ask another staff member to identify the client and then give the medication
B. Administer the medication after asking the client to state name and date of birth only
C. Obtain a new identification band before administering any medication
D. Omit the dose until the next scheduled time
Correct Answer: C
Rationale:
Two unique identifiers are required. A missing ID band must be replaced before medication administration; verbal statements alone do not meet
safety standards.
Q3. A client is scheduled for surgery in the morning. The practical nurse is reviewing the preoperative checklist and notes that the
surgical consent form is unsigned. The most appropriate action is to:
A. Ask a family member to sign if the client is drowsy
B. Have the client sign the form immediately without further explanation
C. Cross out the consent section and proceed with other checklist items
D. Notify the surgeon or charge nurse so informed consent can be obtained by the appropriate provider
Correct Answer: D
Rationale:
Informed consent must be obtained by the provider performing the procedure. The practical nurse’s role is to notify the appropriate person, not to
obtain or bypass consent.
Q4. During a fire drill on a medical-surgical unit, the practical nurse is caring for an ambulatory client. Following RACE protocol, the
first action is to:
A. Contain the fire by closing doors
B. Activate the fire alarm
C. Remove the client from immediate danger
D. Extinguish the fire with an extinguisher
Correct Answer: C
Rationale:
RACE prioritizes Rescue/Remove clients from danger first, then Alarm, Contain, and Extinguish/Evacuate.
Q5. A practical nurse is preparing to transfer a client from bed to chair using a gait belt. The client has right-sided weakness. The
correct positioning of the chair is:
A. On the client’s stronger (left) side, angled slightly toward the bed
B. On the weaker side to encourage use of the weak leg
C. Directly at the foot of the bed facing away from the client
D. Against the wall on the opposite side of the room
Correct Answer: A
Rationale:
The chair should be placed on the client’s stronger side so the client can pivot on the strong leg and use the stronger arm for support.
STUVIA ACTUAL EXAM · Page 2
, Q6. A client receiving continuous IV fluids has an electronic infusion pump that begins to alarm. The practical nurse observes that the
tubing is kinked under the client’s arm. The priority action is to:
A. Discontinue the IV and restart in another site immediately
B. Silence the alarm and continue other tasks
C. Increase the rate to catch up on the delayed volume
D. Straighten the tubing, verify the infusion rate, and reset the pump
Correct Answer: D
Rationale:
The alarm indicates an occlusion; correcting the kink restores flow. Silencing without fixing the problem or arbitrarily changing the rate is unsafe.
Q7. When applying restraints to a confused client who is attempting to pull out an IV, the practical nurse must ensure that:
A. The restraint is applied according to facility policy, circulation is checked frequently, and the least restrictive alternative was tried first
B. The restraint is tied tightly to the side rails in a quick-release knot
C. Restraints are applied to all four extremities at the same time
D. The client is left alone for two hours after application
Correct Answer: A
Rationale:
Restraints require a provider order (or facility protocol), least-restrictive alternatives first, proper application, and frequent monitoring of circulation
and skin integrity.
Q8. A practical nurse is reviewing laboratory results and notes a potassium level of 2.9 mEq/L for a client receiving digoxin. The
priority nursing action is to:
A. Encourage the client to eat a banana and continue the digoxin
B. Administer the digoxin as scheduled and recheck the level tomorrow
C. Hold the digoxin and notify the registered nurse or provider immediately
D. Document the result and take no further action
Correct Answer: C
Rationale:
Hypokalemia increases digoxin toxicity risk. The medication should be held and the RN/provider notified promptly.
Q9. While assisting a client with a meal, the practical nurse notices the client begins coughing forcefully and is unable to speak. The
first action is to:
A. Offer a glass of water to help clear the throat
B. Perform abdominal thrusts (Heimlich maneuver) if the client is conscious and choking
C. Leave the room to call for help without assisting the client
D. Slap the client firmly on the back while standing behind
Correct Answer: B
Rationale:
A conscious client who cannot speak or cough effectively requires immediate abdominal thrusts to relieve airway obstruction.
Q10. A practical nurse is caring for a client with a transmission-based isolation order for contact precautions. The correct sequence for
removing personal protective equipment is:
A. Remove gloves first, then gown, then perform hand hygiene
B. Remove gown first while gloves are still on, then gloves
C. Remove mask first, then gloves and gown
D. Leave the room still wearing PPE and remove it outside
Correct Answer: A
Rationale:
Gloves are the most contaminated and are removed first, followed by the gown; hand hygiene follows PPE removal.
STUVIA ACTUAL EXAM · Page 3
NURSING EXIT · OBJECTIVE ASSESSMENT
HESI PN Exit Exam 2026/2027 | Questions
& Verified Answers **2026/2027** — Complete
Official Exam
A+ Verified Full Rationales Verified Answers
A+ 4 100%
QUESTIONS SECTIONS RATIONALES
Complete coverage Core exam domains Every answer explained
WHAT THIS COVERS
01 Safe and Effective Care Environment
02 Health Promotion and Maintenance
03 Psychosocial Integrity
04 Physiological Integrity
ABOUT THIS ASSESSMENT
Build mastery in practical nursing exit readiness — from safe and effective
care and health promotion to psychosocial integrity and physiological integrity,
with clinical judgment woven throughout. This original study bank targets
application and analysis skills for HESI PN Exit Exam, with full rationales
for every answer. For review use only; not an institutional proctored assessment.
PASSING SCORE LEVEL FORMAT
850 scaled (75%) Advanced (HESI PN Exit) Application / Analysis
STUVIA ACTUAL EXAM Page 1
, SECTION 1: Safe and Effective Care Environment
Q1. A newly admitted client with a history of falls is being oriented to the unit. The practical nurse notices the client has unsteady gait
and is wearing non-skid socks that are too large. The most appropriate immediate action is to:
A. Obtain properly fitting non-skid footwear and place the call light within reach
B. Instruct the client to stay in bed until physical therapy arrives
C. Document the observation and continue the admission assessment
D. Ask a family member to sit with the client for the remainder of the shift
Correct Answer: A
Rationale:
Properly fitting non-skid footwear and accessible call light are immediate fall-prevention interventions. Documentation alone does not reduce risk,
and waiting for therapy or family is not the priority action.
Q2. While preparing to administer a medication, the practical nurse notes that the client’s identification band is missing. The client
states, “I know who I am.” The correct action is to:
A. Ask another staff member to identify the client and then give the medication
B. Administer the medication after asking the client to state name and date of birth only
C. Obtain a new identification band before administering any medication
D. Omit the dose until the next scheduled time
Correct Answer: C
Rationale:
Two unique identifiers are required. A missing ID band must be replaced before medication administration; verbal statements alone do not meet
safety standards.
Q3. A client is scheduled for surgery in the morning. The practical nurse is reviewing the preoperative checklist and notes that the
surgical consent form is unsigned. The most appropriate action is to:
A. Ask a family member to sign if the client is drowsy
B. Have the client sign the form immediately without further explanation
C. Cross out the consent section and proceed with other checklist items
D. Notify the surgeon or charge nurse so informed consent can be obtained by the appropriate provider
Correct Answer: D
Rationale:
Informed consent must be obtained by the provider performing the procedure. The practical nurse’s role is to notify the appropriate person, not to
obtain or bypass consent.
Q4. During a fire drill on a medical-surgical unit, the practical nurse is caring for an ambulatory client. Following RACE protocol, the
first action is to:
A. Contain the fire by closing doors
B. Activate the fire alarm
C. Remove the client from immediate danger
D. Extinguish the fire with an extinguisher
Correct Answer: C
Rationale:
RACE prioritizes Rescue/Remove clients from danger first, then Alarm, Contain, and Extinguish/Evacuate.
Q5. A practical nurse is preparing to transfer a client from bed to chair using a gait belt. The client has right-sided weakness. The
correct positioning of the chair is:
A. On the client’s stronger (left) side, angled slightly toward the bed
B. On the weaker side to encourage use of the weak leg
C. Directly at the foot of the bed facing away from the client
D. Against the wall on the opposite side of the room
Correct Answer: A
Rationale:
The chair should be placed on the client’s stronger side so the client can pivot on the strong leg and use the stronger arm for support.
STUVIA ACTUAL EXAM · Page 2
, Q6. A client receiving continuous IV fluids has an electronic infusion pump that begins to alarm. The practical nurse observes that the
tubing is kinked under the client’s arm. The priority action is to:
A. Discontinue the IV and restart in another site immediately
B. Silence the alarm and continue other tasks
C. Increase the rate to catch up on the delayed volume
D. Straighten the tubing, verify the infusion rate, and reset the pump
Correct Answer: D
Rationale:
The alarm indicates an occlusion; correcting the kink restores flow. Silencing without fixing the problem or arbitrarily changing the rate is unsafe.
Q7. When applying restraints to a confused client who is attempting to pull out an IV, the practical nurse must ensure that:
A. The restraint is applied according to facility policy, circulation is checked frequently, and the least restrictive alternative was tried first
B. The restraint is tied tightly to the side rails in a quick-release knot
C. Restraints are applied to all four extremities at the same time
D. The client is left alone for two hours after application
Correct Answer: A
Rationale:
Restraints require a provider order (or facility protocol), least-restrictive alternatives first, proper application, and frequent monitoring of circulation
and skin integrity.
Q8. A practical nurse is reviewing laboratory results and notes a potassium level of 2.9 mEq/L for a client receiving digoxin. The
priority nursing action is to:
A. Encourage the client to eat a banana and continue the digoxin
B. Administer the digoxin as scheduled and recheck the level tomorrow
C. Hold the digoxin and notify the registered nurse or provider immediately
D. Document the result and take no further action
Correct Answer: C
Rationale:
Hypokalemia increases digoxin toxicity risk. The medication should be held and the RN/provider notified promptly.
Q9. While assisting a client with a meal, the practical nurse notices the client begins coughing forcefully and is unable to speak. The
first action is to:
A. Offer a glass of water to help clear the throat
B. Perform abdominal thrusts (Heimlich maneuver) if the client is conscious and choking
C. Leave the room to call for help without assisting the client
D. Slap the client firmly on the back while standing behind
Correct Answer: B
Rationale:
A conscious client who cannot speak or cough effectively requires immediate abdominal thrusts to relieve airway obstruction.
Q10. A practical nurse is caring for a client with a transmission-based isolation order for contact precautions. The correct sequence for
removing personal protective equipment is:
A. Remove gloves first, then gown, then perform hand hygiene
B. Remove gown first while gloves are still on, then gloves
C. Remove mask first, then gloves and gown
D. Leave the room still wearing PPE and remove it outside
Correct Answer: A
Rationale:
Gloves are the most contaminated and are removed first, followed by the gown; hand hygiene follows PPE removal.
STUVIA ACTUAL EXAM · Page 3
