NURSING · OBJECTIVE ASSESSMENT
Hondros HESI PN Exit Exam Guide
(NEW 2026/2027 Update) | Questions & Answers | Grade A |
100% Correct (Verified Solutions) 2026/2027 — Complete
Official Exam
130 Questions Full Rationales Verified Answers
A+ 6 100%
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: Basic Care and Comfort
05 Physiological Integrity: Pharmacological Therapies
06 Physiological Integrity: Reduction of Risk Potential
ABOUT THIS ASSESSMENT
Build mastery in PN comprehensive nursing — from safe/effective care and health
promotion to psychosocial integrity, basic care/comfort, pharmacological therapies,
and risk reduction. This original study bank targets application and analysis skills
for Hondros HESI PN Exit Exam Guide (NEW 2026/2027 Update), with full rationales
for every answer. For review use only; not an institutional proctored assessment.
PASSING SCORE LEVEL FORMAT
75% Intermediate Application / Analysis
STUVIA ACTUAL EXAM Page 1
, SECTION 1: Safe and Effective Care Environment
Q1. A practical nurse is caring for a client involving gait belt transfer hip replacement partial
weight bearing. After reviewing the situation and available data, which action should the nurse
take first?
A. Continue the current plan without change related to bearing.
B. Implement the priority action for gait and communicate findings as indicated.
C. Delegate the entire responsibility for gait to unlicensed staff.
D. Delay intervention until a full interdisciplinary conference can occur.
Correct Answer: B
Rationale:
The correct response addresses the highest priority related to gait belt transfer hip replacement
partial weight bearing. Distractors either delay necessary action, misuse delegation, or fail to
communicate critical findings. This item tests application-level judgment aligned with HESI PN Exit
competencies.
Q2. During a shift assessment related to missing ID band blood transfusion priority, the practical
nurse identifies a key clinical finding. What is the priority nursing action?
A. Continue the current plan without change related to priority.
B. Delegate the entire responsibility for missing to unlicensed staff.
C. Delay intervention until a full interdisciplinary conference can occur.
D. Implement the priority action for missing and communicate findings as indicated.
Correct Answer: D
Rationale:
The correct response addresses the highest priority related to missing ID band blood transfusion
priority. Distractors either delay necessary action, misuse delegation, or fail to communicate
critical findings. This item tests application-level judgment aligned with HESI PN Exit
competencies.
Q3. A client situation involving oxygen saturation drop pneumonia priority assessment requires the
practical nurse to apply safety and prioritization principles. Which response is most
appropriate?
A. Continue the current plan without change related to assessment.
B. Delegate the entire responsibility for oxygen to unlicensed staff.
C. Delay intervention until a full interdisciplinary conference can occur.
D. Implement the priority action for oxygen and communicate findings as indicated.
Correct Answer: D
Rationale:
The correct response addresses the highest priority related to oxygen saturation drop pneumonia
priority assessment. Distractors either delay necessary action, misuse delegation, or fail to
communicate critical findings. This item tests application-level judgment aligned with HESI PN Exit
competencies.
Q4. The practical nurse reviews orders and client status concerning UAP no hand hygiene C diff
contact precautions. Which intervention demonstrates correct clinical judgment?
A. Continue the current plan without change related to precautions.
B. Delegate the entire responsibility for UAP to unlicensed staff.
C. Implement the priority action for UAP and communicate findings as indicated.
D. Delay intervention until a full interdisciplinary conference can occur.
Correct Answer: C
Rationale:
The correct response addresses the highest priority related to UAP no hand hygiene C diff contact
precautions. Distractors either delay necessary action, misuse delegation, or fail to communicate
critical findings. This item tests application-level judgment aligned with HESI PN Exit
competencies.
STUVIA ACTUAL EXAM · Page 2
, SECTION 1: Safe and Effective Care Environment
Q5. While providing care related to informed consent client questions before surgery, the practical
nurse must choose the safest next step. Which action should be implemented?
A. Continue the current plan without change related to surgery.
B. Delegate the entire responsibility for informed to unlicensed staff.
C. Delay intervention until a full interdisciplinary conference can occur.
D. Implement the priority action for informed and communicate findings as indicated.
Correct Answer: D
Rationale:
The correct response addresses the highest priority related to informed consent client questions
before surgery. Distractors either delay necessary action, misuse delegation, or fail to communicate
critical findings. This item tests application-level judgment aligned with HESI PN Exit
competencies.
Q6. A practical nurse is caring for a client involving digoxin apical pulse 58 hold and notify.
After reviewing the situation and available data, which action should the nurse take first?
A. Continue the current plan without change related to notify.
B. Delegate the entire responsibility for digoxin to unlicensed staff.
C. Delay intervention until a full interdisciplinary conference can occur.
D. Implement the priority action for digoxin and communicate findings as indicated.
Correct Answer: D
Rationale:
The correct response addresses the highest priority related to digoxin apical pulse 58 hold and
notify. Distractors either delay necessary action, misuse delegation, or fail to communicate
critical findings. This item tests application-level judgment aligned with HESI PN Exit
competencies.
Q7. During a shift assessment related to sterile glove brushes nonsterile edge, the practical nurse
identifies a key clinical finding. What is the priority nursing action?
A. Implement the priority action for sterile and communicate findings as indicated.
B. Continue the current plan without change related to edge.
C. Delegate the entire responsibility for sterile to unlicensed staff.
D. Delay intervention until a full interdisciplinary conference can occur.
Correct Answer: A
Rationale:
The correct response addresses the highest priority related to sterile glove brushes nonsterile
edge. Distractors either delay necessary action, misuse delegation, or fail to communicate critical
findings. This item tests application-level judgment aligned with HESI PN Exit competencies.
Q8. A client situation involving fall prevention discharge teaching grab bars requires the
practical nurse to apply safety and prioritization principles. Which response is most
appropriate?
A. Continue the current plan without change related to bars.
B. Implement the priority action for fall and communicate findings as indicated.
C. Delegate the entire responsibility for fall to unlicensed staff.
D. Delay intervention until a full interdisciplinary conference can occur.
Correct Answer: B
Rationale:
The correct response addresses the highest priority related to fall prevention discharge teaching
grab bars. Distractors either delay necessary action, misuse delegation, or fail to communicate
critical findings. This item tests application-level judgment aligned with HESI PN Exit
competencies.
STUVIA ACTUAL EXAM · Page 3
, SECTION 1: Safe and Effective Care Environment
Q9. The practical nurse reviews orders and client status concerning 24 hour urine collection missed
specimen restart. Which intervention demonstrates correct clinical judgment?
A. Continue the current plan without change related to restart.
B. Delegate the entire responsibility for 24 to unlicensed staff.
C. Delay intervention until a full interdisciplinary conference can occur.
D. Implement the priority action for 24 and communicate findings as indicated.
Correct Answer: D
Rationale:
The correct response addresses the highest priority related to 24 hour urine collection missed
specimen restart. Distractors either delay necessary action, misuse delegation, or fail to
communicate critical findings. This item tests application-level judgment aligned with HESI PN Exit
competencies.
Q10. While providing care related to RACE protocol fire evacuation prioritization, the practical
nurse must choose the safest next step. Which action should be implemented?
A. Implement the priority action for RACE and communicate findings as indicated.
B. Continue the current plan without change related to prioritization.
C. Delegate the entire responsibility for RACE to unlicensed staff.
D. Delay intervention until a full interdisciplinary conference can occur.
Correct Answer: A
Rationale:
The correct response addresses the highest priority related to RACE protocol fire evacuation
prioritization. Distractors either delay necessary action, misuse delegation, or fail to communicate
critical findings. This item tests application-level judgment aligned with HESI PN Exit
competencies.
Q11. A practical nurse is caring for a client involving telephone order authentication
documentation. After reviewing the situation and available data, which action should the nurse
take first?
A. Implement the priority action for telephone and communicate findings as indicated.
B. Continue the current plan without change related to documentation.
C. Delegate the entire responsibility for telephone to unlicensed staff.
D. Delay intervention until a full interdisciplinary conference can occur.
Correct Answer: A
Rationale:
The correct response addresses the highest priority related to telephone order authentication
documentation. Distractors either delay necessary action, misuse delegation, or fail to communicate
critical findings. This item tests application-level judgment aligned with HESI PN Exit
competencies.
Q12. During a shift assessment related to Jehovah Witness living will blood refusal, the practical
nurse identifies a key clinical finding. What is the priority nursing action?
A. Continue the current plan without change related to refusal.
B. Implement the priority action for Jehovah and communicate findings as indicated.
C. Delegate the entire responsibility for Jehovah to unlicensed staff.
D. Delay intervention until a full interdisciplinary conference can occur.
Correct Answer: B
Rationale:
The correct response addresses the highest priority related to Jehovah Witness living will blood
refusal. Distractors either delay necessary action, misuse delegation, or fail to communicate
critical findings. This item tests application-level judgment aligned with HESI PN Exit
competencies.
STUVIA ACTUAL EXAM · Page 4