Elsevier | HESI PN Exit Examination | NCLEX-PN Alignment
HESI PN Exit Examination 2026/2027 |
Verified Questions
Elsevier | HESI PN Exit Examination | Professional Practical Nursing Candidates
200 Verified Questions | 8 Core Domains | Academic Year 2026/2027
Prepared by
Elsevier | HESI PN Exit Examination | NCLEX-PN Alignment
PN Exit Examination (E2) Actual Exam | Academic Year 2026/2027
HESI PN Exit Examination 2026/2027 | Verified Questions
,INTRODUCTION
This document contains 200 original Verified Questions covering the full HESI PN Exit Examination (E2)
for the academic year 2026/2027. The content addresses every core domain aligned with the NCLEX-PN
Test Plan: Domain 1 – Safe and Effective Care Environment - Management of Care; Domain 2 – Safe and
Effective Care Environment - Safety and Infection Control; Domain 3 – Health Promotion and
Maintenance; Domain 4 – Psychosocial Integrity; Domain 5 – Physiological Integrity - Basic Care and
Comfort; Domain 6 – Physiological Integrity - Pharmacological and Parenteral Therapies; Domain 7 –
Physiological Integrity - Reduction of Risk Potential; and Domain 8 – Physiological Integrity -
Physiological Adaptation. Each question is designed to reinforce official Elsevier HESI PN Exit Exam
objectives and the clinical judgment skills required for NCLEX-PN readiness at the professional practical
nursing level.
ACTUAL QUESTIONS
Domain 1: Safe and Effective Care Environment - Management of Care
Question 1. The practical nurse is caring for four clients. Which client should the nurse
assess first?
A. A client requesting pain medication for a pain rating of 4/10
B. A client with a new onset of difficulty breathing and oxygen saturation of 88%
C. A client who needs assistance ambulating to the bathroom
D. A client waiting for discharge teaching
Correct Answer: B
Rationale: Airway and breathing problems take priority according to ABC prioritization; oxygen
saturation of 88% with dyspnea requires immediate assessment.
Question 2. Which task is appropriate for the practical nurse to delegate to an unlicensed
assistive personnel (UAP)?
A. Administering oral medications
B. Evaluating the effectiveness of a pain intervention
C. Developing the plan of care
D. Assisting a stable client with ambulation
Correct Answer: D
Rationale: Assisting with ambulation for a stable client is within the UAP role; assessment, evaluation,
and medication administration remain nursing responsibilities.
Question 3. A client situation involving assignment based on client acuity requires the
practical nurse to:
A. Collect relevant data, recognize cues, and take action consistent with nursing standards
B. Avoid all communication with the client
C. Wait for laboratory results before any observation
D. Delegate all responsibility to the family
Correct Answer: A
Rationale: Recognition of cues and timely action consistent with nursing standards are essential when
assignment based on client acuity is involved.
Question 4. When providing care related to informed consent verification, the practical
nurse should prioritize which action?
A. Delay intervention until the registered nurse arrives
B. Rely solely on family preferences without assessment
C. Apply evidence-based nursing standards and client-specific assessment data
HESI PN Exit Examination 2026/2027 | Verified Questions
, D. Document only after the shift ends
Correct Answer: C
Rationale: Safe and effective practical nursing requires integrating client assessment findings with
current evidence-based standards when addressing informed consent verification.
Question 5. Which nursing action best demonstrates correct application of principles
related to advance directives?
A. Ignoring changes in client condition
B. Administering medications without verification
C. Leaving the client unattended during high-risk procedures
D. Performing systematic assessment and implementing appropriate interventions within the
practical nurse scope
Correct Answer: D
Rationale: Correct application of advance directives requires systematic assessment and interventions
that remain within the practical nurse scope of care.
Question 6. A client situation involving client rights requires the practical nurse to:
A. Avoid all communication with the client
B. Wait for laboratory results before any observation
C. Collect relevant data, recognize cues, and take action consistent with nursing standards
D. Delegate all responsibility to the family
Correct Answer: C
Rationale: Recognition of cues and timely action consistent with nursing standards are essential when
client rights is involved.
Question 7. When providing care related to advocacy for the client, the practical nurse
should prioritize which action?
A. Delay intervention until the registered nurse arrives
B. Apply evidence-based nursing standards and client-specific assessment data
C. Rely solely on family preferences without assessment
D. Document only after the shift ends
Correct Answer: B
Rationale: Safe and effective practical nursing requires integrating client assessment findings with
current evidence-based standards when addressing advocacy for the client.
Question 8. Which nursing action best demonstrates correct application of principles
related to case management coordination?
A. Performing systematic assessment and implementing appropriate interventions within the
practical nurse scope
B. Ignoring changes in client condition
C. Administering medications without verification
D. Leaving the client unattended during high-risk procedures
Correct Answer: A
Rationale: Correct application of case management coordination requires systematic assessment and
interventions that remain within the practical nurse scope of care.
Question 9. A client situation involving collaboration with interdisciplinary team requires
the practical nurse to:
A. Avoid all communication with the client
B. Wait for laboratory results before any observation
HESI PN Exit Examination 2026/2027 | Verified Questions
, C. Collect relevant data, recognize cues, and take action consistent with nursing standards
D. Delegate all responsibility to the family
Correct Answer: C
Rationale: Recognition of cues and timely action consistent with nursing standards are essential when
collaboration with interdisciplinary team is involved.
Question 10. When providing care related to continuity of care, the practical nurse should
prioritize which action?
A. Delay intervention until the registered nurse arrives
B. Apply evidence-based nursing standards and client-specific assessment data
C. Rely solely on family preferences without assessment
D. Document only after the shift ends
Correct Answer: B
Rationale: Safe and effective practical nursing requires integrating client assessment findings with
current evidence-based standards when addressing continuity of care.
Question 11. Which nursing action best demonstrates correct application of principles
related to discharge planning?
A. Performing systematic assessment and implementing appropriate interventions within the
practical nurse scope
B. Ignoring changes in client condition
C. Administering medications without verification
D. Leaving the client unattended during high-risk procedures
Correct Answer: A
Rationale: Correct application of discharge planning requires systematic assessment and interventions
that remain within the practical nurse scope of care.
Question 12. A client situation involving referral process requires the practical nurse to:
A. Avoid all communication with the client
B. Wait for laboratory results before any observation
C. Delegate all responsibility to the family
D. Collect relevant data, recognize cues, and take action consistent with nursing standards
Correct Answer: D
Rationale: Recognition of cues and timely action consistent with nursing standards are essential when
referral process is involved.
Question 13. When providing care related to resource management, the practical nurse
should prioritize which action?
A. Delay intervention until the registered nurse arrives
B. Rely solely on family preferences without assessment
C. Apply evidence-based nursing standards and client-specific assessment data
D. Document only after the shift ends
Correct Answer: C
Rationale: Safe and effective practical nursing requires integrating client assessment findings with
current evidence-based standards when addressing resource management.
Question 14. Which nursing action best demonstrates correct application of principles
related to time management for the nurse?
A. Ignoring changes in client condition
B. Administering medications without verification
HESI PN Exit Examination 2026/2027 | Verified Questions
HESI PN Exit Examination 2026/2027 |
Verified Questions
Elsevier | HESI PN Exit Examination | Professional Practical Nursing Candidates
200 Verified Questions | 8 Core Domains | Academic Year 2026/2027
Prepared by
Elsevier | HESI PN Exit Examination | NCLEX-PN Alignment
PN Exit Examination (E2) Actual Exam | Academic Year 2026/2027
HESI PN Exit Examination 2026/2027 | Verified Questions
,INTRODUCTION
This document contains 200 original Verified Questions covering the full HESI PN Exit Examination (E2)
for the academic year 2026/2027. The content addresses every core domain aligned with the NCLEX-PN
Test Plan: Domain 1 – Safe and Effective Care Environment - Management of Care; Domain 2 – Safe and
Effective Care Environment - Safety and Infection Control; Domain 3 – Health Promotion and
Maintenance; Domain 4 – Psychosocial Integrity; Domain 5 – Physiological Integrity - Basic Care and
Comfort; Domain 6 – Physiological Integrity - Pharmacological and Parenteral Therapies; Domain 7 –
Physiological Integrity - Reduction of Risk Potential; and Domain 8 – Physiological Integrity -
Physiological Adaptation. Each question is designed to reinforce official Elsevier HESI PN Exit Exam
objectives and the clinical judgment skills required for NCLEX-PN readiness at the professional practical
nursing level.
ACTUAL QUESTIONS
Domain 1: Safe and Effective Care Environment - Management of Care
Question 1. The practical nurse is caring for four clients. Which client should the nurse
assess first?
A. A client requesting pain medication for a pain rating of 4/10
B. A client with a new onset of difficulty breathing and oxygen saturation of 88%
C. A client who needs assistance ambulating to the bathroom
D. A client waiting for discharge teaching
Correct Answer: B
Rationale: Airway and breathing problems take priority according to ABC prioritization; oxygen
saturation of 88% with dyspnea requires immediate assessment.
Question 2. Which task is appropriate for the practical nurse to delegate to an unlicensed
assistive personnel (UAP)?
A. Administering oral medications
B. Evaluating the effectiveness of a pain intervention
C. Developing the plan of care
D. Assisting a stable client with ambulation
Correct Answer: D
Rationale: Assisting with ambulation for a stable client is within the UAP role; assessment, evaluation,
and medication administration remain nursing responsibilities.
Question 3. A client situation involving assignment based on client acuity requires the
practical nurse to:
A. Collect relevant data, recognize cues, and take action consistent with nursing standards
B. Avoid all communication with the client
C. Wait for laboratory results before any observation
D. Delegate all responsibility to the family
Correct Answer: A
Rationale: Recognition of cues and timely action consistent with nursing standards are essential when
assignment based on client acuity is involved.
Question 4. When providing care related to informed consent verification, the practical
nurse should prioritize which action?
A. Delay intervention until the registered nurse arrives
B. Rely solely on family preferences without assessment
C. Apply evidence-based nursing standards and client-specific assessment data
HESI PN Exit Examination 2026/2027 | Verified Questions
, D. Document only after the shift ends
Correct Answer: C
Rationale: Safe and effective practical nursing requires integrating client assessment findings with
current evidence-based standards when addressing informed consent verification.
Question 5. Which nursing action best demonstrates correct application of principles
related to advance directives?
A. Ignoring changes in client condition
B. Administering medications without verification
C. Leaving the client unattended during high-risk procedures
D. Performing systematic assessment and implementing appropriate interventions within the
practical nurse scope
Correct Answer: D
Rationale: Correct application of advance directives requires systematic assessment and interventions
that remain within the practical nurse scope of care.
Question 6. A client situation involving client rights requires the practical nurse to:
A. Avoid all communication with the client
B. Wait for laboratory results before any observation
C. Collect relevant data, recognize cues, and take action consistent with nursing standards
D. Delegate all responsibility to the family
Correct Answer: C
Rationale: Recognition of cues and timely action consistent with nursing standards are essential when
client rights is involved.
Question 7. When providing care related to advocacy for the client, the practical nurse
should prioritize which action?
A. Delay intervention until the registered nurse arrives
B. Apply evidence-based nursing standards and client-specific assessment data
C. Rely solely on family preferences without assessment
D. Document only after the shift ends
Correct Answer: B
Rationale: Safe and effective practical nursing requires integrating client assessment findings with
current evidence-based standards when addressing advocacy for the client.
Question 8. Which nursing action best demonstrates correct application of principles
related to case management coordination?
A. Performing systematic assessment and implementing appropriate interventions within the
practical nurse scope
B. Ignoring changes in client condition
C. Administering medications without verification
D. Leaving the client unattended during high-risk procedures
Correct Answer: A
Rationale: Correct application of case management coordination requires systematic assessment and
interventions that remain within the practical nurse scope of care.
Question 9. A client situation involving collaboration with interdisciplinary team requires
the practical nurse to:
A. Avoid all communication with the client
B. Wait for laboratory results before any observation
HESI PN Exit Examination 2026/2027 | Verified Questions
, C. Collect relevant data, recognize cues, and take action consistent with nursing standards
D. Delegate all responsibility to the family
Correct Answer: C
Rationale: Recognition of cues and timely action consistent with nursing standards are essential when
collaboration with interdisciplinary team is involved.
Question 10. When providing care related to continuity of care, the practical nurse should
prioritize which action?
A. Delay intervention until the registered nurse arrives
B. Apply evidence-based nursing standards and client-specific assessment data
C. Rely solely on family preferences without assessment
D. Document only after the shift ends
Correct Answer: B
Rationale: Safe and effective practical nursing requires integrating client assessment findings with
current evidence-based standards when addressing continuity of care.
Question 11. Which nursing action best demonstrates correct application of principles
related to discharge planning?
A. Performing systematic assessment and implementing appropriate interventions within the
practical nurse scope
B. Ignoring changes in client condition
C. Administering medications without verification
D. Leaving the client unattended during high-risk procedures
Correct Answer: A
Rationale: Correct application of discharge planning requires systematic assessment and interventions
that remain within the practical nurse scope of care.
Question 12. A client situation involving referral process requires the practical nurse to:
A. Avoid all communication with the client
B. Wait for laboratory results before any observation
C. Delegate all responsibility to the family
D. Collect relevant data, recognize cues, and take action consistent with nursing standards
Correct Answer: D
Rationale: Recognition of cues and timely action consistent with nursing standards are essential when
referral process is involved.
Question 13. When providing care related to resource management, the practical nurse
should prioritize which action?
A. Delay intervention until the registered nurse arrives
B. Rely solely on family preferences without assessment
C. Apply evidence-based nursing standards and client-specific assessment data
D. Document only after the shift ends
Correct Answer: C
Rationale: Safe and effective practical nursing requires integrating client assessment findings with
current evidence-based standards when addressing resource management.
Question 14. Which nursing action best demonstrates correct application of principles
related to time management for the nurse?
A. Ignoring changes in client condition
B. Administering medications without verification
HESI PN Exit Examination 2026/2027 | Verified Questions
