ndros HESI PN Exit Exam Guide (NEW 2026/2027 Update) | Questions & Answers| Grade A| 100% Correct (Verified Solutions) 2026/2027 | Page 1 | Passing Score: Pass/F
HONDROS COLLEGE OF NURSING
Hondros HESI PN Exit Exam Guide
(NEW 2026/2027 Update) | Questions & Answers| Grade A
2026/2027 Edition - Official Exam 2026/2027
85 P/F N/A
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Safe and Effective Care Environment Q1-Q15
Section 2 Health Promotion and Maintenance Q16-Q30
Section 3 Psychosocial Integrity Q31-Q45
Section 4 Basic Care and Comfort Q46-Q55
Section 5 Pharmacological Therapies Q56-Q70
Section 6 Physiological Adaptation Q71-Q85
Instructions: Select the single best answer for each question. This exam is designed for HESI PN Exit Exam certification preparation.
Passing score determined by HESI standard.
HESI PN Exit Exam - 2026/2027 | Passing Score: Pass/Fail | Page 1 of 46
, SECTION 1 | Safe and Effective Care Environment | Q1-Q15 | HESI PN Exit Exam 2026/2027
Q1 Question 1 of 85
A practical nurse is caring for a 78-year-old client who is confused and attempting to climb out
of bed despite the bed alarm being activated. The client has a history of falls and a fractured
hip from a previous fall. The nurse should implement which intervention first to maintain client
safety?
A. Lower the bed to the lowest position and place a mat beside the bed while staying within visual
range of the client
B. Apply wrist restraints immediately to prevent the client from climbing over the bed rail
C. Administer a sedative medication prescribed PRN to calm the client and reduce restless
behavior
D. Raise all four side rails to prevent the client from getting out of bed unassisted
Correct Answer: A
Rationale:
Lowering the bed and placing a fall mat while maintaining close observation are the least restrictive
interventions that address the safety risk. Option D is incorrect because raising all four side rails is
considered a restraint and increases the risk of injury if the client attempts to climb over them.
Q2 Question 2 of 85
A licensed practical nurse is making client assignments for the shift. The team includes one
RN, two LPNs, and one nursing assistant. Four clients require care: a client needing an initial
assessment for new chest pain, a client requiring a dressing change on a Stage 3 pressure
injury, a client needing routine vital signs and ambulation assistance, and a client receiving a
blood transfusion requiring monitoring. The LPN should be assigned which client?
A. The client requiring the dressing change on a Stage 3 pressure injury, because wound care is
within the LPN scope of practice
B. The client with new chest pain requiring an initial assessment, because assessment is within
the LPN scope for stable clients
C. The client receiving the blood transfusion, because monitoring transfusions requires RN-level
critical thinking and assessment
D. The client needing routine vital signs and ambulation, because only nursing assistants can
perform these tasks
Correct Answer: A
Rationale:
Wound care and dressing changes are within the LPN scope of practice, making this an appropriate
assignment. Option B is incorrect because initial assessment of a client with new chest pain requires
HESI PN Exit Exam - 2026/2027 | Passing Score: Pass/Fail | Page 2 of 46
, SECTION 1 | Safe and Effective Care Environment | Q1-Q15 | HESI PN Exit Exam 2026/2027
Q3 Question 3 of 85
A client is scheduled for surgery and the surgeon has explained the procedure, risks, and
benefits. The client signs the consent form but later tells the practical nurse, "I do not really
understand what they are going to do." The nurse should take which action?
A. Notify the surgeon that the client may not have adequate understanding of the procedure,
because informed consent requires comprehension
B. Explain the surgical procedure to the client in detail using simple language and then document
the teaching
C. Reassure the client that the surgeon has explained everything and that the signed consent form
makes it legally binding
D. Cancel the surgery immediately without notifying the surgeon because the consent is invalid
Correct Answer: A
Rationale:
The nurse's role is to notify the provider when there is evidence the client does not comprehend the
procedure, because informed consent requires genuine understanding. Option B is incorrect because
providing the surgical explanation is the surgeon's responsibility, not the nurse's.
Q4 Question 4 of 85
A practical nurse enters a client's room and discovers a small fire in the wastebasket. The
client is sitting in bed and is not in immediate danger. The nurse should take which action first
according to fire safety protocol?
A. Rescue the client by moving them away from the fire, then activate the alarm, confine the fire,
and extinguish if possible
B. Extinguish the fire immediately using the nearest fire extinguisher before moving the client or
sounding the alarm
C. Run to the nurses' station to call the fire department before taking any action at the bedside
D. Open the window to let smoke escape and then close the door to confine the fire to the room
Correct Answer: A
Rationale:
The RACE protocol (Rescue, Activate, Confine, Extinguish) prioritizes removing people from danger before
taking any other action. Option B is incorrect because attempting to extinguish the fire before ensuring the
client's safety could put both the client and nurse at risk.
HESI PN Exit Exam - 2026/2027 | Passing Score: Pass/Fail | Page 3 of 46
, SECTION 1 | Safe and Effective Care Environment | Q1-Q15 | HESI PN Exit Exam 2026/2027
Q5 Question 5 of 85
A practical nurse is caring for a client who has a history of violence and is now becoming
increasingly agitated, clenching fists, and pacing in the hallway. The nurse should implement
which intervention to maintain safety?
A. Maintain a calm demeanor, keep a safe distance, and use therapeutic communication to
de-escalate the situation
B. Approach the client closely and firmly tell them to stop pacing and return to their room
immediately
C. Call security to restrain the client before the agitation escalates to physical violence
D. Administer a PRN antipsychotic medication without attempting any verbal de-escalation
techniques
Correct Answer: A
Rationale:
Using a calm approach with safe distance and therapeutic communication is the least restrictive and most
effective initial intervention for de-escalating an agitated client. Option C skips the least restrictive
interventions and moves directly to physical restraint, which should only be used when other methods fail.
Q6 Question 6 of 85
A client with terminal cancer tells the practical nurse, "I want to stop all treatments and let
nature take its course." The client's family disagrees and wants the client to continue
chemotherapy. The nurse should recognize that the client's decision is protected under which
principle?
A. Autonomy, because a competent adult client has the right to refuse any treatment even if family
members disagree
B. Beneficence, because the healthcare team must act in the client's best interest by continuing
treatment to prolong life
C. Justice, because all clients must receive the same standard of care regardless of personal
wishes
D. Nonmaleficence, because allowing the client to refuse treatment is equivalent to causing
intentional harm
Correct Answer: A
Rationale:
Autonomy gives competent adults the right to make decisions about their own healthcare, including refusing
treatment, regardless of family objections. Option B incorrectly prioritizes the healthcare team's judgment
over the client's own autonomous decision.
HESI PN Exit Exam - 2026/2027 | Passing Score: Pass/Fail | Page 4 of 46
HONDROS COLLEGE OF NURSING
Hondros HESI PN Exit Exam Guide
(NEW 2026/2027 Update) | Questions & Answers| Grade A
2026/2027 Edition - Official Exam 2026/2027
85 P/F N/A
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Safe and Effective Care Environment Q1-Q15
Section 2 Health Promotion and Maintenance Q16-Q30
Section 3 Psychosocial Integrity Q31-Q45
Section 4 Basic Care and Comfort Q46-Q55
Section 5 Pharmacological Therapies Q56-Q70
Section 6 Physiological Adaptation Q71-Q85
Instructions: Select the single best answer for each question. This exam is designed for HESI PN Exit Exam certification preparation.
Passing score determined by HESI standard.
HESI PN Exit Exam - 2026/2027 | Passing Score: Pass/Fail | Page 1 of 46
, SECTION 1 | Safe and Effective Care Environment | Q1-Q15 | HESI PN Exit Exam 2026/2027
Q1 Question 1 of 85
A practical nurse is caring for a 78-year-old client who is confused and attempting to climb out
of bed despite the bed alarm being activated. The client has a history of falls and a fractured
hip from a previous fall. The nurse should implement which intervention first to maintain client
safety?
A. Lower the bed to the lowest position and place a mat beside the bed while staying within visual
range of the client
B. Apply wrist restraints immediately to prevent the client from climbing over the bed rail
C. Administer a sedative medication prescribed PRN to calm the client and reduce restless
behavior
D. Raise all four side rails to prevent the client from getting out of bed unassisted
Correct Answer: A
Rationale:
Lowering the bed and placing a fall mat while maintaining close observation are the least restrictive
interventions that address the safety risk. Option D is incorrect because raising all four side rails is
considered a restraint and increases the risk of injury if the client attempts to climb over them.
Q2 Question 2 of 85
A licensed practical nurse is making client assignments for the shift. The team includes one
RN, two LPNs, and one nursing assistant. Four clients require care: a client needing an initial
assessment for new chest pain, a client requiring a dressing change on a Stage 3 pressure
injury, a client needing routine vital signs and ambulation assistance, and a client receiving a
blood transfusion requiring monitoring. The LPN should be assigned which client?
A. The client requiring the dressing change on a Stage 3 pressure injury, because wound care is
within the LPN scope of practice
B. The client with new chest pain requiring an initial assessment, because assessment is within
the LPN scope for stable clients
C. The client receiving the blood transfusion, because monitoring transfusions requires RN-level
critical thinking and assessment
D. The client needing routine vital signs and ambulation, because only nursing assistants can
perform these tasks
Correct Answer: A
Rationale:
Wound care and dressing changes are within the LPN scope of practice, making this an appropriate
assignment. Option B is incorrect because initial assessment of a client with new chest pain requires
HESI PN Exit Exam - 2026/2027 | Passing Score: Pass/Fail | Page 2 of 46
, SECTION 1 | Safe and Effective Care Environment | Q1-Q15 | HESI PN Exit Exam 2026/2027
Q3 Question 3 of 85
A client is scheduled for surgery and the surgeon has explained the procedure, risks, and
benefits. The client signs the consent form but later tells the practical nurse, "I do not really
understand what they are going to do." The nurse should take which action?
A. Notify the surgeon that the client may not have adequate understanding of the procedure,
because informed consent requires comprehension
B. Explain the surgical procedure to the client in detail using simple language and then document
the teaching
C. Reassure the client that the surgeon has explained everything and that the signed consent form
makes it legally binding
D. Cancel the surgery immediately without notifying the surgeon because the consent is invalid
Correct Answer: A
Rationale:
The nurse's role is to notify the provider when there is evidence the client does not comprehend the
procedure, because informed consent requires genuine understanding. Option B is incorrect because
providing the surgical explanation is the surgeon's responsibility, not the nurse's.
Q4 Question 4 of 85
A practical nurse enters a client's room and discovers a small fire in the wastebasket. The
client is sitting in bed and is not in immediate danger. The nurse should take which action first
according to fire safety protocol?
A. Rescue the client by moving them away from the fire, then activate the alarm, confine the fire,
and extinguish if possible
B. Extinguish the fire immediately using the nearest fire extinguisher before moving the client or
sounding the alarm
C. Run to the nurses' station to call the fire department before taking any action at the bedside
D. Open the window to let smoke escape and then close the door to confine the fire to the room
Correct Answer: A
Rationale:
The RACE protocol (Rescue, Activate, Confine, Extinguish) prioritizes removing people from danger before
taking any other action. Option B is incorrect because attempting to extinguish the fire before ensuring the
client's safety could put both the client and nurse at risk.
HESI PN Exit Exam - 2026/2027 | Passing Score: Pass/Fail | Page 3 of 46
, SECTION 1 | Safe and Effective Care Environment | Q1-Q15 | HESI PN Exit Exam 2026/2027
Q5 Question 5 of 85
A practical nurse is caring for a client who has a history of violence and is now becoming
increasingly agitated, clenching fists, and pacing in the hallway. The nurse should implement
which intervention to maintain safety?
A. Maintain a calm demeanor, keep a safe distance, and use therapeutic communication to
de-escalate the situation
B. Approach the client closely and firmly tell them to stop pacing and return to their room
immediately
C. Call security to restrain the client before the agitation escalates to physical violence
D. Administer a PRN antipsychotic medication without attempting any verbal de-escalation
techniques
Correct Answer: A
Rationale:
Using a calm approach with safe distance and therapeutic communication is the least restrictive and most
effective initial intervention for de-escalating an agitated client. Option C skips the least restrictive
interventions and moves directly to physical restraint, which should only be used when other methods fail.
Q6 Question 6 of 85
A client with terminal cancer tells the practical nurse, "I want to stop all treatments and let
nature take its course." The client's family disagrees and wants the client to continue
chemotherapy. The nurse should recognize that the client's decision is protected under which
principle?
A. Autonomy, because a competent adult client has the right to refuse any treatment even if family
members disagree
B. Beneficence, because the healthcare team must act in the client's best interest by continuing
treatment to prolong life
C. Justice, because all clients must receive the same standard of care regardless of personal
wishes
D. Nonmaleficence, because allowing the client to refuse treatment is equivalent to causing
intentional harm
Correct Answer: A
Rationale:
Autonomy gives competent adults the right to make decisions about their own healthcare, including refusing
treatment, regardless of family objections. Option B incorrectly prioritizes the healthcare team's judgment
over the client's own autonomous decision.
HESI PN Exit Exam - 2026/2027 | Passing Score: Pass/Fail | Page 4 of 46
