Complete Study Guide for Fortis
HESI PN Exit V1 (2025/2026
Update) – Expert-Verified Questions
and Correct Solutions for Practical
Nursing Certification
Updated for 2025/2026
This comprehensive guide provides focused, expert-verified questions and answers to
prepare for the Fortis HESI PN Exit V1 exam, covering key areas such as
medical-surgical nursing, maternity, pediatrics, pharmacology, fundamentals, and
mental health.
,Contents
1 Fundamentals and Medical-Surgical Nursing . . . . . . . . . . . . . . . 2
2 Maternity and Pediatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
3 Pharmacology and Mental Health . . . . . . . . . . . . . . . . . . . . . . 14
4 Additional Relevant Questions . . . . . . . . . . . . . . . . . . . . . . . . 17
5 Advanced Practice and Review . . . . . . . . . . . . . . . . . . . . . . . . 23
6 Study Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
1
, Complete Study Guide for Fortis HESI PN Exit V1 (2025/2026 Update)
1 Fundamentals and Medical-Surgical Nursing
Q1: The practical nurse (PN) notices that a client’s urine is pale yellow, with a cloudy
appearance, and has a foul odor. Which assessment should the PN complete next?
A: Ask the client about urinary frequency.
Q2: The practical nurse (PN) is caring for a client with a new prescription for fluticasone
furoate nasal spray prescribed for the client’s allergy symptoms. While reinforcing
instructions about self-administration of the nasal spray, the PN should emphasize
the need for the client to take which action before self-administration?
A: Gently blow the nose.
Q3: An older adult client who resides in a long-term care facility has a friend of the
opposite sex who often visits in the evenings. The practical nurse (PN) enters the
client’s room to administer medications and finds the couple in bed together. Which
action should the PN take?
A: Exit the room and quietly close the door.
Q4: Several residents of a long-term care facility are receiving eye drops to treat glau-
coma. The practical nurse (PN) should caution the unlicensed assistive personnel
(UAPs) caring for these clients to observe for which effect because it places the
clients at risk for falls?
A: Pupillary constriction.
Q5: Which action by a practical nurse (PN) indicates the best understanding of the
principles related to medical asepsis and effective handwashing?
A: Hold the hands lower than the elbows to promote microbe removal.
Q6: The practical nurse (PN) is removing the personal protective equipment (PPE) worn
when caring for a client. Which PPE should be removed first?
A: Gloves.
Q7: The practical nurse (PN) palpates a client’s radial pulse and notes that the pulse
disappears when light pressure is applied. How should the PN document this find-
ing?
A: Thready pulse volume.
Q8: The practical nurse (PN) is caring for a primigravida five hours after a vaginal
delivery. Which finding should the PN report immediately to the charge nurse?
A: Rubra lochia saturating three perineal pads per hour.
Q9: Following the dressing change of an abdominal surgical wound, a client expresses
concern to the practical nurse (PN) about the scar that might result from the wound.
Which response is best for the PN to provide?
A: Tell me more about your concerns regarding an abdominal scar.
Q10: The practical nurse (PN) is making a home visit to an older adult client who was
recently diagnosed with Herpes zoster. The client reports the onset of severe burning
pain along the right side of the trunk. Which action should the PN take?
A: Administer a prescribed PRN dose of analgesic.
Q11: When preparing to change a client’s sterile dressing, the practical nurse (PN) opens
a package of gauze pads as seen in the picture. Which action should the PN take
2
HESI PN Exit V1 (2025/2026
Update) – Expert-Verified Questions
and Correct Solutions for Practical
Nursing Certification
Updated for 2025/2026
This comprehensive guide provides focused, expert-verified questions and answers to
prepare for the Fortis HESI PN Exit V1 exam, covering key areas such as
medical-surgical nursing, maternity, pediatrics, pharmacology, fundamentals, and
mental health.
,Contents
1 Fundamentals and Medical-Surgical Nursing . . . . . . . . . . . . . . . 2
2 Maternity and Pediatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
3 Pharmacology and Mental Health . . . . . . . . . . . . . . . . . . . . . . 14
4 Additional Relevant Questions . . . . . . . . . . . . . . . . . . . . . . . . 17
5 Advanced Practice and Review . . . . . . . . . . . . . . . . . . . . . . . . 23
6 Study Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
1
, Complete Study Guide for Fortis HESI PN Exit V1 (2025/2026 Update)
1 Fundamentals and Medical-Surgical Nursing
Q1: The practical nurse (PN) notices that a client’s urine is pale yellow, with a cloudy
appearance, and has a foul odor. Which assessment should the PN complete next?
A: Ask the client about urinary frequency.
Q2: The practical nurse (PN) is caring for a client with a new prescription for fluticasone
furoate nasal spray prescribed for the client’s allergy symptoms. While reinforcing
instructions about self-administration of the nasal spray, the PN should emphasize
the need for the client to take which action before self-administration?
A: Gently blow the nose.
Q3: An older adult client who resides in a long-term care facility has a friend of the
opposite sex who often visits in the evenings. The practical nurse (PN) enters the
client’s room to administer medications and finds the couple in bed together. Which
action should the PN take?
A: Exit the room and quietly close the door.
Q4: Several residents of a long-term care facility are receiving eye drops to treat glau-
coma. The practical nurse (PN) should caution the unlicensed assistive personnel
(UAPs) caring for these clients to observe for which effect because it places the
clients at risk for falls?
A: Pupillary constriction.
Q5: Which action by a practical nurse (PN) indicates the best understanding of the
principles related to medical asepsis and effective handwashing?
A: Hold the hands lower than the elbows to promote microbe removal.
Q6: The practical nurse (PN) is removing the personal protective equipment (PPE) worn
when caring for a client. Which PPE should be removed first?
A: Gloves.
Q7: The practical nurse (PN) palpates a client’s radial pulse and notes that the pulse
disappears when light pressure is applied. How should the PN document this find-
ing?
A: Thready pulse volume.
Q8: The practical nurse (PN) is caring for a primigravida five hours after a vaginal
delivery. Which finding should the PN report immediately to the charge nurse?
A: Rubra lochia saturating three perineal pads per hour.
Q9: Following the dressing change of an abdominal surgical wound, a client expresses
concern to the practical nurse (PN) about the scar that might result from the wound.
Which response is best for the PN to provide?
A: Tell me more about your concerns regarding an abdominal scar.
Q10: The practical nurse (PN) is making a home visit to an older adult client who was
recently diagnosed with Herpes zoster. The client reports the onset of severe burning
pain along the right side of the trunk. Which action should the PN take?
A: Administer a prescribed PRN dose of analgesic.
Q11: When preparing to change a client’s sterile dressing, the practical nurse (PN) opens
a package of gauze pads as seen in the picture. Which action should the PN take
2
