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 A
comprehensive guide designed to assist practical nursing students in preparing
for the HESI PN Exit V1 examination with detailed, well-structured questions
and answers. September 2025
,Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2 Fundamentals and Patient Safety (Questions 1-20) . . . . . . . . . . . . 2
3 Pharmacology and Medication Administration (Questions 21-40) . . 3
4 Maternal and Pediatric Nursing (Questions 41-60) . . . . . . . . . . . . 5
5 Mental Health and Community Nursing (Questions 61-80) . . . . . . . 6
6 Medical-Surgical Nursing (Questions 81-100) . . . . . . . . . . . . . . . . 8
7 Additional Practice Questions (Questions 101-200) . . . . . . . . . . . . 9
8 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
1
, 1 Introduction
This study guide provides 200 well-detailed, expert-verified questions and an-
swers for the Fortis HESI PN Exit V1 examination, updated for 2025/2026. The
content is refactored to focus on core practical nursing concepts, including pa-
tient safety, pharmacology, maternal and pediatric care, mental health, and medical-
surgical nursing. Questions are highlighted in very dark red for emphasis, and
answers are concise yet comprehensive, avoiding unnecessary jargon. Use this
guide for thorough preparation and certification success.
2 Fundamentals and Patient Safety (Questions 1-20)
Question 1: An older adult in a long-term care facility is visited by a friend in the
evening. The practical nurse (PN) enters to administer medications
and finds them in bed together. What is the most appropriate action
for the PN to take? Answer: Quietly exit the room and close the
door to respect their privacy.
Question 2: A female client, due for discharge, shows the PN a knife and ex-
presses intent to self-harm. What is the priority intervention for
the PN? Answer: Immediately notify the healthcare provider who
issued the discharge order.
Question 3: The PN observes a client’s urine as pale yellow, cloudy, and foul-
smelling. What is the next step in the assessment process? An-
swer: Inquire about the client’s urinary frequency and any asso-
ciated symptoms.
Question 4: A client receives fluticasone furoate nasal spray for allergies. What
should the PN emphasize about its administration? Answer: In-
struct the client to gently blow their nose before using the spray.
Question 5: Residents receiving glaucoma eye drops are at risk for falls. What
side effect should the PN instruct UAPs to monitor? Answer: Pupil-
lary constriction, which may impair vision.
Question 6: Which PN action demonstrates proper medical asepsis during hand-
washing? Answer: Position hands lower than elbows to facilitate
microbe removal.
Question 7: When removing PPE after client care, which item should the PN
remove first? Answer: Gloves, to minimize contamination risk.
Question 8: The PN notes a client’s radial pulse disappears with light pressure.
How should this finding be documented? Answer: Record as a
thready pulse volume.
Question 9: Five hours post-vaginal delivery, a primigravida client exhibits a
concerning symptom. What should the PN report immediately?
Answer: Rubra lochia saturating three perineal pads per hour, in-
dicating possible hemorrhage.
2
HESI PN Exit V1 (2025/2026 Update)
– Expert-Verified Questions and
Correct Solutions for Practical
Nursing Certification Updated for 2025/2026 A
comprehensive guide designed to assist practical nursing students in preparing
for the HESI PN Exit V1 examination with detailed, well-structured questions
and answers. September 2025
,Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2 Fundamentals and Patient Safety (Questions 1-20) . . . . . . . . . . . . 2
3 Pharmacology and Medication Administration (Questions 21-40) . . 3
4 Maternal and Pediatric Nursing (Questions 41-60) . . . . . . . . . . . . 5
5 Mental Health and Community Nursing (Questions 61-80) . . . . . . . 6
6 Medical-Surgical Nursing (Questions 81-100) . . . . . . . . . . . . . . . . 8
7 Additional Practice Questions (Questions 101-200) . . . . . . . . . . . . 9
8 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
1
, 1 Introduction
This study guide provides 200 well-detailed, expert-verified questions and an-
swers for the Fortis HESI PN Exit V1 examination, updated for 2025/2026. The
content is refactored to focus on core practical nursing concepts, including pa-
tient safety, pharmacology, maternal and pediatric care, mental health, and medical-
surgical nursing. Questions are highlighted in very dark red for emphasis, and
answers are concise yet comprehensive, avoiding unnecessary jargon. Use this
guide for thorough preparation and certification success.
2 Fundamentals and Patient Safety (Questions 1-20)
Question 1: An older adult in a long-term care facility is visited by a friend in the
evening. The practical nurse (PN) enters to administer medications
and finds them in bed together. What is the most appropriate action
for the PN to take? Answer: Quietly exit the room and close the
door to respect their privacy.
Question 2: A female client, due for discharge, shows the PN a knife and ex-
presses intent to self-harm. What is the priority intervention for
the PN? Answer: Immediately notify the healthcare provider who
issued the discharge order.
Question 3: The PN observes a client’s urine as pale yellow, cloudy, and foul-
smelling. What is the next step in the assessment process? An-
swer: Inquire about the client’s urinary frequency and any asso-
ciated symptoms.
Question 4: A client receives fluticasone furoate nasal spray for allergies. What
should the PN emphasize about its administration? Answer: In-
struct the client to gently blow their nose before using the spray.
Question 5: Residents receiving glaucoma eye drops are at risk for falls. What
side effect should the PN instruct UAPs to monitor? Answer: Pupil-
lary constriction, which may impair vision.
Question 6: Which PN action demonstrates proper medical asepsis during hand-
washing? Answer: Position hands lower than elbows to facilitate
microbe removal.
Question 7: When removing PPE after client care, which item should the PN
remove first? Answer: Gloves, to minimize contamination risk.
Question 8: The PN notes a client’s radial pulse disappears with light pressure.
How should this finding be documented? Answer: Record as a
thready pulse volume.
Question 9: Five hours post-vaginal delivery, a primigravida client exhibits a
concerning symptom. What should the PN report immediately?
Answer: Rubra lochia saturating three perineal pads per hour, in-
dicating possible hemorrhage.
2
