HESI Exit PN / HESI Exit Test Bank Exam | 2025/2026
Edition | 160 Questions with Updated & Verified 100%
Correct Answers | Graded A+
HESI Exit PN Exam | The latest 2025/2026 test bank with 160 real exam-style questions and
100% correct, updated answers. Content covers all key PN domains: medical-surgical nursing,
maternal-newborn, pediatrics, pharmacology, psychiatric nursing, delegation & prioritization,
safety & infection control, and patient-centered care. Designed to reflect actual HESI exam
blueprints for practical nursing readiness.
Overview
This HESI Exit PN Test Bank provides verified exam-based questions with expert-confirmed
answers to strengthen critical thinking, clinical reasoning, and safe nursing practice. Each
question is aligned with NCLEX-PN standards to prepare students for graduation readiness
exams and licensure. Rated and graded A+ for accuracy and reliability.
Answer Format
Correct answers are highlighted in bold green with rationales explaining nursing priorities,
safe interventions, and reasoning behind the correct choice. This ensures strong mastery of
exam content and full readiness for the PN exit exam.
HESI Exit PN Exam 2025/2026 (160 Questions)
Question 1: A patient with diabetes mellitus type 2 has a blood glucose of 320
mg/dL. What is the priority nursing action?
A) Administer regular insulin
B) Encourage oral intake
C) Recheck glucose in 1 hour
D) Notify the provider
A) Administer regular insulin
Rationale: A glucose level >250 mg/dL requires immediate insulin to prevent complications.
Question 2: A postpartum patient has a boggy uterus. What should the nurse do
first?
A) Massage the fundus
B) Administer oxytocin
C) Check vital signs
D) Increase IV fluids
,A) Massage the fundus
Rationale: Fundal massage promotes uterine contraction to control bleeding.
Question 3: A 5-year-old with a fever of 102°F (38.9°C) is irritable. What is the best
intervention?
A) Administer acetaminophen
B) Apply a cool compress
C) Encourage fluid intake
D) Isolate the child
A) Administer acetaminophen
Rationale: Acetaminophen reduces fever and improves comfort in children.
Question 4: A patient is prescribed furosemide 40 mg IV. What should the nurse
monitor?
A) Blood glucose
B) Potassium levels
C) Heart rate
D) Liver function
B) Potassium levels
Rationale: Furosemide can cause hypokalemia due to diuresis.
Question 5: A patient with schizophrenia refuses medication. What is the nurse’s
best response?
A) Force the medication
B) Explore the refusal reasons
C) Document and leave
D) Inform security
B) Explore the refusal reasons
Rationale: Understanding the refusal builds trust and assesses capacity.
Question 6: A nurse delegates vital signs to a nursing assistant. Who is responsible
for the task?
A) Nursing assistant
B) Charge nurse
C) Registered nurse
D) Unit clerk
C) Registered nurse
Rationale: The delegating nurse retains accountability for delegated tasks.
Question 7: A patient has a latex allergy. What safety measure is priority?
A) Use latex gloves
B) Ensure latex-free environment
C) Apply a bandage
D) Monitor temperature
B) Ensure latex-free environment
Rationale: Avoiding latex prevents anaphylactic reactions.
, Question 8: A patient states, “I feel worthless.” What is the nurse’s best response?
A) “You’ll feel better soon.”
B) “Can you tell me more?”
C) “That’s not true.”
D) “Take your medication.”
B) Can you tell me more?
Rationale: Open-ended questions encourage expression and assessment.
Question 9: A postoperative patient has a temperature of 100.4°F (38°C). What
should the nurse do?
A) Administer antibiotics
B) Notify the surgeon
C) Increase fluid intake
D) Apply a heating pad
B) Notify the surgeon
Rationale: A fever may indicate infection requiring medical evaluation.
Question 10: A patient with heart failure has dyspnea. What position is best?
A) Supine
B) Semi-Fowler’s
C) Prone
D) Trendelenburg
B) Semi-Fowler’s
Rationale: Elevating the head eases breathing by reducing lung congestion.
Question 11: A newborn has a heart rate of 90 bpm. What is the nurse’s priority?
A) Initiate CPR
B) Recheck in 5 minutes
C) Notify the provider
D) Warm the infant
C) Notify the provider
Rationale: A heart rate <100 bpm requires immediate medical assessment.
Question 12: A patient is prescribed morphine 2 mg IV for pain. What should the
nurse monitor?
A) Blood pressure
B) Urine output
C) Liver enzymes
D) Blood glucose
A) Blood pressure
Rationale: Morphine can cause hypotension as a side effect.
Question 13: A patient with depression is withdrawn. What is the best
intervention?
A) Encourage group therapy
B) Isolate for rest
C) Administer sedatives
Edition | 160 Questions with Updated & Verified 100%
Correct Answers | Graded A+
HESI Exit PN Exam | The latest 2025/2026 test bank with 160 real exam-style questions and
100% correct, updated answers. Content covers all key PN domains: medical-surgical nursing,
maternal-newborn, pediatrics, pharmacology, psychiatric nursing, delegation & prioritization,
safety & infection control, and patient-centered care. Designed to reflect actual HESI exam
blueprints for practical nursing readiness.
Overview
This HESI Exit PN Test Bank provides verified exam-based questions with expert-confirmed
answers to strengthen critical thinking, clinical reasoning, and safe nursing practice. Each
question is aligned with NCLEX-PN standards to prepare students for graduation readiness
exams and licensure. Rated and graded A+ for accuracy and reliability.
Answer Format
Correct answers are highlighted in bold green with rationales explaining nursing priorities,
safe interventions, and reasoning behind the correct choice. This ensures strong mastery of
exam content and full readiness for the PN exit exam.
HESI Exit PN Exam 2025/2026 (160 Questions)
Question 1: A patient with diabetes mellitus type 2 has a blood glucose of 320
mg/dL. What is the priority nursing action?
A) Administer regular insulin
B) Encourage oral intake
C) Recheck glucose in 1 hour
D) Notify the provider
A) Administer regular insulin
Rationale: A glucose level >250 mg/dL requires immediate insulin to prevent complications.
Question 2: A postpartum patient has a boggy uterus. What should the nurse do
first?
A) Massage the fundus
B) Administer oxytocin
C) Check vital signs
D) Increase IV fluids
,A) Massage the fundus
Rationale: Fundal massage promotes uterine contraction to control bleeding.
Question 3: A 5-year-old with a fever of 102°F (38.9°C) is irritable. What is the best
intervention?
A) Administer acetaminophen
B) Apply a cool compress
C) Encourage fluid intake
D) Isolate the child
A) Administer acetaminophen
Rationale: Acetaminophen reduces fever and improves comfort in children.
Question 4: A patient is prescribed furosemide 40 mg IV. What should the nurse
monitor?
A) Blood glucose
B) Potassium levels
C) Heart rate
D) Liver function
B) Potassium levels
Rationale: Furosemide can cause hypokalemia due to diuresis.
Question 5: A patient with schizophrenia refuses medication. What is the nurse’s
best response?
A) Force the medication
B) Explore the refusal reasons
C) Document and leave
D) Inform security
B) Explore the refusal reasons
Rationale: Understanding the refusal builds trust and assesses capacity.
Question 6: A nurse delegates vital signs to a nursing assistant. Who is responsible
for the task?
A) Nursing assistant
B) Charge nurse
C) Registered nurse
D) Unit clerk
C) Registered nurse
Rationale: The delegating nurse retains accountability for delegated tasks.
Question 7: A patient has a latex allergy. What safety measure is priority?
A) Use latex gloves
B) Ensure latex-free environment
C) Apply a bandage
D) Monitor temperature
B) Ensure latex-free environment
Rationale: Avoiding latex prevents anaphylactic reactions.
, Question 8: A patient states, “I feel worthless.” What is the nurse’s best response?
A) “You’ll feel better soon.”
B) “Can you tell me more?”
C) “That’s not true.”
D) “Take your medication.”
B) Can you tell me more?
Rationale: Open-ended questions encourage expression and assessment.
Question 9: A postoperative patient has a temperature of 100.4°F (38°C). What
should the nurse do?
A) Administer antibiotics
B) Notify the surgeon
C) Increase fluid intake
D) Apply a heating pad
B) Notify the surgeon
Rationale: A fever may indicate infection requiring medical evaluation.
Question 10: A patient with heart failure has dyspnea. What position is best?
A) Supine
B) Semi-Fowler’s
C) Prone
D) Trendelenburg
B) Semi-Fowler’s
Rationale: Elevating the head eases breathing by reducing lung congestion.
Question 11: A newborn has a heart rate of 90 bpm. What is the nurse’s priority?
A) Initiate CPR
B) Recheck in 5 minutes
C) Notify the provider
D) Warm the infant
C) Notify the provider
Rationale: A heart rate <100 bpm requires immediate medical assessment.
Question 12: A patient is prescribed morphine 2 mg IV for pain. What should the
nurse monitor?
A) Blood pressure
B) Urine output
C) Liver enzymes
D) Blood glucose
A) Blood pressure
Rationale: Morphine can cause hypotension as a side effect.
Question 13: A patient with depression is withdrawn. What is the best
intervention?
A) Encourage group therapy
B) Isolate for rest
C) Administer sedatives
