,HESI PN Exit Exam (Comprehensive) Questions And Answers |
Nursing | 2026/2027
1.** The PN is working on a medical-surgical unit under the supervision of an
RN. Which task is within the PN's scope of practice?
A) Developing the initial nursing care plan for a newly admitted patient
B) Administering oral medications to stable patients with predictable
outcomes
C) Performing a comprehensive admission assessment
D) Evaluating the effectiveness of nursing interventions
**Correct Answer:** B) Administering oral medications to stable patients with
predictable outcomes
**Rationale:** PNs are licensed to administer medications to stable patients
with predictable outcomes. Comprehensive assessment, care plan
development, and evaluation are RN responsibilities. PNs practice under the
supervision of an RN or provider.
---
**2.** A charge nurse is assigning patient care for the shift. Which patient
should be assigned to the PN?
A) A patient requiring complex wound care with multiple medications
B) A patient with a new tracheostomy and unstable respiratory status
C) A stable patient requiring routine vital signs and medication
administration
D) A patient being admitted with a new diagnosis of heart failure
,**Correct Answer:** C) A stable patient requiring routine vital signs and
medication administration
**Rationale:** PNs are appropriate for stable patients with predictable
outcomes. Unstable patients, new admissions, and complex conditions
require RN assessment and management.
---
**3.** The PN is providing a handoff report using the SBAR communication
tool. Which statement is an example of the "Situation" component?
A) "The patient is a 65-year-old male admitted 3 days ago with pneumonia."
B) "The patient's oxygen saturation is 88% on room air, and he is short of
breath."
C) "I recommend that the provider be notified."
D) "The patient was started on IV antibiotics upon admission."
**Correct Answer:** B) "The patient's oxygen saturation is 88% on room air,
and he is short of breath."
**Rationale:** In SBAR, the Situation component describes what is happening
now, including the patient's current clinical status and the reason for the
communication. Background provides history; Assessment provides clinical
judgment; Recommendation states what is needed.
---
**4.** The PN is assisting with discharge planning for a patient. Which action
demonstrates appropriate collaboration with the healthcare team?
, A) Making independent decisions about discharge without consulting the RN
B) Communicating the patient's concerns to the RN and social worker
C) Discharging the patient without a provider's order
D) Providing discharge instructions without verifying the patient's
understanding
**Correct Answer:** B) Communicating the patient's concerns to the RN and
social worker
**Rationale:** Coordinated Care involves collaborating within the care team
under an RN or provider's direction. The PN should communicate patient
concerns to the appropriate team members.
---
**5.** The PN is documenting in a patient's medical record. Which
documentation practice is correct?
A) Documenting interventions before they are completed
B) Using vague terms such as "patient seems better"
C) Documenting in a timely manner with objective, factual information
D) Documenting only abnormal findings
**Correct Answer:** C) Documenting in a timely manner with objective,
factual information
Nursing | 2026/2027
1.** The PN is working on a medical-surgical unit under the supervision of an
RN. Which task is within the PN's scope of practice?
A) Developing the initial nursing care plan for a newly admitted patient
B) Administering oral medications to stable patients with predictable
outcomes
C) Performing a comprehensive admission assessment
D) Evaluating the effectiveness of nursing interventions
**Correct Answer:** B) Administering oral medications to stable patients with
predictable outcomes
**Rationale:** PNs are licensed to administer medications to stable patients
with predictable outcomes. Comprehensive assessment, care plan
development, and evaluation are RN responsibilities. PNs practice under the
supervision of an RN or provider.
---
**2.** A charge nurse is assigning patient care for the shift. Which patient
should be assigned to the PN?
A) A patient requiring complex wound care with multiple medications
B) A patient with a new tracheostomy and unstable respiratory status
C) A stable patient requiring routine vital signs and medication
administration
D) A patient being admitted with a new diagnosis of heart failure
,**Correct Answer:** C) A stable patient requiring routine vital signs and
medication administration
**Rationale:** PNs are appropriate for stable patients with predictable
outcomes. Unstable patients, new admissions, and complex conditions
require RN assessment and management.
---
**3.** The PN is providing a handoff report using the SBAR communication
tool. Which statement is an example of the "Situation" component?
A) "The patient is a 65-year-old male admitted 3 days ago with pneumonia."
B) "The patient's oxygen saturation is 88% on room air, and he is short of
breath."
C) "I recommend that the provider be notified."
D) "The patient was started on IV antibiotics upon admission."
**Correct Answer:** B) "The patient's oxygen saturation is 88% on room air,
and he is short of breath."
**Rationale:** In SBAR, the Situation component describes what is happening
now, including the patient's current clinical status and the reason for the
communication. Background provides history; Assessment provides clinical
judgment; Recommendation states what is needed.
---
**4.** The PN is assisting with discharge planning for a patient. Which action
demonstrates appropriate collaboration with the healthcare team?
, A) Making independent decisions about discharge without consulting the RN
B) Communicating the patient's concerns to the RN and social worker
C) Discharging the patient without a provider's order
D) Providing discharge instructions without verifying the patient's
understanding
**Correct Answer:** B) Communicating the patient's concerns to the RN and
social worker
**Rationale:** Coordinated Care involves collaborating within the care team
under an RN or provider's direction. The PN should communicate patient
concerns to the appropriate team members.
---
**5.** The PN is documenting in a patient's medical record. Which
documentation practice is correct?
A) Documenting interventions before they are completed
B) Using vague terms such as "patient seems better"
C) Documenting in a timely manner with objective, factual information
D) Documenting only abnormal findings
**Correct Answer:** C) Documenting in a timely manner with objective,
factual information
