PN HESI EXIT REAL EXAM TEST BANK 2026/2027 | Exam
Questions and 100% Correct Answers | HESI PN Exit Exam
Prep | Best for Exam Preparation | Pass Guaranteed - A+
Graded
CLIENT NEEDS CATEGORY 1: SAFE AND EFFECTIVE CARE ENVIRONMENT
(36 Questions)
Management of Care (22 Questions)
Stand-Alone Questions
Q1: The LPN is working on a medical-surgical unit. Which task is most appropriate for
the LPN to delegate to an unlicensed assistive personnel (UAP)?
● A. Performing a sterile dressing change on a patient with a stage 2 pressure ulcer
● B. Assessing a newly admitted patient with chest pain
● C. Obtaining vital signs on a patient who is 2 days post-op and stable
● D. Administering oral medications to a patient with pneumonia
Correct Answer: C
Rationale: The LPN may delegate obtaining vital signs on a stable patient to the UAP.
This task falls within the scope of UAP practice as it involves routine care for a stable
patient without complex needs. Option A is incorrect because sterile dressing changes
require sterile technique and clinical judgment that exceed UAP scope. Option B is
incorrect because initial assessments cannot be delegated; they require nursing
judgment to identify potential complications. Option D is incorrect because medication
administration is outside UAP scope of practice and requires a licensed nurse. The five
rights of delegation (right task, right circumstance, right person, right
direction/communication, right supervision/evaluation) support this decision.
,Q2: An LPN is supervising a UAP who reports that a patient with diabetes has a blood
glucose of 45 mg/dL. The patient is alert and cooperative. What is the priority action for
the LPN?
● A. Instruct the UAP to give the patient 4 oz of orange juice
● B. Assess the patient immediately and verify the blood glucose reading
● C. Call the physician to report the hypoglycemia
● D. Document the finding in the patient's medical record
Correct Answer: B
Rationale: Assessment is the first step in the nursing process and must precede
intervention. The LPN must verify the blood glucose reading and assess the patient to
confirm hypoglycemia and determine severity before implementing treatment. While
Option A (giving orange juice) would be appropriate treatment for confirmed mild
hypoglycemia, assessment comes first. Option C is premature without first assessing
the patient and implementing immediate interventions per protocol. Option D is
incorrect because documentation occurs after assessment and intervention. This
follows the priority framework of assessing before acting and ensures patient safety
through verification.
Q3: Which statement by a newly hired LPN indicates understanding of delegation
principles?
● A. "I can delegate patient education about wound care to the UAP if I provide
written instructions."
● B. "I should delegate tasks based on the UAP's job description and demonstrated
competence."
● C. "As an LPN, I can delegate the initial nursing assessment to experienced
UAPs."
● D. "I can ask the UAP to administer oral medications if the RN is busy."
Correct Answer: B
,Rationale: Delegation must consider the UAP's job description, training, and
demonstrated competence—this is the "right person" component of the five rights of
delegation. Option A is incorrect because patient education requires nursing knowledge
and judgment; it cannot be delegated to UAPs regardless of written materials provided.
Option C is incorrect because initial assessments require nursing judgment to identify
patient needs and potential complications; they cannot be delegated to UAPs. Option D
is incorrect because medication administration is outside UAP scope of practice in all
states and is a licensed nursing function. The LPN must work within their scope and
understand that delegation does not eliminate accountability for patient outcomes.
Q4: The charge nurse is making assignments for the shift. Which patient assignment is
most appropriate for the LPN?
● A. A patient admitted 2 hours ago with acute chest pain requiring continuous
cardiac monitoring
● B. A patient with stable heart failure who needs routine medications and wound
care
● C. A patient newly diagnosed with diabetes requiring extensive discharge
teaching
● D. A patient with a new tracheostomy requiring initial suctioning technique
instruction
Correct Answer: B
Rationale: LPNs are educated to care for stable patients with predictable outcomes. The
patient with stable heart failure who needs routine medications and wound care fits
within LPN scope, as these are skills taught in practical nursing programs. Option A is
inappropriate because patients with acute chest pain require complex assessment,
continuous monitoring, and nursing judgment beyond LPN scope in most states. Option
C is inappropriate because discharge planning and comprehensive patient education
require RN-level assessment and planning. Option D is inappropriate because initial
teaching and complex airway management require RN assessment and teaching skills.
, The LPN can reinforce teaching but should not provide initial instruction for new
tracheostomy care.
Q5: Which task can the LPN appropriately delegate to a UAP caring for a patient with a
urinary catheter?
● A. Assessing urine color and clarity and documenting findings
● B. Emptying the catheter drainage bag and recording output
● C. Identifying signs of urinary tract infection and reporting to the nurse
● D. Irrigating the catheter per physician order
Correct Answer: B
Rationale: Emptying the catheter drainage bag and recording output is a routine task
that UAPs are trained to perform. This involves measurement and documentation of
objective data without requiring nursing judgment. Option A requires assessment skills
to interpret normal versus abnormal findings. Option C requires clinical judgment to
recognize signs of infection, which is outside UAP scope. Option D involves sterile
technique and clinical decision-making that exceeds UAP training and scope. The LPN
remains responsible for supervising the UAP and evaluating the outcomes of delegated
tasks.
Q6: An LPN is working under the supervision of an RN. Which action requires the LPN to
seek guidance from the supervising RN?
● A. Administering a scheduled oral antibiotic to a stable patient
● B. Noting that a patient's blood pressure is 20 mmHg lower than the previous
reading
● C. Providing perineal care to an incontinent patient
● D. Documenting intake and output on a patient with heart failure
Correct Answer: B
Questions and 100% Correct Answers | HESI PN Exit Exam
Prep | Best for Exam Preparation | Pass Guaranteed - A+
Graded
CLIENT NEEDS CATEGORY 1: SAFE AND EFFECTIVE CARE ENVIRONMENT
(36 Questions)
Management of Care (22 Questions)
Stand-Alone Questions
Q1: The LPN is working on a medical-surgical unit. Which task is most appropriate for
the LPN to delegate to an unlicensed assistive personnel (UAP)?
● A. Performing a sterile dressing change on a patient with a stage 2 pressure ulcer
● B. Assessing a newly admitted patient with chest pain
● C. Obtaining vital signs on a patient who is 2 days post-op and stable
● D. Administering oral medications to a patient with pneumonia
Correct Answer: C
Rationale: The LPN may delegate obtaining vital signs on a stable patient to the UAP.
This task falls within the scope of UAP practice as it involves routine care for a stable
patient without complex needs. Option A is incorrect because sterile dressing changes
require sterile technique and clinical judgment that exceed UAP scope. Option B is
incorrect because initial assessments cannot be delegated; they require nursing
judgment to identify potential complications. Option D is incorrect because medication
administration is outside UAP scope of practice and requires a licensed nurse. The five
rights of delegation (right task, right circumstance, right person, right
direction/communication, right supervision/evaluation) support this decision.
,Q2: An LPN is supervising a UAP who reports that a patient with diabetes has a blood
glucose of 45 mg/dL. The patient is alert and cooperative. What is the priority action for
the LPN?
● A. Instruct the UAP to give the patient 4 oz of orange juice
● B. Assess the patient immediately and verify the blood glucose reading
● C. Call the physician to report the hypoglycemia
● D. Document the finding in the patient's medical record
Correct Answer: B
Rationale: Assessment is the first step in the nursing process and must precede
intervention. The LPN must verify the blood glucose reading and assess the patient to
confirm hypoglycemia and determine severity before implementing treatment. While
Option A (giving orange juice) would be appropriate treatment for confirmed mild
hypoglycemia, assessment comes first. Option C is premature without first assessing
the patient and implementing immediate interventions per protocol. Option D is
incorrect because documentation occurs after assessment and intervention. This
follows the priority framework of assessing before acting and ensures patient safety
through verification.
Q3: Which statement by a newly hired LPN indicates understanding of delegation
principles?
● A. "I can delegate patient education about wound care to the UAP if I provide
written instructions."
● B. "I should delegate tasks based on the UAP's job description and demonstrated
competence."
● C. "As an LPN, I can delegate the initial nursing assessment to experienced
UAPs."
● D. "I can ask the UAP to administer oral medications if the RN is busy."
Correct Answer: B
,Rationale: Delegation must consider the UAP's job description, training, and
demonstrated competence—this is the "right person" component of the five rights of
delegation. Option A is incorrect because patient education requires nursing knowledge
and judgment; it cannot be delegated to UAPs regardless of written materials provided.
Option C is incorrect because initial assessments require nursing judgment to identify
patient needs and potential complications; they cannot be delegated to UAPs. Option D
is incorrect because medication administration is outside UAP scope of practice in all
states and is a licensed nursing function. The LPN must work within their scope and
understand that delegation does not eliminate accountability for patient outcomes.
Q4: The charge nurse is making assignments for the shift. Which patient assignment is
most appropriate for the LPN?
● A. A patient admitted 2 hours ago with acute chest pain requiring continuous
cardiac monitoring
● B. A patient with stable heart failure who needs routine medications and wound
care
● C. A patient newly diagnosed with diabetes requiring extensive discharge
teaching
● D. A patient with a new tracheostomy requiring initial suctioning technique
instruction
Correct Answer: B
Rationale: LPNs are educated to care for stable patients with predictable outcomes. The
patient with stable heart failure who needs routine medications and wound care fits
within LPN scope, as these are skills taught in practical nursing programs. Option A is
inappropriate because patients with acute chest pain require complex assessment,
continuous monitoring, and nursing judgment beyond LPN scope in most states. Option
C is inappropriate because discharge planning and comprehensive patient education
require RN-level assessment and planning. Option D is inappropriate because initial
teaching and complex airway management require RN assessment and teaching skills.
, The LPN can reinforce teaching but should not provide initial instruction for new
tracheostomy care.
Q5: Which task can the LPN appropriately delegate to a UAP caring for a patient with a
urinary catheter?
● A. Assessing urine color and clarity and documenting findings
● B. Emptying the catheter drainage bag and recording output
● C. Identifying signs of urinary tract infection and reporting to the nurse
● D. Irrigating the catheter per physician order
Correct Answer: B
Rationale: Emptying the catheter drainage bag and recording output is a routine task
that UAPs are trained to perform. This involves measurement and documentation of
objective data without requiring nursing judgment. Option A requires assessment skills
to interpret normal versus abnormal findings. Option C requires clinical judgment to
recognize signs of infection, which is outside UAP scope. Option D involves sterile
technique and clinical decision-making that exceeds UAP training and scope. The LPN
remains responsible for supervising the UAP and evaluating the outcomes of delegated
tasks.
Q6: An LPN is working under the supervision of an RN. Which action requires the LPN to
seek guidance from the supervising RN?
● A. Administering a scheduled oral antibiotic to a stable patient
● B. Noting that a patient's blood pressure is 20 mmHg lower than the previous
reading
● C. Providing perineal care to an incontinent patient
● D. Documenting intake and output on a patient with heart failure
Correct Answer: B
