PN HESI EXIT EXAM 2026 | HESI PN EXIT
EXAM WITH NGN ACTUAL EXAM COMPLETE
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS LATEST 2026/2027, ALREADY
GRADED A+ (HESI PN EXIT EXAM)
QUESTION 1
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. "You can always wear clothing to cover the scar."
• B. "I know you are frightened about how you will appear later."
• C. "Tell me more about your concerns regarding an abdominal scar."
• D. "I have heard that rubbing cocoa butter on the scar helps it fade away."
Answer: C
Rationale: The best response is C because it uses an open-ended statement to
explore the client’s specific concerns, promoting therapeutic communication.
Option A dismisses the concern. Option B assumes the client’s emotion
(frightened) without validation. Option D offers unsubstantiated advice.
QUESTION 2
The practical nurse (PN) is caring for a 17-year-old client who fell 20 feet while
climbing the side of a cliff and has been in a sustained vegetative state for 5
months since the accident. Which intervention should the PN implement?
• A. Inquire about food allergies and food likes and dislikes.
• B. Monitor vital signs and neurological status every 2 hours.
• C. Talk directly to the adolescent while providing care.
, • D. Initiate open communication with the teen’s parents.
Answer: C
Rationale: Even in a sustained vegetative state, clients may have some
awareness. C (talking directly to the adolescent) promotes dignity and may
stimulate neurological function. A and D are less direct. B is routine but not the
priority intervention for this specific situation.
QUESTION 3
The practical nurse (PN) is assisting with the development of a plan of care for an
older adult client who reports blurred vision and who is newly diagnosed with type
2 diabetes (DM). Which outcome should the PN include in the plan of care?
*Reference Ranges: Glycosylated hemoglobin (A1C) [4% to 5.9%]; Fasting Blood
Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]*
• A. The client's fasting glucose reading will be greater than 140 mg/dL (8
mmol/L) every day.
• B. The client will express acceptance of their newly diagnosed health status.
• C. The client's hemoglobin A1C will be less than 7.0% in 3 months.
• D. The PN will reinforce with the client on how to perform stress
management techniques.
Answer: C
Rationale: A measurable, realistic glycemic goal for older adults with diabetes is
an A1C < 7.0% (C). Option A is hyperglycemic and harmful. B is psychosocial
but not a measurable outcome for diabetes management. D is an intervention, not
an outcome.
QUESTION 4
At 39 weeks gestation, a client is admitted in early labor. During the focused
assessment, the practical nurse (PN) reviews the obstetrical history with the client
who reports that she has been pregnant five times but has only two living children,
both of whom were full term. The other three pregnancies were miscarriages in the
,first trimester. Which parity should the PN document for term, premature, abortion,
and living children (TPAL) for this client?
• A. Term 2, Premature 1, Abortion 0, Living 3.
• B. Term 3, Premature 0, Abortion 3, Living 2.
• C. Term 2, Premature 3, Abortion 3, Living 2.
• D. Term 6, Premature 3, Abortion 3, Living 2.
Answer: B
Rationale: TPAL: Term deliveries = 2 living full-term children + current
pregnancy at 39 weeks (counts as term if delivered now) = 3. Premature = 0.
Abortions = 3. Living = 2. B is correct.
QUESTION 5
The home health practical nurse (PN) visits a young male client with AIDS who
has Kaposi's sarcoma and peripheral neuropathies. His parents, who provide care
for the client, state that their son sleeps most of the time. The PN observes the
client is semi-conscious with stable vital signs and cries out in pain when turned or
moved. A fentanyl patch is in place and skin lesions are closed and dried. Which
intervention should the PN implement?
• A. Call for ambulance transportation to the hospital immediately.
• B. Give a complete bed bath to further assess the client.
• C. Discuss end-of-life decisions with the client's parents.
• D. Remove the fentanyl patch as directed by prescription.
Answer: C
Rationale: The client is semi-conscious, in pain, and has advanced
AIDS. C (discuss end-of-life decisions) is appropriate to address goals of care and
comfort. A is not emergent. B would cause unnecessary pain. D is not indicated
without evidence of opioid toxicity.
QUESTION 6
, Twenty-four hours after receiving a telephone prescription for a client's
medication, the practical nurse (PN) observes that the prescription has not been
signed by the prescriber, which conflicts with agency policy. Which action should
the PN take?
• A. Hold the next dose of medication and assess the client.
• B. Continue to administer the medication as initially prescribed.
• C. Contact the prescriber for a renewal of the prescription.
• D. Discontinue the medication immediately.
Answer: C
Rationale: The PN should contact the prescriber (C) to obtain a signed order per
policy. Holding (A) or discontinuing (D) may harm the client. Continuing (B)
violates policy.
QUESTION 7
An older adult female resident of a long-term care facility experiences frequent
episodes of urinary incontinence. Which focused assessment is most important for
the practical nurse (PN) to perform regularly in response to the resident’s
incontinence?
• A. Ability to perform Kegel exercises.
• B. Fluctuations in the body weight.
• C. Appearance of skin in perineal area.
• D. Sleep and rest patterns and routines.
Answer: C
Rationale: Frequent incontinence increases risk of skin breakdown and
infection. C (skin appearance in perineal area) is the most important to prevent
pressure injuries. A, B, and D are less directly related.
QUESTION 8
EXAM WITH NGN ACTUAL EXAM COMPLETE
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS LATEST 2026/2027, ALREADY
GRADED A+ (HESI PN EXIT EXAM)
QUESTION 1
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. "You can always wear clothing to cover the scar."
• B. "I know you are frightened about how you will appear later."
• C. "Tell me more about your concerns regarding an abdominal scar."
• D. "I have heard that rubbing cocoa butter on the scar helps it fade away."
Answer: C
Rationale: The best response is C because it uses an open-ended statement to
explore the client’s specific concerns, promoting therapeutic communication.
Option A dismisses the concern. Option B assumes the client’s emotion
(frightened) without validation. Option D offers unsubstantiated advice.
QUESTION 2
The practical nurse (PN) is caring for a 17-year-old client who fell 20 feet while
climbing the side of a cliff and has been in a sustained vegetative state for 5
months since the accident. Which intervention should the PN implement?
• A. Inquire about food allergies and food likes and dislikes.
• B. Monitor vital signs and neurological status every 2 hours.
• C. Talk directly to the adolescent while providing care.
, • D. Initiate open communication with the teen’s parents.
Answer: C
Rationale: Even in a sustained vegetative state, clients may have some
awareness. C (talking directly to the adolescent) promotes dignity and may
stimulate neurological function. A and D are less direct. B is routine but not the
priority intervention for this specific situation.
QUESTION 3
The practical nurse (PN) is assisting with the development of a plan of care for an
older adult client who reports blurred vision and who is newly diagnosed with type
2 diabetes (DM). Which outcome should the PN include in the plan of care?
*Reference Ranges: Glycosylated hemoglobin (A1C) [4% to 5.9%]; Fasting Blood
Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]*
• A. The client's fasting glucose reading will be greater than 140 mg/dL (8
mmol/L) every day.
• B. The client will express acceptance of their newly diagnosed health status.
• C. The client's hemoglobin A1C will be less than 7.0% in 3 months.
• D. The PN will reinforce with the client on how to perform stress
management techniques.
Answer: C
Rationale: A measurable, realistic glycemic goal for older adults with diabetes is
an A1C < 7.0% (C). Option A is hyperglycemic and harmful. B is psychosocial
but not a measurable outcome for diabetes management. D is an intervention, not
an outcome.
QUESTION 4
At 39 weeks gestation, a client is admitted in early labor. During the focused
assessment, the practical nurse (PN) reviews the obstetrical history with the client
who reports that she has been pregnant five times but has only two living children,
both of whom were full term. The other three pregnancies were miscarriages in the
,first trimester. Which parity should the PN document for term, premature, abortion,
and living children (TPAL) for this client?
• A. Term 2, Premature 1, Abortion 0, Living 3.
• B. Term 3, Premature 0, Abortion 3, Living 2.
• C. Term 2, Premature 3, Abortion 3, Living 2.
• D. Term 6, Premature 3, Abortion 3, Living 2.
Answer: B
Rationale: TPAL: Term deliveries = 2 living full-term children + current
pregnancy at 39 weeks (counts as term if delivered now) = 3. Premature = 0.
Abortions = 3. Living = 2. B is correct.
QUESTION 5
The home health practical nurse (PN) visits a young male client with AIDS who
has Kaposi's sarcoma and peripheral neuropathies. His parents, who provide care
for the client, state that their son sleeps most of the time. The PN observes the
client is semi-conscious with stable vital signs and cries out in pain when turned or
moved. A fentanyl patch is in place and skin lesions are closed and dried. Which
intervention should the PN implement?
• A. Call for ambulance transportation to the hospital immediately.
• B. Give a complete bed bath to further assess the client.
• C. Discuss end-of-life decisions with the client's parents.
• D. Remove the fentanyl patch as directed by prescription.
Answer: C
Rationale: The client is semi-conscious, in pain, and has advanced
AIDS. C (discuss end-of-life decisions) is appropriate to address goals of care and
comfort. A is not emergent. B would cause unnecessary pain. D is not indicated
without evidence of opioid toxicity.
QUESTION 6
, Twenty-four hours after receiving a telephone prescription for a client's
medication, the practical nurse (PN) observes that the prescription has not been
signed by the prescriber, which conflicts with agency policy. Which action should
the PN take?
• A. Hold the next dose of medication and assess the client.
• B. Continue to administer the medication as initially prescribed.
• C. Contact the prescriber for a renewal of the prescription.
• D. Discontinue the medication immediately.
Answer: C
Rationale: The PN should contact the prescriber (C) to obtain a signed order per
policy. Holding (A) or discontinuing (D) may harm the client. Continuing (B)
violates policy.
QUESTION 7
An older adult female resident of a long-term care facility experiences frequent
episodes of urinary incontinence. Which focused assessment is most important for
the practical nurse (PN) to perform regularly in response to the resident’s
incontinence?
• A. Ability to perform Kegel exercises.
• B. Fluctuations in the body weight.
• C. Appearance of skin in perineal area.
• D. Sleep and rest patterns and routines.
Answer: C
Rationale: Frequent incontinence increases risk of skin breakdown and
infection. C (skin appearance in perineal area) is the most important to prevent
pressure injuries. A, B, and D are less directly related.
QUESTION 8
