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HESI PN Exit Exam Practice Questions & Answers (2026/2027 Updated) – Practical Nursing Study Material

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This document contains a structured set of practice questions and answers for the HESI PN Exit Exam, updated for 2026/2027. It covers essential practical nursing topics including medical-surgical nursing, pharmacology, maternal-newborn care, pediatrics, mental health nursing, patient safety, and prioritization of care. The material is designed to support NCLEX-PN preparation, reinforce core nursing concepts, and improve readiness for practical nursing exit examinations.

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HESI PN EXIT EXAM PRACTICE QUESTIONS AND
ANSWERS 2026/2027 LATEST UPDATE
Practical nurse (PN)
A nurse who has completed a practical nursing program and is licensed to provide basic nursing
care.
Fluticasone furoate nasal spray
A medication prescribed for allergy symptoms that requires the client to gently blow their nose
before self-administration.
Long-term care facility
A residential facility for individuals who require assistance with daily activities and medical
care.
Pupillary constriction
A potential effect of glaucoma eye drops that places clients at risk for falls.
Medical asepsis
The practice of reducing the number of microorganisms to prevent infection.
Thready pulse volume
A pulse that disappears with light pressure, indicating weak circulation.
Rubra lochia
Bright red vaginal discharge occurring after childbirth, which should not saturate three perineal
pads per hour.
Herpes zoster
A viral infection causing severe burning pain, often treated with prescribed analgesics.
Sterile dressing change
A procedure requiring the opening of gauze pads and placement on a sterile field.
Acute soft tissue injury
An injury such as a muscle strain or sprain that requires immediate intervention.
Personal protective equipment (PPE)
Gear worn to protect against health and safety hazards, which should be removed in a specific
order.
Urinary frequency
The need to assess a client experiencing pale yellow, cloudy urine with a foul odor.
Analgesic
A medication administered to relieve pain, such as for a client with Herpes zoster.
Home visit
A nursing practice where the PN visits a client in their residence to provide care.
Gauze pads
Materials used in dressing changes that must be handled in a sterile manner.
Client's concerns about scarring
An important topic for the PN to address when discussing wound healing.
Vaginal delivery
The process of giving birth through the vaginal canal, relevant for post-delivery assessments.
Cloudy urine
A potential indicator of a urinary tract issue that requires further assessment.

, Foul odor in urine
A symptom that may suggest an infection or other medical condition.
Exit the room and quietly close the door
The appropriate action for a PN upon finding a client in an inappropriate situation.
Microbe removal
The goal of effective handwashing, which involves holding hands lower than the elbows.
Client assessment
The process of evaluating a client's condition and needs, such as urinary symptoms.
Nasal spray administration
A method of delivering medication through the nasal passages, requiring specific preparatory
actions.
Apply ice to the injured site
Apply ice to the injured site at 15-minute intervals for the first 24 hours.
Symptoms of pneumonia
Dyspnea, Lung crackles, Painful cough.
Intervention for newly hired PN
Posting client names and healthcare providers on hospital room doors.
Monitor infant after hip spica cast
Monitor the distal toes every 2 hours for movement, sensation, and circulation.
Bony prominence with erythema risk
Sacrum.
Daily weighing for glomerulonephritis
Weigh the child daily.
Observation of UAPs turning client
The client is told to keep both legs straight and together while turning.
Focused assessment for urinary incontinence
Appearance of skin in perineal area.
Consent form responsibility
Asks if the client understands the exam and why the consent form must be signed.
Responding to client fear about surgery
Tell me what is making you feel afraid.
Postoperative dressing follow-up actions
Compress the drainage device before closing the tab, Report the appearance of the dressing to the
charge nurse.
Intervention for chronic kidney disease
Weigh every morning.
Client's wishes about life-prolonging measures
Notify the client's healthcare provider of the client's wishes as soon as possible.
Urinalysis results indicating problems
Results that should be reported by the PN to the healthcare provider.
Positive for albumin or protein
Indicates problems that should be reported by the PN to the healthcare provider.
Bacteria present
Indicates problems that should be reported by the PN to the healthcare provider.
Large count of red blood cells
Indicates problems that should be reported by the PN to the healthcare provider.

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