2026/2027 HESI PN EXIT EXAM Actual
Exam Complete Questions and Answers |
100% Verified Detailed Rationales - Pass
Guaranteed - A+ Graded
TABLE OF CONTENTS
Section 1 | Safe and Effective Care Environment | Q1 – Q10
Section 2 | Health Promotion and Maintenance | Q11 – Q20
Section 3 | Psychosocial Integrity | Q21 – Q30
Section 4 | Physiological Integrity: Basic Care and Comfort | Q31 – Q40
Section 5 | Physiological Integrity: Pharmacological and Parenteral Therapies | Q41 –
Q50
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SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT Q1 – Q10
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Question 1 of 50
A licensed practical nurse is supervising a newly hired nursing assistant who is
preparing to transfer a 78-year-old patient with left-sided weakness from the bed to a
chair. The nursing assistant places the transfer belt around the patient's waist and
positions the wheelchair on the patient's left side. What instruction should the LPN
provide?
A. "Make sure the wheelchair brakes are unlocked before starting the transfer."
B. "Position the wheelchair on the patient's right side to use the stronger extremities." ✓
CORRECT
C. "Lift the patient under the arms to provide better support during the transfer."
,D. "Have the patient lean away from you to maintain balance."
Correct Answer: B
Rationale: Patients with left-sided weakness have stronger right-sided extremities, so
the wheelchair should be positioned on the patient's stronger side to facilitate safe
pivoting and weight-bearing during the transfer. Placing the chair on the weak side
increases fall risk because the patient cannot effectively push off or support their
weight. The wheelchair brakes must be locked, not unlocked, and lifting under the arms
can cause shoulder injury; the patient should lean toward the caregiver, not away.
Question 2 of 50
A practical nurse is reviewing the medication administration record for a patient in a
long-term care facility and notices that a STAT dose of metoprolol was ordered 2 hours
ago but was never given. What is the nurse's priority action?
A. Administer the medication immediately and document the late administration
B. Notify the charge nurse and the prescriber about the missed dose ✓ CORRECT
C. Wait until the next scheduled dose to avoid giving too much medication
D. Ask another nurse to verify that the dose was truly missed
Correct Answer: B
Rationale: A missed STAT order represents a significant medication error that requires
immediate notification of the charge nurse and prescriber to determine whether the
dose is still needed, if parameters have changed, and to initiate the facility's incident
reporting process. Administering without consultation could be harmful if the patient's
condition has changed, and waiting or delaying notification compromises patient safety
and accountability. Documentation of the event and follow-up actions is essential for
quality improvement and legal protection.
Question 3 of 50
,A practical nurse is caring for a patient who has been placed in contact precautions for
methicillin-resistant Staphylococcus aureus (MRSA) wound infection. The nurse
observes a family member entering the room without wearing a gown or gloves. What is
the nurse's appropriate response?
A. Allow the visit to continue since family members are not healthcare workers
B. Instruct the family member to don appropriate PPE before entering or remaining in
the room ✓ CORRECT
C. Ask the family member to leave immediately and reschedule the visit
D. Provide hand sanitizer at the doorway and allow the visit to proceed
Correct Answer: B
Rationale: Contact precautions require gown and gloves for anyone entering the room,
including visitors, to prevent transmission of MRSA through direct contact with the
patient or contaminated surfaces. Allowing entry without PPE violates infection control
protocols and endangers both the visitor and other patients. Hand sanitizer alone is
insufficient for contact precautions, and asking the family member to leave is
unnecessarily punitive when proper education and PPE are available.
Question 4 of 50
A practical nurse is assigned to float to a medical-surgical unit where the nurse has
limited experience. The charge nurse asks the LPN to administer IV push morphine to a
postoperative patient. What is the LPN's most appropriate action?
A. Accept the assignment and administer the medication carefully
B. Decline the task and inform the charge nurse that IV push medications are outside
the LPN scope of practice ✓ CORRECT
C. Ask another nurse to observe while administering the medication
D. Administer the medication slowly over 10 minutes to ensure safety
Correct Answer: B
, Rationale: IV push administration of narcotics is outside the scope of practice for
licensed practical nurses in most jurisdictions and requires RN-level assessment and
intervention; accepting the assignment places the patient at risk and exposes the nurse
to liability. Observation by another nurse does not expand the LPN's legal scope, and
extending the administration time does not change the fundamental scope issue. The
LPN should communicate clearly with the charge nurse and request reassignment of
the task to an RN.
Question 5 of 50
A practical nurse is performing morning assessments on a unit and notices that a
patient's call light has been disconnected from the wall outlet. The patient is alert and
oriented but has limited mobility. What is the nurse's priority intervention?
A. Document the finding and report it at the end of the shift
B. Reconnect the call light and verify the patient can reach it ✓ CORRECT
C. Ask the nursing assistant to check on the patient every 15 minutes
D. Move the patient to a room closer to the nurses' station
Correct Answer: B
Rationale: A disconnected call light represents an immediate safety hazard for a patient
with limited mobility who cannot summon help in an emergency; reconnecting the
device and confirming accessibility restores the patient's ability to communicate needs.
Documentation alone does not address the immediate risk, relying on intermittent
checks is insufficient for emergency situations, and moving the patient is unnecessary
when the equipment can be quickly repaired. This finding should also prompt
investigation into how the disconnection occurred.
Question 6 of 50
Exam Complete Questions and Answers |
100% Verified Detailed Rationales - Pass
Guaranteed - A+ Graded
TABLE OF CONTENTS
Section 1 | Safe and Effective Care Environment | Q1 – Q10
Section 2 | Health Promotion and Maintenance | Q11 – Q20
Section 3 | Psychosocial Integrity | Q21 – Q30
Section 4 | Physiological Integrity: Basic Care and Comfort | Q31 – Q40
Section 5 | Physiological Integrity: Pharmacological and Parenteral Therapies | Q41 –
Q50
══════════════════════════════════════
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A licensed practical nurse is supervising a newly hired nursing assistant who is
preparing to transfer a 78-year-old patient with left-sided weakness from the bed to a
chair. The nursing assistant places the transfer belt around the patient's waist and
positions the wheelchair on the patient's left side. What instruction should the LPN
provide?
A. "Make sure the wheelchair brakes are unlocked before starting the transfer."
B. "Position the wheelchair on the patient's right side to use the stronger extremities." ✓
CORRECT
C. "Lift the patient under the arms to provide better support during the transfer."
,D. "Have the patient lean away from you to maintain balance."
Correct Answer: B
Rationale: Patients with left-sided weakness have stronger right-sided extremities, so
the wheelchair should be positioned on the patient's stronger side to facilitate safe
pivoting and weight-bearing during the transfer. Placing the chair on the weak side
increases fall risk because the patient cannot effectively push off or support their
weight. The wheelchair brakes must be locked, not unlocked, and lifting under the arms
can cause shoulder injury; the patient should lean toward the caregiver, not away.
Question 2 of 50
A practical nurse is reviewing the medication administration record for a patient in a
long-term care facility and notices that a STAT dose of metoprolol was ordered 2 hours
ago but was never given. What is the nurse's priority action?
A. Administer the medication immediately and document the late administration
B. Notify the charge nurse and the prescriber about the missed dose ✓ CORRECT
C. Wait until the next scheduled dose to avoid giving too much medication
D. Ask another nurse to verify that the dose was truly missed
Correct Answer: B
Rationale: A missed STAT order represents a significant medication error that requires
immediate notification of the charge nurse and prescriber to determine whether the
dose is still needed, if parameters have changed, and to initiate the facility's incident
reporting process. Administering without consultation could be harmful if the patient's
condition has changed, and waiting or delaying notification compromises patient safety
and accountability. Documentation of the event and follow-up actions is essential for
quality improvement and legal protection.
Question 3 of 50
,A practical nurse is caring for a patient who has been placed in contact precautions for
methicillin-resistant Staphylococcus aureus (MRSA) wound infection. The nurse
observes a family member entering the room without wearing a gown or gloves. What is
the nurse's appropriate response?
A. Allow the visit to continue since family members are not healthcare workers
B. Instruct the family member to don appropriate PPE before entering or remaining in
the room ✓ CORRECT
C. Ask the family member to leave immediately and reschedule the visit
D. Provide hand sanitizer at the doorway and allow the visit to proceed
Correct Answer: B
Rationale: Contact precautions require gown and gloves for anyone entering the room,
including visitors, to prevent transmission of MRSA through direct contact with the
patient or contaminated surfaces. Allowing entry without PPE violates infection control
protocols and endangers both the visitor and other patients. Hand sanitizer alone is
insufficient for contact precautions, and asking the family member to leave is
unnecessarily punitive when proper education and PPE are available.
Question 4 of 50
A practical nurse is assigned to float to a medical-surgical unit where the nurse has
limited experience. The charge nurse asks the LPN to administer IV push morphine to a
postoperative patient. What is the LPN's most appropriate action?
A. Accept the assignment and administer the medication carefully
B. Decline the task and inform the charge nurse that IV push medications are outside
the LPN scope of practice ✓ CORRECT
C. Ask another nurse to observe while administering the medication
D. Administer the medication slowly over 10 minutes to ensure safety
Correct Answer: B
, Rationale: IV push administration of narcotics is outside the scope of practice for
licensed practical nurses in most jurisdictions and requires RN-level assessment and
intervention; accepting the assignment places the patient at risk and exposes the nurse
to liability. Observation by another nurse does not expand the LPN's legal scope, and
extending the administration time does not change the fundamental scope issue. The
LPN should communicate clearly with the charge nurse and request reassignment of
the task to an RN.
Question 5 of 50
A practical nurse is performing morning assessments on a unit and notices that a
patient's call light has been disconnected from the wall outlet. The patient is alert and
oriented but has limited mobility. What is the nurse's priority intervention?
A. Document the finding and report it at the end of the shift
B. Reconnect the call light and verify the patient can reach it ✓ CORRECT
C. Ask the nursing assistant to check on the patient every 15 minutes
D. Move the patient to a room closer to the nurses' station
Correct Answer: B
Rationale: A disconnected call light represents an immediate safety hazard for a patient
with limited mobility who cannot summon help in an emergency; reconnecting the
device and confirming accessibility restores the patient's ability to communicate needs.
Documentation alone does not address the immediate risk, relying on intermittent
checks is insufficient for emergency situations, and moving the patient is unnecessary
when the equipment can be quickly repaired. This finding should also prompt
investigation into how the disconnection occurred.
Question 6 of 50
