HESI Exit PN Final V2 Exam 2026/2027 Actual Exam
| Complete Questions & 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 Pharmacological Therapies | Q31 –
Q40
Section 5 | Physiological Integrity – Reduction of Risk and Physiological Adaptation |
Q41 – Q50
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
══════════════════════════════════════
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 78-year-old client with Parkinson disease is admitted to a long-term care facility.
During the initial safety assessment, the practical nurse observes the client shuffling
with a stooped posture and a narrow base of support. The practical nurse should
prioritize which intervention to reduce the risk of falls?
A. Instruct the client to use a walker at all times, including in the room
B. Place a gait belt on the client before every transfer and ambulation
C. Encourage the client to take large steps and swing both arms while walking
D. Keep the bed in the lowest position with all side rails raised at night
Correct Answer: B
,Rationale: A gait belt provides the practical nurse with a secure handhold to steady the
client during transfers and ambulation, which directly addresses the postural instability
and festinating gait seen in Parkinson disease. Encouraging large steps and arm
swinging is unrealistic for this client because rigidity and bradykinesia prevent that
movement pattern. In practice, the gait belt also protects the practical nurse from injury
while assisting a client with poor balance.
Question 2 of 50
The charge nurse on a medical-surgical unit asks the practical nurse to assist with
morning assignments. Which task is most appropriate for the practical nurse to accept
within the scope of practice?
A. Initiate the discharge teaching plan for a client going home on warfarin
B. Administer the first dose of a newly prescribed oral antibiotic to a stable client
C. Evaluate the effectiveness of a client's pain medication from the previous shift
D. Develop the plan of care for a client admitted with community-acquired pneumonia
Correct Answer: B
Rationale: Administering an oral medication to a stable client whose condition and
orders have already been assessed by the RN falls within the standard scope of practice
for a practical nurse. Developing plans of care, evaluating medication effectiveness, and
initiating discharge teaching that requires complex clinical judgment are responsibilities
that belong to the registered nurse. Practical nurses should always verify that the task is
within their state scope and facility policy before accepting it.
Question 3 of 50
A client in a skilled nursing facility has a prescription for enteral feedings through a
gastrostomy tube. The practical nurse enters the room and notices the feeding bag has
been disconnected and is lying on the over-bed table. The practical nurse's first action
should be to:
,A. Flush the tube with 30 mL of sterile water and reconnect the bag
B. Check the expiration time on the formula and verify the tube placement
C. Don clean gloves and wipe the distal end of the tubing with an alcohol swab
D. Discard the remaining formula and obtain a new feeding bag from the supply room
Correct Answer: C
Rationale: Because the distal end of the tubing has been exposed to the environment,
the practical nurse must first don clean gloves and clean the connector to prevent
introducing pathogens into the enteral system. Flushing or reconnecting without
cleaning first risks contaminating the tube and the client's gastrointestinal tract. Once
the end is cleaned, the practical nurse should verify placement and check the formula
per protocol, but infection control takes priority in this immediate situation.
Question 4 of 50
During a fire drill on a dementia unit, the practical nurse smells smoke coming from a
client's room. The practical nurse sees flames near the wastebasket and the client is
sitting in a chair across the room. According to standard fire safety protocol, the
practical nurse should:
A. Close the door to the room, pull the nearest fire alarm, and then move the client to
safety
B. Activate the overhead fire alarm first, then use a fire extinguisher on the base of the
flames
C. Move the client out of the room immediately, then return to fight the fire with a
blanket
D. Call the nursing station for help while attempting to smother the flames with a wet
towel
Correct Answer: A
Rationale: The RACE acronym for fire safety prioritizes Rescue of any person in
immediate danger first, but since the client is across the room and not in the direct path,
the practical nurse should quickly confine the fire by closing the door, then Activate the
, alarm, and finally Extinguish only if the fire is small and contained. Moving the client
without closing the door first allows smoke and fire to spread into the corridor,
endangering other residents. Practical nurses are trained to prioritize containment and
alarm activation before attempting extinguishment.
Question 5 of 50
A practical nurse is caring for a client who has just returned to the unit after an
above-the-knee amputation. The client is drowsy but responsive. The practical nurse
reviews the postoperative orders and notes a prescription for an elastic shrinker
bandage. Before applying the shrinker, the practical nurse should:
A. Elevate the residual limb on one pillow and apply the bandage distal to proximal
B. Assess the residual limb for drainage, skin integrity, and signs of hemorrhage
C. Wrap the bandage in a circular pattern with the most pressure applied at the knee
D. Place the bandage loosely enough to allow two fingers to slide underneath easily
Correct Answer: B
Rationale: A baseline assessment of the residual limb for bleeding, tissue viability, and
skin integrity must be completed before any compression device is applied, because a
shrinker could mask hemorrhage or compromise circulation if applied over damaged
tissue. Wrapping with the most pressure at the knee is incorrect because the greatest
pressure should be at the distal end to promote venous return. The practical nurse
should always inspect the surgical site first and document findings before proceeding
with the ordered intervention.
Question 6 of 50
The practical nurse is preparing to administer a scheduled 0900 dose of insulin to a
client with type 2 diabetes. The client states, "I am not eating breakfast this morning
because I have a gastrointestinal procedure at noon." The practical nurse should:
| Complete Questions & 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 Pharmacological Therapies | Q31 –
Q40
Section 5 | Physiological Integrity – Reduction of Risk and Physiological Adaptation |
Q41 – Q50
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
══════════════════════════════════════
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 78-year-old client with Parkinson disease is admitted to a long-term care facility.
During the initial safety assessment, the practical nurse observes the client shuffling
with a stooped posture and a narrow base of support. The practical nurse should
prioritize which intervention to reduce the risk of falls?
A. Instruct the client to use a walker at all times, including in the room
B. Place a gait belt on the client before every transfer and ambulation
C. Encourage the client to take large steps and swing both arms while walking
D. Keep the bed in the lowest position with all side rails raised at night
Correct Answer: B
,Rationale: A gait belt provides the practical nurse with a secure handhold to steady the
client during transfers and ambulation, which directly addresses the postural instability
and festinating gait seen in Parkinson disease. Encouraging large steps and arm
swinging is unrealistic for this client because rigidity and bradykinesia prevent that
movement pattern. In practice, the gait belt also protects the practical nurse from injury
while assisting a client with poor balance.
Question 2 of 50
The charge nurse on a medical-surgical unit asks the practical nurse to assist with
morning assignments. Which task is most appropriate for the practical nurse to accept
within the scope of practice?
A. Initiate the discharge teaching plan for a client going home on warfarin
B. Administer the first dose of a newly prescribed oral antibiotic to a stable client
C. Evaluate the effectiveness of a client's pain medication from the previous shift
D. Develop the plan of care for a client admitted with community-acquired pneumonia
Correct Answer: B
Rationale: Administering an oral medication to a stable client whose condition and
orders have already been assessed by the RN falls within the standard scope of practice
for a practical nurse. Developing plans of care, evaluating medication effectiveness, and
initiating discharge teaching that requires complex clinical judgment are responsibilities
that belong to the registered nurse. Practical nurses should always verify that the task is
within their state scope and facility policy before accepting it.
Question 3 of 50
A client in a skilled nursing facility has a prescription for enteral feedings through a
gastrostomy tube. The practical nurse enters the room and notices the feeding bag has
been disconnected and is lying on the over-bed table. The practical nurse's first action
should be to:
,A. Flush the tube with 30 mL of sterile water and reconnect the bag
B. Check the expiration time on the formula and verify the tube placement
C. Don clean gloves and wipe the distal end of the tubing with an alcohol swab
D. Discard the remaining formula and obtain a new feeding bag from the supply room
Correct Answer: C
Rationale: Because the distal end of the tubing has been exposed to the environment,
the practical nurse must first don clean gloves and clean the connector to prevent
introducing pathogens into the enteral system. Flushing or reconnecting without
cleaning first risks contaminating the tube and the client's gastrointestinal tract. Once
the end is cleaned, the practical nurse should verify placement and check the formula
per protocol, but infection control takes priority in this immediate situation.
Question 4 of 50
During a fire drill on a dementia unit, the practical nurse smells smoke coming from a
client's room. The practical nurse sees flames near the wastebasket and the client is
sitting in a chair across the room. According to standard fire safety protocol, the
practical nurse should:
A. Close the door to the room, pull the nearest fire alarm, and then move the client to
safety
B. Activate the overhead fire alarm first, then use a fire extinguisher on the base of the
flames
C. Move the client out of the room immediately, then return to fight the fire with a
blanket
D. Call the nursing station for help while attempting to smother the flames with a wet
towel
Correct Answer: A
Rationale: The RACE acronym for fire safety prioritizes Rescue of any person in
immediate danger first, but since the client is across the room and not in the direct path,
the practical nurse should quickly confine the fire by closing the door, then Activate the
, alarm, and finally Extinguish only if the fire is small and contained. Moving the client
without closing the door first allows smoke and fire to spread into the corridor,
endangering other residents. Practical nurses are trained to prioritize containment and
alarm activation before attempting extinguishment.
Question 5 of 50
A practical nurse is caring for a client who has just returned to the unit after an
above-the-knee amputation. The client is drowsy but responsive. The practical nurse
reviews the postoperative orders and notes a prescription for an elastic shrinker
bandage. Before applying the shrinker, the practical nurse should:
A. Elevate the residual limb on one pillow and apply the bandage distal to proximal
B. Assess the residual limb for drainage, skin integrity, and signs of hemorrhage
C. Wrap the bandage in a circular pattern with the most pressure applied at the knee
D. Place the bandage loosely enough to allow two fingers to slide underneath easily
Correct Answer: B
Rationale: A baseline assessment of the residual limb for bleeding, tissue viability, and
skin integrity must be completed before any compression device is applied, because a
shrinker could mask hemorrhage or compromise circulation if applied over damaged
tissue. Wrapping with the most pressure at the knee is incorrect because the greatest
pressure should be at the distal end to promote venous return. The practical nurse
should always inspect the surgical site first and document findings before proceeding
with the ordered intervention.
Question 6 of 50
The practical nurse is preparing to administer a scheduled 0900 dose of insulin to a
client with type 2 diabetes. The client states, "I am not eating breakfast this morning
because I have a gastrointestinal procedure at noon." The practical nurse should:
