HESI PN Exit V2 Exam Practical Nursing
Comprehensive Exit Examination ACTUAL
EXAM 2026/2027 | Practice Test | 150
Questions | Verified Answers | NCLEX-PN
Aligned | Verified Q&A | Pass Guaranteed -
A+ Graded
SAFE AND EFFECTIVE CARE ENVIRONMENT –
COORDINATED CARE (22 questions)
Q1: The charge nurse is making client assignments for the medical-surgical unit. Which client
should be assigned to the most experienced LPN?
● A. A 45-year-old with diabetes requiring insulin administration and dietary teaching
● B. A 72-year-old 2 days post-hip replacement requiring pain management and ambulation
assistance
● C. A 60-year-old with new-onset atrial fibrillation on continuous cardiac monitoring and IV
amiodarone [CORRECT]
● D. A 55-year-old with pneumonia receiving IV antibiotics every 8 hours and oxygen at 2
L/min
Rationale: The client with new-onset atrial fibrillation on cardiac monitoring and IV amiodarone is
unstable and requires advanced assessment skills, continuous monitoring, and knowledge of
,antiarrhythmic medications. This client should be assigned to the most experienced LPN (or RN,
depending on facility policy). Options A, B, and D are stable clients with predictable outcomes who
could be assigned to less experienced LPNs or UAPs under supervision.
HESI Note: When making assignments, consider client acuity, complexity, and predictability. The
most experienced nurse should care for the least stable client.
Q2: A nurse is caring for a client who has a living will. The client's family requests that the nurse
continue life-sustaining treatment despite the living will stating otherwise. What is the nurse's best
action?
● A. Follow the family's request to avoid conflict
● B. Respect the client's living will and withhold life-sustaining treatment [CORRECT]
● C. Request an ethics consultation
● D. Transfer the client to another facility
Rationale: A living will is a legal document that expresses the client's wishes regarding end-of-life
care. The nurse must respect the client's autonomy and follow the living will. The family's wishes do
not override the client's documented wishes. An ethics consultation (C) may be helpful if there is
ambiguity, but the living will is clear and legally binding.
HESI Note: Advance directives (living wills, durable power of attorney) take precedence over family
wishes. The client's autonomy is paramount.
Q3: The LPN is working with a UAP who asks, "Why can't I take the vital signs of the client who just
returned from surgery?" What is the best response?
● A. "You are not allowed to take any vital signs."
● B. "This client is unstable and requires assessment by a licensed nurse." [CORRECT]
● C. "The client might be in pain and needs a nurse."
, ● D. "Only nurses can use automatic blood pressure machines."
Rationale: UAPs can take routine vital signs on stable clients. However, a postoperative client is
unstable and requires assessment skills beyond UAP scope of practice. The LPN must assess for
complications, pain, and hemodynamic stability. The UAP can assist with stable clients but not
those requiring nursing judgment.
HESI Note: The five rights of delegation include right task, right circumstance, right person, right
direction/communication, and right supervision. Unstable clients are never appropriate for UAP
care.
Q4: A client is being transferred from the ICU to the medical-surgical unit. Which communication
tool should the nurse use?
● A. SOAP note
● B. SBAR report [CORRECT]
● C. Shift report only
● D. Kardex review
Rationale: SBAR (Situation, Background, Assessment, Recommendation) is the standardized
communication tool for handoffs and transfers. It ensures critical information is conveyed clearly
and completely. SOAP notes are for documentation, not handoff communication. SBAR reduces
errors and improves continuity of care during transfers.
HESI Note: SBAR is the gold standard for nurse-to-nurse communication during transfers, rapid
response calls, and provider communication.
Q5: Which task is appropriate for the LPN to delegate to a UAP?
, ● A. Administering oral medications to a stable client
● B. Measuring intake and output for a client with a Foley catheter [CORRECT]
● C. Teaching a client about wound care
● D. Assessing a postoperative client's incision
Rationale: Measuring I&O is within UAP scope of practice as it is a routine, predictable task that
does not require nursing judgment. Medication administration (A), patient teaching (C), and
assessment (D) require a licensed nurse and cannot be delegated to UAPs.
HESI Note: Remember: UAPs can DO tasks (bathing, vital signs on stable clients, I&O, ambulation)
but cannot ASSESS, TEACH, PLAN, or EVALUATE care.
Q6: A nurse witnesses a colleague documenting care that was not provided. What is the nurse's
legal obligation?
● A. Ignore it to maintain team cohesion
● B. Report the incident to the nurse manager [CORRECT]
● C. Confront the colleague in front of clients
● D. Document the incident in the client's chart
Rationale: Falsification of documentation is fraud and violates the Nurse Practice Act. The nurse
has an ethical and legal obligation to report this through proper channels (chain of command).
Ignoring it (A) makes the nurse complicit. Confronting publicly (C) is unprofessional. Documenting
in the chart (D) is inappropriate and could be considered charting by exception or accusatory.
HESI Note: Mandatory reporting applies to abuse, certain diseases, and unsafe practice. Follow
facility policy and state laws for reporting colleague misconduct.
Q7: A client asks the nurse to witness their signature on a durable power of attorney for
healthcare. What should the nurse do?
Comprehensive Exit Examination ACTUAL
EXAM 2026/2027 | Practice Test | 150
Questions | Verified Answers | NCLEX-PN
Aligned | Verified Q&A | Pass Guaranteed -
A+ Graded
SAFE AND EFFECTIVE CARE ENVIRONMENT –
COORDINATED CARE (22 questions)
Q1: The charge nurse is making client assignments for the medical-surgical unit. Which client
should be assigned to the most experienced LPN?
● A. A 45-year-old with diabetes requiring insulin administration and dietary teaching
● B. A 72-year-old 2 days post-hip replacement requiring pain management and ambulation
assistance
● C. A 60-year-old with new-onset atrial fibrillation on continuous cardiac monitoring and IV
amiodarone [CORRECT]
● D. A 55-year-old with pneumonia receiving IV antibiotics every 8 hours and oxygen at 2
L/min
Rationale: The client with new-onset atrial fibrillation on cardiac monitoring and IV amiodarone is
unstable and requires advanced assessment skills, continuous monitoring, and knowledge of
,antiarrhythmic medications. This client should be assigned to the most experienced LPN (or RN,
depending on facility policy). Options A, B, and D are stable clients with predictable outcomes who
could be assigned to less experienced LPNs or UAPs under supervision.
HESI Note: When making assignments, consider client acuity, complexity, and predictability. The
most experienced nurse should care for the least stable client.
Q2: A nurse is caring for a client who has a living will. The client's family requests that the nurse
continue life-sustaining treatment despite the living will stating otherwise. What is the nurse's best
action?
● A. Follow the family's request to avoid conflict
● B. Respect the client's living will and withhold life-sustaining treatment [CORRECT]
● C. Request an ethics consultation
● D. Transfer the client to another facility
Rationale: A living will is a legal document that expresses the client's wishes regarding end-of-life
care. The nurse must respect the client's autonomy and follow the living will. The family's wishes do
not override the client's documented wishes. An ethics consultation (C) may be helpful if there is
ambiguity, but the living will is clear and legally binding.
HESI Note: Advance directives (living wills, durable power of attorney) take precedence over family
wishes. The client's autonomy is paramount.
Q3: The LPN is working with a UAP who asks, "Why can't I take the vital signs of the client who just
returned from surgery?" What is the best response?
● A. "You are not allowed to take any vital signs."
● B. "This client is unstable and requires assessment by a licensed nurse." [CORRECT]
● C. "The client might be in pain and needs a nurse."
, ● D. "Only nurses can use automatic blood pressure machines."
Rationale: UAPs can take routine vital signs on stable clients. However, a postoperative client is
unstable and requires assessment skills beyond UAP scope of practice. The LPN must assess for
complications, pain, and hemodynamic stability. The UAP can assist with stable clients but not
those requiring nursing judgment.
HESI Note: The five rights of delegation include right task, right circumstance, right person, right
direction/communication, and right supervision. Unstable clients are never appropriate for UAP
care.
Q4: A client is being transferred from the ICU to the medical-surgical unit. Which communication
tool should the nurse use?
● A. SOAP note
● B. SBAR report [CORRECT]
● C. Shift report only
● D. Kardex review
Rationale: SBAR (Situation, Background, Assessment, Recommendation) is the standardized
communication tool for handoffs and transfers. It ensures critical information is conveyed clearly
and completely. SOAP notes are for documentation, not handoff communication. SBAR reduces
errors and improves continuity of care during transfers.
HESI Note: SBAR is the gold standard for nurse-to-nurse communication during transfers, rapid
response calls, and provider communication.
Q5: Which task is appropriate for the LPN to delegate to a UAP?
, ● A. Administering oral medications to a stable client
● B. Measuring intake and output for a client with a Foley catheter [CORRECT]
● C. Teaching a client about wound care
● D. Assessing a postoperative client's incision
Rationale: Measuring I&O is within UAP scope of practice as it is a routine, predictable task that
does not require nursing judgment. Medication administration (A), patient teaching (C), and
assessment (D) require a licensed nurse and cannot be delegated to UAPs.
HESI Note: Remember: UAPs can DO tasks (bathing, vital signs on stable clients, I&O, ambulation)
but cannot ASSESS, TEACH, PLAN, or EVALUATE care.
Q6: A nurse witnesses a colleague documenting care that was not provided. What is the nurse's
legal obligation?
● A. Ignore it to maintain team cohesion
● B. Report the incident to the nurse manager [CORRECT]
● C. Confront the colleague in front of clients
● D. Document the incident in the client's chart
Rationale: Falsification of documentation is fraud and violates the Nurse Practice Act. The nurse
has an ethical and legal obligation to report this through proper channels (chain of command).
Ignoring it (A) makes the nurse complicit. Confronting publicly (C) is unprofessional. Documenting
in the chart (D) is inappropriate and could be considered charting by exception or accusatory.
HESI Note: Mandatory reporting applies to abuse, certain diseases, and unsafe practice. Follow
facility policy and state laws for reporting colleague misconduct.
Q7: A client asks the nurse to witness their signature on a durable power of attorney for
healthcare. What should the nurse do?
