HESI PN Exit Exam Practice Test 2026-2027 and Free Sample Questions

A practical nurse is caring for a patient receiving intravenous vancomycin for a methicillin resistant Staphylococcus aureus infection. Partway through the infusion the patient develops flushing and redness of the face, neck, and upper chest. Which is the priority nursing action?

A practical nurse is assigned to a patient newly diagnosed with active pulmonary tuberculosis. Which type of personal protective equipment must the nurse wear when entering the patient's room?

A practical nurse on a medical unit receives report on four patients. Which patient should the nurse assess first?

A practical nurse is caring for a patient with type 1 diabetes who reports shakiness, sweating, and a pounding heartbeat. The bedside glucose reading is 54 mg per dL and the patient is alert and able to swallow. Which intervention should the nurse implement first?

A practical nurse is caring for an older adult admitted with confusion and an unsteady gait. Which intervention is most effective in reducing this patient's risk of falling?

A practical nurse is caring for a patient with chronic obstructive pulmonary disease who is receiving oxygen at 2 liters per minute by nasal cannula. The patient's oxygen saturation is 91 percent. A family member asks the nurse to turn up the oxygen so the patient breathes easier. Which response by the nurse is most appropriate?

A practical nurse is caring for a patient on the first day after abdominal surgery. The patient reports sudden sharp calf pain, and the nurse notes unilateral redness, warmth, and swelling of that leg. Which action should the nurse take first?

A practical nurse is caring for a patient who has just learned of a new cancer diagnosis. The patient becomes quiet and then says, I do not know how I will tell my children. Which response by the nurse is most therapeutic?

A provider orders 600 mg of an oral antibiotic. The medication is available as 300 mg tablets. How many tablets should the practical nurse administer?

A practical nurse reviews the laboratory results of a patient receiving a loop diuretic. The serum potassium level is 2.9 mEq per L. Which assessment finding is most consistent with this result?

A practical nurse is caring for a patient with chronic heart failure. Which finding indicates that the patient's condition may be worsening and should be reported?

A practical nurse is caring for a patient with a history of seizures. The patient suddenly begins to have a generalized tonic clonic seizure while lying in bed. Which action should the nurse take?

A practical nurse is performing a dressing change on a patient with a stage 3 pressure injury. After removing the old dressing, the nurse observes the wound bed. Which finding should the nurse document as a sign of healthy healing?

A practical nurse is reinforcing teaching for a patient who will take warfarin at home. Which statement by the patient indicates a correct understanding of the teaching?

A practical nurse administers an intramuscular dose of penicillin. Within 10 minutes the patient reports throat tightness and difficulty breathing, and the nurse notes hives and swelling of the lips. Which action should the nurse take first?

A practical nurse is caring for a patient who has just returned from a procedure and remains unconscious but is breathing on their own. In which position should the nurse place this patient to maintain a patent airway?

A practical nurse is monitoring a patient 15 minutes into a packed red blood cell transfusion. The patient suddenly reports chills, low back pain, and a feeling of warmth. What is the nurse's priority action?

A practical nurse is caring for a patient with a nasogastric tube connected to suction. The patient reports nausea, and the nurse notes the tube has stopped draining. Which action should the nurse take first?

A practical nurse is working with unlicensed assistive personnel on a medical unit. Which task is appropriate for the practical nurse to delegate to the unlicensed assistive personnel?