HESI PN Exit 2026 November

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Sample questions from HESI PN Exit 2026 November

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a medical-surgical unit, an LPN receives report on four clients. Which client should the LPN report to the RN first?

   • A.A client with a urinary catheter who has had 300 mL of urine output over 4 hours
   • B.A client with heart failure who gained 0.5 kg (1.1 lb) in 24 hours and has new crackles
   • C.A client 1 day after surgery who rates incisional pain 7 out of 10
   • D.A client with diabetes whose premeal glucose is 198 mg/dL

   Rationale: New crackles with rapid weight gain may indicate worsening fluid overload and require prompt RN assessment. Pain, a glucose of 198 mg/dL, and the stated urine output require follow-up but are less urgent without additional concerning findings. The PN should promptly communicate a change that may signal respiratory compromise.

2. 2.Refer to the client's chart. An LPN is monitoring a client after abdominal surgery. Which change should the LPN report to the RN immediately?

   • A.Temperature increased from 36.8 C to 37.2 C
   • B.Client walked 20 meters with standby assistance
   • C.Pain decreased from 6 to 4 after prescribed analgesia
   • D.Urine output decreased to 20 mL in the last hour

   Rationale: Urine output fell from 45 mL to 20 mL per hour, which may indicate reduced renal perfusion and needs prompt evaluation. The pain response and ambulation are expected progress, while the small temperature increase is not a fever. The PN reports significant trends rather than waiting for the next routine check.

3. 3.During a home visit, an LPN is caring for an older adult with heart failure who reports increased shortness of breath. Which actions are appropriate within the PN role? Select all that apply.

   • A.Report worsening dyspnea and findings to the RN promptly
   • B.Compare today's weight with the client's recent weights
   • C.Reinforce the existing low-sodium teaching plan
   • D.Obtain and document oxygen saturation and respiratory findings
   • E.Independently revise the client's care plan
   • F.Tell the client to double the prescribed diuretic dose

   Rationale: Collecting respiratory data and comparing weights help identify worsening fluid status, and the PN should promptly report concerning findings. Reinforcing an established teaching plan is appropriate, but changing a medication dose or independently revising the care plan exceeds PN scope. The exam takeaway is to collect, reinforce, and report rather than independently alter treatment.

4. 4.In a long-term care facility, an LPN is asked to assign tasks to assistive personnel. Which task is appropriate to assign to a trained assistive personnel member?

   • A.Teach a resident how to use a walker
   • B.Assess a newly admitted resident's swallowing ability
   • C.Obtain routine morning weights for stable residents
   • D.Evaluate a resident's response to a new analgesic

   Answer and rationale are in the full material.

5. 5.A provider prescribes a medication, but the dose is substantially higher than the dose listed on the client's medication record. What should the LPN do?

   • A.Hold the dose and clarify the prescription with the RN or provider
   • B.Administer the dose because the provider prescribed it
   • C.Give half the dose and document the difference
   • D.Ask the client whether the dose seems familiar

   Answer and rationale are in the full material.