HESI PN EXIT
V4 EXAM
NCLEX (NGN), Case-based Scenarios,
Actual Qs & Ans to Pass the Exam
,THIS HESI PN EXIT CONSISTS OF
75 Questions and Answers
multiple-choice questions (MCQs)** with four options (A–D),
answers, and detailed rationales aligned with HESI PN Exit
Exam 2025 standards.
Some questions are flagged as **NCLEX-style (NGN)**, and
relevant **case studies/vitals** are integrated where
applicable.
, HESI PN EXIT COMPREHENSIVE V4 EXAM
### 1. *(NGN - Risk Assessment)*
The practical nurse (PN) is caring for a client with obstructive sleep apnea (OSA). The PN should recognize
the client is at increased risk for which complication?
A. Urinary tract infection
B. Peptic ulcer disease
C. Peripheral vascular disease
D. Chronic kidney disease
Answer: B. Peptic ulcer disease
Rationale:
Clients with obstructive sleep apnea experience hypoxia and increased sympathetic nervous system
activity, which can increase gastric acid secretion and predispose them to peptic ulcer disease. Chronic
intermittent hypoxia also promotes stress ulcers. While OSA can contribute to cardiovascular problems,
peptic ulcers are a noted complication due to physiological stress and medication used for treatment.
---
### 2. *(Case Scenario — Vascular Assessment)*
Which finding for a client with an arteriovenous (AV) fistula should the practical nurse report to the
healthcare provider immediately?
A. Bruit audible on auscultation over the fistula
B. Radial pulse distal to AV fistula is absent while ulnar pulse is present
C. Swelling and redness over the fistula site
D. Presence of thrill on palpation
Answer: B. Radial pulse distal to AV fistula is absent while ulnar pulse is present
, Rationale:
An absent radial pulse distal to the AV fistula suggests compromised arterial blood flow and possible
vascular occlusion or steal syndrome; this is a medical emergency requiring immediate intervention. Bruit
(A) and thrill (D) are expected findings indicating patency. Swelling and redness (C) may indicate infection
but distal pulse loss is more urgent.
---
### 3. *(NGN - Disaster Preparedness)*
During a mass casualty response to a natural flooding disaster, which information should the practical
nurse include in health education for evacuees?
A. Use bottled water or boiled water for drinking and oral rehydration solutions
B. Use only bottled water for washing hands
C. All fruits and vegetables must be cooked before eating
D. Use only alcohol-based sanitizers for cleaning food items
Answer: A. Use bottled water or boiled water for drinking and oral rehydration solutions
Rationale:
After flooding, waterborne diseases are common; drinking boiled or bottled water and using oral rehydration
solutions prevent dehydration and infection. Hand hygiene with soap and clean water or alcohol-based
sanitizers is recommended (not just bottled water). Fruits and vegetables can be washed (not necessarily
cooked) with clean water.
---
### 4. *(Case Scenario — Pediatric Care)*
In administering nystatin oral suspension for an infant with oral candidiasis (thrush), which approach should
the practical nurse use?
A. Administer suspension with a bottle nipple
V4 EXAM
NCLEX (NGN), Case-based Scenarios,
Actual Qs & Ans to Pass the Exam
,THIS HESI PN EXIT CONSISTS OF
75 Questions and Answers
multiple-choice questions (MCQs)** with four options (A–D),
answers, and detailed rationales aligned with HESI PN Exit
Exam 2025 standards.
Some questions are flagged as **NCLEX-style (NGN)**, and
relevant **case studies/vitals** are integrated where
applicable.
, HESI PN EXIT COMPREHENSIVE V4 EXAM
### 1. *(NGN - Risk Assessment)*
The practical nurse (PN) is caring for a client with obstructive sleep apnea (OSA). The PN should recognize
the client is at increased risk for which complication?
A. Urinary tract infection
B. Peptic ulcer disease
C. Peripheral vascular disease
D. Chronic kidney disease
Answer: B. Peptic ulcer disease
Rationale:
Clients with obstructive sleep apnea experience hypoxia and increased sympathetic nervous system
activity, which can increase gastric acid secretion and predispose them to peptic ulcer disease. Chronic
intermittent hypoxia also promotes stress ulcers. While OSA can contribute to cardiovascular problems,
peptic ulcers are a noted complication due to physiological stress and medication used for treatment.
---
### 2. *(Case Scenario — Vascular Assessment)*
Which finding for a client with an arteriovenous (AV) fistula should the practical nurse report to the
healthcare provider immediately?
A. Bruit audible on auscultation over the fistula
B. Radial pulse distal to AV fistula is absent while ulnar pulse is present
C. Swelling and redness over the fistula site
D. Presence of thrill on palpation
Answer: B. Radial pulse distal to AV fistula is absent while ulnar pulse is present
, Rationale:
An absent radial pulse distal to the AV fistula suggests compromised arterial blood flow and possible
vascular occlusion or steal syndrome; this is a medical emergency requiring immediate intervention. Bruit
(A) and thrill (D) are expected findings indicating patency. Swelling and redness (C) may indicate infection
but distal pulse loss is more urgent.
---
### 3. *(NGN - Disaster Preparedness)*
During a mass casualty response to a natural flooding disaster, which information should the practical
nurse include in health education for evacuees?
A. Use bottled water or boiled water for drinking and oral rehydration solutions
B. Use only bottled water for washing hands
C. All fruits and vegetables must be cooked before eating
D. Use only alcohol-based sanitizers for cleaning food items
Answer: A. Use bottled water or boiled water for drinking and oral rehydration solutions
Rationale:
After flooding, waterborne diseases are common; drinking boiled or bottled water and using oral rehydration
solutions prevent dehydration and infection. Hand hygiene with soap and clean water or alcohol-based
sanitizers is recommended (not just bottled water). Fruits and vegetables can be washed (not necessarily
cooked) with clean water.
---
### 4. *(Case Scenario — Pediatric Care)*
In administering nystatin oral suspension for an infant with oral candidiasis (thrush), which approach should
the practical nurse use?
A. Administer suspension with a bottle nipple
