HESI PN EXIT
V1 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 V1 EXIT COMPREHENSIVE EXAM
,1. An elderly client who is 12 hours postoperative for a hernia repair suddenly becomes agitated, staggers
out into the corridor, and demands to be set free. After assisting the client back to bed and administering
pain medication, which intervention is best for the practical nurse (PN) to implement?
- A. Notify the healthcare provider and request a prescription for restraints to minimize the client's danger
to self.
- B. Raise the side and notify the family to come sit with the client to reorientate and cooperate.
- C. Administer prescribed narcotic antagonist to reverse the effects of any analgesic accumulation.
- D. Instruct a UAP to keep the upper side rails up and check on the client every 15 minutes until the
client is resting.
Answer: B. Raise the side and notify the family to come sit with the client to reorientate and cooperate.
Rationale: The best immediate action is to ensure the client's safety while providing a calming presence
through family support. Restraints should only be used as a last resort.
2. A male client attends a community support program for mentally impaired and chemically abusing clients.
The client tells the practical nurse (PN) that his drug of choice is cocaine and heroin. What is the greatest
health risk for the client?
- A. Hepatitis
- B. Glaucoma
- C. Diabetes
- D. Hypotension
Answer: A. Hepatitis.
Rationale: Sharing needles or engaging in risky behaviors associated with drug use puts the client at
high risk for hepatitis infections.
3. The practical nurse (PN) is charting vital signs on a handwritten flow sheet and realizes that an error has
been made. What should the PN do to rectify the error?
- A. Draw one line through the entry and insert the correct information.
- B. Chart the correct information in the column.
- C. Obliterate the entry and insert the correct information.
- D. Notify the charge nurse that the entry needs to be revised.
Answer: A. Draw one line through the entry and insert the correct information.
, Rationale: The correct method for correcting a charting error in a medical record is to strike through the
incorrect information with a single line, then write the correct information, ensuring clarity and
accountability.
4. The PN selects the ventrogluteal site for an adult’s IM injection. Which is the correct location?
A. Upper outer quadrant of the buttock
B. Lateral aspect of upper thigh
C. Lateral hip (greater trochanter area)
D. Dorsogluteal
Answer: C
Rationale: The ventrogluteal site is at the lateral hip, considered safest due to fewer major nerves or
vessels.
5. The Charge nurse brings a #18 catheter with a 30 mL balloon to the practical nurse (PN) who is
preparing to insert a catheter in a female client who weighs 50 kg. Which action should the PN take first?
- A. Ask the client if she has previously been catheterized.
- B. Obtain a 30 mL syringe and a vial of sterile water.
- C. Consult with the charge nurse about the catheter.
- D. Position the client and observe the urinary meatus.
Answer: C. Consult with the charge nurse about the catheter.
V1 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 V1 EXIT COMPREHENSIVE EXAM
,1. An elderly client who is 12 hours postoperative for a hernia repair suddenly becomes agitated, staggers
out into the corridor, and demands to be set free. After assisting the client back to bed and administering
pain medication, which intervention is best for the practical nurse (PN) to implement?
- A. Notify the healthcare provider and request a prescription for restraints to minimize the client's danger
to self.
- B. Raise the side and notify the family to come sit with the client to reorientate and cooperate.
- C. Administer prescribed narcotic antagonist to reverse the effects of any analgesic accumulation.
- D. Instruct a UAP to keep the upper side rails up and check on the client every 15 minutes until the
client is resting.
Answer: B. Raise the side and notify the family to come sit with the client to reorientate and cooperate.
Rationale: The best immediate action is to ensure the client's safety while providing a calming presence
through family support. Restraints should only be used as a last resort.
2. A male client attends a community support program for mentally impaired and chemically abusing clients.
The client tells the practical nurse (PN) that his drug of choice is cocaine and heroin. What is the greatest
health risk for the client?
- A. Hepatitis
- B. Glaucoma
- C. Diabetes
- D. Hypotension
Answer: A. Hepatitis.
Rationale: Sharing needles or engaging in risky behaviors associated with drug use puts the client at
high risk for hepatitis infections.
3. The practical nurse (PN) is charting vital signs on a handwritten flow sheet and realizes that an error has
been made. What should the PN do to rectify the error?
- A. Draw one line through the entry and insert the correct information.
- B. Chart the correct information in the column.
- C. Obliterate the entry and insert the correct information.
- D. Notify the charge nurse that the entry needs to be revised.
Answer: A. Draw one line through the entry and insert the correct information.
, Rationale: The correct method for correcting a charting error in a medical record is to strike through the
incorrect information with a single line, then write the correct information, ensuring clarity and
accountability.
4. The PN selects the ventrogluteal site for an adult’s IM injection. Which is the correct location?
A. Upper outer quadrant of the buttock
B. Lateral aspect of upper thigh
C. Lateral hip (greater trochanter area)
D. Dorsogluteal
Answer: C
Rationale: The ventrogluteal site is at the lateral hip, considered safest due to fewer major nerves or
vessels.
5. The Charge nurse brings a #18 catheter with a 30 mL balloon to the practical nurse (PN) who is
preparing to insert a catheter in a female client who weighs 50 kg. Which action should the PN take first?
- A. Ask the client if she has previously been catheterized.
- B. Obtain a 30 mL syringe and a vial of sterile water.
- C. Consult with the charge nurse about the catheter.
- D. Position the client and observe the urinary meatus.
Answer: C. Consult with the charge nurse about the catheter.
