HESI PN EXIT
V6 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.
### 1. An older client with metastatic breast cancer is experiencing shortness of breath due to bilateral
pneumonia. The client has a living will, and the family is requesting hospice care. Which information should
the practical nurse (PN) reinforce with the client and family regarding hospice care?
A. Instructions for care should be included in the client’s living will
, B. Hospice care can only be provided in hospital settings
C. Hospice care focuses on curing the disease
D. Care focuses on comfort, dignity, and emotional support
Answer: D. Care focuses on comfort, dignity, and emotional support
Rationale: Hospice care emphasizes comfort measures rather than curative treatment. It can be provided
wherever the client resides, including home or facility, and focuses on dignity and psychosocial support.
While a living will provides care preferences, it is not the same as hospice instructions.
---
### 2. An older female client admitted to a long-term care facility yesterday is confused about what day of
the week it is. Her history does not indicate prior confusion. What action should the PN take?
A. Explain repeatedly what day it is until the client comprehends
B. Ignore her confusion as normal for her age
C. Remind the client what day of the week it is
D. Restrain the client to prevent wandering
Answer: C. Remind the client what day of the week it is
Rationale: Orientation cues can help reduce confusion. Since no prior confusion was documented,
reorientation often helps with adjustment to a new environment.
---
### 3. A primigravida client reports contractions every 5 minutes. After monitoring contractions for 1 hour by
external fetal monitor, the PN notes contractions 7–15 minutes apart, lasting 20–30 seconds with mild
intensity by palpation. What action is appropriate?
A. Admit the client for labor
B. Send the client home with instructions
C. Notify the healthcare provider immediately
D. Prepare client for cesarean section
Answer: B. Send the client home with instructions
Rationale: Contractions occurring every 7 to 15 minutes with mild intensity are not indicative of active
labor. The client can be reassured and sent home with guidance to return if contractions become more
frequent or intense.
---
### 4. A gravida 1 para 0 client transferred to recovery room after vaginal delivery is shaking uncontrollably
and reports feeling cold. What is the best intervention?
A. Administer antipyretics
B. Apply a light warm blanket and reassure the client this is normal
C. Notify the healthcare provider of possible infection
D. Encourage the client to drink warm fluids
Answer: B. Apply a light warm blanket and reassure the client this is normal
Rationale: Postpartum shivering is common due to vasomotor instability and residual effects of anesthesia
and hormones. It is self-limiting and can be managed with warmth and reassurance.
V6 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.
### 1. An older client with metastatic breast cancer is experiencing shortness of breath due to bilateral
pneumonia. The client has a living will, and the family is requesting hospice care. Which information should
the practical nurse (PN) reinforce with the client and family regarding hospice care?
A. Instructions for care should be included in the client’s living will
, B. Hospice care can only be provided in hospital settings
C. Hospice care focuses on curing the disease
D. Care focuses on comfort, dignity, and emotional support
Answer: D. Care focuses on comfort, dignity, and emotional support
Rationale: Hospice care emphasizes comfort measures rather than curative treatment. It can be provided
wherever the client resides, including home or facility, and focuses on dignity and psychosocial support.
While a living will provides care preferences, it is not the same as hospice instructions.
---
### 2. An older female client admitted to a long-term care facility yesterday is confused about what day of
the week it is. Her history does not indicate prior confusion. What action should the PN take?
A. Explain repeatedly what day it is until the client comprehends
B. Ignore her confusion as normal for her age
C. Remind the client what day of the week it is
D. Restrain the client to prevent wandering
Answer: C. Remind the client what day of the week it is
Rationale: Orientation cues can help reduce confusion. Since no prior confusion was documented,
reorientation often helps with adjustment to a new environment.
---
### 3. A primigravida client reports contractions every 5 minutes. After monitoring contractions for 1 hour by
external fetal monitor, the PN notes contractions 7–15 minutes apart, lasting 20–30 seconds with mild
intensity by palpation. What action is appropriate?
A. Admit the client for labor
B. Send the client home with instructions
C. Notify the healthcare provider immediately
D. Prepare client for cesarean section
Answer: B. Send the client home with instructions
Rationale: Contractions occurring every 7 to 15 minutes with mild intensity are not indicative of active
labor. The client can be reassured and sent home with guidance to return if contractions become more
frequent or intense.
---
### 4. A gravida 1 para 0 client transferred to recovery room after vaginal delivery is shaking uncontrollably
and reports feeling cold. What is the best intervention?
A. Administer antipyretics
B. Apply a light warm blanket and reassure the client this is normal
C. Notify the healthcare provider of possible infection
D. Encourage the client to drink warm fluids
Answer: B. Apply a light warm blanket and reassure the client this is normal
Rationale: Postpartum shivering is common due to vasomotor instability and residual effects of anesthesia
and hormones. It is self-limiting and can be managed with warmth and reassurance.
