HESI PN EXIT
V5 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. The practical nurse is providing care for an older male client who has pitting edema of the feet and
ankles and is receiving spironolactone. Which instruction is the most important to provide the unlicensed
assistive personnel (UAP) assisting with the client’s care?
A. Monitor vital signs every 2 hours
B. Maintain accurate intake and output
C. Encourage frequent ambulation
D. Restrict dietary potassium intake
Correct Answer: B. Maintain accurate intake and output
Rationale:
Spironolactone is a potassium-sparing diuretic used to reduce fluid retention. Accurate monitoring of intake
and output helps detect fluid overload or dehydration, which are critical in managing edema and preventing
complications like hyperkalemia or renal impairment. It is within the scope of UAP to assist with monitoring
fluid balance
### 2. (NCLEX NGN) After receiving shift report, the practical nurse makes rounds on a postoperative unit.
Which client finding needs immediate attention?
A. A client reporting mild incisional pain 4/10
B. A client with brown-green bile draining from the T-tube after cholecystectomy
C. A client with a blood pressure of 118/70 mmHg
D. A client with slight swelling at the IV insertion site
Correct Answer: B. A client with brown-green bile draining from the T-tube after cholecystectomy
Rationale:
Brown or green bile drainage from a T-tube post-cholecystectomy should be monitored, but an unusual
increase, change in consistency or color of drainage that suggests obstruction or bile leak requires urgent
assessment. This can indicate bile duct injury or blockage, which necessitates immediate interventio
### 3. The practical nurse is preparing a client for a bone marrow aspiration. Which erythropoietic site is
most likely to be used to obtain the specimen?
, A. Sternum
B. Iliac crest
C. Tibia
D. Femur
Correct Answer: B. Iliac crest
Rationale:
The posterior iliac crest is the most common site for bone marrow aspiration due to accessibility and safety
compared to the sternum, which has thinner bone and higher risk of complications. The tibia and femur are
less commonly used in adults.
### 4. An older female resident in a long-term care facility experiences frequent episodes of urinary
incontinence. What is important for the practical nurse to perform regularly in response to the resident’s
condition?
A. Measure blood glucose levels daily
B. Monitor hydration status
C. Assess appearance of skin in the perineal area
D. Encourage increased physical activity
Correct Answer: C. Assess appearance of skin in the perineal are
Rationale:
Frequent urinary incontinence increases risk for skin breakdown and pressure ulcers in the perineal area.
Regular skin assessment helps early detection and prevention of skin irritation and infection.
---
### 5. A newborn infant is prescribed an immunization prior to discharge. What action should the practical
nurse take first?
A. Administer vaccine immediately
B. Obtain signed consent from the mother for administration of hepatitis B vaccine
V5 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. The practical nurse is providing care for an older male client who has pitting edema of the feet and
ankles and is receiving spironolactone. Which instruction is the most important to provide the unlicensed
assistive personnel (UAP) assisting with the client’s care?
A. Monitor vital signs every 2 hours
B. Maintain accurate intake and output
C. Encourage frequent ambulation
D. Restrict dietary potassium intake
Correct Answer: B. Maintain accurate intake and output
Rationale:
Spironolactone is a potassium-sparing diuretic used to reduce fluid retention. Accurate monitoring of intake
and output helps detect fluid overload or dehydration, which are critical in managing edema and preventing
complications like hyperkalemia or renal impairment. It is within the scope of UAP to assist with monitoring
fluid balance
### 2. (NCLEX NGN) After receiving shift report, the practical nurse makes rounds on a postoperative unit.
Which client finding needs immediate attention?
A. A client reporting mild incisional pain 4/10
B. A client with brown-green bile draining from the T-tube after cholecystectomy
C. A client with a blood pressure of 118/70 mmHg
D. A client with slight swelling at the IV insertion site
Correct Answer: B. A client with brown-green bile draining from the T-tube after cholecystectomy
Rationale:
Brown or green bile drainage from a T-tube post-cholecystectomy should be monitored, but an unusual
increase, change in consistency or color of drainage that suggests obstruction or bile leak requires urgent
assessment. This can indicate bile duct injury or blockage, which necessitates immediate interventio
### 3. The practical nurse is preparing a client for a bone marrow aspiration. Which erythropoietic site is
most likely to be used to obtain the specimen?
, A. Sternum
B. Iliac crest
C. Tibia
D. Femur
Correct Answer: B. Iliac crest
Rationale:
The posterior iliac crest is the most common site for bone marrow aspiration due to accessibility and safety
compared to the sternum, which has thinner bone and higher risk of complications. The tibia and femur are
less commonly used in adults.
### 4. An older female resident in a long-term care facility experiences frequent episodes of urinary
incontinence. What is important for the practical nurse to perform regularly in response to the resident’s
condition?
A. Measure blood glucose levels daily
B. Monitor hydration status
C. Assess appearance of skin in the perineal area
D. Encourage increased physical activity
Correct Answer: C. Assess appearance of skin in the perineal are
Rationale:
Frequent urinary incontinence increases risk for skin breakdown and pressure ulcers in the perineal area.
Regular skin assessment helps early detection and prevention of skin irritation and infection.
---
### 5. A newborn infant is prescribed an immunization prior to discharge. What action should the practical
nurse take first?
A. Administer vaccine immediately
B. Obtain signed consent from the mother for administration of hepatitis B vaccine
