,Table of Contents
HESI PN EXIT V1 EXAM ....................................................................... 2
HESI PN EXIT V2 EXAM ..................................................................... 59
HESI PN EXIT V3 EXAM ....................................................................118
HESI PN EXIT V4 EXAM ....................................................................177
HESI PN EXIT V5 EXAM ....................................................................236
HESI PN EXIT V6 EXAM ....................................................................282
HESI PN EXIT V7 EXAM ....................................................................325
HESI PN EXIT V1 EXAM
### 1.
The practical nurse enters a male client’s room to administer routine
morning medications, but the client is on the phone. Which action is
best for the PN to take?
A. Ask another nurse to go back with the medication when the client’s
phone call ends
B. Wait for the client to excuse himself from the telephone conversation and
observe the client taking the medication
C. Return the medication to the client’s drawer on the medication cart and
document the client refused the dose
,D. Leave the medication with the client and let him take it when he finishes
the conversation
Answer: B. Wait for the client to excuse himself from the telephone
conversation and observe the client taking the medication
Rationale:
Medication administration requires verification of the “five rights,” including
observing the client actually take the medication for safety and
documentation. Interrupting a phone call can be disrespectful, but it is
important to wait until the client is free to safely administer meds. Leaving
meds unattended or documenting refusal without client’s consent violates
safety protocols.
---
### 2.
A client is admitted to the postoperative surgical unit with two chest
tubes after a left lobectomy. The PN observes that the chest tube system
is set at a suction of 20 cm water pressure, with tidaling during
respirations and bubbling present. What action should the PN take?
A. Clamp the chest tube to see if the activity stops
B. Notify the registered nurse of a malfunction
C. Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing to the chest insertion site
Answer: C. Maintain system integrity to promote lung reexpansion
, Rationale:
Tidaling (fluctuations with respirations) and bubbling in the suction chamber
are normal findings indicating proper function. Maintaining a closed and
intact system ensures continued lung reexpansion and prevents
complications such as pneumothorax. Clamping is contraindicated due to
risk of tension pneumothorax.
---
### 3. (NCLEX NGN - Case-Based Scenario)
A mother calls the clinic about her 9-month-old child diagnosed with
RSV yesterday. She asks if it is okay to take the baby to a friend’s child’s
first birthday party tomorrow. What is the best response?
A. Do not expose other children as RSV is very contagious even without
direct contact
B. The child will no longer be contagious and no precautions are needed
C. The child can be around other children but should wear a mask
D. Make sure no children under 5 months are near the infected child
Answer: A. Do not expose other children as RSV is very contagious even
without direct contact
Rationale:
RSV is highly contagious and easily transmitted via respiratory droplet and
indirect contact, particularly in infants and young children. The virus can
spread even before symptoms appear, so avoiding exposure at group
events helps control transmission.
HESI PN EXIT V1 EXAM ....................................................................... 2
HESI PN EXIT V2 EXAM ..................................................................... 59
HESI PN EXIT V3 EXAM ....................................................................118
HESI PN EXIT V4 EXAM ....................................................................177
HESI PN EXIT V5 EXAM ....................................................................236
HESI PN EXIT V6 EXAM ....................................................................282
HESI PN EXIT V7 EXAM ....................................................................325
HESI PN EXIT V1 EXAM
### 1.
The practical nurse enters a male client’s room to administer routine
morning medications, but the client is on the phone. Which action is
best for the PN to take?
A. Ask another nurse to go back with the medication when the client’s
phone call ends
B. Wait for the client to excuse himself from the telephone conversation and
observe the client taking the medication
C. Return the medication to the client’s drawer on the medication cart and
document the client refused the dose
,D. Leave the medication with the client and let him take it when he finishes
the conversation
Answer: B. Wait for the client to excuse himself from the telephone
conversation and observe the client taking the medication
Rationale:
Medication administration requires verification of the “five rights,” including
observing the client actually take the medication for safety and
documentation. Interrupting a phone call can be disrespectful, but it is
important to wait until the client is free to safely administer meds. Leaving
meds unattended or documenting refusal without client’s consent violates
safety protocols.
---
### 2.
A client is admitted to the postoperative surgical unit with two chest
tubes after a left lobectomy. The PN observes that the chest tube system
is set at a suction of 20 cm water pressure, with tidaling during
respirations and bubbling present. What action should the PN take?
A. Clamp the chest tube to see if the activity stops
B. Notify the registered nurse of a malfunction
C. Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing to the chest insertion site
Answer: C. Maintain system integrity to promote lung reexpansion
, Rationale:
Tidaling (fluctuations with respirations) and bubbling in the suction chamber
are normal findings indicating proper function. Maintaining a closed and
intact system ensures continued lung reexpansion and prevents
complications such as pneumothorax. Clamping is contraindicated due to
risk of tension pneumothorax.
---
### 3. (NCLEX NGN - Case-Based Scenario)
A mother calls the clinic about her 9-month-old child diagnosed with
RSV yesterday. She asks if it is okay to take the baby to a friend’s child’s
first birthday party tomorrow. What is the best response?
A. Do not expose other children as RSV is very contagious even without
direct contact
B. The child will no longer be contagious and no precautions are needed
C. The child can be around other children but should wear a mask
D. Make sure no children under 5 months are near the infected child
Answer: A. Do not expose other children as RSV is very contagious even
without direct contact
Rationale:
RSV is highly contagious and easily transmitted via respiratory droplet and
indirect contact, particularly in infants and young children. The virus can
spread even before symptoms appear, so avoiding exposure at group
events helps control transmission.
