V2 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.
Which action by the PN indicates the best understanding of the
principles related to medical asepsis and effective hand washing?
A. Turn the water volume to a low level to decrease splashing
B. Dry the hands above the wrists first to dry them clean to dirty
C. Use antibacterial hand gel instead of handwashing between clients
D. Hold the hands lower than the elbows to promote microbe removal
Answer: D. Hold the hands lower than the elbows to promote microbe
removal
Rationale:
Keeping the hands lower than the elbows during handwashing allows
gravity to assist in removing microbes and prevents water from running
from contaminated areas toward cleaner areas. Drying from clean to
dirty areas and adequate rinsing are essential for asepsis. Using
,antibacterial gel is appropriate if hands are not visibly soiled but is not
a complete replacement for handwashing.
---
### 2.
The mother of a young child with eczema asks about the type of
clothing best for her child's comfort. Which type of clothing should the
PN recommend?
A. Rayon
B. Silk
C. Polyester
D. Cotton
Answer: D. Cotton
Rationale:
, Cotton is a natural fiber that is soft, breathable, and hypoallergenic,
making it the best choice for children with eczema to minimize skin
irritation. Synthetic fibers like polyester or silk may trap heat and
moisture and exacerbate itching or irritation.
---
### 3.
A male client with polycythemia vera is scheduled for phlebotomy in
the unit’s procedure room. What action should the PN implement
when coordinating departmental services for this procedure?
A. Notify the blood bank about the scheduled phlebotomy procedure
B. Schedule the treatment with the special procedures department
C. Ensure chest x-ray and other radiological reports are available
D. Ask pharmacy to deliver an additional PRN dose of analgesics
Answer: B. Schedule the treatment with the special procedures
department