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.
,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?
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.
,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?
