HESI PN EXIT
V4 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. *(NGN - Risk Assessment)*
The practical nurse (PN) is caring for a client with obstructive sleep
apnea (OSA). The PN should recognize the client is at increased risk for
which complication?
A. Urinary tract infection
B. Peptic ulcer disease
C. Peripheral vascular disease
D. Chronic kidney disease
Answer: B. Peptic ulcer disease
Rationale:
Clients with obstructive sleep apnea experience hypoxia and increased
sympathetic nervous system activity, which can increase gastric acid
secretion and predispose them to peptic ulcer disease. Chronic
intermittent hypoxia also promotes stress ulcers. While OSA can
,contribute to cardiovascular problems, peptic ulcers are a noted
complication due to physiological stress and medication used for
treatment.
---
### 2. *(Case Scenario — Vascular Assessment)*
Which finding for a client with an arteriovenous (AV) fistula should the
practical nurse report to the healthcare provider immediately?
A. Bruit audible on auscultation over the fistula
B. Radial pulse distal to AV fistula is absent while ulnar pulse is present
C. Swelling and redness over the fistula site
D. Presence of thrill on palpation
Answer: B. Radial pulse distal to AV fistula is absent while ulnar pulse is
present
, Rationale:
An absent radial pulse distal to the AV fistula suggests compromised
arterial blood flow and possible vascular occlusion or steal syndrome;
this is a medical emergency requiring immediate intervention. Bruit (A)
and thrill (D) are expected findings indicating patency. Swelling and
redness (C) may indicate infection but distal pulse loss is more urgent.
---
### 3. *(NGN - Disaster Preparedness)*
During a mass casualty response to a natural flooding disaster, which
information should the practical nurse include in health education for
evacuees?
A. Use bottled water or boiled water for drinking and oral rehydration
solutions
B. Use only bottled water for washing hands
C. All fruits and vegetables must be cooked before eating
V4 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. *(NGN - Risk Assessment)*
The practical nurse (PN) is caring for a client with obstructive sleep
apnea (OSA). The PN should recognize the client is at increased risk for
which complication?
A. Urinary tract infection
B. Peptic ulcer disease
C. Peripheral vascular disease
D. Chronic kidney disease
Answer: B. Peptic ulcer disease
Rationale:
Clients with obstructive sleep apnea experience hypoxia and increased
sympathetic nervous system activity, which can increase gastric acid
secretion and predispose them to peptic ulcer disease. Chronic
intermittent hypoxia also promotes stress ulcers. While OSA can
,contribute to cardiovascular problems, peptic ulcers are a noted
complication due to physiological stress and medication used for
treatment.
---
### 2. *(Case Scenario — Vascular Assessment)*
Which finding for a client with an arteriovenous (AV) fistula should the
practical nurse report to the healthcare provider immediately?
A. Bruit audible on auscultation over the fistula
B. Radial pulse distal to AV fistula is absent while ulnar pulse is present
C. Swelling and redness over the fistula site
D. Presence of thrill on palpation
Answer: B. Radial pulse distal to AV fistula is absent while ulnar pulse is
present
, Rationale:
An absent radial pulse distal to the AV fistula suggests compromised
arterial blood flow and possible vascular occlusion or steal syndrome;
this is a medical emergency requiring immediate intervention. Bruit (A)
and thrill (D) are expected findings indicating patency. Swelling and
redness (C) may indicate infection but distal pulse loss is more urgent.
---
### 3. *(NGN - Disaster Preparedness)*
During a mass casualty response to a natural flooding disaster, which
information should the practical nurse include in health education for
evacuees?
A. Use bottled water or boiled water for drinking and oral rehydration
solutions
B. Use only bottled water for washing hands
C. All fruits and vegetables must be cooked before eating
