2025 NGN HESI PN EXIT V5 EXAM QUESTIONS AND ANSWERS
|VERIFIED ANSWERS| RATED A+
An older patient with metastatic breast cancer is experiencing shortness of breath as a result of a bilateral
pneumonia the patient has a living will and the family is requesting hospice care which information should the
practical nurse (PN) reinforce with the patient and family regarding hospice? ANSWER>>
• Instructions for care should be included in the patients living will
• Care can be provided in home where patient resides
• Care focuses on comfort dignity and emotion support
An older female patient adult who has been admitted to long term facility yesterday is confused about what
day of the week it is her history does not include that she was confused prior to admission what action
should the practical nurse (PN) take? ANSWER>>
• Remind the patient what day of the week it is
A patient who is primigravida at herm to the prenatal clinal and tells the practical nurse (PN) that she is
having contractions every 5 minutes the PN monitors the clint for an hour using external fetal monitor and
determines that the patients contractions are 7 to 15 minutes apart lasting to 20 to 30 seconds with mild
intensity by palpitation which actin should the PN take? ANSWER>>
• Send the patient home
A patient who is a gravida 1 para 0 is transferred to the recovery room following a normal vaginal delivery of
a healthy newborn the practical nurse (PN) observes that the patient is shaking uncontrollably and states
she’s cold
• Apply light warm blanket and assure her that this is normal following delivery
The practical nurse (PN) is assessing an older patient with left sided heart failure what intervention is most
important for the PN to implement
• Auscultate all the lung fields
While administering prescription medication to an older adult resident in a extended care facility the practical
nurse notice that the patient is having difficulty hearing what action is most important for the PN to take?
ANSWER>>
• Determine if patient has had difficulty hearing in the past
The healthcare provider Gives a pregnant woman a prescription for one prenatal vitamin with iron daily and
tells her that she needs to increase iron rich foods in her diet because her hemoglobin is 8.2 gramsldi when
a list of iron list foods is given to the patient the patient tells the practical nurse she’s a vegetarian and does
not eat bleeds what instructions should the PN give? ANSWER>>
• Add lenhl and black beans
• Increase green leafy vegetables in the diet
• Oatmeal is a good choice for breakfast
A full term 24 hour old infant in the nursery regulates and suddenly turns cyanotic which immediate
interventions should the practical nurse (PN) take? ANSWER>>
• Turn the infant to the right side
,The practical nurse (PN) views the midline episiotomy of a patient who repots pain in her stiches whar action
should the action should the PN take first? ANSWER>>
• Observe suture line for separation and hematoma formation
,The practical nurse (PN) is obtaining fetal heart rates on four antepartum patient in their third trimester of
pregnancy what fetal heart rate should be reported to the registered nurse? ANSWER>>
• 180 (NORMAL 110-160)
An older patient who had a colon resection 8 days ago is straining at stool the practical nurse (PN) observes
from the patient klound followed by appearance of bowel on the skin which complication has occurred?
ANSWER>>
• Evisceration
A female patient with immune thrombocytopenic purpura is transported to a long term facility for physical
therapy rehabilitation to prevent injury the most important for the practical nurse (PN) to implement?
ANSWER>>
• Ensure the patient has minimum clutter in the room
Which location should the practical nurse palpate to determine if a patient submandibular lymph node are
enlarged? ANSWER>>
• Beneath the lower jaw
A patient is receiving an epidural anesthesia during labor which observation is the most important adverse
effect that the practical nurse (PN) should assess for following the administration of the epidural
• Maternal hypotension
The practical nurse (PN) is working in a cancer detention mobile clinic. Four individuals come for screening
with a complaint of hoarseness a danger sign for cancer of the larynx which patient has the highest risk of
development of cancer of the larynx that the PN should refer to healthcare provider
• A older male who drinks a 6 pack of beer nightly and smokes heavily
A home health practical nurse (PN) visits and older patient living with offspring who exhibits fear unkempt
and has lost a lot of weight which action should the PN take>
• Report suspected abuse to supervisor and protective services
The practical nurse determines that a patient who is one day postpartum has a moderate amount of lochia
and rubra and the uterus is firm diverted and three finger breaths above umbilicus what should be the first
initial action
• Massage the uterus to decrease atony
The practical nurse is caring for a patient with coronary artery disease who is admitted intermitted chest pain
the admissions lobotomy results indicated elevated tropine 1 and creatine phosphoicinase myoglobulin
isoenzymes levels what should the PN consider the most significant risk is for this patient on the second day
of admissions? ANSWER>>
• The labs results indicate myocadiac damage and the patient is at risk for cardiac dysrhythmias
Which interventions should thr practical nurse (PN) reinforce for a patient with pruritis? ANSWER>>
• Jeep finger nails trimmed short
When gathering dara about a patient with dark skin tones whitch site should the practical nurse (PN) observe
• Finger and toe nails
, A 2 day old infant with hydrocephalus returns from surgery following placement of a ventriculoperitoneal
shunt which nursing intervention should the practical nurse (PN) implement during postoperative care
• Document strict intake and out take
• Measure head circumference
• Monitor body temperature every 4 hours
|VERIFIED ANSWERS| RATED A+
An older patient with metastatic breast cancer is experiencing shortness of breath as a result of a bilateral
pneumonia the patient has a living will and the family is requesting hospice care which information should the
practical nurse (PN) reinforce with the patient and family regarding hospice? ANSWER>>
• Instructions for care should be included in the patients living will
• Care can be provided in home where patient resides
• Care focuses on comfort dignity and emotion support
An older female patient adult who has been admitted to long term facility yesterday is confused about what
day of the week it is her history does not include that she was confused prior to admission what action
should the practical nurse (PN) take? ANSWER>>
• Remind the patient what day of the week it is
A patient who is primigravida at herm to the prenatal clinal and tells the practical nurse (PN) that she is
having contractions every 5 minutes the PN monitors the clint for an hour using external fetal monitor and
determines that the patients contractions are 7 to 15 minutes apart lasting to 20 to 30 seconds with mild
intensity by palpitation which actin should the PN take? ANSWER>>
• Send the patient home
A patient who is a gravida 1 para 0 is transferred to the recovery room following a normal vaginal delivery of
a healthy newborn the practical nurse (PN) observes that the patient is shaking uncontrollably and states
she’s cold
• Apply light warm blanket and assure her that this is normal following delivery
The practical nurse (PN) is assessing an older patient with left sided heart failure what intervention is most
important for the PN to implement
• Auscultate all the lung fields
While administering prescription medication to an older adult resident in a extended care facility the practical
nurse notice that the patient is having difficulty hearing what action is most important for the PN to take?
ANSWER>>
• Determine if patient has had difficulty hearing in the past
The healthcare provider Gives a pregnant woman a prescription for one prenatal vitamin with iron daily and
tells her that she needs to increase iron rich foods in her diet because her hemoglobin is 8.2 gramsldi when
a list of iron list foods is given to the patient the patient tells the practical nurse she’s a vegetarian and does
not eat bleeds what instructions should the PN give? ANSWER>>
• Add lenhl and black beans
• Increase green leafy vegetables in the diet
• Oatmeal is a good choice for breakfast
A full term 24 hour old infant in the nursery regulates and suddenly turns cyanotic which immediate
interventions should the practical nurse (PN) take? ANSWER>>
• Turn the infant to the right side
,The practical nurse (PN) views the midline episiotomy of a patient who repots pain in her stiches whar action
should the action should the PN take first? ANSWER>>
• Observe suture line for separation and hematoma formation
,The practical nurse (PN) is obtaining fetal heart rates on four antepartum patient in their third trimester of
pregnancy what fetal heart rate should be reported to the registered nurse? ANSWER>>
• 180 (NORMAL 110-160)
An older patient who had a colon resection 8 days ago is straining at stool the practical nurse (PN) observes
from the patient klound followed by appearance of bowel on the skin which complication has occurred?
ANSWER>>
• Evisceration
A female patient with immune thrombocytopenic purpura is transported to a long term facility for physical
therapy rehabilitation to prevent injury the most important for the practical nurse (PN) to implement?
ANSWER>>
• Ensure the patient has minimum clutter in the room
Which location should the practical nurse palpate to determine if a patient submandibular lymph node are
enlarged? ANSWER>>
• Beneath the lower jaw
A patient is receiving an epidural anesthesia during labor which observation is the most important adverse
effect that the practical nurse (PN) should assess for following the administration of the epidural
• Maternal hypotension
The practical nurse (PN) is working in a cancer detention mobile clinic. Four individuals come for screening
with a complaint of hoarseness a danger sign for cancer of the larynx which patient has the highest risk of
development of cancer of the larynx that the PN should refer to healthcare provider
• A older male who drinks a 6 pack of beer nightly and smokes heavily
A home health practical nurse (PN) visits and older patient living with offspring who exhibits fear unkempt
and has lost a lot of weight which action should the PN take>
• Report suspected abuse to supervisor and protective services
The practical nurse determines that a patient who is one day postpartum has a moderate amount of lochia
and rubra and the uterus is firm diverted and three finger breaths above umbilicus what should be the first
initial action
• Massage the uterus to decrease atony
The practical nurse is caring for a patient with coronary artery disease who is admitted intermitted chest pain
the admissions lobotomy results indicated elevated tropine 1 and creatine phosphoicinase myoglobulin
isoenzymes levels what should the PN consider the most significant risk is for this patient on the second day
of admissions? ANSWER>>
• The labs results indicate myocadiac damage and the patient is at risk for cardiac dysrhythmias
Which interventions should thr practical nurse (PN) reinforce for a patient with pruritis? ANSWER>>
• Jeep finger nails trimmed short
When gathering dara about a patient with dark skin tones whitch site should the practical nurse (PN) observe
• Finger and toe nails
, A 2 day old infant with hydrocephalus returns from surgery following placement of a ventriculoperitoneal
shunt which nursing intervention should the practical nurse (PN) implement during postoperative care
• Document strict intake and out take
• Measure head circumference
• Monitor body temperature every 4 hours
