HESI PN EXIT V1 – V7
EXAM
NCLEX (NGN), Case-based Scenarios,
Actual Qs & Ans to Pass the Exam
THIS HESI PN EXIT CONSISTS OF
Each Exam has 75 Qs and Ans
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.
, Table of Contents
HESI PN EXIT V1 EXAM............................................................................ 2
HESI PN EXIT V2 EXAM......................................................................... 54
HESI PN EXIT V3 EXAM.......................................................................108
HESI PN EXIT V4 EXAM.......................................................................162
HESI PN EXIT V5 EXAM....................................................................... 217
HESI PN EXIT V6 EXAM...................................................................... 259
HESI PN EXIT V7 EXAM.......................................................................299
,### 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.
--- ###
4.
EXAM
NCLEX (NGN), Case-based Scenarios,
Actual Qs & Ans to Pass the Exam
THIS HESI PN EXIT CONSISTS OF
Each Exam has 75 Qs and Ans
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.
, Table of Contents
HESI PN EXIT V1 EXAM............................................................................ 2
HESI PN EXIT V2 EXAM......................................................................... 54
HESI PN EXIT V3 EXAM.......................................................................108
HESI PN EXIT V4 EXAM.......................................................................162
HESI PN EXIT V5 EXAM....................................................................... 217
HESI PN EXIT V6 EXAM...................................................................... 259
HESI PN EXIT V7 EXAM.......................................................................299
,### 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.
--- ###
4.
