THIS HESI PN EXIT CONSISTS OF

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.

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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

HESI PN EXIT V1 EXAM

### 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?

• Ask another nurse to go back with the medication when the client’s phone

call ends

• Wait for the client to excuse himself from the telephone conversation and

observe the client taking the medication

• Return the medication to the client’s drawer on the medication cart and

document the client refused the dose 2 / 10

• 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.

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### 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?

• Clamp the chest tube to see if the activity stops
• Notify the registered nurse of a malfunction
• Maintain system integrity to promote lung reexpansion
• Apply a partially occlusive dressing to the chest insertion site

Answer: C. Maintain system integrity to promote lung reexpansion

Rationale: 3 / 10

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?

• Do not expose other children as RSV is very contagious even without

direct contact

• The child will no longer be contagious and no precautions are needed
• The child can be around other children but should wear a mask
• 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.

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