–V7 EXAM
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NCLEX(NGN),Case-basedScenarios, 2
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Actual Qs & Ans to Pass the Exam x2 x2 x2 x2 x2 x2 x2
THISHESIPN EXITCONSISTS OF
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❖ Each Examhas 75Qs andAns x2 x2 x2 2
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❖ multiple-choice questions (MCQs)** with four options x2 x2 x2 x2 x2
x2 (A–D), answers, and detailed rationales aligned with
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x2 HESI PN Exit Exam 2025 standards.
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❖ Some questions are flagged as **NCLEX-style (NGN)**, and
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x2 relevant **case studies/vitals**areintegrated whereapplicable.
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,Tableof Contents x2 x2
HESI PN EXIT V1 EXAM .......................................................................... 2
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HESI PN EXIT V2 EXAM ....................................................................... 54
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HESI PN EXIT V3 EXAM .................................................................... 108
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HESI PN EXIT V4 EXAM .................................................................... 162
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HESI PN EXIT V5 EXAM .................................................................... 217
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HESI PN EXIT V6 EXAM .................................................................... 259
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HESI PN EXIT V7 EXAM .................................................................... 299
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HESIPNEXITV1EXAM x2 x2 x2 x2
### 1. x2
The practical nurse enters a male client’s room to administer routine morning
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medications, but the client is on the phone. Which action is best for the PN to take?
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A. Ask another nurseto go back with the medication when the client’s phone call
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x2 ends
B. Wait for the client to excuse himself from the telephone conversation and
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x2 observe the client taking the medication
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C. Return themedication tothe client’s drawer on the medication cart and
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x2 document the client refused the dose x2 x2 x2 x2 x2
,D. Leave the medication with the clientand let him take it when he finishes the
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x2 conversation
Answer: B.Wait for the client toexcuse himself from the telephone conversation
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x2 and observe the client taking the medication
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Rationale:
Medication administration requiresverification ofthe“five rights,”including
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x2 observing the client actually take the medication for safety and documentation.
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x2 Interrupting a phone call can be disrespectful, but it is important to wait until the x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2 x2
x2 client is free to safely administer meds. Leaving meds unattended or
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x2 documenting refusal without client’s consent violates safety protocols. x2 x2 x2 x2 x2 x2 x2
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### 2. x2
A client is admitted to the postoperative surgical unit with two chest tubes after a
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left lobectomy. The PN observes that the chest tube system is set at a suction of 20
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x2 cm water pressure, with tidaling during respirations and bubbling present. What
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x2 action should the PN take?x2 x2 x2 x2
A. Clamp the chest tube to see if the activity stops x2 x2 x2 x2 x2 x2 x2 x2 x2
B. Notify the registered nurse of a malfunctionx2 x2 x2 x2 x2 x2
C. Maintain system integrity topromote lung reexpansion x2 x2 x2 x2 x2 x2
D. Apply a partially occlusive dressing tothe chest insertion site
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Answer: C.Maintain system integrity to promote lung reexpansion
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Rationale:
, Tidaling (fluctuations with respirations) and bubbling in the suction chamber are
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x2 normal findings indicating proper function. Maintaining a closed and intact
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x2 system ensures continued lung reexpansion and prevents complications such as
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pneumothorax. Clamping iscontraindicated due to risk of tension pneumothorax.
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### 3. (NCLEX NGN - Case-Based Scenario)
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A mother calls the clinic about her 9-month-old child diagnosed with RSV
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x2 yesterday. She asks if it is okay to take the baby to a friend’s child’s first
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x2 birthday party tomorrow. What is the best response? x2 x2 x2 x2 x2 x2 x2
A. Do not expose other children as RSV is very contagious even without direct
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x2 contact
B. The child will no longer be contagious and no precautions are needed
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C. The child can be around other children but should wear a mask
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D. Make sure no children under 5 months are nearthe infected child
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Answer: A.Do not expose other children as RSV is very contagious even without
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x2 direct contact x2
Rationale:
RSV is highly contagious and easily transmitted via respiratory droplet and
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x2 indirect contact, particularly in infants and young children. The virus can spread
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evenbefore symptomsappear, soavoiding exposure at groupevents helps control
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x2 transmission.
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