HESI PN EXIT f7x2 f7x2
f7x2 V1 – V7 EXAM f7x2 f7x2 f7 x2
NCLEX(NGN),Case-basedScenarios, 2
x
f7 f7
2
x f7
2
x
Actual Qs & Ans to Pass the Exam f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
THIS HESIPN EXIT CONSISTS OF
f7x2 f7x2 f7x2 f7x2 f7x2
❖ Each Examhas 75Qs andAns f7x2 f7x2 f7x2 2
x
f7 f7x2 2
x
f7
❖ multiple-choice questions (MCQs)** with four options f7x2 x2
f7 f7x2 x2
f7 f7x2
f7x2 (A–D), answers, and detailed rationales aligned with
f7x2 f7x2 f7x2 f7x 2 f7x 2 f7x2
f7x2 HESI PN Exit Exam 2025 standards.
f7x2 f7x2 f7x2 f7x2 f7x 2
❖ Some questions are flagged as **NCLEX-style (NGN)**, and
f7x2 f7x2 f7x2 f7x 2 f7x 2 f7x 2 f7x 2
f7x2 relevant **case studies/vitals** areintegrated where applicable.
f7x2 f7x2 f7x2 x2
f7 f7x2 f7x2
,Table of Contents f7x2 f7x2
HESI PN EXIT V1 EXAM.......................................................................... 2
f7x2 f7x2 f7x2 f7x2
HESI PN EXIT V2 EXAM....................................................................... 54
f7x2 f7x2 f7x2 f7x2
HESI PN EXIT V3 EXAM.................................................................... 108
f7x2 f7x2 f7x2 f7x2
HESI PN EXIT V4 EXAM.................................................................... 162
f7x2 f7x2 f7x2 f7x2
HESI PN EXIT V5 EXAM.................................................................... 217
f7x2 f7x2 f7x2 f7x2
HESI PN EXIT V6 EXAM.................................................................... 259
f7x2 f7x2 f7x2 f7x2
HESI PN EXIT V7 EXAM.................................................................... 299
f7x2 f7x2 f7x2 f7x2
HESIPNEXIT V1EXAM f7x2 f7x2 f7x2 f7x2
### 1. f7x2
The practical nurse enters a male client’s room to administer routine morning
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
medications, but the client is on the phone. Which action is best for the PN to
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 take?
A. Ask another nurse to go back with the medication when the client’s phone call
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 ends
B. Wait for the client to excuse himself from the telephone conversation and
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 observe the client taking the medication
f7x2 f7x2 f7x2 f7x2 f7x2
C. Return the medication tothe client’s drawer on the medication cart and
f7x2 f7x2 f7x2 f7x
2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 document the client refused the dose f7x2 f7x2 f7x2 f7x2 f7x2
,D. Leave the medication with the clientand let him take it when he finishes the
f7x2 f7x2 f7x2 f7x2 f7x2 2
x
f7 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
conversation
f7x2
Answer: B. Wait for the client toexcuse himself from the telephone conversation
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 x2
f7 f7x2 f7x2 f7x2 f7x2 f7x2
and observe the client taking the medication
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
Rationale:
Medication administration requiresverification ofthe“five rights,”including f7x2 f7x2 2
x
f7 f7x2 f7
2
x x2
f7 f7x2 2
x
f7
observing the client actually take the medication for safety and
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
documentation. Interrupting a phone call can be disrespectful, but it is
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
important to wait until the client is free to safely administer meds. Leaving
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
meds unattended or documenting refusal without client’s consent violates
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
safety protocols.
f7x2 f7x2
---
### 2. f7x2
A client is admitted to the postoperative surgical unit with two chest tubes
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
after a left lobectomy. The PN observes that the chest tube system is set at a
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
suction of 20 cm water pressure, with tidaling during respirations and
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
bubbling present. What action should the PN take?
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
A. Clamp the chest tube to see if the activity stops f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
B. Notify the registered nurse of a malfunction f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
C. Maintain system integrity to promote lung reexpansion f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
D. Apply a partially occlusive dressing to the chest insertion site
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
Answer: C. Maintain system integrity to promote lung reexpansionf7 x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
Rationale:
, Tidaling (fluctuations with respirations) and bubbling in the suction chamber f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 are normal findings indicating proper function. Maintaining a closed and intact
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 system ensures continued lung reexpansion and prevents complications such
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
as pneumothorax. Clamping is contraindicated due to risk of tension
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 pneumothorax.
---
### 3. (NCLEX NGN - Case-Based Scenario)
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
A mother calls the clinic about her 9-month-old child diagnosed with RSV
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 yesterday. She asks if it is okay to take the baby to a friend’s child’s first f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 birthday party tomorrow. What is the best response? f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
A. Do not expose other children as RSV is very contagious even without
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 direct contact f7x2
B. The child will no longer be contagious and no precautions are needed
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
C. The child can be around other children but should wear a mask
f7x2 f7x2 f7 x2 f7x2 f7x2 f7x2 f 7x 2 f7x2 f7x2 f7x2 f7x2
D. Make sure no children under 5 months are near the infected child f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
Answer: A. Do not expose other children as RSV is very contagious even without f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 direct contact f7x2
Rationale:
RSV is highly contagious and easily transmitted via respiratory droplet and
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 indirect contact, particularly in infants and young children. The virus can
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 spread even before symptomsappear, so avoiding exposure at groupevents
f7x2 f7x2 f7x2 2
x
f7 f7x2 f7x2 f7x2 f7x2 f7x2 f7
2
x
f7x2 helps control transmission. f7x2 f7x2
---
###4.
f7x2 2
x
f7
f7x2 V1 – V7 EXAM f7x2 f7x2 f7 x2
NCLEX(NGN),Case-basedScenarios, 2
x
f7 f7
2
x f7
2
x
Actual Qs & Ans to Pass the Exam f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
THIS HESIPN EXIT CONSISTS OF
f7x2 f7x2 f7x2 f7x2 f7x2
❖ Each Examhas 75Qs andAns f7x2 f7x2 f7x2 2
x
f7 f7x2 2
x
f7
❖ multiple-choice questions (MCQs)** with four options f7x2 x2
f7 f7x2 x2
f7 f7x2
f7x2 (A–D), answers, and detailed rationales aligned with
f7x2 f7x2 f7x2 f7x 2 f7x 2 f7x2
f7x2 HESI PN Exit Exam 2025 standards.
f7x2 f7x2 f7x2 f7x2 f7x 2
❖ Some questions are flagged as **NCLEX-style (NGN)**, and
f7x2 f7x2 f7x2 f7x 2 f7x 2 f7x 2 f7x 2
f7x2 relevant **case studies/vitals** areintegrated where applicable.
f7x2 f7x2 f7x2 x2
f7 f7x2 f7x2
,Table of Contents f7x2 f7x2
HESI PN EXIT V1 EXAM.......................................................................... 2
f7x2 f7x2 f7x2 f7x2
HESI PN EXIT V2 EXAM....................................................................... 54
f7x2 f7x2 f7x2 f7x2
HESI PN EXIT V3 EXAM.................................................................... 108
f7x2 f7x2 f7x2 f7x2
HESI PN EXIT V4 EXAM.................................................................... 162
f7x2 f7x2 f7x2 f7x2
HESI PN EXIT V5 EXAM.................................................................... 217
f7x2 f7x2 f7x2 f7x2
HESI PN EXIT V6 EXAM.................................................................... 259
f7x2 f7x2 f7x2 f7x2
HESI PN EXIT V7 EXAM.................................................................... 299
f7x2 f7x2 f7x2 f7x2
HESIPNEXIT V1EXAM f7x2 f7x2 f7x2 f7x2
### 1. f7x2
The practical nurse enters a male client’s room to administer routine morning
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
medications, but the client is on the phone. Which action is best for the PN to
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 take?
A. Ask another nurse to go back with the medication when the client’s phone call
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 ends
B. Wait for the client to excuse himself from the telephone conversation and
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 observe the client taking the medication
f7x2 f7x2 f7x2 f7x2 f7x2
C. Return the medication tothe client’s drawer on the medication cart and
f7x2 f7x2 f7x2 f7x
2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 document the client refused the dose f7x2 f7x2 f7x2 f7x2 f7x2
,D. Leave the medication with the clientand let him take it when he finishes the
f7x2 f7x2 f7x2 f7x2 f7x2 2
x
f7 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
conversation
f7x2
Answer: B. Wait for the client toexcuse himself from the telephone conversation
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 x2
f7 f7x2 f7x2 f7x2 f7x2 f7x2
and observe the client taking the medication
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
Rationale:
Medication administration requiresverification ofthe“five rights,”including f7x2 f7x2 2
x
f7 f7x2 f7
2
x x2
f7 f7x2 2
x
f7
observing the client actually take the medication for safety and
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
documentation. Interrupting a phone call can be disrespectful, but it is
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
important to wait until the client is free to safely administer meds. Leaving
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
meds unattended or documenting refusal without client’s consent violates
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
safety protocols.
f7x2 f7x2
---
### 2. f7x2
A client is admitted to the postoperative surgical unit with two chest tubes
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
after a left lobectomy. The PN observes that the chest tube system is set at a
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
suction of 20 cm water pressure, with tidaling during respirations and
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
bubbling present. What action should the PN take?
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
A. Clamp the chest tube to see if the activity stops f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
B. Notify the registered nurse of a malfunction f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
C. Maintain system integrity to promote lung reexpansion f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
D. Apply a partially occlusive dressing to the chest insertion site
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
Answer: C. Maintain system integrity to promote lung reexpansionf7 x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
Rationale:
, Tidaling (fluctuations with respirations) and bubbling in the suction chamber f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 are normal findings indicating proper function. Maintaining a closed and intact
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 system ensures continued lung reexpansion and prevents complications such
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
as pneumothorax. Clamping is contraindicated due to risk of tension
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 pneumothorax.
---
### 3. (NCLEX NGN - Case-Based Scenario)
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
A mother calls the clinic about her 9-month-old child diagnosed with RSV
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 yesterday. She asks if it is okay to take the baby to a friend’s child’s first f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 birthday party tomorrow. What is the best response? f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
A. Do not expose other children as RSV is very contagious even without
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 direct contact f7x2
B. The child will no longer be contagious and no precautions are needed
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
C. The child can be around other children but should wear a mask
f7x2 f7x2 f7 x2 f7x2 f7x2 f7x2 f 7x 2 f7x2 f7x2 f7x2 f7x2
D. Make sure no children under 5 months are near the infected child f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
Answer: A. Do not expose other children as RSV is very contagious even without f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 direct contact f7x2
Rationale:
RSV is highly contagious and easily transmitted via respiratory droplet and
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 indirect contact, particularly in infants and young children. The virus can
f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2 f7x2
f7x2 spread even before symptomsappear, so avoiding exposure at groupevents
f7x2 f7x2 f7x2 2
x
f7 f7x2 f7x2 f7x2 f7x2 f7x2 f7
2
x
f7x2 helps control transmission. f7x2 f7x2
---
###4.
f7x2 2
x
f7
