NCLEX (NGN), CASE-BASED SCENARIOS ACTUAL QS & ANS TO
PASS THE EXAM
➢ HESI PN EXIT V1-V7
➢ EACH EXAM HAS 75 QS AND ANS
➢ MULTIPLE-CHOICE QUESTIONS (MCQS)** WITH FOUR OPTIONS
(A–D), ANSWERS
➢ DETAILED RATIONALES ALIGNED WITH HESI PN EXIT EXAM
2025 STANDARDS
➢ 100% GUARANTEED PASS
➢ GRADED A+
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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
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,### 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
CORRECT 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.
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, 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
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