HESI PN Exit Exam – Version 2 | 2025 Latest
with Next Generation NCLEX (NGN) Verified
Questions
This document features Version 2 of the HESI PN Exit Exam, updated for the
2025 academic year and formatted to reflect the Next Generation NCLEX
(NGN) style. It includes 160 verified questions with 100% correct answers and
rationales, covering essential PN topics such as pharmacology, adult medical-
surgical nursing, pediatrics, maternal health, mental health, and patient
safety. A+ graded and ideal for practical nursing students aiming to pass the
HESI and succeed on the NCLEX-PN.
The LPN/LVN is planning care for the a client who has fourth
degree midline laceration that occurred during vaginal delivery
of an 8 pound 10 ounce infant. What intervention has the highest
priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays
A. Administer Prescribed stool softener
,The LPN/LVN is palpating the right upper hypochondriac
region of the abdomen of a client. What organ lies underneath
this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen
C. Liver
A client comes to the antepartal clinic and tells the LPN/LVN
that she is 6 weeks pregnant. Which sign is she most likely to
report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
B. Amenorrhea
A client's daughter phones the charge nurse to report that the
night LPN/ LVN did not provide good care for her mother. What
response should the nurse make?
A. Ask for a description of what happened during the night
B. Tell the daughter to talk to the unit's nurse manager
C. Reassure the daughter that the mother will get better care.
D. Explain that all the staff are doing the best they can.
A. Ask for a description of what happened during the night
,A hosptitalized toddler who is recovering from a sickle cell
crisis holds a toy and say's "mine". According to Erikson's
theory of psychosocial development, this child's behavior is a
demonstration of which developmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
A. Autonomy vs. Shame and doubt
Which action should the LPN/LVN implement in caring for a
client following an electroencephalogram (EEG)?
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client's hair and scalp
D. Wash any paste from the client's hair and scalp
The LPN/LVN is caring for a 75- year-old male client who is
beginning to form a decubitus ulcer at the coccyx. Which
intervention will be most helpful in preventing further
development of the decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
A. Encourage the client to eat foods high in protein
, What is the homeostatic cellular transport mechanism that
moves water from a hypotonic to a hypertonic fluid space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport
C. Osmosis
The LPN/LVN is taking blood pressure of a client admitted with
a possible myocardial infarction. When taking the client's BP at
the brachial artery, the nurse should place the client's arm in
which position?
A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart
B. At the level of the heart
What are the final parameters that produce blood pressure?
(select all that apply)
A. Heart rate
B. Stroke volume
C. Peripheral resistance
D. Neuroendocrine hormones
E. Muscle tone
A. Heart rate
B. Stroke volume
C. Peripheral resistance
with Next Generation NCLEX (NGN) Verified
Questions
This document features Version 2 of the HESI PN Exit Exam, updated for the
2025 academic year and formatted to reflect the Next Generation NCLEX
(NGN) style. It includes 160 verified questions with 100% correct answers and
rationales, covering essential PN topics such as pharmacology, adult medical-
surgical nursing, pediatrics, maternal health, mental health, and patient
safety. A+ graded and ideal for practical nursing students aiming to pass the
HESI and succeed on the NCLEX-PN.
The LPN/LVN is planning care for the a client who has fourth
degree midline laceration that occurred during vaginal delivery
of an 8 pound 10 ounce infant. What intervention has the highest
priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays
A. Administer Prescribed stool softener
,The LPN/LVN is palpating the right upper hypochondriac
region of the abdomen of a client. What organ lies underneath
this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen
C. Liver
A client comes to the antepartal clinic and tells the LPN/LVN
that she is 6 weeks pregnant. Which sign is she most likely to
report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
B. Amenorrhea
A client's daughter phones the charge nurse to report that the
night LPN/ LVN did not provide good care for her mother. What
response should the nurse make?
A. Ask for a description of what happened during the night
B. Tell the daughter to talk to the unit's nurse manager
C. Reassure the daughter that the mother will get better care.
D. Explain that all the staff are doing the best they can.
A. Ask for a description of what happened during the night
,A hosptitalized toddler who is recovering from a sickle cell
crisis holds a toy and say's "mine". According to Erikson's
theory of psychosocial development, this child's behavior is a
demonstration of which developmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
A. Autonomy vs. Shame and doubt
Which action should the LPN/LVN implement in caring for a
client following an electroencephalogram (EEG)?
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client's hair and scalp
D. Wash any paste from the client's hair and scalp
The LPN/LVN is caring for a 75- year-old male client who is
beginning to form a decubitus ulcer at the coccyx. Which
intervention will be most helpful in preventing further
development of the decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
A. Encourage the client to eat foods high in protein
, What is the homeostatic cellular transport mechanism that
moves water from a hypotonic to a hypertonic fluid space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport
C. Osmosis
The LPN/LVN is taking blood pressure of a client admitted with
a possible myocardial infarction. When taking the client's BP at
the brachial artery, the nurse should place the client's arm in
which position?
A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart
B. At the level of the heart
What are the final parameters that produce blood pressure?
(select all that apply)
A. Heart rate
B. Stroke volume
C. Peripheral resistance
D. Neuroendocrine hormones
E. Muscle tone
A. Heart rate
B. Stroke volume
C. Peripheral resistance
