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HESI PN EXIT V qx qx qx
1 – V7 EXAM qx qx qx
NCLEX (NGN), Case-based Scenarios,
qx qx qx
Actual Qs & Ans to Pass the Exam qx qx qx qx qx qx qx
THIS HESI PN EXIT CONSISTS OF
qx qx qx qx qx
Each Exam has 75 Qs and Ansqx qx qx qx qx qx
multiple-
choice questions (MCQs)** with four options (A–
qx qx qx qx qx qx
D), answers, and detailed rationales aligned with H
qx qx qx qx qx qx qx
ESI PN Exit Exam 2025 standards.
qx qx qx qx qx
Some questions are flagged as **NCLEX-
qx qx qx qx qx
style (NGN)**, and relevant **case studies/vitals** are integrate
qx qx qx qx qx qx qx
d where applicable.
qx qx
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Table of Contents qx qx
HESI PN EXIT V1 EXAM ........................................................................ 2
qx qx qx qx
HESI PN EXIT V2 EXAM ..................................................................... 54
qx qx qx qx
HESI PN EXIT V3 EXAM .................................................................. 108
qx qx qx qx
HESI PN EXIT V4 EXAM .................................................................. 162
qx qx qx qx
HESI PN EXIT V5 EXAM .................................................................. 217
qx qx qx qx
HESI PN EXIT V6 EXAM .................................................................. 259
qx qx qx qx
HESI PN EXIT V7 EXAM .................................................................. 299
qx qx qx qx
HESI PN EXIT V1 EXAM qx qx qx qx
### 1. qx
The practical nurse enters a male client’s room to administer routine morni
qx qx qx qx qx qx qx qx qx qx qx
ng medications, but the client is on the phone. Which action is best for the
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
PN to take?
qx qx
A. Ask another nurse to go back with the medication when the client’s phon
qx qx qx qx qx qx qx qx qx qx qx qx
e call ends
qx qx
B. Wait for the client to excuse himself from the telephone conversation an
qx qx qx qx qx qx qx qx qx qx qx
d observe the client taking the medication
qx qx qx qx qx qx
C. Return the medication to the client’s drawer on the medication cart an
qx qx qx qx qx qx qx qx qx qx qx
d document the client refused the dose
qx qx qx qx qx qx
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D. Leave the medication with the client and let him take it when he finishe
qx qx qx qx qx qx qx qx qx qx qx qx qx
s the conversation
qx qx
Answer: B. Wait for the client to excuse himself from the telephone conver
qx qx qx qx qx qx qx qx qx qx qx qx
sation and observe the client taking the medication
qx qx qx qx qx qx qx
Rationale:
Medication administration requires verification of the ―five rights,‖ including
qx qx qx qx qx qx qx qx qx
observing the client actually take the medication for safety and documenta
qx qx qx qx qx qx qx qx qx qx
tion. Interrupting a phone call can be disrespectful, but it is important to w
qx qx qx qx qx qx qx qx qx qx qx qx qx
ait until the client is free to safely administer meds. Leaving meds unatten
qx qx qx qx qx qx qx qx qx qx qx qx
ded or documenting refusal without client’s consent violates safety protocol
qx qx qx qx qx qx qx qx qx
s.
---
### 2. qx
A client is admitted to the postoperative surgical unit with two chest tubes
qx qx qx qx qx qx qx qx qx qx qx qx q
x after a left lobectomy. The PN observes that the chest tube system is set a
qx qx qx qx qx qx qx qx qx qx qx qx qx qx
t a suction of 20 cm water pressure, with tidaling during respirations and
qx qx qx qx qx qx qx qx qx qx qx qx qx
bubbling present. What action should the PN take?
qx qx qx qx qx qx qx
A. Clamp the chest tube to see if the activity stops
qx qx qx qx qx qx qx qx qx
B. Notify the registered nurse of a malfunction
qx qx qx qx qx qx
C. Maintain system integrity to promote lung reexpansion
qx qx qx qx qx qx
D. Apply a partially occlusive dressing to the chest insertion site
qx qx qx qx qx qx qx qx qx
Answer: C. Maintain system integrity to promote lung reexpansion
qx qx qx qx qx qx qx qx
Rationale:
Wantqxtoqxearnqx$1.23
6
extra per year?
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The Marketplace to Buy and Sell your Study Material
Tidaling (fluctuations with respirations) and bubbling in the suction chambe
qx qx qx qx qx qx qx qx qx
r are normal findings indicating proper function. Maintaining a closed and in
qx qx qx qx qx qx qx qx qx qx qx
tact system ensures continued lung reexpansion and prevents complications
qx qx qx qx qx qx qx qx
qx such as pneumothorax. Clamping is contraindicated due to risk of tension p
qx qx qx qx qx qx qx qx qx qx qx
neumothorax.
---
### 3. (NCLEX NGN - Case-Based Scenario)
qx qx qx qx qx qx
A mother calls the clinic about her 9-month-
qx qx qx qx qx qx qx
old child diagnosed with RSV yesterday. She asks if it is okay to take th
qx qx qx qx qx qx qx qx qx qx qx qx qx qx
e baby to a friend’s child’s first birthday party tomorrow. What is the be
qx qx qx qx qx qx qx qx qx qx qx qx qx
st response?
qx
A. Do not expose other children as RSV is very contagious even withou
qx qx qx qx qx qx qx qx qx qx qx
t direct contact
qx qx
B. The child will no longer be contagious and no precautions are needed
qx qx qx qx qx qx qx qx qx qx qx
C. The child can be around other children but should wear a mask
qx qx qx qx qx qx qx qx qx qx qx
D. Make sure no children under 5 months are near the infected child
qx qx qx qx qx qx qx qx qx qx qx
Answer: A. Do not expose other children as RSV is very contagious even w
qx qx qx qx qx qx qx qx qx qx qx qx qx
ithout direct contact qx qx
Rationale:
RSV is highly contagious and easily transmitted via respiratory droplet and
qx qx qx qx qx qx qx qx qx qx q
x indirect contact, particularly in infants and young children. The virus can s
qx qx qx qx qx qx qx qx qx qx qx
pread even before symptoms appear, so avoiding exposure at group events
qx qx qx qx qx qx qx qx qx qx qx
helps control transmission.
qx qx
---
qx ### 4 qx
.
Wantqxtoqxearnqx$1.23
6
extra per year?
The Marketplace to Buy and Sell your Study Material
HESI PN EXIT V qx qx qx
1 – V7 EXAM qx qx qx
NCLEX (NGN), Case-based Scenarios,
qx qx qx
Actual Qs & Ans to Pass the Exam qx qx qx qx qx qx qx
THIS HESI PN EXIT CONSISTS OF
qx qx qx qx qx
Each Exam has 75 Qs and Ansqx qx qx qx qx qx
multiple-
choice questions (MCQs)** with four options (A–
qx qx qx qx qx qx
D), answers, and detailed rationales aligned with H
qx qx qx qx qx qx qx
ESI PN Exit Exam 2025 standards.
qx qx qx qx qx
Some questions are flagged as **NCLEX-
qx qx qx qx qx
style (NGN)**, and relevant **case studies/vitals** are integrate
qx qx qx qx qx qx qx
d where applicable.
qx qx
Wantqxtoqxearnqx$1.23
6
extra per year?
, Stuvia.comqx-
The Marketplace to Buy and Sell your Study Material
Table of Contents qx qx
HESI PN EXIT V1 EXAM ........................................................................ 2
qx qx qx qx
HESI PN EXIT V2 EXAM ..................................................................... 54
qx qx qx qx
HESI PN EXIT V3 EXAM .................................................................. 108
qx qx qx qx
HESI PN EXIT V4 EXAM .................................................................. 162
qx qx qx qx
HESI PN EXIT V5 EXAM .................................................................. 217
qx qx qx qx
HESI PN EXIT V6 EXAM .................................................................. 259
qx qx qx qx
HESI PN EXIT V7 EXAM .................................................................. 299
qx qx qx qx
HESI PN EXIT V1 EXAM qx qx qx qx
### 1. qx
The practical nurse enters a male client’s room to administer routine morni
qx qx qx qx qx qx qx qx qx qx qx
ng medications, but the client is on the phone. Which action is best for the
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
PN to take?
qx qx
A. Ask another nurse to go back with the medication when the client’s phon
qx qx qx qx qx qx qx qx qx qx qx qx
e call ends
qx qx
B. Wait for the client to excuse himself from the telephone conversation an
qx qx qx qx qx qx qx qx qx qx qx
d observe the client taking the medication
qx qx qx qx qx qx
C. Return the medication to the client’s drawer on the medication cart an
qx qx qx qx qx qx qx qx qx qx qx
d document the client refused the dose
qx qx qx qx qx qx
Wantqxtoqxearnqx$1.23
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extra per year?
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The Marketplace to Buy and Sell your Study Material
D. Leave the medication with the client and let him take it when he finishe
qx qx qx qx qx qx qx qx qx qx qx qx qx
s the conversation
qx qx
Answer: B. Wait for the client to excuse himself from the telephone conver
qx qx qx qx qx qx qx qx qx qx qx qx
sation and observe the client taking the medication
qx qx qx qx qx qx qx
Rationale:
Medication administration requires verification of the ―five rights,‖ including
qx qx qx qx qx qx qx qx qx
observing the client actually take the medication for safety and documenta
qx qx qx qx qx qx qx qx qx qx
tion. Interrupting a phone call can be disrespectful, but it is important to w
qx qx qx qx qx qx qx qx qx qx qx qx qx
ait until the client is free to safely administer meds. Leaving meds unatten
qx qx qx qx qx qx qx qx qx qx qx qx
ded or documenting refusal without client’s consent violates safety protocol
qx qx qx qx qx qx qx qx qx
s.
---
### 2. qx
A client is admitted to the postoperative surgical unit with two chest tubes
qx qx qx qx qx qx qx qx qx qx qx qx q
x after a left lobectomy. The PN observes that the chest tube system is set a
qx qx qx qx qx qx qx qx qx qx qx qx qx qx
t a suction of 20 cm water pressure, with tidaling during respirations and
qx qx qx qx qx qx qx qx qx qx qx qx qx
bubbling present. What action should the PN take?
qx qx qx qx qx qx qx
A. Clamp the chest tube to see if the activity stops
qx qx qx qx qx qx qx qx qx
B. Notify the registered nurse of a malfunction
qx qx qx qx qx qx
C. Maintain system integrity to promote lung reexpansion
qx qx qx qx qx qx
D. Apply a partially occlusive dressing to the chest insertion site
qx qx qx qx qx qx qx qx qx
Answer: C. Maintain system integrity to promote lung reexpansion
qx qx qx qx qx qx qx qx
Rationale:
Wantqxtoqxearnqx$1.23
6
extra per year?
, Stuvia.comqx-
The Marketplace to Buy and Sell your Study Material
Tidaling (fluctuations with respirations) and bubbling in the suction chambe
qx qx qx qx qx qx qx qx qx
r are normal findings indicating proper function. Maintaining a closed and in
qx qx qx qx qx qx qx qx qx qx qx
tact system ensures continued lung reexpansion and prevents complications
qx qx qx qx qx qx qx qx
qx such as pneumothorax. Clamping is contraindicated due to risk of tension p
qx qx qx qx qx qx qx qx qx qx qx
neumothorax.
---
### 3. (NCLEX NGN - Case-Based Scenario)
qx qx qx qx qx qx
A mother calls the clinic about her 9-month-
qx qx qx qx qx qx qx
old child diagnosed with RSV yesterday. She asks if it is okay to take th
qx qx qx qx qx qx qx qx qx qx qx qx qx qx
e baby to a friend’s child’s first birthday party tomorrow. What is the be
qx qx qx qx qx qx qx qx qx qx qx qx qx
st response?
qx
A. Do not expose other children as RSV is very contagious even withou
qx qx qx qx qx qx qx qx qx qx qx
t direct contact
qx qx
B. The child will no longer be contagious and no precautions are needed
qx qx qx qx qx qx qx qx qx qx qx
C. The child can be around other children but should wear a mask
qx qx qx qx qx qx qx qx qx qx qx
D. Make sure no children under 5 months are near the infected child
qx qx qx qx qx qx qx qx qx qx qx
Answer: A. Do not expose other children as RSV is very contagious even w
qx qx qx qx qx qx qx qx qx qx qx qx qx
ithout direct contact qx qx
Rationale:
RSV is highly contagious and easily transmitted via respiratory droplet and
qx qx qx qx qx qx qx qx qx qx q
x indirect contact, particularly in infants and young children. The virus can s
qx qx qx qx qx qx qx qx qx qx qx
pread even before symptoms appear, so avoiding exposure at group events
qx qx qx qx qx qx qx qx qx qx qx
helps control transmission.
qx qx
---
qx ### 4 qx
.
Wantqxtoqxearnqx$1.23
6
extra per year?
