HESI PN EXIT
V6 EXAM
NCLEX (NGN), Case-based Scenarios,
Actual Qs & Ans to Pass the Exam
THIS HESI PN EXIT CONSISTS OF
75 Questions and Answers
multiple-choice questions (MCQs)** with four options
(A–D), answers, and detailed rationales aligned with
HESI PN Exit Exam 2025 standards.
Some questions are flagged as **NCLEX-style (NGN)**, and relevant
**case studies/vitals** are integrated where applicable.
,### 1. An older client with metastatic breast cancer is experiencing shortness
of breath due to bilateral pneumonia. The client has a living will, and the
family is requesting hospice care. Which information should the practical nurse
(PN) reinforce with the client and family regarding hospice care?
A. Instructions for care should be included in the client’s living will
B. Hospice care can only be provided in hospital settings
C. Hospice care focuses on curing the disease
D. Care focuses on comfort, dignity, and emotional support
Answer: D. Care focuses on comfort, dignity, and emotional support
Rationale: Hospice care emphasizes comfort measures rather than curative
treatment. It can be provided wherever the client resides, including home or
facility, and focuses on dignity and psychosocial support. While a living will
provides care preferences, it is not the same as hospice instructions.
---
### 2. An older female client admitted to a long-term care facility yesterday is
confused about what day of the week it is. Her history does not indicate prior
confusion. What action should the PN take?
A. Explain repeatedly what day it is until the client comprehends
B. Ignore her confusion as normal for her age
C. Remind the client what day of the week it is
D. Restrain the client to prevent wandering
,Answer: C. Remind the client what day of the week it is
Rationale: Orientation cues can help reduce confusion. Since no prior
confusion was documented, reorientation often helps with adjustment to a new
environment.
---
### 3. A primigravida client reports contractions every 5 minutes. After
monitoring contractions for 1 hour by external fetal monitor, the PN notes
contractions 7–15 minutes apart, lasting 20–30 seconds with mild intensity by
palpation. What action is appropriate?
A. Admit the client for labor
B. Send the client home with instructions
C. Notify the healthcare provider immediately
D. Prepare client for cesarean section
Answer: B. Send the client home with instructions
Rationale: Contractions occurring every 7 to 15 minutes with mild intensity
are not indicative of active labor. The client can be reassured and sent home
with guidance to return if contractions become more frequent or intense.
---
### 4. A gravida 1 para 0 client transferred to recovery room after vaginal
delivery is shaking uncontrollably and reports feeling cold. What is the best
intervention?
, A. Administer antipyretics
B. Apply a light warm blanket and reassure the client this is normal
C. Notify the healthcare provider of possible infection
D. Encourage the client to drink warm fluids
Answer: B. Apply a light warm blanket and reassure the client this is normal
Rationale: Postpartum shivering is common due to vasomotor instability and
residual effects of anesthesia and hormones. It is self-limiting and can be
managed with warmth and reassurance.
---
### 5. When assessing an older client with left-sided heart failure, which is
the most important intervention for the PN to implement?
A. Monitor daily weights only
B. Auscultate all lung fields
C. Measure peripheral pulses
D. Encourage extra fluid intake
Answer: B. Auscultate all lung fields
Rationale: Left-sided heart failure often causes pulmonary congestion. Lung
auscultation provides critical information on fluid accumulation, such as
crackles, which indicates worsening heart failure.
---
V6 EXAM
NCLEX (NGN), Case-based Scenarios,
Actual Qs & Ans to Pass the Exam
THIS HESI PN EXIT CONSISTS OF
75 Questions and Answers
multiple-choice questions (MCQs)** with four options
(A–D), answers, and detailed rationales aligned with
HESI PN Exit Exam 2025 standards.
Some questions are flagged as **NCLEX-style (NGN)**, and relevant
**case studies/vitals** are integrated where applicable.
,### 1. An older client with metastatic breast cancer is experiencing shortness
of breath due to bilateral pneumonia. The client has a living will, and the
family is requesting hospice care. Which information should the practical nurse
(PN) reinforce with the client and family regarding hospice care?
A. Instructions for care should be included in the client’s living will
B. Hospice care can only be provided in hospital settings
C. Hospice care focuses on curing the disease
D. Care focuses on comfort, dignity, and emotional support
Answer: D. Care focuses on comfort, dignity, and emotional support
Rationale: Hospice care emphasizes comfort measures rather than curative
treatment. It can be provided wherever the client resides, including home or
facility, and focuses on dignity and psychosocial support. While a living will
provides care preferences, it is not the same as hospice instructions.
---
### 2. An older female client admitted to a long-term care facility yesterday is
confused about what day of the week it is. Her history does not indicate prior
confusion. What action should the PN take?
A. Explain repeatedly what day it is until the client comprehends
B. Ignore her confusion as normal for her age
C. Remind the client what day of the week it is
D. Restrain the client to prevent wandering
,Answer: C. Remind the client what day of the week it is
Rationale: Orientation cues can help reduce confusion. Since no prior
confusion was documented, reorientation often helps with adjustment to a new
environment.
---
### 3. A primigravida client reports contractions every 5 minutes. After
monitoring contractions for 1 hour by external fetal monitor, the PN notes
contractions 7–15 minutes apart, lasting 20–30 seconds with mild intensity by
palpation. What action is appropriate?
A. Admit the client for labor
B. Send the client home with instructions
C. Notify the healthcare provider immediately
D. Prepare client for cesarean section
Answer: B. Send the client home with instructions
Rationale: Contractions occurring every 7 to 15 minutes with mild intensity
are not indicative of active labor. The client can be reassured and sent home
with guidance to return if contractions become more frequent or intense.
---
### 4. A gravida 1 para 0 client transferred to recovery room after vaginal
delivery is shaking uncontrollably and reports feeling cold. What is the best
intervention?
, A. Administer antipyretics
B. Apply a light warm blanket and reassure the client this is normal
C. Notify the healthcare provider of possible infection
D. Encourage the client to drink warm fluids
Answer: B. Apply a light warm blanket and reassure the client this is normal
Rationale: Postpartum shivering is common due to vasomotor instability and
residual effects of anesthesia and hormones. It is self-limiting and can be
managed with warmth and reassurance.
---
### 5. When assessing an older client with left-sided heart failure, which is
the most important intervention for the PN to implement?
A. Monitor daily weights only
B. Auscultate all lung fields
C. Measure peripheral pulses
D. Encourage extra fluid intake
Answer: B. Auscultate all lung fields
Rationale: Left-sided heart failure often causes pulmonary congestion. Lung
auscultation provides critical information on fluid accumulation, such as
crackles, which indicates worsening heart failure.
---
