HESI PN EXIT
V7 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. A client has a fourth-degree midline perineal laceration after delivering an 8 lb 10 oz infant. What
nursing 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
, Answer: A. Administer prescribed stool softener
Rationale: Fourth-degree lacerations extend through the rectal mucosa, increasing the risk of severe pain
and wound disruption with defecation. Stool softeners help prevent constipation, reducing the risk of strain
and promoting healing. Pain management is important, but preventing constipation directly reduces further
trauma.
---
### 2. While palpating the right upper hypochondriac region of the abdomen, which organ should the nurse
expect to assess?
A. Duodenum
B. Gastric pylorus
C. Liver
D. Spleen
Answer: C. Liver
Rationale: The liver is mainly located in the right upper quadrant, especially the hypochondriac region just
below the right rib cage. Proper anatomical knowledge ensures accurate assessment and early
identification of potential liver pathology.
---
### 3. A 6-week-pregnant client attends the clinic. Which sign is she most likely to report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
Answer: B. Amenorrhea
Rationale: Amenorrhea (absence of menstruation) is a presumptive sign and typically one of the first
indicators of pregnancy. Quickening is usually felt around 16–20 weeks. Nocturia and libido changes are
less specific and may occur later.
---
### 4. (NGN/Case Scenario)
A client's daughter calls the charge nurse to report inadequate care by the night LPN/LVN. 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 staff are doing the best they can
Answer: A. Ask for a description of what happened during the night
V7 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. A client has a fourth-degree midline perineal laceration after delivering an 8 lb 10 oz infant. What
nursing 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
, Answer: A. Administer prescribed stool softener
Rationale: Fourth-degree lacerations extend through the rectal mucosa, increasing the risk of severe pain
and wound disruption with defecation. Stool softeners help prevent constipation, reducing the risk of strain
and promoting healing. Pain management is important, but preventing constipation directly reduces further
trauma.
---
### 2. While palpating the right upper hypochondriac region of the abdomen, which organ should the nurse
expect to assess?
A. Duodenum
B. Gastric pylorus
C. Liver
D. Spleen
Answer: C. Liver
Rationale: The liver is mainly located in the right upper quadrant, especially the hypochondriac region just
below the right rib cage. Proper anatomical knowledge ensures accurate assessment and early
identification of potential liver pathology.
---
### 3. A 6-week-pregnant client attends the clinic. Which sign is she most likely to report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
Answer: B. Amenorrhea
Rationale: Amenorrhea (absence of menstruation) is a presumptive sign and typically one of the first
indicators of pregnancy. Quickening is usually felt around 16–20 weeks. Nocturia and libido changes are
less specific and may occur later.
---
### 4. (NGN/Case Scenario)
A client's daughter calls the charge nurse to report inadequate care by the night LPN/LVN. 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 staff are doing the best they can
Answer: A. Ask for a description of what happened during the night
