HESI PN EXIT
V1 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.
The LPN/LVN is planning care for a client who has a 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
Answer: A. Administer prescribed stool softener
Rationale: A fourth-degree laceration extends through the vaginal
mucosa to the rectal mucosa. Preventing constipation and straining is
essential to avoid wound disruption and promote healing. Stool
softeners ease defecation without excessive pressure.
---
,### 2.
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
Answer: C. Liver
Rationale: The liver occupies much of the right upper quadrant,
including the hypochondriac area beneath the right rib cage. The
duodenum and gastric pylorus are mostly in the epigastrium/mid-
abdomen; spleen is in the left upper quadrant.
---
### 3.
, A client comes to the antepartal clinic and reports she is 6 weeks
pregnant. Which sign is she most likely to report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
Answer: B. Amenorrhea
Rationale: Amenorrhea (absent menses) is the earliest and most
common presumptive sign of pregnancy. Quickening typically occurs
around 16–20 weeks; nocturia and libido changes are less sensitive
indicators.
---
### 4.
V1 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.
The LPN/LVN is planning care for a client who has a 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
Answer: A. Administer prescribed stool softener
Rationale: A fourth-degree laceration extends through the vaginal
mucosa to the rectal mucosa. Preventing constipation and straining is
essential to avoid wound disruption and promote healing. Stool
softeners ease defecation without excessive pressure.
---
,### 2.
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
Answer: C. Liver
Rationale: The liver occupies much of the right upper quadrant,
including the hypochondriac area beneath the right rib cage. The
duodenum and gastric pylorus are mostly in the epigastrium/mid-
abdomen; spleen is in the left upper quadrant.
---
### 3.
, A client comes to the antepartal clinic and reports she is 6 weeks
pregnant. Which sign is she most likely to report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
Answer: B. Amenorrhea
Rationale: Amenorrhea (absent menses) is the earliest and most
common presumptive sign of pregnancy. Quickening typically occurs
around 16–20 weeks; nocturia and libido changes are less sensitive
indicators.
---
### 4.
