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 practical nurse enters a male client’s room to administer routine
morning medications, but the client is on the phone. Which action is
best for the PN to take?
A. Ask another nurse to go back with the medication when the client’s
phone call ends
B. Wait for the client to excuse himself from the telephone conversation
and observe the client taking the medication
C. Return the medication to the client’s drawer on the medication cart
and document the client refused the dose
D. Leave the medication with the client and let him take it when he
finishes the conversation
Answer: B. Wait for the client to excuse himself from the telephone
conversation and observe the client taking the medication
Rationale:
,Medication administration requires verification of the “five rights,”
including observing the client actually take the medication for safety
and documentation. Interrupting a phone call can be disrespectful, but
it is important to wait until the client is free to safely administer meds.
Leaving meds unattended or documenting refusal without client’s
consent violates safety protocols.
---
### 2.
A client is admitted to the postoperative surgical unit with two chest
tubes after a left lobectomy. The PN observes that the chest tube
system is set at a suction of 20 cm water pressure, with tidaling during
respirations and bubbling present. What action should the PN take?
A. Clamp the chest tube to see if the activity stops
B. Notify the registered nurse of a malfunction
C. Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing to the chest insertion site
, Answer: C. Maintain system integrity to promote lung reexpansion
Rationale:
Tidaling (fluctuations with respirations) and bubbling in the suction
chamber are normal findings indicating proper function. Maintaining a
closed and intact system ensures continued lung reexpansion and
prevents complications such as pneumothorax. Clamping is
contraindicated due to risk of tension pneumothorax.
---
### 3. (NCLEX NGN - Case-Based Scenario)
A mother calls the clinic about her 9-month-old child diagnosed with
RSV yesterday. She asks if it is okay to take the baby to a friend’s
child’s first birthday party tomorrow. What is the best response?
A. Do not expose other children as RSV is very contagious even without
direct contact
B. The child will no longer be contagious and no precautions are
needed
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 practical nurse enters a male client’s room to administer routine
morning medications, but the client is on the phone. Which action is
best for the PN to take?
A. Ask another nurse to go back with the medication when the client’s
phone call ends
B. Wait for the client to excuse himself from the telephone conversation
and observe the client taking the medication
C. Return the medication to the client’s drawer on the medication cart
and document the client refused the dose
D. Leave the medication with the client and let him take it when he
finishes the conversation
Answer: B. Wait for the client to excuse himself from the telephone
conversation and observe the client taking the medication
Rationale:
,Medication administration requires verification of the “five rights,”
including observing the client actually take the medication for safety
and documentation. Interrupting a phone call can be disrespectful, but
it is important to wait until the client is free to safely administer meds.
Leaving meds unattended or documenting refusal without client’s
consent violates safety protocols.
---
### 2.
A client is admitted to the postoperative surgical unit with two chest
tubes after a left lobectomy. The PN observes that the chest tube
system is set at a suction of 20 cm water pressure, with tidaling during
respirations and bubbling present. What action should the PN take?
A. Clamp the chest tube to see if the activity stops
B. Notify the registered nurse of a malfunction
C. Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing to the chest insertion site
, Answer: C. Maintain system integrity to promote lung reexpansion
Rationale:
Tidaling (fluctuations with respirations) and bubbling in the suction
chamber are normal findings indicating proper function. Maintaining a
closed and intact system ensures continued lung reexpansion and
prevents complications such as pneumothorax. Clamping is
contraindicated due to risk of tension pneumothorax.
---
### 3. (NCLEX NGN - Case-Based Scenario)
A mother calls the clinic about her 9-month-old child diagnosed with
RSV yesterday. She asks if it is okay to take the baby to a friend’s
child’s first birthday party tomorrow. What is the best response?
A. Do not expose other children as RSV is very contagious even without
direct contact
B. The child will no longer be contagious and no precautions are
needed
