HESI PN EXIT
V5 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 is providing care for an older male client who
has pitting edema of the feet and ankles and is receiving
spironolactone. Which instruction is the most important to provide the
unlicensed assistive personnel (UAP) assisting with the client’s care?
A. Monitor vital signs every 2 hours
B. Maintain accurate intake and output
C. Encourage frequent ambulation
D. Restrict dietary potassium intake
Correct Answer: B. Maintain accurate intake and output
Rationale:
Spironolactone is a potassium-sparing diuretic used to reduce fluid
retention. Accurate monitoring of intake and output helps detect fluid
overload or dehydration, which are critical in managing edema and
,preventing complications like hyperkalemia or renal impairment. It is
within the scope of UAP to assist with monitoring fluid balance.
---
### 2. (NCLEX NGN) After receiving shift report, the practical nurse
makes rounds on a postoperative unit. Which client finding needs
immediate attention?
A. A client reporting mild incisional pain 4/10
B. A client with brown-green bile draining from the T-tube after
cholecystectomy
C. A client with a blood pressure of 118/70 mmHg
D. A client with slight swelling at the IV insertion site
Correct Answer: B. A client with brown-green bile draining from the T-
tube after cholecystectomy
, Rationale:
Brown or green bile drainage from a T-tube post-cholecystectomy
should be monitored, but an unusual increase, change in consistency
or color of drainage that suggests obstruction or bile leak requires
urgent assessment. This can indicate bile duct injury or blockage, which
necessitates immediate intervention.
---
### 3. The practical nurse is preparing a client for a bone marrow
aspiration. Which erythropoietic site is most likely to be used to obtain
the specimen?
A. Sternum
B. Iliac crest
C. Tibia
D. Femur
V5 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 is providing care for an older male client who
has pitting edema of the feet and ankles and is receiving
spironolactone. Which instruction is the most important to provide the
unlicensed assistive personnel (UAP) assisting with the client’s care?
A. Monitor vital signs every 2 hours
B. Maintain accurate intake and output
C. Encourage frequent ambulation
D. Restrict dietary potassium intake
Correct Answer: B. Maintain accurate intake and output
Rationale:
Spironolactone is a potassium-sparing diuretic used to reduce fluid
retention. Accurate monitoring of intake and output helps detect fluid
overload or dehydration, which are critical in managing edema and
,preventing complications like hyperkalemia or renal impairment. It is
within the scope of UAP to assist with monitoring fluid balance.
---
### 2. (NCLEX NGN) After receiving shift report, the practical nurse
makes rounds on a postoperative unit. Which client finding needs
immediate attention?
A. A client reporting mild incisional pain 4/10
B. A client with brown-green bile draining from the T-tube after
cholecystectomy
C. A client with a blood pressure of 118/70 mmHg
D. A client with slight swelling at the IV insertion site
Correct Answer: B. A client with brown-green bile draining from the T-
tube after cholecystectomy
, Rationale:
Brown or green bile drainage from a T-tube post-cholecystectomy
should be monitored, but an unusual increase, change in consistency
or color of drainage that suggests obstruction or bile leak requires
urgent assessment. This can indicate bile duct injury or blockage, which
necessitates immediate intervention.
---
### 3. The practical nurse is preparing a client for a bone marrow
aspiration. Which erythropoietic site is most likely to be used to obtain
the specimen?
A. Sternum
B. Iliac crest
C. Tibia
D. Femur
