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.
---
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.
---
