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
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
