HESI PN EXIT
V1 EXAM 11
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.
, HESI PN EXIT V1 EXAM 11
### 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.
A client's daughter phones the charge nurse to report that the night LPN/LVN did not provide good care for
her mother. 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
D. Explain that all the staff are doing the best they can
Answer: A. Ask for a description of what happened during the night
Rationale: Gathering specific information allows the nurse to objectively address concerns and take
appropriate action to ensure quality care.
V1 EXAM 11
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.
, HESI PN EXIT V1 EXAM 11
### 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.
A client's daughter phones the charge nurse to report that the night LPN/LVN did not provide good care for
her mother. 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
D. Explain that all the staff are doing the best they can
Answer: A. Ask for a description of what happened during the night
Rationale: Gathering specific information allows the nurse to objectively address concerns and take
appropriate action to ensure quality care.
