HESI PN EXIT
V2 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.
, HESI PN EXIT V2 COMPREHENSIVE EXAM
### 1.
Which action by the PN indicates the best understanding of the principles related to medical asepsis and
effective hand washing?
A. Turn the water volume to a low level to decrease splashing
B. Dry the hands above the wrists first to dry them clean to dirty
C. Use antibacterial hand gel instead of handwashing between clients
D. Hold the hands lower than the elbows to promote microbe removal
Answer: D. Hold the hands lower than the elbows to promote microbe removal
Rationale:
Keeping the hands lower than the elbows during handwashing allows gravity to assist in removing microbes
and prevents water from running from contaminated areas toward cleaner areas. Drying from clean to dirty
areas and adequate rinsing are essential for asepsis. Using antibacterial gel is appropriate if hands are not
visibly soiled but is not a complete replacement for handwashing.
---
### 2.
The mother of a young child with eczema asks about the type of clothing best for her child's comfort. Which
type of clothing should the PN recommend?
A. Rayon
B. Silk
C. Polyester
D. Cotton
, Answer: D. Cotton
Rationale:
Cotton is a natural fiber that is soft, breathable, and hypoallergenic, making it the best choice for children
with eczema to minimize skin irritation. Synthetic fibers like polyester or silk may trap heat and moisture
and exacerbate itching or irritation.
---
### 3.
A male client with polycythemia vera is scheduled for phlebotomy in the unit’s procedure room. What action
should the PN implement when coordinating departmental services for this procedure?
A. Notify the blood bank about the scheduled phlebotomy procedure
B. Schedule the treatment with the special procedures department
C. Ensure chest x-ray and other radiological reports are available
D. Ask pharmacy to deliver an additional PRN dose of analgesics
Answer: B. Schedule the treatment with the special procedures department
Rationale:
Phlebotomy for polycythemia vera is a therapeutic procedure requiring coordination within specific hospital
departments that specialize in blood removal. The PN must schedule the procedure appropriately to ensure
proper care in the correct setting. Notifying the blood bank is unnecessary here as blood is discarded, and
analgesics or imaging are not routine needs for phlebotomy.
---
### 4.
A 15-year-old male with mild intellectual disability is admitted to the adolescent unit because he repeatedly
refuses to complete personal hygiene. The healthcare provider prescribes brushing his teeth 3 times a day.
In a psych team conference, a behavior modification program is recommended. Which reinforcement is
best for the PN to provide for compliance?
V2 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.
, HESI PN EXIT V2 COMPREHENSIVE EXAM
### 1.
Which action by the PN indicates the best understanding of the principles related to medical asepsis and
effective hand washing?
A. Turn the water volume to a low level to decrease splashing
B. Dry the hands above the wrists first to dry them clean to dirty
C. Use antibacterial hand gel instead of handwashing between clients
D. Hold the hands lower than the elbows to promote microbe removal
Answer: D. Hold the hands lower than the elbows to promote microbe removal
Rationale:
Keeping the hands lower than the elbows during handwashing allows gravity to assist in removing microbes
and prevents water from running from contaminated areas toward cleaner areas. Drying from clean to dirty
areas and adequate rinsing are essential for asepsis. Using antibacterial gel is appropriate if hands are not
visibly soiled but is not a complete replacement for handwashing.
---
### 2.
The mother of a young child with eczema asks about the type of clothing best for her child's comfort. Which
type of clothing should the PN recommend?
A. Rayon
B. Silk
C. Polyester
D. Cotton
, Answer: D. Cotton
Rationale:
Cotton is a natural fiber that is soft, breathable, and hypoallergenic, making it the best choice for children
with eczema to minimize skin irritation. Synthetic fibers like polyester or silk may trap heat and moisture
and exacerbate itching or irritation.
---
### 3.
A male client with polycythemia vera is scheduled for phlebotomy in the unit’s procedure room. What action
should the PN implement when coordinating departmental services for this procedure?
A. Notify the blood bank about the scheduled phlebotomy procedure
B. Schedule the treatment with the special procedures department
C. Ensure chest x-ray and other radiological reports are available
D. Ask pharmacy to deliver an additional PRN dose of analgesics
Answer: B. Schedule the treatment with the special procedures department
Rationale:
Phlebotomy for polycythemia vera is a therapeutic procedure requiring coordination within specific hospital
departments that specialize in blood removal. The PN must schedule the procedure appropriately to ensure
proper care in the correct setting. Notifying the blood bank is unnecessary here as blood is discarded, and
analgesics or imaging are not routine needs for phlebotomy.
---
### 4.
A 15-year-old male with mild intellectual disability is admitted to the adolescent unit because he repeatedly
refuses to complete personal hygiene. The healthcare provider prescribes brushing his teeth 3 times a day.
In a psych team conference, a behavior modification program is recommended. Which reinforcement is
best for the PN to provide for compliance?
