2023 NGN HESI PN EXIT EXAM V3 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains
Fundamentals of Nursing and Patient Safety
Medical-Surgical Nursing and Perioperative Care
Maternal and Newborn Nursing
Pediatric Nursing
Pharmacology and Medication Administration
Mental Health and Psychiatric Nursing
Community Health and Infection Control
Nutrition and Fluid/Electrolyte Balance
Leadership, Prioritization, and Delegation
Introduction
The 2023 NGN HESI PN Exit Examination evaluates the
practical nursing candidate's readiness for entry-level practice
and NCLEX-PN success. This assessment measures
competency in fundamental nursing skills, medical-surgical
,care, maternal-newborn nursing, pediatric care,
pharmacology, mental health, community health, nutrition,
and professional leadership. The examination employs Next
Generation NCLEX-style multiple-choice and scenario-based
items requiring clinical judgment, prioritization, and
evidence-based decision-making. Emphasis is placed on real-
world application, including patient safety, delegation, and
management of emergent situations. Candidates must
demonstrate synthesis of foundational theory with practical
clinical competence.
SECTION ONE: QUESTIONS 1–100
Question 1
A client with a new colostomy is being taught how to care
for the stoma. What should the nurse emphasize?
A. Change the pouch every 12 hours.
B. Clean the stoma with mild soap and water.
C. Apply petroleum jelly to the stoma daily.
D. Irrigate the stoma with saline twice daily.
🟢 Correct answer: B
🔴 RATIONALE: Cleaning the stoma with mild soap and
water prevents infection and maintains skin integrity.
Changing the pouch every 12 hours is too frequent,
,petroleum jelly can interfere with pouch adhesion, and
irrigation is not routine for colostomies.
Question 2
The nurse is assisting a client with ambulation after surgery.
The client becomes dizzy and begins to fall. What is the
nurse's priority action?
A. Call for help immediately.
B. Lower the client gently to the floor.
C. Push the client back onto the bed.
D. Hold the client upright until help arrives.
🟢 Correct answer: B
🔴 RATIONALE: Lowering the client gently to the floor
prevents injury during a fall. Calling for help is secondary,
pushing back to the bed risks injury, and holding upright
may cause further instability.
Question 3
A client at 38 weeks gestation is admitted with
preeclampsia. Which finding should the PN report
immediately?
A. Blood pressure of 160/110 mmHg
B. Mild ankle edema
, C. Urine protein of 1+
D. Headache that resolves with rest
🟢 Correct answer: A
🔴 RATIONALE: A blood pressure of 160/110 mmHg
indicates severe preeclampsia and requires immediate
intervention. Mild ankle edema, urine protein of 1+, and a
headache that resolves with rest are expected findings but
do not require immediate reporting.
Question 4
The PN is providing education to a mother about preventing
sudden infant death syndrome (SIDS). Which instruction
should the PN reinforce?
A. Place the infant on the stomach to sleep
B. Place the infant on the back to sleep
C. Place the infant on the side to sleep
D. Place the infant in the bed with the parents
🟢 Correct answer: B
🔴 RATIONALE: The American Academy of Pediatrics
recommends placing infants on their back to sleep to reduce
the risk of SIDS. Prone and side sleeping positions increase
the risk, and co-sleeping is not recommended.
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains
Fundamentals of Nursing and Patient Safety
Medical-Surgical Nursing and Perioperative Care
Maternal and Newborn Nursing
Pediatric Nursing
Pharmacology and Medication Administration
Mental Health and Psychiatric Nursing
Community Health and Infection Control
Nutrition and Fluid/Electrolyte Balance
Leadership, Prioritization, and Delegation
Introduction
The 2023 NGN HESI PN Exit Examination evaluates the
practical nursing candidate's readiness for entry-level practice
and NCLEX-PN success. This assessment measures
competency in fundamental nursing skills, medical-surgical
,care, maternal-newborn nursing, pediatric care,
pharmacology, mental health, community health, nutrition,
and professional leadership. The examination employs Next
Generation NCLEX-style multiple-choice and scenario-based
items requiring clinical judgment, prioritization, and
evidence-based decision-making. Emphasis is placed on real-
world application, including patient safety, delegation, and
management of emergent situations. Candidates must
demonstrate synthesis of foundational theory with practical
clinical competence.
SECTION ONE: QUESTIONS 1–100
Question 1
A client with a new colostomy is being taught how to care
for the stoma. What should the nurse emphasize?
A. Change the pouch every 12 hours.
B. Clean the stoma with mild soap and water.
C. Apply petroleum jelly to the stoma daily.
D. Irrigate the stoma with saline twice daily.
🟢 Correct answer: B
🔴 RATIONALE: Cleaning the stoma with mild soap and
water prevents infection and maintains skin integrity.
Changing the pouch every 12 hours is too frequent,
,petroleum jelly can interfere with pouch adhesion, and
irrigation is not routine for colostomies.
Question 2
The nurse is assisting a client with ambulation after surgery.
The client becomes dizzy and begins to fall. What is the
nurse's priority action?
A. Call for help immediately.
B. Lower the client gently to the floor.
C. Push the client back onto the bed.
D. Hold the client upright until help arrives.
🟢 Correct answer: B
🔴 RATIONALE: Lowering the client gently to the floor
prevents injury during a fall. Calling for help is secondary,
pushing back to the bed risks injury, and holding upright
may cause further instability.
Question 3
A client at 38 weeks gestation is admitted with
preeclampsia. Which finding should the PN report
immediately?
A. Blood pressure of 160/110 mmHg
B. Mild ankle edema
, C. Urine protein of 1+
D. Headache that resolves with rest
🟢 Correct answer: A
🔴 RATIONALE: A blood pressure of 160/110 mmHg
indicates severe preeclampsia and requires immediate
intervention. Mild ankle edema, urine protein of 1+, and a
headache that resolves with rest are expected findings but
do not require immediate reporting.
Question 4
The PN is providing education to a mother about preventing
sudden infant death syndrome (SIDS). Which instruction
should the PN reinforce?
A. Place the infant on the stomach to sleep
B. Place the infant on the back to sleep
C. Place the infant on the side to sleep
D. Place the infant in the bed with the parents
🟢 Correct answer: B
🔴 RATIONALE: The American Academy of Pediatrics
recommends placing infants on their back to sleep to reduce
the risk of SIDS. Prone and side sleeping positions increase
the risk, and co-sleeping is not recommended.
