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INSTANT PDF DOWNLOAD. HESI PN Exit V6 Exam study guide featuring NCLEX Next Generation (NGN) case-based scenarios and exam-style practice questions with answers. Covers clinical judgment, prioritization, delegation, patient safety, pharmacology, medical-surgical nursing, maternal-newborn, pediatrics, mental health, leadership, evidence-based practice, and nursing care concepts for comprehensive HESI PN Exit and NCLEX-PN exam preparation. HESI PN Exit, HESI V6, NCLEX NGN, NCLEX-PN, Practice Questions, Nursing Review, Study Guide, Exam Prep HESI PN Exit, HESI V6, PN Exit Exam, NCLEX-PN, NGN NCLEX, Case Scenarios, Clinical Judgment, Nursing Exam, Practice Questions, Pharmacology, Med Surg, Maternal Nursing, Pediatrics, Mental Health, Leadership, HESI Review, Study Guide, Test Bank, Exam Prep, HESI PDF
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❖ 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.
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.
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
home with guidance to return if contractions become more frequent or intense.
delivery is shaking uncontrollably and reports feeling cold. What is the best intervention? A. Administer antipyretics B. Apply a light warm blanket and reassure the client this is normal C. Notify the healthcare provider of possible infection D. Encourage the client to drink warm fluids
Answer: B. Apply a light warm blanket and reassure the client this is normal Rationale: Postpartum shivering is common due to vasomotor instability and residual effects of anesthesia and hormones. It is self-limiting and can be managed with warmth and reassurance.
the most important intervention for the PN to implement? A. Monitor daily weights only
B. Auscultate all lung fields C. Measure peripheral pulses D. Encourage extra fluid intake
Answer: B. Auscultate all lung fields Rationale: Left-sided heart failure often causes pulmonary congestion. Lung auscultation provides critical information on fluid accumulation, such as crackles, which indicates worsening heart failure.
care facility, the PN notes the client has difficulty hearing. What is the most important initial action? A. Speak louder to the client B. Determine if the client has a history of hearing loss C. Use written instructions only D. Ignore as it will not impact medication administration
Answer: B. Determine if the client has a history of hearing loss Rationale: Understanding baseline hearing status helps tailor communication methods, ensuring safe medication administration and client understanding.
D. Suction the infant’s airway
Answer: A. Turn the infant to the right side Rationale: Positioning the infant on the side can help open the airway and facilitate breathing. Other interventions depend on assessment findings.
reports pain in her stitches. What should the PN do first? A. Administer pain medication before assessment B. Observe suture line for separation and hematoma formation C. Tell the client pain is expected and will improve D. Apply cold compress to the episiotomy site
Answer: B. Observe suture line for separation and hematoma formation Rationale: Pain with swelling could mean suture separation or hematoma, which require prompt assessment and possibly intervention.
their third trimester. Which fetal heart rate should the PN report immediately? A. 140 bpm B. 110 bpm C. 180 bpm D. 155 bpm
Answer: C. 180 bpm Rationale: Normal fetal heart rate ranges from 110 to 160 bpm. A rate of 180 bpm indicates fetal tachycardia, possibly signaling distress.
at stool. The PN observes the client’s bowel protruding through the incision. What complication has likely occurred? A. Hernia B. Evisceration C. Dehiscence D. Fistula formation
Answer: B. Evisceration
C. Behind the ears D. Along the clavicle
Answer: A. Under the chin and below the lower jaw Rationale: Submandibular lymph nodes are located beneath the lower jaw and can be palpated there for enlargement.
indicates the most important adverse effect that the PN should assess? A. Maternal hypotension B. Respiratory rate increase C. Hyperthermia D. Increased uterine contractions
Answer: A. Maternal hypotension Rationale: Epidural anesthesia can cause vasodilation leading to hypotension, which can adversely affect both mother and fetus.
for laryngeal cancer and should be referred immediately? A. Young female non-smoker with persistent cough B. Older male who drinks 6 beers nightly and smokes heavily C. Middle-aged male who works in a dusty environment D. Female with a family history of breast cancer
Answer: B. Older male who drinks 6 beers nightly and smokes heavily Rationale: Heavy smoking and alcohol use are major risk factors for laryngeal cancer.
with offspring who appears fearful, unkempt, and severely weight-losing. What should the PN do? A. Educate the client about personal hygiene B. Report suspected abuse to supervisor and protective services C. Ignore as this is normal aging D. Discuss concerns directly with offspring
Answer: B. Report suspected abuse to supervisor and protective services
B. Cardiac dysrhythmias C. Stroke D. Stroke
Answer: B. Cardiac dysrhythmias Rationale: Elevated cardiac enzymes indicate myocardial damage, increasing risk of dysrhythmias, a life-threatening complication.
experiencing pruritus? A. Avoid bathing B. Keep fingernails trimmed short C. Wear tight clothing D. Apply perfumed lotions
Answer: B. Keep fingernails trimmed short Rationale: Short nails reduce the risk of skin damage from scratching, reducing infection and worsening itch.
look to best observe signs of cyanosis or pallor? A. Finger and toenails B. Palms and soles C. Forehead D. Abdomen
Answer: A. Finger and toenails Rationale: Nail beds provide a good site to assess color changes in darker skin.
ventriculoperitoneal shunt placement. Which nursing interventions should the PN implement? (Select all that apply) A. Document strict intake and output B. Measure head circumference regularly C. Monitor body temperature every 4 hours D. Restrict all feeding
Answer: A, B, C
B. Obtain emergency help (call for assistance) C. Start cardiopulmonary resuscitation (CPR) D. Move the client to the floor
Answer: B. Obtain emergency help (call for assistance) Rationale: Activating emergency response ensures rapid arrival of advanced help while the nurse begins assessment and care.
hydrocodone/acetaminophen for pain. Which intervention should the PN include after administering the medication? A. Encourage early ambulation B. Assess for signs of respiratory depression continuously C. Monitor blood pressure every 8 hours D. Limit oral fluid intake
Answer: B. Assess for signs of respiratory depression continuously Rationale: Opioids can depress respiration; close monitoring is critical to detect hypoventilation.
tell her family to leave and not come back. The PN recognizes this behavior as which manifestation of the syndrome? A. Emotional lability and mood alterations B. Pain response C. Normal behavior D. Medication side effect
Answer: A. Emotional lability and mood alterations Rationale: Crushing syndrome (Cushing's disease) may cause mood swings, irritability, and emotional instability.
plan to delay corrective surgery, hoping the child will outgrow it. What is the best initial response by the practical nurse (PN)?
A. Explain that surgery cannot be delayed B. Ask the parents to explain their understanding of the diagnosis C. Refer the family to a pediatric surgeon immediately D. Tell the parents no further action is needed at this time
monitoring is important, starting antibiotics or reporting is not first priority without fever or signs of systemic infection.
experienced traumatic brain injury. What primary assessment does the PN focus on?
A. Level of consciousness B. Pupil size and reactivity C. Vital signs D. Motor strength
Answer: A. Level of consciousness
Rationale: The Glasgow Coma Scale quantitatively assesses level of consciousness, which is crucial for monitoring neurological status after brain injury.
was sprayed on the throat. What is the priority nursing intervention post- procedure?
A. Assess for swallowing and gag reflexes before giving fluids B. Encourage the client to cough vigorously to clear throat C. Position the client supine for recovery D. Administer oral analgesics on schedule
Answer: A. Assess for swallowing and gag reflexes before giving fluids
Rationale: Local anesthetic can impair swallowing and gag reflex, increasing aspiration risk. Always verify protective reflexes to ensure safe oral intake.
tube attached to intermittent suction. The client reports dizziness and tingling in the fingers. Which assessment finding should the PN report immediately?
A. Hypoactive bowel sounds
