HESI LPN Exit Exam 1 Comprehensive NCLEX PN Predictor for Practical Nursing Graduates 2025 Edition

The HESI LPN Exit Exam 1, from Elsevier's Health Education Systems Incorporated (HESI), is a standardized capstone assessment for Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) programs, serving as a key predictor of NCLEX-PN success with up to 98% accuracy. This version (often labeled V1 or Exam 1) features 75–150 adaptive multiple-choice, multiple-response, and fill-in-the-blank questions over 3–4 hours, spanning eight domains: Fundamentals, Pharmacology, Medical-Surgical Nursing, Maternal/Neonatal, Pediatrics, Psychiatric, Community Health, and Role of the LPN/LVN—emphasizing patient safety, health promotion, and clinical judgment. Sample topics include TPN with NPH insulin administration (e.g., refrigerate if not used immediately), colostomy care for leakage, and postpartum rubella vaccination. Scored from 300–1,500 (850+ correlates to 96%+ NCLEX pass rate), it's typically required for graduation and includes performance analytics for remediation. Administered via the HESI Compass platform, preparation involves 3,500+ practice questions from resources like Quizlet, Naxlex, or the HESI Comprehensive Review book; users report 900–1,100 scores after 2–4 weeks of targeted practice. Not the NCLEX but a vital benchmark for entry-level practical nursing roles.