Page 1 of 71
“HESI EXIT LPN EXAM NAXLEX VERIFIED 2026
”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
don't miss any practice revision materials contact me +254111429458
HESI EXIT LPN exam Naxlex verified
The practical nurse (PN) is observing a newly hired PN who is preparing to
administer a liquid medication via a client's feeding tube system as seen in the
picture. What action should the PN take?
Demonstrate how to administer medication via a feeding tube
A client with obsessive-compulsive disorder (OCD) reports, "Thoughts stick in
my mind and the rituals I use are stupid, but I cannot control them. People
laugh at me, but they do not understand how awful it is. I am a burden to my
family because I cannot hold a job. I do not know how much longer I can live
this way." Which information is most important for the practical nurse (PN) to
ask in response to the client's statements?
Inquire if the distress could lead to considering suicide as an option.
The practical nurse (PN) is assisting in a community center clinic when four
clients simultaneously arrive seeking help. In which order should the PN
prioritize care to be provided based on the client needs?
A 12-year-old child with history of asthma who is wheezing and complaining of
shortness of breath
, Page 2 of 71
An elderly client is 12-hours postoperative for a hernia repair and suddenly
becomes agitated, staggers out into the corridor, and demands to be set free.
After assisting the client back to bed and administering pain medication,
which intervention is best for the practical nurse (PN) to implement?
Raise the side rails and notify the family to come and stay until the client is
reoriented and cooperative
Which actions should the practical nurse (PN) include when assessing a client
for signs and symptoms of fluid volume excess?
Palpate the rate and volume of the pulse
Measure body weight at the same time daily
Observe the color and amount of urine
The charge nurse brings a #18 urinary catheter with a 30 mL balloon to the
practical nurse (PN) who is preparing to insert a catheter in a female client who
weighs 50 kg. Which action should the PN take first?
Consult with the charge nurse about the catheter
The birth weight of an infant delivered by a woman with gestational diabetes is
10.1 pounds (4,581 grams). The infant is jitery and has a heel stick glucose
level of 40 mg/dL (2.2 mmol/L) 30 minutes after birth. Based on this
information, which intervention should the practical nurse (PN) implement
first?
Reference range:
Blood glucose neonate: [30 to 60 mg/dL or 1.7 to 3.3 mmol/L]
Begin frequent feedings of breast milk or formula
A client is being treated for chronic kidney disease (CKD). On examination, the
client has an elevated blood pressure (BP) and is exhibiting changes in mental
status. Which intervention in the plan of care should the practical nurse (PN)
implement?
Weigh every morning.
The practical nurse (PN) prepares to remove a client's saline lock. Which
supplies should the PN gather? (Select all that apply.)
Small gauze pad.
Paper tape.
Exam gloves.
, Page 3 of 71
An older female adult who was admited to a long-term care facility yesterday is
confused about what day of the week it is. Her history does not indicate that
she was confused prior to admission. What action should the practical nurse
(PN) take?
Remind the client what day of the week it is.
In assessing a 2-year-old boy with croup, the practical nurse (PN) finds that he
has become increasingly irritable and has developed tachypnea and resting
stridor. Which intervention is best for the PN to implement?
Monitor the child's oxygen saturation level via pulse oximetry.
The healthcare provider prescribed octreotide 150 mcg/day subcutaneously
for a client with dumping syndrome. The medication is available in 0.2 mg/mL
vials. How many mL should the practical nurse (PN) administer? (Enter
numerical value only. If rounding is required, round to the nearest hundredth).
0.75
A client with obsessive-compulsive disorder (OCD) reports, "Thoughts stick in
my mind and the rituals I use are stupid, but I cannot control them. People
laugh at me, but they do not understand how awful it is. I am a burden to my
family because I cannot hold a job. I do not know how much longer I can live
this way." Which information is most important for the practical nurse (PN) to
ask in response to the client's statements?
Inquire if the distress could lead to considering suicide as an option.
A chronically depressed older male resident of a long-term care facility has
become more reclusive and today refuses to leave his room. His family has
moved away and are unable to visit as much as in the past. Which comment by
the practical nurse (PN) is likely to be most helpful to this client?
"May I sit with you for a while?"
An older adult female asks the practical nurse (PN) if she should get a Herpes
zoster (shingles) vaccination because she gets cold sores on her mouth when
she is sick or stressed.
Which response should the PN provide?
If you are 60 or older, the one-time vaccination is recommended
The practical nurse (PN) is caring for a client with coronary artery disease who
is admitted with intermittent chest pain. The admission laboratory results
, Page 4 of 71
indicate elevations in troponin I and creatine phosphokinase myoglobin
isoenzyme (CK-MB) levels.
What should the PN consider the most significant risk for this client on the
second day of admission?
The lab results indicate myocardial damage, and the client is at risk for cardiac
dysrhythmias
While caring for a client with Guillain-Barre syndrome, which finding should
the practical nurse (PN) report to the charge nurse?
Irregular heart rate.
The practical nurse (PN) plans to screen only high risk children for scoliosis.
Which group of children should the PN screen?
Middle school girls.
A client who had orthopedic surgery three days ago verbalizes difficulty in
sleeping. Which initial intervention is best for the practical nurse (PN) to
implement?
Reposition the client and provide a back rub.
The practical nurse (PN) observes two unlicensed assistive personnel (UAP)
turning an older client who had a hip arthroplasty with prosthesis placement
four hours ago. Which observation by the PN indicates that the UAPs need
additional information about the turning procedure?
The client is told to keep both legs straight and together while turning.
The practical nurse (PN) is caring for an older client who is receiving
chemotherapy for lung cancer. Which finding is the highest priority for the PN
to report to the charge nurse?
Reference ranges:
Blood urea nitrogen (BUN): [Adult: 10 to 20 mg/dL or 3.6 to 7.1 mmol/L]
Platelets: [150,000 to 400,000/mm3 or 150 to 400 x 10^9/L]
Blood urea nitrogen 75 mg/dL or 12.9 mmol/L
When gathering data about a client with dark skin tones, which site should the
practical nurse (PN) observe?
Sclera and mucous membranes.
The practical nurse (PN) observes two unlicensed assistive personnel (UAP)
turning an older client who had a hip arthroplasty with prosthesis placement
“HESI EXIT LPN EXAM NAXLEX VERIFIED 2026
”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
don't miss any practice revision materials contact me +254111429458
HESI EXIT LPN exam Naxlex verified
The practical nurse (PN) is observing a newly hired PN who is preparing to
administer a liquid medication via a client's feeding tube system as seen in the
picture. What action should the PN take?
Demonstrate how to administer medication via a feeding tube
A client with obsessive-compulsive disorder (OCD) reports, "Thoughts stick in
my mind and the rituals I use are stupid, but I cannot control them. People
laugh at me, but they do not understand how awful it is. I am a burden to my
family because I cannot hold a job. I do not know how much longer I can live
this way." Which information is most important for the practical nurse (PN) to
ask in response to the client's statements?
Inquire if the distress could lead to considering suicide as an option.
The practical nurse (PN) is assisting in a community center clinic when four
clients simultaneously arrive seeking help. In which order should the PN
prioritize care to be provided based on the client needs?
A 12-year-old child with history of asthma who is wheezing and complaining of
shortness of breath
, Page 2 of 71
An elderly client is 12-hours postoperative for a hernia repair and suddenly
becomes agitated, staggers out into the corridor, and demands to be set free.
After assisting the client back to bed and administering pain medication,
which intervention is best for the practical nurse (PN) to implement?
Raise the side rails and notify the family to come and stay until the client is
reoriented and cooperative
Which actions should the practical nurse (PN) include when assessing a client
for signs and symptoms of fluid volume excess?
Palpate the rate and volume of the pulse
Measure body weight at the same time daily
Observe the color and amount of urine
The charge nurse brings a #18 urinary catheter with a 30 mL balloon to the
practical nurse (PN) who is preparing to insert a catheter in a female client who
weighs 50 kg. Which action should the PN take first?
Consult with the charge nurse about the catheter
The birth weight of an infant delivered by a woman with gestational diabetes is
10.1 pounds (4,581 grams). The infant is jitery and has a heel stick glucose
level of 40 mg/dL (2.2 mmol/L) 30 minutes after birth. Based on this
information, which intervention should the practical nurse (PN) implement
first?
Reference range:
Blood glucose neonate: [30 to 60 mg/dL or 1.7 to 3.3 mmol/L]
Begin frequent feedings of breast milk or formula
A client is being treated for chronic kidney disease (CKD). On examination, the
client has an elevated blood pressure (BP) and is exhibiting changes in mental
status. Which intervention in the plan of care should the practical nurse (PN)
implement?
Weigh every morning.
The practical nurse (PN) prepares to remove a client's saline lock. Which
supplies should the PN gather? (Select all that apply.)
Small gauze pad.
Paper tape.
Exam gloves.
, Page 3 of 71
An older female adult who was admited to a long-term care facility yesterday is
confused about what day of the week it is. Her history does not indicate that
she was confused prior to admission. What action should the practical nurse
(PN) take?
Remind the client what day of the week it is.
In assessing a 2-year-old boy with croup, the practical nurse (PN) finds that he
has become increasingly irritable and has developed tachypnea and resting
stridor. Which intervention is best for the PN to implement?
Monitor the child's oxygen saturation level via pulse oximetry.
The healthcare provider prescribed octreotide 150 mcg/day subcutaneously
for a client with dumping syndrome. The medication is available in 0.2 mg/mL
vials. How many mL should the practical nurse (PN) administer? (Enter
numerical value only. If rounding is required, round to the nearest hundredth).
0.75
A client with obsessive-compulsive disorder (OCD) reports, "Thoughts stick in
my mind and the rituals I use are stupid, but I cannot control them. People
laugh at me, but they do not understand how awful it is. I am a burden to my
family because I cannot hold a job. I do not know how much longer I can live
this way." Which information is most important for the practical nurse (PN) to
ask in response to the client's statements?
Inquire if the distress could lead to considering suicide as an option.
A chronically depressed older male resident of a long-term care facility has
become more reclusive and today refuses to leave his room. His family has
moved away and are unable to visit as much as in the past. Which comment by
the practical nurse (PN) is likely to be most helpful to this client?
"May I sit with you for a while?"
An older adult female asks the practical nurse (PN) if she should get a Herpes
zoster (shingles) vaccination because she gets cold sores on her mouth when
she is sick or stressed.
Which response should the PN provide?
If you are 60 or older, the one-time vaccination is recommended
The practical nurse (PN) is caring for a client with coronary artery disease who
is admitted with intermittent chest pain. The admission laboratory results
, Page 4 of 71
indicate elevations in troponin I and creatine phosphokinase myoglobin
isoenzyme (CK-MB) levels.
What should the PN consider the most significant risk for this client on the
second day of admission?
The lab results indicate myocardial damage, and the client is at risk for cardiac
dysrhythmias
While caring for a client with Guillain-Barre syndrome, which finding should
the practical nurse (PN) report to the charge nurse?
Irregular heart rate.
The practical nurse (PN) plans to screen only high risk children for scoliosis.
Which group of children should the PN screen?
Middle school girls.
A client who had orthopedic surgery three days ago verbalizes difficulty in
sleeping. Which initial intervention is best for the practical nurse (PN) to
implement?
Reposition the client and provide a back rub.
The practical nurse (PN) observes two unlicensed assistive personnel (UAP)
turning an older client who had a hip arthroplasty with prosthesis placement
four hours ago. Which observation by the PN indicates that the UAPs need
additional information about the turning procedure?
The client is told to keep both legs straight and together while turning.
The practical nurse (PN) is caring for an older client who is receiving
chemotherapy for lung cancer. Which finding is the highest priority for the PN
to report to the charge nurse?
Reference ranges:
Blood urea nitrogen (BUN): [Adult: 10 to 20 mg/dL or 3.6 to 7.1 mmol/L]
Platelets: [150,000 to 400,000/mm3 or 150 to 400 x 10^9/L]
Blood urea nitrogen 75 mg/dL or 12.9 mmol/L
When gathering data about a client with dark skin tones, which site should the
practical nurse (PN) observe?
Sclera and mucous membranes.
The practical nurse (PN) observes two unlicensed assistive personnel (UAP)
turning an older client who had a hip arthroplasty with prosthesis placement
