HESI PN EXIT LATEST EXAM 2024-2025
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1. The LPN/LVN is palpating the right upper hypochondriac region of the ab-
domen of a client. What organ lies underneath this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen: C. Liver
2. A client comes to the antepartal clinic and tells the LPN/LVN that she is 6
weeks pregnant. Which sign is she most likely to report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia: B. Amenorrhea
3. A client's daughter phones the charge nurse to report that the night LPN/
LVN did not provide good care for her mother. What response should the nurse
make?
A. Ask for a description of what happened during the night
B. Tell the daughter to talk to the unit's nurse manager
C. Reassure the daughter that the mother will get better care.
D. Explain that all the staff are doing the best they can.: A. Ask for a description of what
happened during the night
4. A hosptitalized toddler who is recovering from a sickle cell crisis holds a toy
and say's "mine". According to Erikson's theory of psychosocial development,
this child's behavior is a demonstration of which developmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust: A. Autonomy vs. Shame and doubt
5. Which action should the LPN/LVN implement in caring for a client following
an electroencephalogram (EEG)?
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
, HESI PN EXIT LATEST EXAM 2024-2025
Study online at https://quizlet.com/_i4bdxs
D. Wash any paste from the client's hair and scalp: D. Wash any paste from the client's hair
and scalp
6. The LPN/LVN is caring for a 75- year-old male client who is beginning to
form a decubitus ulcer at the coccyx. Which intervention will be most helpful
in preventing further development of the decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed: A. Encourage the client to eat foods
high in protein
7. What is the homeostatic cellular transport mechanism that moves water from
a hypotonic to a hypertonic fluid space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport: C. Osmosis
8. The LPN/LVN is taking blood pressure of a client admitted with a possible
myocardial infarction. When taking the client's BP at the brachial artery, the
nurse should place the client's arm in which position?
A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart: B. At the level of the heart
9. What are the final parameters that produce blood pressure? (select all that
apply)
A. Heart rate
B. Stroke volume
C. Peripheral resistance
D. Neuroendocrine hormones
E. Muscle tone: A. Heart rate
B. Stroke volume
C. Peripheral resistance
, HESI PN EXIT LATEST EXAM 2024-2025
Study online at https://quizlet.com/_i4bdxs
10. A client begins an antidepressant drug during the second day of hospitaliza-
tion. Which assessment is most important for the LPN/LVN to include in this
client's plan of care while the client is taking the antidepressant?
A. Appetite
B. Mood
C. Withdrawal
D. Energy level: B. Mood
11. Based on the documentation in the medical record, which action should the
LPN/LVN implement next?
A. Give the rubella vaccine subcutaneously
B. Observe the mother breastfeeding her infant
C. Call the nursery for the infant's blood type result
D. Administer Vicodin one tablet for pain: Give the rubella vaccine subcutaneously
12. A client is admitted to the hospital with a diagnosis of Pneumonia. Which in-
tervention should the LPN/LVN implement to prevent complications associated
with Pneumonia?
A. Encourage mobilization and ambulation
B. Encourage energy conservation with complete bed rest
C. Provide humidified oxygen per nasal cannula
D. Restrict PO and intravenous fluids: Encourage mobilization and ambulation
13. The practical nurse is preparing to administer a prescription for cefazolin
(kefzol) 600 mg IM every 6 hours. The available vial is labeled, "Cefazolin
(Kefzol) 1 gram and the instrutions for reconsittution, "For IM use add 2ml
sterile water for injection. Total volume after reconstruction = 2.5 ml. "when
reconstituded, how many milligrams are in each mil of solutions (Enter numeric
value only): 15mg
14. Which nursing activity is within the scope of practice for the practical nurse?
A. Complete an admission assessment in the normal newborn nursery.
B. Discontinue a central venous catheter that has become dislodged
C. Observe a client rotate the subcutaneous site for an insulin pump
D. Monitor a continous narcotic epidural for a postoperative client: C. Observe a client
rotate the subcutaneous site for an insulin pump
, HESI PN EXIT LATEST EXAM 2024-2025
Study online at https://quizlet.com/_i4bdxs
15. After morning dressing changes are completed, a male client who has para-
plegia contaminates his ischial decubiti dressing with a diarrheal stool. What
activity is best for the nurse to assign to the unlicensed assistive personnel?
A. Identify the need for additional supplies to provide an extra dressing change
B. Provide perianal care and collect clean linens for the dressing change
C. Document the diarrhea that necessitates an additional dressing change
D. Position the client for access to the decubiti sties and remove dressings: B.
Provide perianal care and collect clean linens for the dressing change
16. The LPN/LVN is planning to evaluate the effectiveness of several drugs
administered by different routes. Arrange the routes of administration in the
order from fastest to slowest rate of absorption.
Subcutaneous
Intravenous
Intramuscular
Sublingual Oral: Intravenous, sublingual, intramuscular, subcutaneous,
17. A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9 weeks
gestation. At one-house post dilation and curettage (D&C) the LPN/LVN assess
the vital signs and vaginal bleeding. The client begins to cry softly. How should
the nurse intervene?
A. Offer to call the social worker to discuss the possibility of abortion
B. Reassure the client that the infertility specialist can help
C. Express sorrow for the client's grief and offer to sit with her
D. Chart the vital signs and amount of vaginal bleeding: Express sorrow for the client's grief
and offer to sit with her
18. A terminally ill male client and his family are requesting hospice care after
discharge from the hospital and ask the LPN/LVN to explain what kind of care
they should expect. The nurse should indicate that hospice philosophy focuses
on what aspect of health care?
A. Enhance symptom management to improve end of life quality
B. facilitates assisted suicide with the client's consent
C. Offers ways to postpone the death experience at home
Study online at https://quizlet.com/_i4bdxs
1. The LPN/LVN is palpating the right upper hypochondriac region of the ab-
domen of a client. What organ lies underneath this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen: C. Liver
2. A client comes to the antepartal clinic and tells the LPN/LVN that she is 6
weeks pregnant. Which sign is she most likely to report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia: B. Amenorrhea
3. A client's daughter phones the charge nurse to report that the night LPN/
LVN did not provide good care for her mother. What response should the nurse
make?
A. Ask for a description of what happened during the night
B. Tell the daughter to talk to the unit's nurse manager
C. Reassure the daughter that the mother will get better care.
D. Explain that all the staff are doing the best they can.: A. Ask for a description of what
happened during the night
4. A hosptitalized toddler who is recovering from a sickle cell crisis holds a toy
and say's "mine". According to Erikson's theory of psychosocial development,
this child's behavior is a demonstration of which developmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust: A. Autonomy vs. Shame and doubt
5. Which action should the LPN/LVN implement in caring for a client following
an electroencephalogram (EEG)?
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
, HESI PN EXIT LATEST EXAM 2024-2025
Study online at https://quizlet.com/_i4bdxs
D. Wash any paste from the client's hair and scalp: D. Wash any paste from the client's hair
and scalp
6. The LPN/LVN is caring for a 75- year-old male client who is beginning to
form a decubitus ulcer at the coccyx. Which intervention will be most helpful
in preventing further development of the decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed: A. Encourage the client to eat foods
high in protein
7. What is the homeostatic cellular transport mechanism that moves water from
a hypotonic to a hypertonic fluid space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport: C. Osmosis
8. The LPN/LVN is taking blood pressure of a client admitted with a possible
myocardial infarction. When taking the client's BP at the brachial artery, the
nurse should place the client's arm in which position?
A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart: B. At the level of the heart
9. What are the final parameters that produce blood pressure? (select all that
apply)
A. Heart rate
B. Stroke volume
C. Peripheral resistance
D. Neuroendocrine hormones
E. Muscle tone: A. Heart rate
B. Stroke volume
C. Peripheral resistance
, HESI PN EXIT LATEST EXAM 2024-2025
Study online at https://quizlet.com/_i4bdxs
10. A client begins an antidepressant drug during the second day of hospitaliza-
tion. Which assessment is most important for the LPN/LVN to include in this
client's plan of care while the client is taking the antidepressant?
A. Appetite
B. Mood
C. Withdrawal
D. Energy level: B. Mood
11. Based on the documentation in the medical record, which action should the
LPN/LVN implement next?
A. Give the rubella vaccine subcutaneously
B. Observe the mother breastfeeding her infant
C. Call the nursery for the infant's blood type result
D. Administer Vicodin one tablet for pain: Give the rubella vaccine subcutaneously
12. A client is admitted to the hospital with a diagnosis of Pneumonia. Which in-
tervention should the LPN/LVN implement to prevent complications associated
with Pneumonia?
A. Encourage mobilization and ambulation
B. Encourage energy conservation with complete bed rest
C. Provide humidified oxygen per nasal cannula
D. Restrict PO and intravenous fluids: Encourage mobilization and ambulation
13. The practical nurse is preparing to administer a prescription for cefazolin
(kefzol) 600 mg IM every 6 hours. The available vial is labeled, "Cefazolin
(Kefzol) 1 gram and the instrutions for reconsittution, "For IM use add 2ml
sterile water for injection. Total volume after reconstruction = 2.5 ml. "when
reconstituded, how many milligrams are in each mil of solutions (Enter numeric
value only): 15mg
14. Which nursing activity is within the scope of practice for the practical nurse?
A. Complete an admission assessment in the normal newborn nursery.
B. Discontinue a central venous catheter that has become dislodged
C. Observe a client rotate the subcutaneous site for an insulin pump
D. Monitor a continous narcotic epidural for a postoperative client: C. Observe a client
rotate the subcutaneous site for an insulin pump
, HESI PN EXIT LATEST EXAM 2024-2025
Study online at https://quizlet.com/_i4bdxs
15. After morning dressing changes are completed, a male client who has para-
plegia contaminates his ischial decubiti dressing with a diarrheal stool. What
activity is best for the nurse to assign to the unlicensed assistive personnel?
A. Identify the need for additional supplies to provide an extra dressing change
B. Provide perianal care and collect clean linens for the dressing change
C. Document the diarrhea that necessitates an additional dressing change
D. Position the client for access to the decubiti sties and remove dressings: B.
Provide perianal care and collect clean linens for the dressing change
16. The LPN/LVN is planning to evaluate the effectiveness of several drugs
administered by different routes. Arrange the routes of administration in the
order from fastest to slowest rate of absorption.
Subcutaneous
Intravenous
Intramuscular
Sublingual Oral: Intravenous, sublingual, intramuscular, subcutaneous,
17. A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9 weeks
gestation. At one-house post dilation and curettage (D&C) the LPN/LVN assess
the vital signs and vaginal bleeding. The client begins to cry softly. How should
the nurse intervene?
A. Offer to call the social worker to discuss the possibility of abortion
B. Reassure the client that the infertility specialist can help
C. Express sorrow for the client's grief and offer to sit with her
D. Chart the vital signs and amount of vaginal bleeding: Express sorrow for the client's grief
and offer to sit with her
18. A terminally ill male client and his family are requesting hospice care after
discharge from the hospital and ask the LPN/LVN to explain what kind of care
they should expect. The nurse should indicate that hospice philosophy focuses
on what aspect of health care?
A. Enhance symptom management to improve end of life quality
B. facilitates assisted suicide with the client's consent
C. Offers ways to postpone the death experience at home
