REVIEW QUESTIONS AND 100%
CORRECT ANSWERS/ PN HESI
LATEST MOCK PRACTICE SET
164 Questions with Answers and Detailed Rationales
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LPN / LVN HESI EXIT EXAM REVIEW QUESTIONS AND 100% CORRECT ANSWERS/ PN HESI EXIT EXAM
PREP LATEST / LVN HESI EXIT/ LPN HESI EXIT. It contains 164 carefully selected questions that reflect the
most current exam content and testing strategies. Each question is accompanied by a correct answer and a
detailed rationale that explains the underlying concepts and reasoning required to master the material.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
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Review Summary 164 Questions
Foundations - Application - LPN / LVN HESI EXIT Review AND 100 Correct / PN HESI EXIT PREP / LVN
HESI Exit/ LPN HESI EXIT Nursing Undergraduate YEAR 2 Lpn/lvn
All answers with rationales
,Table of Contents
Section A - SAFE AND Effective CARE Section B - SAFE AND Effective CARE
Environment Management OF CARE Environment Safety AND Infection
Questions 1 to 41 Control
Questions 42 to 82
Section C - Health Promotion AND Section D - Psychosocial Integrity
Maintenance Questions 124 to 164
Questions 83 to 123
,Section A - SAFE AND Effective CARE Environment
Management OF CARE
Q1.
A patient with syndrome of inappropriate antidiuretic hormone (SIADH) has a serum
sodium of 125 mEq/L. Which intervention is contraindicated?
A. Administer 3% hypertonic saline B. Restrict fluid intake to 800 mL/day
C. Monitor urine specific gravity hourly D. Administer intravenous D5W at 100
mL/hour
Correct: D - Administer intravenous D5W at 100 mL/hour
Rationale:
D5W is a hypotonic solution that can further lower serum sodium, worsening hyponatremia. In
SIADH, fluids are restricted and hypertonic saline may be used for severe symptoms. Urine
specific gravity reflects concentration ability.
Q2.
A patient receiving warfarin has an international normalized ratio (INR) of 5.0 and has no
signs of bleeding. Which vitamin should be administered?
A. Vitamin C B. Vitamin D
C. Vitamin K D. Vitamin E
Correct: C - Vitamin K
Rationale:
Vitamin K is the specific antidote for warfarin-induced anticoagulation. It reverses the effect of
warfarin by promoting synthesis of clotting factors. Vitamin C, D, and E do not affect INR.
Q3.
A postpartum patient has a boggy uterus displaced to the right and heavy lochia. What is
the priority action?
A. Increase IV oxytocin rate B. Assist patient to empty bladder
C. Perform uterine massage D. Notify the healthcare provider
Correct: B - Assist patient to empty bladder
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, Section A - SAFE AND Effective CARE Environment Management OF CARE
Rationale:
A displaced uterus often indicates a distended bladder, which can cause uterine atony and
hemorrhage. Emptying the bladder may reposition the uterus and improve tone. Oxytocin and
massage are secondary if the bladder is full.
Q4.
A child presents with barky cough, stridor, and low-grade fever. Which intervention is
most appropriate?
A. Prepare for immediate intubation B. Administer racemic epinephrine
nebulization
C. Place the child in prone position D. Obtain a throat culture
Correct: B - Administer racemic epinephrine nebulization
Rationale:
This presentation is classic for moderate croup (laryngotracheobronchitis). Racemic
epinephrine reduces airway edema. Intubation is for severe distress. Throat culture is for
suspected epiglottitis, which presents with high fever and drooling.
Q5.
A patient with major depression admits to a plan to overdose on prescription medication.
Which is the nurse's priority?
A. Ask the patient to sign a no-harm contract B. Remove all potentially harmful items from
the room
C. Place the patient in restraints D. Administer a sedative to reduce agitation
Correct: B - Remove all potentially harmful items from the room
Rationale:
Safety is paramount. Removing means (medication, sharp objects) is a direct intervention to
prevent suicide. No-harm contracts have limited evidence. Restraints are last resort. Sedation
does not address the plan.
Q6.
The charge nurse is assigning tasks to an LPN and an unlicensed assistive personnel
(UAP). Which task should the charge nurse assign to the LPN?
A. Administer oral medications to a stable B. Feed a patient with swallowing
patient precautions
C. Obtain vital signs on a preoperative D. Bathe a patient with a clean surgical
patient wound
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