PN HESI EXIT EXAM 2024/2025
UPDATED
The LPN/LVN is planning care for the a client who has fourth degree midline
laceration that occurred during vaginal delivery of an 8 pound 10 ounce infant.
What intervention has the highest priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays
A. Administer Prescribed stool softener
The LPN/LVN is palpating the right upper hypochondriac region of the abdomen
of a client. What organ lies underneath this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen
C. Liver
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
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
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
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
D. Wash any paste from the client's hair and scalp
D. Wash any paste from the client's hair and scalp
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
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
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
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
A client begins an antidepressant drug during the second day of hospitalization.
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
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
A client is admitted to the hospital with a diagnosis of Pneumonia. Which
intervention 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
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
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
After morning dressing changes are completed, a male client who has paraplegia
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
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,
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
UPDATED
The LPN/LVN is planning care for the a client who has fourth degree midline
laceration that occurred during vaginal delivery of an 8 pound 10 ounce infant.
What intervention has the highest priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays
A. Administer Prescribed stool softener
The LPN/LVN is palpating the right upper hypochondriac region of the abdomen
of a client. What organ lies underneath this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen
C. Liver
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
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
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
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
D. Wash any paste from the client's hair and scalp
D. Wash any paste from the client's hair and scalp
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
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
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
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
A client begins an antidepressant drug during the second day of hospitalization.
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
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
A client is admitted to the hospital with a diagnosis of Pneumonia. Which
intervention 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
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
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
After morning dressing changes are completed, a male client who has paraplegia
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
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,
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
