HESI PN EXIT EXAM V3 LATEST VERSION 2025 QUESTIONS
AND ANSWERS GUARANTEED A+
HESI PN EXIT EXAM V3 LATEST VERSION 2025 QUESTIONS
AND ANSWERS GUARANTEED A+
1) The LPN/LVN receives the client's next scheduled bag of TPN labeled with
the additive NPH insulin. Which action should the nurse implement?
A.Hang the solution at the current rate.
B.Refrigerate the solution until needed.
C.Prepare the solution with new tubing.
D.Return the solution to the pharmacy.
ANSWER: D Return the solution to the pharmacy.
2) A male client has just undergone a laryngectomy and has a cuffed
tracheostomy tube in place. When initiating bolus tube feedings
postoperatively, when should the nurse inflate the cuff?
A.Immediately after feeding
B.Just prior to tube feeding
C.Continuous inflation is required
D.Inflation is not required
ANSWER: B Just prior to tube feeding
3) A client on telemetry has a pattern of uncontrolled atrial fibrillation with a
rapid ventricular response. Based on this finding, the nurse anticipates
assisting the physician with which treatment?
,A.Administer lidocaine,75 mg intravenous push.
B.Perform synchronized cardioversion.
C.Defibrillate the client as soon as possible.
D.Administer atropine, 0.4 mg intravenous push.
ANSWER: B Perform synchronized cardioversion.
4) A 63-year-old client with type 2 diabetes mellitus is admitted for treatment
of an ulcer on the heel of the left foot that has not healed with wound care.
The nurse observes that the entire left foot is darker in color than the right
foot. Which additional symptom should the nurse expect to find?
A.Pedal pulses will be weak or absent in the left foot.
B.The client will state that the left foot is usually warm.
C.Flexion and extension of the left foot will be limited.
D.Capillary refill of the client's left toes will be brisk.
ANSWER: A Pedal pulses will be weak or absent in the left foot.
5) A client with cirrhosis develops increasing pedal edema and ascites.
Which dietary modification is most important for the nurse to teach this client?
A.Avoid high-carbohydrate foods.
B.Decrease intake of fat-soluble vitamins.
C.Decrease caloric intake.
D.Restrict salt and fluid intake.
ANSWER: D Restrict salt and fluid intake.
6) During report, the nurse learns that a client with tumor lysis syndrome is
receiving an IV infusion containing insulin. Which assessment should the
nurse complete first?
A.Review the client's history for diabetes mellitus.
B.Observe the extremity distal to the IV site.
,C.Monitor the client's serum potassium and blood glucose
levels. D.Evaluate the client's oxygen saturation and breath
sounds.
ANSWER: C Monitor the client's serum potassium and blood glucose levels.
7) A resident in a long-term care facility is diagnosed with hepatitis B. Which
intervention should the nurse implement with the staff caring for this
client?
A.Determine if all employees have had the hepatitis B vaccine series.
B.Explain that this type of hepatitis can be transmitted when feeding the client.
C.Assure the employees that they cannot contract hepatitis B when providing
direct care.
D.Tell the employees that wearing gloves and a gown are required when providing
care.
ANSWER: A Determine if all employees have had the hepatitis B vaccine series.
8) The LPN/LVN notes that the client's drainage has decreased from 50 to 5
mL/hr 12 hours after chest tube insertion for hemothorax. What is the best
initial action for the nurse to take?
A.Document this expected decrease in drainage.
B.Clamp the chest tube while assessing for air leaks. C.Milk
the tube to remove any excessive blood clot buildup.
D.Assess for kinks or dependent loops in the tubing.
ANSWER: D Assess for kinks or dependent loops in the tubing.
9) The nurse notes that a client who is scheduled for surgery the next morning
has an elevated blood urea nitrogen (BUN) level. Which condition is most
likely to have contributed to this finding?
A.Myocardial infarction 2 months ago
, B.Anorexia and vomiting for the past 2 days
C.Recently diagnosed type 2 diabetes mellitus
D.Skeletal traction for a right hip fracture
ANSWER: B Anorexia and vomiting for the past 2 days
10) The nurse is reviewing routine medications taken by a client with chronic
angle closure glaucoma. Which medication prescription should the nurse
question?
A.Antianginal with a therapeutic effect of vasodilation
B.Anticholinergic with a side effect of pupillary dilation
C.Antihistamine with a side effect of sedation
D.Corticosteroid with a side effect of hyperglycemia
ANSWER:B Anticholinergic with a side effect of pupillary dilation
11) A 58-year-old client who has no health problems asks the nurse about
receiving the pneumococcal vaccine (Pneumovax). Which statement given
by the nurse would offer the client accurate information about this vaccine?
A.The vaccine is given annually before the flu season to those older than 50 years.
B.The immunization is administered once to older adults or those at risk for illness.
C. The vaccine is for all ages and is given primarily to those persons traveling
overseas to areas of infection.
D. The vaccine will prevent the occurrence of pneumococcal pneumonia for up
to 5 years.
ANSWER: B The immunization is administered once to older adults or those at risk for
illness.
12) The nurse is assessing a male client with acute pancreatitis. Which finding
requires the MOST immediate intervention by the nurse?
A.The client's amylase level is three times higher than the normal level.
B.While the nurse is taking the client's blood pressure, he has a carpal spasm.
AND ANSWERS GUARANTEED A+
HESI PN EXIT EXAM V3 LATEST VERSION 2025 QUESTIONS
AND ANSWERS GUARANTEED A+
1) The LPN/LVN receives the client's next scheduled bag of TPN labeled with
the additive NPH insulin. Which action should the nurse implement?
A.Hang the solution at the current rate.
B.Refrigerate the solution until needed.
C.Prepare the solution with new tubing.
D.Return the solution to the pharmacy.
ANSWER: D Return the solution to the pharmacy.
2) A male client has just undergone a laryngectomy and has a cuffed
tracheostomy tube in place. When initiating bolus tube feedings
postoperatively, when should the nurse inflate the cuff?
A.Immediately after feeding
B.Just prior to tube feeding
C.Continuous inflation is required
D.Inflation is not required
ANSWER: B Just prior to tube feeding
3) A client on telemetry has a pattern of uncontrolled atrial fibrillation with a
rapid ventricular response. Based on this finding, the nurse anticipates
assisting the physician with which treatment?
,A.Administer lidocaine,75 mg intravenous push.
B.Perform synchronized cardioversion.
C.Defibrillate the client as soon as possible.
D.Administer atropine, 0.4 mg intravenous push.
ANSWER: B Perform synchronized cardioversion.
4) A 63-year-old client with type 2 diabetes mellitus is admitted for treatment
of an ulcer on the heel of the left foot that has not healed with wound care.
The nurse observes that the entire left foot is darker in color than the right
foot. Which additional symptom should the nurse expect to find?
A.Pedal pulses will be weak or absent in the left foot.
B.The client will state that the left foot is usually warm.
C.Flexion and extension of the left foot will be limited.
D.Capillary refill of the client's left toes will be brisk.
ANSWER: A Pedal pulses will be weak or absent in the left foot.
5) A client with cirrhosis develops increasing pedal edema and ascites.
Which dietary modification is most important for the nurse to teach this client?
A.Avoid high-carbohydrate foods.
B.Decrease intake of fat-soluble vitamins.
C.Decrease caloric intake.
D.Restrict salt and fluid intake.
ANSWER: D Restrict salt and fluid intake.
6) During report, the nurse learns that a client with tumor lysis syndrome is
receiving an IV infusion containing insulin. Which assessment should the
nurse complete first?
A.Review the client's history for diabetes mellitus.
B.Observe the extremity distal to the IV site.
,C.Monitor the client's serum potassium and blood glucose
levels. D.Evaluate the client's oxygen saturation and breath
sounds.
ANSWER: C Monitor the client's serum potassium and blood glucose levels.
7) A resident in a long-term care facility is diagnosed with hepatitis B. Which
intervention should the nurse implement with the staff caring for this
client?
A.Determine if all employees have had the hepatitis B vaccine series.
B.Explain that this type of hepatitis can be transmitted when feeding the client.
C.Assure the employees that they cannot contract hepatitis B when providing
direct care.
D.Tell the employees that wearing gloves and a gown are required when providing
care.
ANSWER: A Determine if all employees have had the hepatitis B vaccine series.
8) The LPN/LVN notes that the client's drainage has decreased from 50 to 5
mL/hr 12 hours after chest tube insertion for hemothorax. What is the best
initial action for the nurse to take?
A.Document this expected decrease in drainage.
B.Clamp the chest tube while assessing for air leaks. C.Milk
the tube to remove any excessive blood clot buildup.
D.Assess for kinks or dependent loops in the tubing.
ANSWER: D Assess for kinks or dependent loops in the tubing.
9) The nurse notes that a client who is scheduled for surgery the next morning
has an elevated blood urea nitrogen (BUN) level. Which condition is most
likely to have contributed to this finding?
A.Myocardial infarction 2 months ago
, B.Anorexia and vomiting for the past 2 days
C.Recently diagnosed type 2 diabetes mellitus
D.Skeletal traction for a right hip fracture
ANSWER: B Anorexia and vomiting for the past 2 days
10) The nurse is reviewing routine medications taken by a client with chronic
angle closure glaucoma. Which medication prescription should the nurse
question?
A.Antianginal with a therapeutic effect of vasodilation
B.Anticholinergic with a side effect of pupillary dilation
C.Antihistamine with a side effect of sedation
D.Corticosteroid with a side effect of hyperglycemia
ANSWER:B Anticholinergic with a side effect of pupillary dilation
11) A 58-year-old client who has no health problems asks the nurse about
receiving the pneumococcal vaccine (Pneumovax). Which statement given
by the nurse would offer the client accurate information about this vaccine?
A.The vaccine is given annually before the flu season to those older than 50 years.
B.The immunization is administered once to older adults or those at risk for illness.
C. The vaccine is for all ages and is given primarily to those persons traveling
overseas to areas of infection.
D. The vaccine will prevent the occurrence of pneumococcal pneumonia for up
to 5 years.
ANSWER: B The immunization is administered once to older adults or those at risk for
illness.
12) The nurse is assessing a male client with acute pancreatitis. Which finding
requires the MOST immediate intervention by the nurse?
A.The client's amylase level is three times higher than the normal level.
B.While the nurse is taking the client's blood pressure, he has a carpal spasm.
