HESI PN EXIT EXAM WITH 2025
NGN
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
The LPN/LVN is changing the colostomy bag for a client who is complaining
of leakage of diarrheal stool under the disposable ostomy bag. What action
should the nurse implement to prevent leakage?
A. Place a 4X4 wick in the stoma opening
B. Apply a layer of zinc oxide ointment to the perimeter of the stoma
C. Cut the bag opening to the measurement of the stoma size
D. Administer a PRN antidiarrheal agent
C. Cut the bag opening to the measurement of the stoma size
QUESTION 2
Prior to administering morphine sulfate (Morphine), the LPN/LVN takes the
client's vital signs. Based on which finding should the nurse withhold
administration of the medication until the charge nurse is notified?
A. Temperature of 100.8F
B. A pulse rate of 150 beats per minute
C. A respiratory rate of 10 breaths per minute
D. A blood pressure of 180/110
C. A respiratory rate of 10 breaths per minute
END OF
PAGE 1
, HESI PN EXIT EXAM WITH 2025
NGN
QUESTION 3
Following an open reduction of the tibian, the LPN/LVN notes fresh bleeding
on the client's cast. Which intervention should the nurse implement?
A. Assess the client's hemoglobin to determine if the client is in shock
B. Call the surgeon and prepare to take the client back to the operating room
C. Outline the area with ink and check it q15 minutes to see if the area has
increased
D. No action is required since postoperative bleeding can be expected
C. Outline the area with ink and check it q15 minutes to see if the area has
increased
QUESTION 4
The is with a client when the healthcare provider explains that the biopsy
classifies the results as a T1N0M0 tumor. Later in the morning, the client asks
the nurse, "what do these letters T1N0M0, stand for?" which response should
the nurse provide first?
A. "The letters are used to predict the prognosis of the cancer or tumor."
B. "The letters stand for tumor size, node involvement and metastasis."
C. "Let me refer you to the charge nurse."
D. "Are you confused? Would you like to talk?"
B. "The letters stand for tumor size, node involvement and metastasis."
END OF
PAGE 2
, HESI PN EXIT EXAM WITH 2025
NGN
QUESTION 5
The LPN/LVN plans to administer the rubella vaccine to a postpartum client
whose titer is < 1:8 and who is breastfeeding? what information should the
nurse provide this client?
A. The client should bottle feed and pump her breast for 3 days following
immunization
B. The vaccine is given to produce maternal antibodies before lactation occurs
C. The infant will receive immunization through the mother's breast milk
D. The client should not get pregnant for 3 months after immunization
B. The vaccine is given to produce maternal antibodies before lactation occurs
QUESTION 6
In counting a client's radial pulse, the LPN/LVN notes the pulse is weak and
irregular. To record the most accurate heart rate, what should the nurse
take? A. Recheck the radial pulse in thirty minutes
B. Palpate the radial pulse for thirty seconds and double the rate
C. Count the apical pulse rate for sixty seconds
D. Compare the radial pulse rate bilaterally and record the higher rate.
C. Count the apical pulse rate for sixty seconds
END OF
PAGE 3
, HESI PN EXIT EXAM WITH 2025
NGN
QUESTION 7
Which structures are located in the subcutaneous layer of the skin?
A. Sebaceous and sweat glands
B. Melanin and Keratin
C. Sensory receptors and hair follicles
D. Adipose cells and blood vessels
D. Adipose cells and blood vessels
QUESTION 8
The LPN/LVN in charge of a Nursing unit in a long term care facility. Which
task is best for the nurse to assign to an unlicensed assistive personnel (UAP)
who is helping with the care of several clients?
A. Measure the amount of a client's residual urine after voiding
B. Cleanse the perineal area of a client with urinary incontinence
C. Insert a straight catheter to obtain a urine specimen for culture
D. Provide catheter care for a client with a suprapubic catheter
B. Cleanse the perineal area of a client with urinary incontinence
END OF
PAGE 4
NGN
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
The LPN/LVN is changing the colostomy bag for a client who is complaining
of leakage of diarrheal stool under the disposable ostomy bag. What action
should the nurse implement to prevent leakage?
A. Place a 4X4 wick in the stoma opening
B. Apply a layer of zinc oxide ointment to the perimeter of the stoma
C. Cut the bag opening to the measurement of the stoma size
D. Administer a PRN antidiarrheal agent
C. Cut the bag opening to the measurement of the stoma size
QUESTION 2
Prior to administering morphine sulfate (Morphine), the LPN/LVN takes the
client's vital signs. Based on which finding should the nurse withhold
administration of the medication until the charge nurse is notified?
A. Temperature of 100.8F
B. A pulse rate of 150 beats per minute
C. A respiratory rate of 10 breaths per minute
D. A blood pressure of 180/110
C. A respiratory rate of 10 breaths per minute
END OF
PAGE 1
, HESI PN EXIT EXAM WITH 2025
NGN
QUESTION 3
Following an open reduction of the tibian, the LPN/LVN notes fresh bleeding
on the client's cast. Which intervention should the nurse implement?
A. Assess the client's hemoglobin to determine if the client is in shock
B. Call the surgeon and prepare to take the client back to the operating room
C. Outline the area with ink and check it q15 minutes to see if the area has
increased
D. No action is required since postoperative bleeding can be expected
C. Outline the area with ink and check it q15 minutes to see if the area has
increased
QUESTION 4
The is with a client when the healthcare provider explains that the biopsy
classifies the results as a T1N0M0 tumor. Later in the morning, the client asks
the nurse, "what do these letters T1N0M0, stand for?" which response should
the nurse provide first?
A. "The letters are used to predict the prognosis of the cancer or tumor."
B. "The letters stand for tumor size, node involvement and metastasis."
C. "Let me refer you to the charge nurse."
D. "Are you confused? Would you like to talk?"
B. "The letters stand for tumor size, node involvement and metastasis."
END OF
PAGE 2
, HESI PN EXIT EXAM WITH 2025
NGN
QUESTION 5
The LPN/LVN plans to administer the rubella vaccine to a postpartum client
whose titer is < 1:8 and who is breastfeeding? what information should the
nurse provide this client?
A. The client should bottle feed and pump her breast for 3 days following
immunization
B. The vaccine is given to produce maternal antibodies before lactation occurs
C. The infant will receive immunization through the mother's breast milk
D. The client should not get pregnant for 3 months after immunization
B. The vaccine is given to produce maternal antibodies before lactation occurs
QUESTION 6
In counting a client's radial pulse, the LPN/LVN notes the pulse is weak and
irregular. To record the most accurate heart rate, what should the nurse
take? A. Recheck the radial pulse in thirty minutes
B. Palpate the radial pulse for thirty seconds and double the rate
C. Count the apical pulse rate for sixty seconds
D. Compare the radial pulse rate bilaterally and record the higher rate.
C. Count the apical pulse rate for sixty seconds
END OF
PAGE 3
, HESI PN EXIT EXAM WITH 2025
NGN
QUESTION 7
Which structures are located in the subcutaneous layer of the skin?
A. Sebaceous and sweat glands
B. Melanin and Keratin
C. Sensory receptors and hair follicles
D. Adipose cells and blood vessels
D. Adipose cells and blood vessels
QUESTION 8
The LPN/LVN in charge of a Nursing unit in a long term care facility. Which
task is best for the nurse to assign to an unlicensed assistive personnel (UAP)
who is helping with the care of several clients?
A. Measure the amount of a client's residual urine after voiding
B. Cleanse the perineal area of a client with urinary incontinence
C. Insert a straight catheter to obtain a urine specimen for culture
D. Provide catheter care for a client with a suprapubic catheter
B. Cleanse the perineal area of a client with urinary incontinence
END OF
PAGE 4
