HESI PN EXIT EXAM
HESI PN EXIT EXAM LATEST 2025 /PN HESI EXIT
COMPLETE EXAM REAL EXAM QUESTIONS AND CORRECT
ANSWERS|AGRADE
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
D. Provide training for family members to care for the client.
A. Enhance symptom management to improve end of life quality
The LPN/LVN observes a wife shaving her husband's beard with a safety razor by holding the
skin taut and shaving in the direction of the hair growth . What action should the nurse take?
A. Advise the wife to shave against the hair growth
B. Teach the wife to keep the skin loose to avoid cuts
C. Encourage the wife to continue shaving her husband
D. Demonstrate the correct procedure to the wife
C. Encourage the wife to continue shaving her husband
To assess pedal pulse what arterial sites should the nurse palpate? (select all that apply)
A. Posterior tibialis artery
B. Politeal artery
C. External femoral artery
D. Dorsalis pedis artery
E Radial artery
A. Posterior tibialis artery,
D. Dorsalis pedis artery
The LPN/LVN is admitting a client who is diagnosed with Angina Pectoris. Which precipitating
factor in this client's history is likely to be related to the anginal pain?
A. Smokes one pack of cigarettes daily
B. Drinks two beers daily
C. Works in a job that requires exposure to the sun
D. Eats while lying in bed
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, HESI PN EXIT EXAM
A. Smokes one pack of cigarettes daily
The LPN/LVN is assessing an older resident of a long-term care facility who has a history of
Benign Prostatic Hypertrophy and identifies that the client's bladder is distended. The
healthcare provider prescribes post-voided residual catheterization over the next 24 hours and
placement of an indwelling catheter if the residual volume exceeds 100 mL. The client's PO
intake is 600 mL, and fifteen minutes ago, the client voided 90 mL. What action should the
nurse take?
A. Stand the client to void and run tap water within hearing distance before catheterizing the
client.
B. Straight catheterize and if the residual using volume is greater than 100 mL, clamp catheter
C. Catheterize q2H and place in an indwelling catheter at the end of the prescribed 24hr period.
D. Catheterize with an indwelling catheter and if the residual volume is greater than 100 mL.
Inflate the balloon.
D. Catheterize with an indwelling catheter and if the residual volume is greater than 100 mL.
Inflate the balloon
A client is receiving dexamethasone (Hexadrol, Decadron). What symptoms should the nurse
recognize as Cushionoid side effects?
A. Moon face, Slow wound healing, muscle wasting sodium and water retention
B. Tachycardia hypertension, weight loss, heat intolerance, nervousness, restlessness, tremor
C. Bradycardia, weight gain, cold intolerance, myxedema facies and periobarbital edema
D. Hyperpigmentation, hyponatremia, hyperkalemia, dehydration, hypotension
A. Moon face, Slow wound healing, muscle wasting sodium and water retention
The cervix is the opening into the uterine cavity. What is its function in reproduction?
A. Accepts and interprets signals of sexual stimuli
B. Secretes mucus to facilitate sperm transport
C. Serves as the site for union of ovum and sperm
D. Receives the penis during intercourse
B. Secretes mucus to facilitate sperm transport
The LPN/LVN is working in a community health setting and assisting the charge nurse in
performing health screenings. Which individual is at highest risk for contracting an HIV
infection?
A. 17-year-old who is sexually active simultaneously with numerous partners
B. 34-year old homosexual who is in a monogamous relationship
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, HESI PN EXIT EXAM
C. 30-year-old cocaine user who inhales and smokes drugs
D. 45-year-old who has received two blood transfusions in the past 6 months
A. 17-year-old who is sexually active simultaneously with numerous partners
The LPN/LVN is administering amiodarone (Cordarone) to a client who has been admitted with
Atrial Fibrillation (AFIB). What therapeutic response should the nurse anticipate?
A. Conversion of irregular heart rate to regular heart rhythm
B. Pulse oximetry readings within normal range during activity
C. Peripheral pulse points with adequate capillary refill
D. Increase exercise tolerance without shortness of breath
A. Conversion of irregular heart rate to regular heart rhythm
An elderly male client is planning to vacation with a group of senior citizens. He is concerned
about developing constipation during the airplane flight. He share this concern with the nurse at
the retirement home. Which recommendation is best for the nurse to provide?
A. Use an over the counter stool softener when needed
B. Eat a high protein diet
C Increase the fluid intake in your diet
D. Decrease the fat content in your diet
C. Increase the fluid intake in your diet
The LPN/LVN is assessing a client with dark skin who is in Respiratory Distress. Which client
response should the nurse evaluate to determine cyanosis in this particular client?
A. Abnormal skin color changes in a client with dark skin cannot be determined
B. Blanching the soles of the feet in a client with dark skin reveals cyanosis
C. The lips and mucus membranes of a client with dark skin are dusky in color D. Cyanosis in a
client with dark skin is seen in the sclera
C. The lips and mucus membranes of a client with dark skin are dusky in color
When inserting an indwelling urinary catheter (Foley) in a female client, the nurse observes
urine flow into the tubing. What action is taken next?
A. Document the color and clarity of the urine
B. Insert the catheter an additional inch
C. Ask the client to breathe deeply and slowly exhale
D. Inflate the balloon with 5mL of sterile water
B. Insert the catheter an additional inch
3|Page
, HESI PN EXIT EXAM
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
4|Page
HESI PN EXIT EXAM LATEST 2025 /PN HESI EXIT
COMPLETE EXAM REAL EXAM QUESTIONS AND CORRECT
ANSWERS|AGRADE
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
D. Provide training for family members to care for the client.
A. Enhance symptom management to improve end of life quality
The LPN/LVN observes a wife shaving her husband's beard with a safety razor by holding the
skin taut and shaving in the direction of the hair growth . What action should the nurse take?
A. Advise the wife to shave against the hair growth
B. Teach the wife to keep the skin loose to avoid cuts
C. Encourage the wife to continue shaving her husband
D. Demonstrate the correct procedure to the wife
C. Encourage the wife to continue shaving her husband
To assess pedal pulse what arterial sites should the nurse palpate? (select all that apply)
A. Posterior tibialis artery
B. Politeal artery
C. External femoral artery
D. Dorsalis pedis artery
E Radial artery
A. Posterior tibialis artery,
D. Dorsalis pedis artery
The LPN/LVN is admitting a client who is diagnosed with Angina Pectoris. Which precipitating
factor in this client's history is likely to be related to the anginal pain?
A. Smokes one pack of cigarettes daily
B. Drinks two beers daily
C. Works in a job that requires exposure to the sun
D. Eats while lying in bed
1|Page
, HESI PN EXIT EXAM
A. Smokes one pack of cigarettes daily
The LPN/LVN is assessing an older resident of a long-term care facility who has a history of
Benign Prostatic Hypertrophy and identifies that the client's bladder is distended. The
healthcare provider prescribes post-voided residual catheterization over the next 24 hours and
placement of an indwelling catheter if the residual volume exceeds 100 mL. The client's PO
intake is 600 mL, and fifteen minutes ago, the client voided 90 mL. What action should the
nurse take?
A. Stand the client to void and run tap water within hearing distance before catheterizing the
client.
B. Straight catheterize and if the residual using volume is greater than 100 mL, clamp catheter
C. Catheterize q2H and place in an indwelling catheter at the end of the prescribed 24hr period.
D. Catheterize with an indwelling catheter and if the residual volume is greater than 100 mL.
Inflate the balloon.
D. Catheterize with an indwelling catheter and if the residual volume is greater than 100 mL.
Inflate the balloon
A client is receiving dexamethasone (Hexadrol, Decadron). What symptoms should the nurse
recognize as Cushionoid side effects?
A. Moon face, Slow wound healing, muscle wasting sodium and water retention
B. Tachycardia hypertension, weight loss, heat intolerance, nervousness, restlessness, tremor
C. Bradycardia, weight gain, cold intolerance, myxedema facies and periobarbital edema
D. Hyperpigmentation, hyponatremia, hyperkalemia, dehydration, hypotension
A. Moon face, Slow wound healing, muscle wasting sodium and water retention
The cervix is the opening into the uterine cavity. What is its function in reproduction?
A. Accepts and interprets signals of sexual stimuli
B. Secretes mucus to facilitate sperm transport
C. Serves as the site for union of ovum and sperm
D. Receives the penis during intercourse
B. Secretes mucus to facilitate sperm transport
The LPN/LVN is working in a community health setting and assisting the charge nurse in
performing health screenings. Which individual is at highest risk for contracting an HIV
infection?
A. 17-year-old who is sexually active simultaneously with numerous partners
B. 34-year old homosexual who is in a monogamous relationship
2|Page
, HESI PN EXIT EXAM
C. 30-year-old cocaine user who inhales and smokes drugs
D. 45-year-old who has received two blood transfusions in the past 6 months
A. 17-year-old who is sexually active simultaneously with numerous partners
The LPN/LVN is administering amiodarone (Cordarone) to a client who has been admitted with
Atrial Fibrillation (AFIB). What therapeutic response should the nurse anticipate?
A. Conversion of irregular heart rate to regular heart rhythm
B. Pulse oximetry readings within normal range during activity
C. Peripheral pulse points with adequate capillary refill
D. Increase exercise tolerance without shortness of breath
A. Conversion of irregular heart rate to regular heart rhythm
An elderly male client is planning to vacation with a group of senior citizens. He is concerned
about developing constipation during the airplane flight. He share this concern with the nurse at
the retirement home. Which recommendation is best for the nurse to provide?
A. Use an over the counter stool softener when needed
B. Eat a high protein diet
C Increase the fluid intake in your diet
D. Decrease the fat content in your diet
C. Increase the fluid intake in your diet
The LPN/LVN is assessing a client with dark skin who is in Respiratory Distress. Which client
response should the nurse evaluate to determine cyanosis in this particular client?
A. Abnormal skin color changes in a client with dark skin cannot be determined
B. Blanching the soles of the feet in a client with dark skin reveals cyanosis
C. The lips and mucus membranes of a client with dark skin are dusky in color D. Cyanosis in a
client with dark skin is seen in the sclera
C. The lips and mucus membranes of a client with dark skin are dusky in color
When inserting an indwelling urinary catheter (Foley) in a female client, the nurse observes
urine flow into the tubing. What action is taken next?
A. Document the color and clarity of the urine
B. Insert the catheter an additional inch
C. Ask the client to breathe deeply and slowly exhale
D. Inflate the balloon with 5mL of sterile water
B. Insert the catheter an additional inch
3|Page
, HESI PN EXIT EXAM
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
4|Page
