HESI LPN EXIT EXAM QUESTIONS AND
ANSWERS 2025
Question 1
The practical nurse (PN) is assessing a client who received a large volume of IV
fluids over a short period of time. Which finding (s) should the PN expect this
client to exhibit? Select all that apply.
A. Dependent edema.
B. Inelastic skin turgor.
C. Complaints of thirst.
D. Tachycardia.
E. Moist lung sounds.
Question 2
The practical nurse (PN) assigns an unlicensed assistive personnel (UAP) to
assist with the personal care of a client experiencing an acute exacerbation of
multiple sclerosis. Which instruction should the PN provide the UAP?
A. Keep head of the bed elevated at all times.
B. Face the client directly when speaking.
C. Encourage self-care but allow rest periods.
D. Offer to assist the client with a hot bath.
,Question 3
The practical nurse (PN) is checking residual volume prior to the administration
of a bolus feeding to a client with a percutaneous endoscopic gastrostomy (PEG)
tube when the unlicensed assistive personnel (UAP) reports that another client
has requested pain medication for postoperative pain. Which action should the
PN take?
A. Have the UAP notify the client in pain that the PN will be in to check on the
client after completing the procedure in progress.
B. Finish measuring the residual and assign the UAP to provide the bolus feeding
so the PN can administer an analgesic.
C. Tell the UAP that the client's pain will subside when the client is not disturbed
and is allowed uninterrupted rest.
D. Ask the UAP to finish measuring the residual volume while the PN assesses
the pain level of the surgical client.
Question 4
A 15-year-old male who is mildly intellectually disabled is admitted to the
adolescent unit because he repeatedly refuses to complete personal hygiene. The
healthcare provider prescribes that the client brush his teeth three times a day. In
the psychiatric team conference, a behavior modification program is
recommended to engage the client's participation. When implementing this
technique, which reinforcement is best for the practical nurse (PN) to provide?
A. Preferred activities or tokens for each compliance.
B. Unit tasks for each omission of teeth brushing.
,C. Candy for each successful hygiene task, like brushing his teeth.
D. Privilege restriction or fines for refusals to complete a hygienic task.
Question 5
The practical nurse (PN) hears an older adult resident of a long term care facility
shout profanities at an unlicensed assistive personnel (UAP) who shouts back at
the resident. Which is the first action the PN should take?
A. Report the incident and the UAP for further action by the nurse-manager.
B. Tell both of them to lower their voices in consideration of other residents.
C. Enter the room and tell the UAP to leave the room immediately.
D. Tell the resident and the UAP that shouting is not permitted.
Question 6
The home health practical nurse (PN) visits a young male client with AIDS who
has Kaposi's sarcoma and peripheral neuropathies. His parents, who provide
care for the client, report that their son sleeps most of the time. The PN observes
the client is semi-conscious with stable vital signs and cries out in pain when
turned or moved. A fentanyl patch is in place and skin lesions are closed and
dried. Which intervention should the PN implement?
A. Give a complete bed bath to further assess the client.
B. Discuss end-of-life decisions with the client's parents.
C. Call for ambulance transportation to the hospital immediately.
D. Remove the fentanyl patch as directed by prescription.
, Question 7
While caring for a client with a new prescription to initiate droplet precautions,
which task can the practical nurse (PN) assign to the unlicensed assistive
personnel (ÚAP)?
A. Obtain the necessary isolation supplies.
B. Notify the dietary department of the change.
C. Explain the precautions to the family.
D. Update the client's plan of care.
Question 8
The practical nurse (PN) is caring for a client with fractured metatarsals after
slamming a hand in the car door. After administering the prescribed
hydrocodone/acetaminophen for pain, which intervention should the PN include
in the client's care?
A. Encourage the client to resume normal activities after medication
administration.
B. Implement ongoing assessments for signs of shallow or slow breathing.
C. Assess the skin daily for areas of ecchymosis or other signs of bleeding.
D. Observe the client for involuntary movements of the lips and tongue.
Question 9
The unlicensed assistive personnel (UAP) is assisting the practical nurse (PN)
with client care. Which client should the PN instruct the UAP to help first?
ANSWERS 2025
Question 1
The practical nurse (PN) is assessing a client who received a large volume of IV
fluids over a short period of time. Which finding (s) should the PN expect this
client to exhibit? Select all that apply.
A. Dependent edema.
B. Inelastic skin turgor.
C. Complaints of thirst.
D. Tachycardia.
E. Moist lung sounds.
Question 2
The practical nurse (PN) assigns an unlicensed assistive personnel (UAP) to
assist with the personal care of a client experiencing an acute exacerbation of
multiple sclerosis. Which instruction should the PN provide the UAP?
A. Keep head of the bed elevated at all times.
B. Face the client directly when speaking.
C. Encourage self-care but allow rest periods.
D. Offer to assist the client with a hot bath.
,Question 3
The practical nurse (PN) is checking residual volume prior to the administration
of a bolus feeding to a client with a percutaneous endoscopic gastrostomy (PEG)
tube when the unlicensed assistive personnel (UAP) reports that another client
has requested pain medication for postoperative pain. Which action should the
PN take?
A. Have the UAP notify the client in pain that the PN will be in to check on the
client after completing the procedure in progress.
B. Finish measuring the residual and assign the UAP to provide the bolus feeding
so the PN can administer an analgesic.
C. Tell the UAP that the client's pain will subside when the client is not disturbed
and is allowed uninterrupted rest.
D. Ask the UAP to finish measuring the residual volume while the PN assesses
the pain level of the surgical client.
Question 4
A 15-year-old male who is mildly intellectually disabled is admitted to the
adolescent unit because he repeatedly refuses to complete personal hygiene. The
healthcare provider prescribes that the client brush his teeth three times a day. In
the psychiatric team conference, a behavior modification program is
recommended to engage the client's participation. When implementing this
technique, which reinforcement is best for the practical nurse (PN) to provide?
A. Preferred activities or tokens for each compliance.
B. Unit tasks for each omission of teeth brushing.
,C. Candy for each successful hygiene task, like brushing his teeth.
D. Privilege restriction or fines for refusals to complete a hygienic task.
Question 5
The practical nurse (PN) hears an older adult resident of a long term care facility
shout profanities at an unlicensed assistive personnel (UAP) who shouts back at
the resident. Which is the first action the PN should take?
A. Report the incident and the UAP for further action by the nurse-manager.
B. Tell both of them to lower their voices in consideration of other residents.
C. Enter the room and tell the UAP to leave the room immediately.
D. Tell the resident and the UAP that shouting is not permitted.
Question 6
The home health practical nurse (PN) visits a young male client with AIDS who
has Kaposi's sarcoma and peripheral neuropathies. His parents, who provide
care for the client, report that their son sleeps most of the time. The PN observes
the client is semi-conscious with stable vital signs and cries out in pain when
turned or moved. A fentanyl patch is in place and skin lesions are closed and
dried. Which intervention should the PN implement?
A. Give a complete bed bath to further assess the client.
B. Discuss end-of-life decisions with the client's parents.
C. Call for ambulance transportation to the hospital immediately.
D. Remove the fentanyl patch as directed by prescription.
, Question 7
While caring for a client with a new prescription to initiate droplet precautions,
which task can the practical nurse (PN) assign to the unlicensed assistive
personnel (ÚAP)?
A. Obtain the necessary isolation supplies.
B. Notify the dietary department of the change.
C. Explain the precautions to the family.
D. Update the client's plan of care.
Question 8
The practical nurse (PN) is caring for a client with fractured metatarsals after
slamming a hand in the car door. After administering the prescribed
hydrocodone/acetaminophen for pain, which intervention should the PN include
in the client's care?
A. Encourage the client to resume normal activities after medication
administration.
B. Implement ongoing assessments for signs of shallow or slow breathing.
C. Assess the skin daily for areas of ecchymosis or other signs of bleeding.
D. Observe the client for involuntary movements of the lips and tongue.
Question 9
The unlicensed assistive personnel (UAP) is assisting the practical nurse (PN)
with client care. Which client should the PN instruct the UAP to help first?
