PN HESI Exit Exam | Comprehensive LPN/LVN
Prep Guide
2025/2026 Elite Study Resource | 100 Exam-Style Questions | Accuracy-Verified |
A+ Tier
EXAM OVERVIEW
This 2025/2026 **validated resource** contains the **complete PN HESI Exit Exam |
Comprehensive LPN/LVN Prep Guide** with **actual questions** and **verified
answers**. The examination measures **analytical reasoning**, **professional
judgment**, and **practical application** through 100 evidence-based scenarios that
assess competency in contemporary professional practice.
EXAM FEATURES
• 100 Evidence-Based Multiple Choice Questions
• Comprehensive Answer Keys with **Clinical Rationales**
• **Critical Analysis** and **Applied Reasoning** Emphasis
• Current 2025 **Evidence-Based Practice** Standards Integration
• 7 **Professional Domains** Comprehensively Assessed
• **Real-World Application** Scenarios with Professional Context
CORE TESTING AREAS
→ Nursing Fundamentals
→ Pharmacology
→ Medical-Surgical Nursing
→ Maternal–Newborn Nursing
→ Pediatric Nursing
→ Psychiatric/Mental Health Nursing
→ Leadership & Management (LPN Scope)
Page 1
,Question 1
A 72-year-old male client with a history of dementia is found unresponsive in his room.
The nurse performs CPR and calls for medical assistance. Upon arrival, the physician
stabilizes the client's airway and breathing. What is the appropriate next step in care?
A. Administer oxygen via face mask.
B. Insert an IV line and administer dextrose.
C. Transfer the client to the ICU for further evaluation.
D. Provide a warm blanket and reassurance.
Correct Answer
B Insert an IV line and administer dextrose.
Rationale:
Dextrose administration is crucial to treat potential hypoglycemia in the unresponsive client.
Question 2
A client with a history of type 1 diabetes mellitus is prescribed a sliding scale insulin
regimen. Which of the following is the primary goal of this type of regimen?
A. To maintain blood glucose levels between 80-120 mg/dL.
B. To achieve tight blood glucose control.
C. To minimize the risk of hypoglycemia.
D. To reduce the need for insulin injections.
Correct Answer
B To achieve tight blood glucose control.
Rationale:
The primary goal of a sliding scale insulin regimen is to achieve tight blood glucose control and prevent
hyperglycemia.
Page 2
,Question 3
A client is being prepared for a percutaneous coronary intervention (PCI). The nurse is
responsible for administering which of the following medications to the client?
A. Aspirin, 325 mg oral.
B. Clopidogrel, 600 mg oral.
C. Heparin, 50 units/kg IV.
D. All of the above.
Correct Answer
D All of the above.
Rationale:
Aspirin, clopidogrel, and heparin are commonly administered medications before PCI to prevent platelet
aggregation and thrombus formation.
Question 4
A pregnant client at 28 weeks gestation comes to the emergency department complaining
of sudden onset severe headache and vision changes. What is the primary concern of the
nurse?
A. Eclampsia.
B. Seizure activity.
C. Postpartum hemorrhage.
D. Posterior reversible encephalopathy syndrome (PRES).
Correct Answer
D Posterior reversible encephalopathy syndrome (PRES).
Rationale:
The symptoms described are consistent with posterior reversible encephalopathy syndrome (PRES), a
condition that requires immediate medical attention.
Page 3
, Question 5
A client is being prepared for a thoracentesis. The nurse should instruct the client to sit up
straight and lean forward to facilitate drainage. What is the reason for this position?
A. To decrease respiratory effort.
B. To increase lung expansion.
C. To facilitate drainage of pleural fluid.
D. To reduce the risk of pneumothorax.
Correct Answer
C To facilitate drainage of pleural fluid.
Rationale:
The position allows the pleural fluid to drain more easily into the thoracentesis bottle, facilitating the
procedure.
Question 6
A 55-year-old postoperative client is experiencing nausea and vomiting following a
cholecystectomy. The client's IV solution contains ondansetron 4 mg in 50 mL of 0.9%
NaCl. How many mL of the solution should be administered per minute?
A. 2 mL/min
B. 4 mL/min
C. 8 mL/min
D. 10 mL/min
Correct Answer
B 4 mL/min
Rationale:
Administer ondansetron over 15 minutes, which is 4 mL/min.
Page 4
Prep Guide
2025/2026 Elite Study Resource | 100 Exam-Style Questions | Accuracy-Verified |
A+ Tier
EXAM OVERVIEW
This 2025/2026 **validated resource** contains the **complete PN HESI Exit Exam |
Comprehensive LPN/LVN Prep Guide** with **actual questions** and **verified
answers**. The examination measures **analytical reasoning**, **professional
judgment**, and **practical application** through 100 evidence-based scenarios that
assess competency in contemporary professional practice.
EXAM FEATURES
• 100 Evidence-Based Multiple Choice Questions
• Comprehensive Answer Keys with **Clinical Rationales**
• **Critical Analysis** and **Applied Reasoning** Emphasis
• Current 2025 **Evidence-Based Practice** Standards Integration
• 7 **Professional Domains** Comprehensively Assessed
• **Real-World Application** Scenarios with Professional Context
CORE TESTING AREAS
→ Nursing Fundamentals
→ Pharmacology
→ Medical-Surgical Nursing
→ Maternal–Newborn Nursing
→ Pediatric Nursing
→ Psychiatric/Mental Health Nursing
→ Leadership & Management (LPN Scope)
Page 1
,Question 1
A 72-year-old male client with a history of dementia is found unresponsive in his room.
The nurse performs CPR and calls for medical assistance. Upon arrival, the physician
stabilizes the client's airway and breathing. What is the appropriate next step in care?
A. Administer oxygen via face mask.
B. Insert an IV line and administer dextrose.
C. Transfer the client to the ICU for further evaluation.
D. Provide a warm blanket and reassurance.
Correct Answer
B Insert an IV line and administer dextrose.
Rationale:
Dextrose administration is crucial to treat potential hypoglycemia in the unresponsive client.
Question 2
A client with a history of type 1 diabetes mellitus is prescribed a sliding scale insulin
regimen. Which of the following is the primary goal of this type of regimen?
A. To maintain blood glucose levels between 80-120 mg/dL.
B. To achieve tight blood glucose control.
C. To minimize the risk of hypoglycemia.
D. To reduce the need for insulin injections.
Correct Answer
B To achieve tight blood glucose control.
Rationale:
The primary goal of a sliding scale insulin regimen is to achieve tight blood glucose control and prevent
hyperglycemia.
Page 2
,Question 3
A client is being prepared for a percutaneous coronary intervention (PCI). The nurse is
responsible for administering which of the following medications to the client?
A. Aspirin, 325 mg oral.
B. Clopidogrel, 600 mg oral.
C. Heparin, 50 units/kg IV.
D. All of the above.
Correct Answer
D All of the above.
Rationale:
Aspirin, clopidogrel, and heparin are commonly administered medications before PCI to prevent platelet
aggregation and thrombus formation.
Question 4
A pregnant client at 28 weeks gestation comes to the emergency department complaining
of sudden onset severe headache and vision changes. What is the primary concern of the
nurse?
A. Eclampsia.
B. Seizure activity.
C. Postpartum hemorrhage.
D. Posterior reversible encephalopathy syndrome (PRES).
Correct Answer
D Posterior reversible encephalopathy syndrome (PRES).
Rationale:
The symptoms described are consistent with posterior reversible encephalopathy syndrome (PRES), a
condition that requires immediate medical attention.
Page 3
, Question 5
A client is being prepared for a thoracentesis. The nurse should instruct the client to sit up
straight and lean forward to facilitate drainage. What is the reason for this position?
A. To decrease respiratory effort.
B. To increase lung expansion.
C. To facilitate drainage of pleural fluid.
D. To reduce the risk of pneumothorax.
Correct Answer
C To facilitate drainage of pleural fluid.
Rationale:
The position allows the pleural fluid to drain more easily into the thoracentesis bottle, facilitating the
procedure.
Question 6
A 55-year-old postoperative client is experiencing nausea and vomiting following a
cholecystectomy. The client's IV solution contains ondansetron 4 mg in 50 mL of 0.9%
NaCl. How many mL of the solution should be administered per minute?
A. 2 mL/min
B. 4 mL/min
C. 8 mL/min
D. 10 mL/min
Correct Answer
B 4 mL/min
Rationale:
Administer ondansetron over 15 minutes, which is 4 mL/min.
Page 4
