HESI PN Exit Exam 2026 Questions & Verified Answers with rationales and
mutiple choice LPN Exit Exam Prep
HESI PN EXIT EXAM 2026 — QUESTIONS
SAFE AND EFFECTIVE CARE ENVIRONMENT (Questions 1-35)
This section covers delegation, supervision, legal issues, prioritization, and
leadership.
Question 1
An LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery.
The nurse plans to do which to enable the client to best tolerate the ambulation?
A. Provide the client with a walker
B. Remove the telemetry equipment
C. Encourage the client to cough and deep breathe
D. Pre-medicate the client with an analgesic before ambulating
Answer: D
,Rationale: Pre-medicating with an analgesic before ambulation helps control pain,
which enables better participation and tolerance of activity. Pain inhibits
movement and deep breathing .
Question 2
A client is wearing a continuous cardiac monitor, which begins to alarm at the
nurse's station. The nurse sees no electrocardiographic complexes on the screen.
The nurse should do which first?
A. Call a code blue
B. Call the healthcare provider
C. Check the client's status and lead placement
D. Press the recorder button on the ECG console
Answer: C
Rationale: The absence of complexes may indicate lead detachment or
disconnection. Checking the client and lead placement is the priority before
activating emergency protocols .
Question 3
A charge nurse is assigning tasks on a medical-surgical unit. Which task is
appropriate to delegate to an LPN/LVN?
,A. Initial admission assessment of a new client
B. Administration of IV push morphine to a postoperative client
C. Insertion of an indwelling urinary catheter
D. Development of the nursing care plan
Answer: C
Rationale: Insertion of an indwelling urinary catheter is within LPN/LVN scope of
practice in most states. Initial assessment, IV push medications, and care plan
development are generally RN responsibilities .
Question 4
The LPN/LVN is caring for a client with heart failure who develops acute
pulmonary edema. Which interventions does the nurse expect to be prescribed?
Select all that apply.
A. Administering oxygen
B. Inserting a Foley catheter
C. Administering furosemide (Lasix)
D. Administering morphine sulfate intravenously
E. Placing the client in a low-Fowler's side-lying position
, Answer: A, B, C, D
Rationale: Oxygen improves oxygenation, furosemide reduces fluid overload,
morphine reduces preload and anxiety, and a Foley catheter monitors output.
High-Fowler's position (not low-Fowler's) is indicated for pulmonary edema .
Question 5
The LPN/LVN is monitoring a client following cardioversion. Which observation
should be of highest priority to the nurse?
A. Blood pressure
B. Status of airway
C. Oxygen flow rate
D. Level of consciousness
Answer: B
Rationale: Airway is always the priority in any emergency situation. Respiratory
depression or obstruction can occur post-cardioversion .
Question 6
A client receiving heparin therapy has a sudden nosebleed. What is the nurse's
priority action?
mutiple choice LPN Exit Exam Prep
HESI PN EXIT EXAM 2026 — QUESTIONS
SAFE AND EFFECTIVE CARE ENVIRONMENT (Questions 1-35)
This section covers delegation, supervision, legal issues, prioritization, and
leadership.
Question 1
An LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery.
The nurse plans to do which to enable the client to best tolerate the ambulation?
A. Provide the client with a walker
B. Remove the telemetry equipment
C. Encourage the client to cough and deep breathe
D. Pre-medicate the client with an analgesic before ambulating
Answer: D
,Rationale: Pre-medicating with an analgesic before ambulation helps control pain,
which enables better participation and tolerance of activity. Pain inhibits
movement and deep breathing .
Question 2
A client is wearing a continuous cardiac monitor, which begins to alarm at the
nurse's station. The nurse sees no electrocardiographic complexes on the screen.
The nurse should do which first?
A. Call a code blue
B. Call the healthcare provider
C. Check the client's status and lead placement
D. Press the recorder button on the ECG console
Answer: C
Rationale: The absence of complexes may indicate lead detachment or
disconnection. Checking the client and lead placement is the priority before
activating emergency protocols .
Question 3
A charge nurse is assigning tasks on a medical-surgical unit. Which task is
appropriate to delegate to an LPN/LVN?
,A. Initial admission assessment of a new client
B. Administration of IV push morphine to a postoperative client
C. Insertion of an indwelling urinary catheter
D. Development of the nursing care plan
Answer: C
Rationale: Insertion of an indwelling urinary catheter is within LPN/LVN scope of
practice in most states. Initial assessment, IV push medications, and care plan
development are generally RN responsibilities .
Question 4
The LPN/LVN is caring for a client with heart failure who develops acute
pulmonary edema. Which interventions does the nurse expect to be prescribed?
Select all that apply.
A. Administering oxygen
B. Inserting a Foley catheter
C. Administering furosemide (Lasix)
D. Administering morphine sulfate intravenously
E. Placing the client in a low-Fowler's side-lying position
, Answer: A, B, C, D
Rationale: Oxygen improves oxygenation, furosemide reduces fluid overload,
morphine reduces preload and anxiety, and a Foley catheter monitors output.
High-Fowler's position (not low-Fowler's) is indicated for pulmonary edema .
Question 5
The LPN/LVN is monitoring a client following cardioversion. Which observation
should be of highest priority to the nurse?
A. Blood pressure
B. Status of airway
C. Oxygen flow rate
D. Level of consciousness
Answer: B
Rationale: Airway is always the priority in any emergency situation. Respiratory
depression or obstruction can occur post-cardioversion .
Question 6
A client receiving heparin therapy has a sudden nosebleed. What is the nurse's
priority action?
