HESI PN EXIT EXAM
LATEST 2024-2025 WEST
COAST UNIVERSITY EXAM
**Q1: Which client should the nurse assess first?**
A) Client requesting pain medication
B) Client with oxygen saturation 83% and restlessness
C) Stable postoperative client
D) Client awaiting discharge teaching
**Correct Answer: B**
,**Rationale:** Oxygen saturation of 83% with restlessness indicates severe hypoxia, which threatens
airway and breathing and must be treated immediately. The ABCs (Airway, Breathing, Circulation)
always guide priority assessments .
---
**Q2: 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 status and lead placement
D) Press the recorder button on the ECG console
**Correct Answer: C**
**Rationale:** First, assess the client and check lead placement. The most common cause of a flat-line
alarm is a lead or electrode detachment. Assessment precedes intervention .
---
**Q3: The 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) Premedicate the client with an analgesic before ambulating
**Correct Answer: D**
**Rationale:** Premedicating with an analgesic before ambulation reduces pain, allowing the client to
move more effectively and tolerate the activity. Pain management is essential for successful
mobilization .
---
**Q4: The LPN/LVN in a medical unit is caring for a client with heart failure. The client suddenly
develops extreme dyspnea, tachycardia, and lung crackles. The nurse suspects pulmonary edema. Which
interventions should 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) Transporting the client to the coronary care unit
F) Placing the client in a low-Fowler's side-lying position
**Correct Answer: A, B, C, D**
**Rationale:** Pulmonary edema requires immediate interventions: oxygen for hypoxia, furosemide for
diuresis, morphine for preload reduction and anxiety, and a Foley catheter to monitor output. High-
Fowler's position (not low-Fowler's) is preferred to facilitate breathing .
---
LATEST 2024-2025 WEST
COAST UNIVERSITY EXAM
**Q1: Which client should the nurse assess first?**
A) Client requesting pain medication
B) Client with oxygen saturation 83% and restlessness
C) Stable postoperative client
D) Client awaiting discharge teaching
**Correct Answer: B**
,**Rationale:** Oxygen saturation of 83% with restlessness indicates severe hypoxia, which threatens
airway and breathing and must be treated immediately. The ABCs (Airway, Breathing, Circulation)
always guide priority assessments .
---
**Q2: 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 status and lead placement
D) Press the recorder button on the ECG console
**Correct Answer: C**
**Rationale:** First, assess the client and check lead placement. The most common cause of a flat-line
alarm is a lead or electrode detachment. Assessment precedes intervention .
---
**Q3: The 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) Premedicate the client with an analgesic before ambulating
**Correct Answer: D**
**Rationale:** Premedicating with an analgesic before ambulation reduces pain, allowing the client to
move more effectively and tolerate the activity. Pain management is essential for successful
mobilization .
---
**Q4: The LPN/LVN in a medical unit is caring for a client with heart failure. The client suddenly
develops extreme dyspnea, tachycardia, and lung crackles. The nurse suspects pulmonary edema. Which
interventions should 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) Transporting the client to the coronary care unit
F) Placing the client in a low-Fowler's side-lying position
**Correct Answer: A, B, C, D**
**Rationale:** Pulmonary edema requires immediate interventions: oxygen for hypoxia, furosemide for
diuresis, morphine for preload reduction and anxiety, and a Foley catheter to monitor output. High-
Fowler's position (not low-Fowler's) is preferred to facilitate breathing .
---
