HESI PN EXIT EXAM LATEST 2025-2026 WEST COAST
UNIVERSITY EXAM GRADED A+ GUARANTEED PASS (FALL-
SPRING)
The LICENSED PRACTICAL NURSE/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 LICENSED PRACTICAL NURSE/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 LICENSED PRACTICAL NURSE/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 LICENSED PRACTICAL NURSE/
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 hospitalized 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
C. Initiative vs. Guilt
D. Trust vs. Mistrust
A. Autonomy vs. Shame and doubt
Which action should the LICENSED PRACTICAL NURSE/LVN implement in caring for a client
following an electroencephalogram (EEG)?
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client's hair and scalp
D. Wash any paste from the client's hair and scalp
The LICENSED PRACTICAL NURSE/LVN is caring for a 75- year-old male client who is beginning to
form a decubitus ulcer at the coccyx. Which intervention will be most helpful in preventing further
development of the decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
A. Encourage the client to eat foods high in protein
What is the homeostatic cellular transport mechanism that moves water from a hypotonic to a
hypertonic fluid space?
A. Filtration
B. Diffusion
C. Osmosis
,D. Active transport
C. Osmosis
The LICENSED PRACTICAL NURSE/LVN is taking blood pressure of a client admitted with a possible
myocardial infarction. When taking the client's BP at the brachial artery, the nurse should place
the client's arm in which position?
A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart
B. At the level of the heart
What are the final parameters that produce blood pressure? (select all that apply)
A. Heart rate
B. Stroke volume
C. Peripheral resistance
D. Neuroendocrine hormones
E. Muscle tone
A. Heart rate
B. Stroke volume
C. Peripheral resistance
A client begins an antidepressant drug during the second day of hospitalization. Which assessment
is most important for the LICENSED PRACTICAL NURSE/LVN to include in this client's plan of care
while the client is taking the antidepressant?
A. Appetite
B. Mood
C. Withdrawal
D. Energy level
B. Mood
The LICENSED PRACTICAL NURSE/LVN is preparing to administer a unit of packed red blood cells to
a client. Which of the following actions should the nurse take first?
A. Obtain the blood product from the blood bank.
B. Verify the client's identity and blood type with another nurse.
C. Prime the tubing with normal saline.
, D. Start the transfusion at a slow rate for the first 15 minutes.
Correct Answer: C
The LICENSED PRACTICAL NURSE/LVN is assessing a client who is 2 hours postpartum following a
vaginal delivery. The client's fundus is firm, midline, and at the umbilicus. The client has soaked
through two perineal pads in 15 minutes. Which of the following actions should the nurse take
first?
A. Administer oxytocin.
B. Massage the fundus firmly.
C. Notify the provider immediately.
D. Measure the client's blood pressure.
Correct Answer: B
The LICENSED PRACTICAL NURSE/LVN is teaching a client with type 1 diabetes about sick-day
management. Which of the following statements by the client indicates an understanding of the
teaching?
A. "I will take my insulin even if I am unable to eat."
B. "I will stop taking my insulin if I vomit."
C. "I will only check my blood sugar if I feel dizzy."
D. "I will drink only diet soda and avoid all carbohydrates."
Correct Answer: A
The LICENSED PRACTICAL NURSE/LVN is assessing an older adult client who is taking digoxin.
Which of the following findings should the nurse report to the provider as a sign of digoxin
toxicity?
A. Tachycardia and diaphoresis.
B. Nausea, vomiting, and visual disturbances.
C. Hypertension and bounding pulse.
D. Urinary retention and constipation.
Correct Answer: B
The LICENSED PRACTICAL NURSE/LVN is providing tracheostomy care to a client. Which of the
following actions should the nurse take?
A. Use sterile technique for cleaning the inner cannula.
B. Clean the stoma site using a circular motion from the outside in.
C. Use a clean, dry 4x4 gauze to clean around the site.
D. Replace the tracheostomy ties only if they are obviously soiled.
Correct Answer: A
The LICENSED PRACTICAL NURSE/LVN is preparing to administer a vaccination to a 2-year-old
child. The parent asks why the MMR vaccine is not given at birth. Which of the following
responses should the nurse make?
A. "The infant's immune system is not mature enough to respond effectively at birth."
B. "The infant receives passive immunity from the mother that lasts until 12 months."
C. "The infant is not exposed to these diseases until they enter daycare."
D. "The vaccine is not manufactured for children under 2 years of age."
Correct Answer: A
UNIVERSITY EXAM GRADED A+ GUARANTEED PASS (FALL-
SPRING)
The LICENSED PRACTICAL NURSE/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 LICENSED PRACTICAL NURSE/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 LICENSED PRACTICAL NURSE/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 LICENSED PRACTICAL NURSE/
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 hospitalized 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
C. Initiative vs. Guilt
D. Trust vs. Mistrust
A. Autonomy vs. Shame and doubt
Which action should the LICENSED PRACTICAL NURSE/LVN implement in caring for a client
following an electroencephalogram (EEG)?
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client's hair and scalp
D. Wash any paste from the client's hair and scalp
The LICENSED PRACTICAL NURSE/LVN is caring for a 75- year-old male client who is beginning to
form a decubitus ulcer at the coccyx. Which intervention will be most helpful in preventing further
development of the decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
A. Encourage the client to eat foods high in protein
What is the homeostatic cellular transport mechanism that moves water from a hypotonic to a
hypertonic fluid space?
A. Filtration
B. Diffusion
C. Osmosis
,D. Active transport
C. Osmosis
The LICENSED PRACTICAL NURSE/LVN is taking blood pressure of a client admitted with a possible
myocardial infarction. When taking the client's BP at the brachial artery, the nurse should place
the client's arm in which position?
A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart
B. At the level of the heart
What are the final parameters that produce blood pressure? (select all that apply)
A. Heart rate
B. Stroke volume
C. Peripheral resistance
D. Neuroendocrine hormones
E. Muscle tone
A. Heart rate
B. Stroke volume
C. Peripheral resistance
A client begins an antidepressant drug during the second day of hospitalization. Which assessment
is most important for the LICENSED PRACTICAL NURSE/LVN to include in this client's plan of care
while the client is taking the antidepressant?
A. Appetite
B. Mood
C. Withdrawal
D. Energy level
B. Mood
The LICENSED PRACTICAL NURSE/LVN is preparing to administer a unit of packed red blood cells to
a client. Which of the following actions should the nurse take first?
A. Obtain the blood product from the blood bank.
B. Verify the client's identity and blood type with another nurse.
C. Prime the tubing with normal saline.
, D. Start the transfusion at a slow rate for the first 15 minutes.
Correct Answer: C
The LICENSED PRACTICAL NURSE/LVN is assessing a client who is 2 hours postpartum following a
vaginal delivery. The client's fundus is firm, midline, and at the umbilicus. The client has soaked
through two perineal pads in 15 minutes. Which of the following actions should the nurse take
first?
A. Administer oxytocin.
B. Massage the fundus firmly.
C. Notify the provider immediately.
D. Measure the client's blood pressure.
Correct Answer: B
The LICENSED PRACTICAL NURSE/LVN is teaching a client with type 1 diabetes about sick-day
management. Which of the following statements by the client indicates an understanding of the
teaching?
A. "I will take my insulin even if I am unable to eat."
B. "I will stop taking my insulin if I vomit."
C. "I will only check my blood sugar if I feel dizzy."
D. "I will drink only diet soda and avoid all carbohydrates."
Correct Answer: A
The LICENSED PRACTICAL NURSE/LVN is assessing an older adult client who is taking digoxin.
Which of the following findings should the nurse report to the provider as a sign of digoxin
toxicity?
A. Tachycardia and diaphoresis.
B. Nausea, vomiting, and visual disturbances.
C. Hypertension and bounding pulse.
D. Urinary retention and constipation.
Correct Answer: B
The LICENSED PRACTICAL NURSE/LVN is providing tracheostomy care to a client. Which of the
following actions should the nurse take?
A. Use sterile technique for cleaning the inner cannula.
B. Clean the stoma site using a circular motion from the outside in.
C. Use a clean, dry 4x4 gauze to clean around the site.
D. Replace the tracheostomy ties only if they are obviously soiled.
Correct Answer: A
The LICENSED PRACTICAL NURSE/LVN is preparing to administer a vaccination to a 2-year-old
child. The parent asks why the MMR vaccine is not given at birth. Which of the following
responses should the nurse make?
A. "The infant's immune system is not mature enough to respond effectively at birth."
B. "The infant receives passive immunity from the mother that lasts until 12 months."
C. "The infant is not exposed to these diseases until they enter daycare."
D. "The vaccine is not manufactured for children under 2 years of age."
Correct Answer: A
