LPN / LVN HESI EXIT REVIEW EXAM/ LVN
HESI EXIT/ LPN HESI EXIT EXAM WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS| CURRENTLY
TESTING VERSION | ALREADY GRADED
A+|EXPERT VERIFIED FOR GUARANTEED
PASS 2026-2027
The LPN/LVN assigns an unlicensed assistive personnel (UAP) to feed a client who is at
risk for aspirations. To ensure that the task is safely delegated what action should the
nurse implement?
A. Inform the UAP that the suction is available at the bedside
B. Instruct the UAP to notify the PN if the client begins to choke
C. Observe the UAP's ability to implement precautions during feed
D. Ask the UAP about previous experience performing this skill
C. Observe the UAP's ability to implement precautions during feed
The unlicensed assistive personnel (UAP) reports to the nurse that a client refused to
bathe for the third consecutive day. What action is best for the nurse to take?
A. Ask the client why the bath was refused
B. Ask family members to encourage the client to bathe
C. Explain the importance of good hygiene to the client
D. Reschedule the bath for the following day
A. Ask the client why the bath was refused
An adult female client is admitted to the psychiatric unit with diagnosis of major
depression. After 2 weeks of antidepressant medication therapy, the nurse notices the
client has more energy, is giving her belongings away to her visitors, and is in an overall
1|Page
,better mood. Which intervention is best for the nurse to implement?
A. Tell the client to keep her belongings because she will need them at discharge
B. Ask the client if she has had any recent thoughts of harming herself
C. Reassure the client that the antidepressant drugs are apparently effective D. Support
the client by telling her what wonderful progress she is making
B. Ask the client if she has had any recent thoughts of harming herself
In assisting a client perform pursed lip breathing, the nurse should ensure that the
client performs which action?
A. Inhale through the nose with the mouth closed and exhale through pursed lips
B. Inhale through pursed lips then exhale with the mouth held open
C. Inhale through pursed lips and then exhale through the nose with the mouth closed
D. Inhale through the mouth puff the cheeks and exhale through pursed lips
A. Inhale through the nose with he mouth closed and exhale through pursed lips
A 3-year-old admitted with a fever of unknown origin (FUO) has begun vomiting in the
past half hour. The child's temperature is 101.80 F, and the last dose of antipyretic
medication was given 5 hours ago. The child has prescriptions of acetaminophen
(Tylenol) 160 MG per 5 mL elixir or 160 mg suppositories PRN fever or pain. What action
should the nurse take at this time?
A. Make the child NPO and hold all medications until the vomiting has stopped
B. Give acetaminophen elixir to ensure the child's cooperation with swallowing C. Notify
the healthcare provider that the child's fever has become dangerously high
D. Use an acetaminophen suppository for the fever since the child is vomiting
A. Make the child NPO and hold all medications until the vomiting has stopped
A client is having Radical Mastectomy. What is the position of choice during the
immediate postoperative period?
A. Side-lying on the operative side with the bed flat
B. Supine with the arm on the operative side in a dependent position
C. Semi-Fowler's position with the arm on the operative side elevated
D. Sim's position with the arm on the operative side in a dependent position
2|Page
,C. Semi-Fowler's position with the arm on the operative side elevated
The LPN/LVN assesses the perineum of a client 12 hours after a normal vaginal delivery
and finds that she has Perineal Hematomas. The nurse should prepare for which
treatment?
A. Heat lamp three times per day
B. Insertion of vaginal packing
C. Cold packs to the perineum
D. Operative excision of the hematomas
C. Cold packs to the perineum
A client at 28 weeks gestation is admitted to the antepartum unit and is being treated for
preterm labor. She has a prescription for brethine (Terbutaline) 250 micrograms
subcutaneously q4h. The medication is available for injection in 1 mg per ML vials. How
many mL should the nurse administer?
A. 0.025
B. 0.0025
C. 0.25
D. 25.0
0.25
A school-aged child with AIDS is exposed to an active case of Varicella. The nurse
should recommend that the family take which action?
A. Obtain penicillin G 1000U weekly
B. Obtain the varicella vaccine
C. Enroll in a home school program
D. Obtain the varicella zoster immune globulin
D. Obtain the varicella zoster immune globulin
The principle of client advocacy is best demonstrated when the nurse exhibits which
behaviors on behalf of the client?
A. Nurse who contacts child protective services to report a mother's decision to refuse
vaccination for her firstborn infant
3|Page
, B. Nurse refusing to care for a convicted rapist stating that personal discomfort would
inhibit provision of quality of care
C. Nurse who translates complaints for a Spanish-speaking client to the healthcare
provider during rounds
D. Nurse sharing information about life after death with a grieving family who just lost a
loved one
C. Nurse who translates complaints for a Spanish- speaking client to the healthcare
provider during rounds
The LPN/LVN is preparing a client for an Intravenous Pyelogram (IVP) scheduled for the
following morning. What action is most important for the nurse to implement?
A. Determine if the client has any allergies to shellfish
B. Inform the client that an IV dye will be administered before the IVP
C. Explain that dizziness may occur when the dye is given
D. Administer a bowel prep the evening before the procedure
A. Determine if the client has any allergies to shellfish
A LPN/LVN refuses to perform a procedure because it is beyond the scope of practice
for practical nurses. Which resource best defines the nurse's legal responsibility in
regard to scope of practice?
A. Nursing practice standards for Licensed Practical/Vocational Nurses
B. State Nurse Practice Act
C. Code of Ethics for Licensed Practical/Vocational Nurses
D. Patients Bill of Rights
B. State nurse Practice Act
While making the bed of a female client who is sitting in the bedside chair, the nurse
observes the client seem anxious. To encourage verbalization by the client, what action
should the nurse take?
A. Continue to make the bed while conversing with the client
B. Sit next to the client at a slight angle to continue the conversation
4|Page
HESI EXIT/ LPN HESI EXIT EXAM WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS| CURRENTLY
TESTING VERSION | ALREADY GRADED
A+|EXPERT VERIFIED FOR GUARANTEED
PASS 2026-2027
The LPN/LVN assigns an unlicensed assistive personnel (UAP) to feed a client who is at
risk for aspirations. To ensure that the task is safely delegated what action should the
nurse implement?
A. Inform the UAP that the suction is available at the bedside
B. Instruct the UAP to notify the PN if the client begins to choke
C. Observe the UAP's ability to implement precautions during feed
D. Ask the UAP about previous experience performing this skill
C. Observe the UAP's ability to implement precautions during feed
The unlicensed assistive personnel (UAP) reports to the nurse that a client refused to
bathe for the third consecutive day. What action is best for the nurse to take?
A. Ask the client why the bath was refused
B. Ask family members to encourage the client to bathe
C. Explain the importance of good hygiene to the client
D. Reschedule the bath for the following day
A. Ask the client why the bath was refused
An adult female client is admitted to the psychiatric unit with diagnosis of major
depression. After 2 weeks of antidepressant medication therapy, the nurse notices the
client has more energy, is giving her belongings away to her visitors, and is in an overall
1|Page
,better mood. Which intervention is best for the nurse to implement?
A. Tell the client to keep her belongings because she will need them at discharge
B. Ask the client if she has had any recent thoughts of harming herself
C. Reassure the client that the antidepressant drugs are apparently effective D. Support
the client by telling her what wonderful progress she is making
B. Ask the client if she has had any recent thoughts of harming herself
In assisting a client perform pursed lip breathing, the nurse should ensure that the
client performs which action?
A. Inhale through the nose with the mouth closed and exhale through pursed lips
B. Inhale through pursed lips then exhale with the mouth held open
C. Inhale through pursed lips and then exhale through the nose with the mouth closed
D. Inhale through the mouth puff the cheeks and exhale through pursed lips
A. Inhale through the nose with he mouth closed and exhale through pursed lips
A 3-year-old admitted with a fever of unknown origin (FUO) has begun vomiting in the
past half hour. The child's temperature is 101.80 F, and the last dose of antipyretic
medication was given 5 hours ago. The child has prescriptions of acetaminophen
(Tylenol) 160 MG per 5 mL elixir or 160 mg suppositories PRN fever or pain. What action
should the nurse take at this time?
A. Make the child NPO and hold all medications until the vomiting has stopped
B. Give acetaminophen elixir to ensure the child's cooperation with swallowing C. Notify
the healthcare provider that the child's fever has become dangerously high
D. Use an acetaminophen suppository for the fever since the child is vomiting
A. Make the child NPO and hold all medications until the vomiting has stopped
A client is having Radical Mastectomy. What is the position of choice during the
immediate postoperative period?
A. Side-lying on the operative side with the bed flat
B. Supine with the arm on the operative side in a dependent position
C. Semi-Fowler's position with the arm on the operative side elevated
D. Sim's position with the arm on the operative side in a dependent position
2|Page
,C. Semi-Fowler's position with the arm on the operative side elevated
The LPN/LVN assesses the perineum of a client 12 hours after a normal vaginal delivery
and finds that she has Perineal Hematomas. The nurse should prepare for which
treatment?
A. Heat lamp three times per day
B. Insertion of vaginal packing
C. Cold packs to the perineum
D. Operative excision of the hematomas
C. Cold packs to the perineum
A client at 28 weeks gestation is admitted to the antepartum unit and is being treated for
preterm labor. She has a prescription for brethine (Terbutaline) 250 micrograms
subcutaneously q4h. The medication is available for injection in 1 mg per ML vials. How
many mL should the nurse administer?
A. 0.025
B. 0.0025
C. 0.25
D. 25.0
0.25
A school-aged child with AIDS is exposed to an active case of Varicella. The nurse
should recommend that the family take which action?
A. Obtain penicillin G 1000U weekly
B. Obtain the varicella vaccine
C. Enroll in a home school program
D. Obtain the varicella zoster immune globulin
D. Obtain the varicella zoster immune globulin
The principle of client advocacy is best demonstrated when the nurse exhibits which
behaviors on behalf of the client?
A. Nurse who contacts child protective services to report a mother's decision to refuse
vaccination for her firstborn infant
3|Page
, B. Nurse refusing to care for a convicted rapist stating that personal discomfort would
inhibit provision of quality of care
C. Nurse who translates complaints for a Spanish-speaking client to the healthcare
provider during rounds
D. Nurse sharing information about life after death with a grieving family who just lost a
loved one
C. Nurse who translates complaints for a Spanish- speaking client to the healthcare
provider during rounds
The LPN/LVN is preparing a client for an Intravenous Pyelogram (IVP) scheduled for the
following morning. What action is most important for the nurse to implement?
A. Determine if the client has any allergies to shellfish
B. Inform the client that an IV dye will be administered before the IVP
C. Explain that dizziness may occur when the dye is given
D. Administer a bowel prep the evening before the procedure
A. Determine if the client has any allergies to shellfish
A LPN/LVN refuses to perform a procedure because it is beyond the scope of practice
for practical nurses. Which resource best defines the nurse's legal responsibility in
regard to scope of practice?
A. Nursing practice standards for Licensed Practical/Vocational Nurses
B. State Nurse Practice Act
C. Code of Ethics for Licensed Practical/Vocational Nurses
D. Patients Bill of Rights
B. State nurse Practice Act
While making the bed of a female client who is sitting in the bedside chair, the nurse
observes the client seem anxious. To encourage verbalization by the client, what action
should the nurse take?
A. Continue to make the bed while conversing with the client
B. Sit next to the client at a slight angle to continue the conversation
4|Page
