NEWEST HESI LPN-RN ENTRANCE EXAM MOBILITY AND
TRANSITION EXAM COMPLETE EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES FULLY
REVISED EXAM A NEW UPDATED VERSION LATEST 2026-
2027 (100 % CORRECT DETAILED) MOST RECENT EXAM
ALREADY GRADED A+
A client with chronic kidney disease is scheduled for hemodialysis. Which
assessment finding should the nurse report to the healthcare provider
immediately?
A) Blood pressure of 140/88 mmHg
B) Heart rate of 88 beats per minute
C) Serum potassium level of 6.2 mEq/L
D) Weight gain of 1 kg since last dialysis
Answer: C.
A serum potassium level of 6.2 mEq/L is critically high and can cause life-
threatening cardiac arrhythmias. The normal range is 3.5-5.0 mEq/L, and this
level requires immediate intervention such as dialysis or medication to lower
potassium.
,A postoperative client reports sudden chest pain and shortness of breath. The
nurse notes tachycardia and hypotension. Which condition should the nurse
suspect first?
A) Atelectasis
B) Pulmonary embolism
C) Wound infection
D) Hypovolemic shock
Answer: B.
Sudden chest pain, dyspnea, tachycardia, and hypotension are classic signs of
a pulmonary embolism, often resulting from a deep vein thrombosis that has
traveled to the lungs. Atelectasis typically presents with gradual onset and low-
grade fever, while wound infection and hypovolemic shock have different
primary presentations.
The nurse is caring for a client with diabetic ketoacidosis (DKA). Which
intravenous fluid should the nurse anticipate administering initially?
A) 0.9% normal saline
B) 0.45% normal saline
C) 5% dextrose in water
D) 3% normal saline
Answer: A.
0.9% normal saline is the initial fluid of choice for DKA to restore
intravascular volume and correct dehydration. Hypotonic solutions are used
later, and dextrose is added only when blood glucose drops to a certain level.
Hypertonic saline is not indicated for DKA.
,A client with heart failure is prescribed furosemide. Which laboratory value
should the nurse monitor most closely?
A) Serum sodium
B) Serum potassium
C) Serum calcium
D) Serum magnesium
Answer: B.
Furosemide is a loop diuretic that causes potassium wasting, so hypokalemia
is a significant risk. Monitoring serum potassium is essential to prevent
arrhythmias. While sodium, calcium, and magnesium can also be affected,
potassium is the most critical.
The nurse is assessing a client who has just returned from a cardiac
catheterization via the femoral artery. Which finding requires immediate
action?
A) Pedal pulses bilaterally at +2
B) Blood pressure of 120/80 mmHg
C) Large, expanding hematoma at the insertion site
D) Client reports mild discomfort at the site
Answer: C.
A large, expanding hematoma indicates active bleeding or a pseudoaneurysm,
which requires immediate pressure and notification of the provider. Pedal
pulses, stable blood pressure, and mild discomfort are expected findings.
A client with cirrhosis is exhibiting confusion, asterixis, and lethargy. Which
dietary modification is most important for the nurse to implement?
A) High-protein diet
, B) Low-sodium diet
C) Low-protein diet
D) High-carbohydrate diet
Answer: C.
These symptoms indicate hepatic encephalopathy due to elevated ammonia. A
low-protein diet is prescribed to reduce ammonia production, though protein
may be gradually reintroduced. High protein would worsen the condition, and
sodium restriction addresses ascites, not encephalopathy.
The nurse is preparing to administer a blood transfusion. Which action is
essential immediately before starting the transfusion?
A) Verify the client's blood type with a second nurse
B) Warm the blood to body temperature
C) Administer an antihistamine prophylactically
D) Check the client's temperature
Answer: A.
Verification of blood type and client identification with another licensed nurse
is critical to prevent hemolytic reactions. Warming blood is not routine,
antihistamines are not given prophylactically unless prescribed, and
temperature checks are done but not the most essential prior action.
A client with chronic obstructive pulmonary disease (COPD) has an arterial
blood gas result of pH 7.30, PaCO2 55 mmHg, and HCO3 30 mEq/L. The
nurse interprets this as which acid-base imbalance?
A) Uncompensated respiratory acidosis
B) Partially compensated respiratory acidosis
C) Fully compensated respiratory acidosis
TRANSITION EXAM COMPLETE EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES FULLY
REVISED EXAM A NEW UPDATED VERSION LATEST 2026-
2027 (100 % CORRECT DETAILED) MOST RECENT EXAM
ALREADY GRADED A+
A client with chronic kidney disease is scheduled for hemodialysis. Which
assessment finding should the nurse report to the healthcare provider
immediately?
A) Blood pressure of 140/88 mmHg
B) Heart rate of 88 beats per minute
C) Serum potassium level of 6.2 mEq/L
D) Weight gain of 1 kg since last dialysis
Answer: C.
A serum potassium level of 6.2 mEq/L is critically high and can cause life-
threatening cardiac arrhythmias. The normal range is 3.5-5.0 mEq/L, and this
level requires immediate intervention such as dialysis or medication to lower
potassium.
,A postoperative client reports sudden chest pain and shortness of breath. The
nurse notes tachycardia and hypotension. Which condition should the nurse
suspect first?
A) Atelectasis
B) Pulmonary embolism
C) Wound infection
D) Hypovolemic shock
Answer: B.
Sudden chest pain, dyspnea, tachycardia, and hypotension are classic signs of
a pulmonary embolism, often resulting from a deep vein thrombosis that has
traveled to the lungs. Atelectasis typically presents with gradual onset and low-
grade fever, while wound infection and hypovolemic shock have different
primary presentations.
The nurse is caring for a client with diabetic ketoacidosis (DKA). Which
intravenous fluid should the nurse anticipate administering initially?
A) 0.9% normal saline
B) 0.45% normal saline
C) 5% dextrose in water
D) 3% normal saline
Answer: A.
0.9% normal saline is the initial fluid of choice for DKA to restore
intravascular volume and correct dehydration. Hypotonic solutions are used
later, and dextrose is added only when blood glucose drops to a certain level.
Hypertonic saline is not indicated for DKA.
,A client with heart failure is prescribed furosemide. Which laboratory value
should the nurse monitor most closely?
A) Serum sodium
B) Serum potassium
C) Serum calcium
D) Serum magnesium
Answer: B.
Furosemide is a loop diuretic that causes potassium wasting, so hypokalemia
is a significant risk. Monitoring serum potassium is essential to prevent
arrhythmias. While sodium, calcium, and magnesium can also be affected,
potassium is the most critical.
The nurse is assessing a client who has just returned from a cardiac
catheterization via the femoral artery. Which finding requires immediate
action?
A) Pedal pulses bilaterally at +2
B) Blood pressure of 120/80 mmHg
C) Large, expanding hematoma at the insertion site
D) Client reports mild discomfort at the site
Answer: C.
A large, expanding hematoma indicates active bleeding or a pseudoaneurysm,
which requires immediate pressure and notification of the provider. Pedal
pulses, stable blood pressure, and mild discomfort are expected findings.
A client with cirrhosis is exhibiting confusion, asterixis, and lethargy. Which
dietary modification is most important for the nurse to implement?
A) High-protein diet
, B) Low-sodium diet
C) Low-protein diet
D) High-carbohydrate diet
Answer: C.
These symptoms indicate hepatic encephalopathy due to elevated ammonia. A
low-protein diet is prescribed to reduce ammonia production, though protein
may be gradually reintroduced. High protein would worsen the condition, and
sodium restriction addresses ascites, not encephalopathy.
The nurse is preparing to administer a blood transfusion. Which action is
essential immediately before starting the transfusion?
A) Verify the client's blood type with a second nurse
B) Warm the blood to body temperature
C) Administer an antihistamine prophylactically
D) Check the client's temperature
Answer: A.
Verification of blood type and client identification with another licensed nurse
is critical to prevent hemolytic reactions. Warming blood is not routine,
antihistamines are not given prophylactically unless prescribed, and
temperature checks are done but not the most essential prior action.
A client with chronic obstructive pulmonary disease (COPD) has an arterial
blood gas result of pH 7.30, PaCO2 55 mmHg, and HCO3 30 mEq/L. The
nurse interprets this as which acid-base imbalance?
A) Uncompensated respiratory acidosis
B) Partially compensated respiratory acidosis
C) Fully compensated respiratory acidosis
