[STUDY GUIDE] • HIGH-YIELD PRACTICE & REVIEW EDITION
PN HESI Exit Exam Comprehensive LPN
LVN Exam Questions & Answers, Latest
Updated 2026/2027 Edition
Comprehensive Examination Question Bank • In-Depth Rationales • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS RATIONALES
92 Questions 11 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 92 verified questions with correct answers and detailed rationales covering critical
nursing concepts. It is suitable for nursing students preparing for the PN HESI Exit Exam and other certification
assessments, providing a comprehensive review of essential topics in nursing practice.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
This topic assesses knowledge related to fetal heart rate
Fetal Heart Rate Monitoring assessment and maternal monitoring during pregnancy. 9 Qs 9.8%
This section covers the administration and management of
Total Parenteral Nutrition (TPN) total parenteral nutrition in various clinical scenarios. 9 Qs 9.8%
This topic focuses on the management and therapeutic
Chronic Obstructive Pulmonary interventions for patients with chronic obstructive pulmonary
Disease (COPD) disease. 9 Qs 9.8%
This section addresses the assessment, prevention, and
management of deep vein thrombosis in postoperative
Deep Vein Thrombosis (DVT) patients. 9 Qs 9.8%
This topic evaluates the principles and practices of oxygen
Oxygen Therapy therapy in various respiratory conditions. 8 Qs 8.7%
This section covers the protocols and patient management
strategies related to continuous insulin infusion in diabetes
Continuous Insulin Infusion care. 8 Qs 8.7%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 46
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
This topic assesses understanding of medication
Medication Administration and administration, effects, and necessary precautions in various
Effects clinical scenarios. 8 Qs 8.7%
This section focuses on the care and assessment of patients
Postoperative Care following surgical procedures. 8 Qs 8.7%
Maternal Health and This topic evaluates the nursing management of maternal
Preeclampsia health conditions, particularly preeclampsia. 8 Qs 8.7%
This section addresses the management of diabetes,
Diabetes Management including medication protocols and patient education. 8 Qs 8.7%
This topic focuses on the assessment and management of
Neonatal Care newborns in various clinical conditions. 8 Qs 8.7%
Total Exam Coverage 11 Integrated Topic Modules 92 Qs 100.0%
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 46
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
TOPIC 1: FETAL HEART RATE MONITORING
9 Questions • 9.8% of Exam • This topic assesses knowledge related to fetal heart rate assessment and maternal monitoring during
pregnancy.
QUESTION 1
A primigravida at 38 weeks gestation presents to the labor and delivery unit with
complaints of regular contractions and a bloody show. Her cervix is 4 cm dilated and
50% effaced. What is the most appropriate initial action for the nurse to take?
[A] Administer oxygen at 10 L/min
[B] Prepare for an immediate cesarean section
[C] Perform a vaginal examination to assess for cord prolapse
[D] Assess the fetal heart rate and maternal vital signs
Correct Answer: Assess the fetal heart rate and maternal vital signs.
Rationale: Initial assessment should include fetal and maternal status.
QUESTION 2
A client is being treated for a stage III pressure ulcer. The nurse notes that the wound is
not healing as expected. What is the most appropriate action to promote wound
healing?
[A] Apply a dry dressing to the wound
[B] Use a hydrocolloid dressing to maintain a moist environment
[C] Debride the wound using wet-to-dry dressings
[D] Apply topical antibiotics to the wound
Correct Answer: Use a hydrocolloid dressing to maintain a moist environment.
Rationale: A moist environment promotes wound healing.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 46
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 3
A primigravida at 38 weeks gestation presents with sudden onset of painless vaginal
bleeding. Ultrasound reveals a placenta previa. What is the most appropriate initial
action?
[A] Prepare for immediate cesarean delivery
[B] Administer oxygen and monitor fetal heart rate
[C] Perform a vaginal examination to assess bleeding
[D] Apply a fetal scalp electrode
Correct Answer: Administer oxygen and monitor fetal heart rate.
Rationale: Initial action should focus on maternal and fetal assessment and stabilization.
QUESTION 4
A client with atrial fibrillation is prescribed warfarin. The client's INR is 3.5. What is the
most appropriate action?
[A] Continue warfarin as prescribed
[B] Hold warfarin and notify the physician
[C] Administer vitamin K
[D] Increase warfarin dosage
Correct Answer: Continue warfarin as prescribed.
Rationale: An INR of 3.5 is within the therapeutic range for most clients with atrial fibrillation.
Confidential • Student Study Edition • Practice & Review Guide Page 4 of 46
PN HESI Exit Exam Comprehensive LPN
LVN Exam Questions & Answers, Latest
Updated 2026/2027 Edition
Comprehensive Examination Question Bank • In-Depth Rationales • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS RATIONALES
92 Questions 11 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 92 verified questions with correct answers and detailed rationales covering critical
nursing concepts. It is suitable for nursing students preparing for the PN HESI Exit Exam and other certification
assessments, providing a comprehensive review of essential topics in nursing practice.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
This topic assesses knowledge related to fetal heart rate
Fetal Heart Rate Monitoring assessment and maternal monitoring during pregnancy. 9 Qs 9.8%
This section covers the administration and management of
Total Parenteral Nutrition (TPN) total parenteral nutrition in various clinical scenarios. 9 Qs 9.8%
This topic focuses on the management and therapeutic
Chronic Obstructive Pulmonary interventions for patients with chronic obstructive pulmonary
Disease (COPD) disease. 9 Qs 9.8%
This section addresses the assessment, prevention, and
management of deep vein thrombosis in postoperative
Deep Vein Thrombosis (DVT) patients. 9 Qs 9.8%
This topic evaluates the principles and practices of oxygen
Oxygen Therapy therapy in various respiratory conditions. 8 Qs 8.7%
This section covers the protocols and patient management
strategies related to continuous insulin infusion in diabetes
Continuous Insulin Infusion care. 8 Qs 8.7%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 46
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
This topic assesses understanding of medication
Medication Administration and administration, effects, and necessary precautions in various
Effects clinical scenarios. 8 Qs 8.7%
This section focuses on the care and assessment of patients
Postoperative Care following surgical procedures. 8 Qs 8.7%
Maternal Health and This topic evaluates the nursing management of maternal
Preeclampsia health conditions, particularly preeclampsia. 8 Qs 8.7%
This section addresses the management of diabetes,
Diabetes Management including medication protocols and patient education. 8 Qs 8.7%
This topic focuses on the assessment and management of
Neonatal Care newborns in various clinical conditions. 8 Qs 8.7%
Total Exam Coverage 11 Integrated Topic Modules 92 Qs 100.0%
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 46
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
TOPIC 1: FETAL HEART RATE MONITORING
9 Questions • 9.8% of Exam • This topic assesses knowledge related to fetal heart rate assessment and maternal monitoring during
pregnancy.
QUESTION 1
A primigravida at 38 weeks gestation presents to the labor and delivery unit with
complaints of regular contractions and a bloody show. Her cervix is 4 cm dilated and
50% effaced. What is the most appropriate initial action for the nurse to take?
[A] Administer oxygen at 10 L/min
[B] Prepare for an immediate cesarean section
[C] Perform a vaginal examination to assess for cord prolapse
[D] Assess the fetal heart rate and maternal vital signs
Correct Answer: Assess the fetal heart rate and maternal vital signs.
Rationale: Initial assessment should include fetal and maternal status.
QUESTION 2
A client is being treated for a stage III pressure ulcer. The nurse notes that the wound is
not healing as expected. What is the most appropriate action to promote wound
healing?
[A] Apply a dry dressing to the wound
[B] Use a hydrocolloid dressing to maintain a moist environment
[C] Debride the wound using wet-to-dry dressings
[D] Apply topical antibiotics to the wound
Correct Answer: Use a hydrocolloid dressing to maintain a moist environment.
Rationale: A moist environment promotes wound healing.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 46
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 3
A primigravida at 38 weeks gestation presents with sudden onset of painless vaginal
bleeding. Ultrasound reveals a placenta previa. What is the most appropriate initial
action?
[A] Prepare for immediate cesarean delivery
[B] Administer oxygen and monitor fetal heart rate
[C] Perform a vaginal examination to assess bleeding
[D] Apply a fetal scalp electrode
Correct Answer: Administer oxygen and monitor fetal heart rate.
Rationale: Initial action should focus on maternal and fetal assessment and stabilization.
QUESTION 4
A client with atrial fibrillation is prescribed warfarin. The client's INR is 3.5. What is the
most appropriate action?
[A] Continue warfarin as prescribed
[B] Hold warfarin and notify the physician
[C] Administer vitamin K
[D] Increase warfarin dosage
Correct Answer: Continue warfarin as prescribed.
Rationale: An INR of 3.5 is within the therapeutic range for most clients with atrial fibrillation.
Confidential • Student Study Edition • Practice & Review Guide Page 4 of 46
