PN Hesi Exit Exam
1. The LPN/LVN is planning care for the a client who has fourth degree midline la
v v v v v v v v v v v v v v
ceration that occurred during vaginal delivery of an 8 pound 10 ounce infant. Wh
v v v v v v v v v v v v v
at intervention has the highest priority?
v v v v v
A. Administer Prescribed stool softener v v v
B. Administer prescribed PRN sleep medications. v v v v
C. Encourage breastfeeding to promote uterine involution v v v v v
D. Encourage use of prescribed analgesic perineal sprays: A. Administer Pre-
v v v v v v v v v
scribed stool softener
v v v
2. The LPN/LVN is palpating the right upper hypochondriac region of the a
v v v v v v v v v v v
bdomen of a client. What organ lies underneath this area.
v v v v v v v v v
A. Duodenum
B. Gastric Pylorus v
C. Liver
D. Spleen: C. Liver v v
3. A client comes to the antepartal clinic and tells the LPN/LVN that she is 6 we
v v v v v v v v v v v v v v v
eks pregnant. Which sign is she most likely to report?
v v v v v v v v v
A. Decreased sexual libido v v
B. Amenorrhea
C. Quickening
D. Nocturia: B. Amenorrhea v v
4. A client's daughter phones the charge nurse to report that the night LPN/ LV
v v v v v v v v v v v v v
N did not provide good care for her mother.What response should the nurse mak
v v v v v v v v v v v v v v
e?
A. Ask for a description of what happened during the night
v v v v v v v v v
B. Tell the daughter to talk to the unit's nurse manager
v v v v v v v v v
C. Reassure the daughter that the mother will get better care.
v v v v v v v v v
D. Explain that all the staff are doing the best they can.: A. Ask for a description of
v v v v v v v v v v v v v v v v v
what happened during the night
v v v v
5. A hosptitalized toddler who is recovering from a sickle cell crisis holds a toy
v v v v v v v v v v v v v v
and say's "mine". According to Erikson's theory of psychosocial develop-
v v v v v v v v v
ment, this child's behavior is a demonstration of which developmental stage?
v v v v v v v v v v v
A. Autonomy vs. Shame and doubt. v v v v
1v/v34
,B. Industry vs. Inferiority
v v
C. intiative vs. Guilt
v v
D. Trust vs. Mistrust: A. Autonomy vs. Shame and doubt
v v v v v v v v
6. Which action should the LPN/LVN implement in caring for a client following a
v v v v v v v v v v v v
n electroencephalogram (EEG)?
v v
A. Monitor the client's vital signs q4h
v v v v v
B. Assess for sensation in the client's lower extremities
v v v v v v v
2v/v34
,C. Instruct the client to maintain bed rest for eight hours
v v v v v v v v v
D. Wash any paste from the client's hair and scalp: D. Wash any paste from the clie
v v v v v v v v v v v v v v v
nt's hair and scalp
v v v
7. The LPN/LVN is caring for a 75- year-
v v v v v v v
old male client who is beginning to form a decubitus ulcer at the coccyx. Which
v v v v v v v v v v v v v v v
intervention will be most helpful in preventing further development of the decu
v v v v v v v v v v v
bitus?
A. Encourage the client to eat foods high in protein v v v v v v v v
B. Assess the client with daily range of motion exercises
v v v v v v v v
C. Teach the family how to perform sterile wound care
v v v v v v v v
D. Ensure the IV fluids are administered as prescribed: A. Encourage the client to
v v v v v v v v v v v v v
eat foods high in protein
v v v v
8. What is the homeostatic cellular transport mechanism that moves water fr
v v v v v v v v v v
om a hypotonic to a hypertonic fluid space?
v v v v v v v
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport: C. Osmosis v v v
9. The LPN/LVN is taking blood pressure of a client admitted with a possible m
v v v v v v v v v v v v v
yocardial infarction. When taking the client's BP at the brachial artery, the nur
v v v v v v v v v v v v
se should place the client's arm in which position?
v v v v v v v v
A. Slightly above the level of the heart v v v v v v
B. At the level of the heart
v v v v v
C. At the level of comfort for the client
v v v v v v v
D. Below the level of the heart: B. At the level of the heart
v v v v v v v v v v v v
10. What are the final parameters that produce blood pressure? (select all that a
v v v v v v v v v v v v
pply)
A. Heart rate v
B. Stroke volume v
C. Peripheral resistance v
D. Neuroendocrine hormones v
E. Muscle tone: A. Heart rate v v v v
B. Stroke volume
v v
C. Peripheral resistance
v v
11. A client begins an antidepressant drug during the second day of hospital-
v v v v v v v v v v v
vization. Which assessment is most important for the LPN/LVN to include in this cl
v v v v v v v v v v v v v
ient's plan of care while the client is taking the antidepressant?
v v v v v v v v v v
A. Appetite
B. Mood
3v/v34
, C. Withdrawal
D. Energy level: B. Mood v v v
12. Based on the documentation in the medical record, which action should th
v v v v v v v v v v v
e LPN/LVN implement next?
v v v
A. Give the rubella vaccine subcutaneously v v v v
B. Observe the mother breastfeeding her infant v v v v v
C. Call the nursery for the infant's blood type result
v v v v v v v v
D. Administer Vicodin one tablet for pain: Give the rubella vaccine subcutaneous- ly v v v v v v v v v v v
13. A client is admitted to the hospital with a diagnosis of Pneumonia. Which int
v v v v v v v v v v v v v
ervention should the LPN/LVN implement to prevent complications associ-
v v v v v v v v
vated with Pneumonia? v v
A. Encourage mobilization and ambulation v v v
B. Encourage energy conservation with complete bed rest v v v v v v
C. Provide humidified oxygen per nasal cannula v v v v v
D. Restrict PO and intravenous fluids: Encourage mobilization and ambulation
v v v v v v v v
14. The practical nurse is preparing to administer a prescription for cefazolin (k
v v v v v v v v v v v
efzol) 600 mg IM every 6 hours. The available vial is labeled, "Cefazolin (Kefzol)
v v v v v v v v v v v v v v
1 gram and the instrutions for reconsittution, "For IM use add 2ml sterile water
v v v v v v v v v v v v v v
for injection. Total volume after reconstruction = 2.5 ml. "when reconstituded,
v v v v v v v v v v v
how many milligrams are in each mil of solutions (Enter nu-
v v v v v v v v v v
vmeric value only): 15mg v v v
15. Which nursing activity is within the scope of practice for the practical nurse
v v v v v v v v v v v v
? A. Complete an admission assessment in the normal newborn nursery.
v v v v v v v v v v
B. Discontinue a central venous catheter that has become dislodged
v v v v v v v v v
C. Observe a client rotate the subcutaneous site for an insulin pump
v v v v v v v v v v v
D. Monitor a continous narcotic epidural for a postoperative client: C. Observe a c
v v v v v v v v v v v v v
ient rotate the subcutaneous site for an insulin pump
v v v v v v v v
16. After morning dressing changes are completed, a male client who has par
v v v v v v v v v v v
aplegia contaminates his ischial decubiti dressing with a diarrheal stool. What
v v v v v v v v v v
vactivity is best for the nurse to assign to the unlicensed assistive personnel?
v v v v v v v v v v v v
A. Identify the need for additional supplies to provide an extra dressing c
v v v v v v v v v v v
hange
B. Provide perianal care and collect clean linens for the dressing change
v v v v v v v v v v
C. Document the diarrhea that necessitates an additional dressing change v v v v v v v v
D. Position the client for access to the decubiti sties and remove dressings: B. Pr
v v v v v v v v v v v v v
ovide perianal care and collect clean linens for the dressing change
v v v v v v v v v v
4v/v34
1. The LPN/LVN is planning care for the a client who has fourth degree midline la
v v v v v v v v v v v v v v
ceration that occurred during vaginal delivery of an 8 pound 10 ounce infant. Wh
v v v v v v v v v v v v v
at intervention has the highest priority?
v v v v v
A. Administer Prescribed stool softener v v v
B. Administer prescribed PRN sleep medications. v v v v
C. Encourage breastfeeding to promote uterine involution v v v v v
D. Encourage use of prescribed analgesic perineal sprays: A. Administer Pre-
v v v v v v v v v
scribed stool softener
v v v
2. The LPN/LVN is palpating the right upper hypochondriac region of the a
v v v v v v v v v v v
bdomen of a client. What organ lies underneath this area.
v v v v v v v v v
A. Duodenum
B. Gastric Pylorus v
C. Liver
D. Spleen: C. Liver v v
3. A client comes to the antepartal clinic and tells the LPN/LVN that she is 6 we
v v v v v v v v v v v v v v v
eks pregnant. Which sign is she most likely to report?
v v v v v v v v v
A. Decreased sexual libido v v
B. Amenorrhea
C. Quickening
D. Nocturia: B. Amenorrhea v v
4. A client's daughter phones the charge nurse to report that the night LPN/ LV
v v v v v v v v v v v v v
N did not provide good care for her mother.What response should the nurse mak
v v v v v v v v v v v v v v
e?
A. Ask for a description of what happened during the night
v v v v v v v v v
B. Tell the daughter to talk to the unit's nurse manager
v v v v v v v v v
C. Reassure the daughter that the mother will get better care.
v v v v v v v v v
D. Explain that all the staff are doing the best they can.: A. Ask for a description of
v v v v v v v v v v v v v v v v v
what happened during the night
v v v v
5. A hosptitalized toddler who is recovering from a sickle cell crisis holds a toy
v v v v v v v v v v v v v v
and say's "mine". According to Erikson's theory of psychosocial develop-
v v v v v v v v v
ment, this child's behavior is a demonstration of which developmental stage?
v v v v v v v v v v v
A. Autonomy vs. Shame and doubt. v v v v
1v/v34
,B. Industry vs. Inferiority
v v
C. intiative vs. Guilt
v v
D. Trust vs. Mistrust: A. Autonomy vs. Shame and doubt
v v v v v v v v
6. Which action should the LPN/LVN implement in caring for a client following a
v v v v v v v v v v v v
n electroencephalogram (EEG)?
v v
A. Monitor the client's vital signs q4h
v v v v v
B. Assess for sensation in the client's lower extremities
v v v v v v v
2v/v34
,C. Instruct the client to maintain bed rest for eight hours
v v v v v v v v v
D. Wash any paste from the client's hair and scalp: D. Wash any paste from the clie
v v v v v v v v v v v v v v v
nt's hair and scalp
v v v
7. The LPN/LVN is caring for a 75- year-
v v v v v v v
old male client who is beginning to form a decubitus ulcer at the coccyx. Which
v v v v v v v v v v v v v v v
intervention will be most helpful in preventing further development of the decu
v v v v v v v v v v v
bitus?
A. Encourage the client to eat foods high in protein v v v v v v v v
B. Assess the client with daily range of motion exercises
v v v v v v v v
C. Teach the family how to perform sterile wound care
v v v v v v v v
D. Ensure the IV fluids are administered as prescribed: A. Encourage the client to
v v v v v v v v v v v v v
eat foods high in protein
v v v v
8. What is the homeostatic cellular transport mechanism that moves water fr
v v v v v v v v v v
om a hypotonic to a hypertonic fluid space?
v v v v v v v
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport: C. Osmosis v v v
9. The LPN/LVN is taking blood pressure of a client admitted with a possible m
v v v v v v v v v v v v v
yocardial infarction. When taking the client's BP at the brachial artery, the nur
v v v v v v v v v v v v
se should place the client's arm in which position?
v v v v v v v v
A. Slightly above the level of the heart v v v v v v
B. At the level of the heart
v v v v v
C. At the level of comfort for the client
v v v v v v v
D. Below the level of the heart: B. At the level of the heart
v v v v v v v v v v v v
10. What are the final parameters that produce blood pressure? (select all that a
v v v v v v v v v v v v
pply)
A. Heart rate v
B. Stroke volume v
C. Peripheral resistance v
D. Neuroendocrine hormones v
E. Muscle tone: A. Heart rate v v v v
B. Stroke volume
v v
C. Peripheral resistance
v v
11. A client begins an antidepressant drug during the second day of hospital-
v v v v v v v v v v v
vization. Which assessment is most important for the LPN/LVN to include in this cl
v v v v v v v v v v v v v
ient's plan of care while the client is taking the antidepressant?
v v v v v v v v v v
A. Appetite
B. Mood
3v/v34
, C. Withdrawal
D. Energy level: B. Mood v v v
12. Based on the documentation in the medical record, which action should th
v v v v v v v v v v v
e LPN/LVN implement next?
v v v
A. Give the rubella vaccine subcutaneously v v v v
B. Observe the mother breastfeeding her infant v v v v v
C. Call the nursery for the infant's blood type result
v v v v v v v v
D. Administer Vicodin one tablet for pain: Give the rubella vaccine subcutaneous- ly v v v v v v v v v v v
13. A client is admitted to the hospital with a diagnosis of Pneumonia. Which int
v v v v v v v v v v v v v
ervention should the LPN/LVN implement to prevent complications associ-
v v v v v v v v
vated with Pneumonia? v v
A. Encourage mobilization and ambulation v v v
B. Encourage energy conservation with complete bed rest v v v v v v
C. Provide humidified oxygen per nasal cannula v v v v v
D. Restrict PO and intravenous fluids: Encourage mobilization and ambulation
v v v v v v v v
14. The practical nurse is preparing to administer a prescription for cefazolin (k
v v v v v v v v v v v
efzol) 600 mg IM every 6 hours. The available vial is labeled, "Cefazolin (Kefzol)
v v v v v v v v v v v v v v
1 gram and the instrutions for reconsittution, "For IM use add 2ml sterile water
v v v v v v v v v v v v v v
for injection. Total volume after reconstruction = 2.5 ml. "when reconstituded,
v v v v v v v v v v v
how many milligrams are in each mil of solutions (Enter nu-
v v v v v v v v v v
vmeric value only): 15mg v v v
15. Which nursing activity is within the scope of practice for the practical nurse
v v v v v v v v v v v v
? A. Complete an admission assessment in the normal newborn nursery.
v v v v v v v v v v
B. Discontinue a central venous catheter that has become dislodged
v v v v v v v v v
C. Observe a client rotate the subcutaneous site for an insulin pump
v v v v v v v v v v v
D. Monitor a continous narcotic epidural for a postoperative client: C. Observe a c
v v v v v v v v v v v v v
ient rotate the subcutaneous site for an insulin pump
v v v v v v v v
16. After morning dressing changes are completed, a male client who has par
v v v v v v v v v v v
aplegia contaminates his ischial decubiti dressing with a diarrheal stool. What
v v v v v v v v v v
vactivity is best for the nurse to assign to the unlicensed assistive personnel?
v v v v v v v v v v v v
A. Identify the need for additional supplies to provide an extra dressing c
v v v v v v v v v v v
hange
B. Provide perianal care and collect clean linens for the dressing change
v v v v v v v v v v
C. Document the diarrhea that necessitates an additional dressing change v v v v v v v v
D. Position the client for access to the decubiti sties and remove dressings: B. Pr
v v v v v v v v v v v v v
ovide perianal care and collect clean linens for the dressing change
v v v v v v v v v v
4v/v34
