PN HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST
UPDATED 2024/2025 BEST EXAM RATED A+
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A hosptitalized 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. intiative vs. Guilt
D. Trust vs. Mistrust - CORRECT ANSWERS A. Autonomy vs. Shame and doubt
Which action should the LPN/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 - CORRECT ANSWERS D. Wash any
paste from the client's hair and scalp
The LPN/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
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D. Ensure the IV fluids are administered as prescribed - CORRECT ANSWERS 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 - CORRECT ANSWERS C. Osmosis
The LPN/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 - CORRECT ANSWERS 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 - CORRECT ANSWERS A. Heart rate
B. Stroke volume
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C. Peripheral resistance
A client begins an antidepressant drug during the second day of hospitalization. Which
assessment is most important for the LPN/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 - CORRECT ANSWERS B. Mood
Based on the documentation in the medical record, which action should the LPN/LVN
implement next?
A. Give the rubella vaccine subcutaneously
B. Observe the mother breastfeeding her infant
C. Call the nursery for the infant's blood type result
D. Administer Vicodin one tablet for pain - CORRECT ANSWERS Give the rubella vaccine
subcutaneously
A client is admitted to the hospital with a diagnosis of Pneumonia. Which intervention should
the LPN/LVN implement to prevent complications associated with Pneumonia?
A. Encourage mobilization and ambulation
B. Encourage energy conservation with complete bed rest
C. Provide humidified oxygen per nasal cannula
D. Restrict PO and intravenous fluids - CORRECT ANSWERS Encourage mobilization and
ambulation
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The practical nurse is preparing to administer a prescription for cefazolin (kefzol) 600 mg IM
every 6 hours. The available vial is labeled, "Cefazolin (Kefzol) 1 gram and the instrutions for
reconsittution, "For IM use add 2ml sterile water for injection. Total volume after
reconstruction = 2.5 ml. "when reconstituded, how many milligrams are in each mil of
solutions (Enter numeric value only) - CORRECT ANSWERS 15mg
Which nursing activity is within the scope of practice for the practical nurse? A. Complete an
admission assessment in the normal newborn nursery.
B. Discontinue a central venous catheter that has become dislodged
C. Observe a client rotate the subcutaneous site for an insulin pump
D. Monitor a continous narcotic epidural for a postoperative client - CORRECT ANSWERS
C. Observe a client rotate the subcutaneous site for an insulin pump
After morning dressing changes are completed, a male client who has paraplegia
contaminates his ischial decubiti dressing with a diarrheal stool. What activity is best for the
nurse to assign to the unlicensed assistive personnel?
A. Identify the need for additional supplies to provide an extra dressing change
B. Provide perianal care and collect clean linens for the dressing change
C. Document the diarrhea that necessitates an additional dressing change
D. Position the client for access to the decubiti sties and remove dressings - CORRECT
ANSWERS B. Provide perianal care and collect clean linens for the dressing change
The LPN/LVN is planning to evaluate the effectiveness of several drugs administered by
different routes. Arrange the routes of administration in the order from fastest to slowest rate
of absorption.
Subcutaneous
Intravenous
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