HESI PN EXIT ACTUAL EXAM WITH NGN FORMAT QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES NEWEST VERSIO
2024-2025 |ALREADYGRADED A+
1. A client's daughter phones the charge nurse to report A. Ask for a de-
that the night LPN/ LVN did not provide good care for scription of what
her mother. What response should the nurse make? happened during
A. Ask for a description of what happened during the the night
night
B. Tell the daughter to talk to the unit's nurse manager
C. Reassure the daughter that the mother will get
better care.
D. Explain that all the staff are doing the best they can.
2. A hosptitalized toddler who is recovering from a sick- A. Autonomy vs.
le cell crisis holds a toy and say's "mine". Accord- Shame and doubt
ing to Erikson's theory of psychosocial development,
this child's behavior is a demonstration of which de-
velopmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
3. Which action should the LPN/LVN implement in car- D. Wash any paste
ing for a client following an electroencephalogram from the client's
(EEG)? hair and scalp
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremi-
ties
C. Instruct the client to maintain bed rest for eight
hours
D. Wash any paste from the client's hair and scalp
4. The LPN/LVN is caring for a 75- year-old male client A. Encourage the
who is beginning to form a decubitus ulcer at the client to eat foods
coccyx. Which intervention will be most helpful in high in protein
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 exer-
cises
, HESI PN EXIT ACTUAL EXAM WITH NGN FORMAT QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES NEWEST VERSIO
2024-2025 |ALREADYGRADED A+
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
5. What is the homeostatic cellular transport mecha- C. Osmosis
nism that moves water from a hypotonic to a hyper-
tonic fluid space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport
6. The LPN/LVN is taking blood pressure of a client B. At the level of
admitted with a possible myocardial infarction. When the heart
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
7. What are the final parameters that produce blood A. Heart rate
pressure? (select all that apply) B. Stroke volume
A. Heart rate C. Peripheral re-
B. Stroke volume sistance
C. Peripheral resistance
D. Neuroendocrine hormones
E. Muscle tone
8. A client begins an antidepressant drug during the B. Mood
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
, HESI PN EXIT ACTUAL EXAM WITH NGN FORMAT QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES NEWEST VERSIO
2024-2025 |ALREADYGRADED A+
9. Based on the documentation in the medical record, Give the rubella
which action should the LPN/LVN implement next? vaccine subcuta-
A. Give the rubella vaccine subcutaneously neously
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
10. A client is admitted to the hospital with a diagnosis of Encourage mobi-
Pneumonia. Which intervention should the LPN/LVN lization and ambu-
implement to prevent complications associated with lation
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
11. The practical nurse is preparing to administer a pre- 15mg
scription for cefazolin (kefzol) 600 mg IM every 6
hours. The available vial is labeled, "Cefazolin (Ke-
fzol) 1 gram and the instrutions for reconsittution,
"For IM use add 2ml sterile water for injection. Total
volume after reconstruction = 2.5 ml. "when recon-
stituded, how many milligrams are in each mil of
solutions (Enter numeric value only)
12. Which nursing activity is within the scope of practice C. Observe a
for the practical nurse? A. Complete an admission client rotate the
assessment in the normal newborn nursery. subcutaneous site
B. Discontinue a central venous catheter that has for an insulin
become dislodged pump
C. Observe a client rotate the subcutaneous site for
an insulin pump
D. Monitor a continous narcotic epidural for a postop-
erative client
13. After morning dressing changes are completed, a B. Provide peri-
male client who has paraplegia contaminates his is- anal care and col-
, HESI PN EXIT ACTUAL EXAM WITH NGN FORMAT QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES NEWEST VERSIO
2024-2025 |ALREADYGRADED A+
chial decubiti dressing with a diarrheal stool. What lect clean linens
activity is best for the nurse to assign to the unli- for the dressing
censed assistive personnel? change
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 addi-
tional dressing change
D. Position the client for access to the decubiti sties
and remove dressings
14. The LPN/LVN is planning to evaluate the effective- Intravenous, sub-
ness of several drugs administered by different lingual, intramus-
routes. Arrange the routes of administration in the cular, subcuta-
order from fastest to slowest rate of absorption. neous,
Subcutaneous
Intravenous
Intramuscular
Sublingual Oral
15. A 26-year-old gravida 4, para 0 had a spontaneous Express sorrow
abortion at 9 weeks gestation. At one-house post for the client's grief
dilation and curettage (D&C) the LPN/LVN assess the and offer to sit with
vital signs and vaginal bleeding. The client begins to her
cry softly. How should the nurse intervene?
A. Offer to call the social worker to discuss the pos-
sibility of abortion
B. Reassure the client that the infertility specialist can
help
C. Express sorrow for the client's grief and offer to sit
with her
D. Chart the vital signs and amount of vaginal bleed-
ing
16. A terminally ill male client and his family are request- A. Enhance symp-
ing hospice care after discharge from the hospital tom management
and ask the LPN/LVN to explain what kind of care
CORRECT DETAILED ANSWERS WITH RATIONALES NEWEST VERSIO
2024-2025 |ALREADYGRADED A+
1. A client's daughter phones the charge nurse to report A. Ask for a de-
that the night LPN/ LVN did not provide good care for scription of what
her mother. What response should the nurse make? happened during
A. Ask for a description of what happened during the the night
night
B. Tell the daughter to talk to the unit's nurse manager
C. Reassure the daughter that the mother will get
better care.
D. Explain that all the staff are doing the best they can.
2. A hosptitalized toddler who is recovering from a sick- A. Autonomy vs.
le cell crisis holds a toy and say's "mine". Accord- Shame and doubt
ing to Erikson's theory of psychosocial development,
this child's behavior is a demonstration of which de-
velopmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
3. Which action should the LPN/LVN implement in car- D. Wash any paste
ing for a client following an electroencephalogram from the client's
(EEG)? hair and scalp
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremi-
ties
C. Instruct the client to maintain bed rest for eight
hours
D. Wash any paste from the client's hair and scalp
4. The LPN/LVN is caring for a 75- year-old male client A. Encourage the
who is beginning to form a decubitus ulcer at the client to eat foods
coccyx. Which intervention will be most helpful in high in protein
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 exer-
cises
, HESI PN EXIT ACTUAL EXAM WITH NGN FORMAT QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES NEWEST VERSIO
2024-2025 |ALREADYGRADED A+
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
5. What is the homeostatic cellular transport mecha- C. Osmosis
nism that moves water from a hypotonic to a hyper-
tonic fluid space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport
6. The LPN/LVN is taking blood pressure of a client B. At the level of
admitted with a possible myocardial infarction. When the heart
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
7. What are the final parameters that produce blood A. Heart rate
pressure? (select all that apply) B. Stroke volume
A. Heart rate C. Peripheral re-
B. Stroke volume sistance
C. Peripheral resistance
D. Neuroendocrine hormones
E. Muscle tone
8. A client begins an antidepressant drug during the B. Mood
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
, HESI PN EXIT ACTUAL EXAM WITH NGN FORMAT QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES NEWEST VERSIO
2024-2025 |ALREADYGRADED A+
9. Based on the documentation in the medical record, Give the rubella
which action should the LPN/LVN implement next? vaccine subcuta-
A. Give the rubella vaccine subcutaneously neously
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
10. A client is admitted to the hospital with a diagnosis of Encourage mobi-
Pneumonia. Which intervention should the LPN/LVN lization and ambu-
implement to prevent complications associated with lation
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
11. The practical nurse is preparing to administer a pre- 15mg
scription for cefazolin (kefzol) 600 mg IM every 6
hours. The available vial is labeled, "Cefazolin (Ke-
fzol) 1 gram and the instrutions for reconsittution,
"For IM use add 2ml sterile water for injection. Total
volume after reconstruction = 2.5 ml. "when recon-
stituded, how many milligrams are in each mil of
solutions (Enter numeric value only)
12. Which nursing activity is within the scope of practice C. Observe a
for the practical nurse? A. Complete an admission client rotate the
assessment in the normal newborn nursery. subcutaneous site
B. Discontinue a central venous catheter that has for an insulin
become dislodged pump
C. Observe a client rotate the subcutaneous site for
an insulin pump
D. Monitor a continous narcotic epidural for a postop-
erative client
13. After morning dressing changes are completed, a B. Provide peri-
male client who has paraplegia contaminates his is- anal care and col-
, HESI PN EXIT ACTUAL EXAM WITH NGN FORMAT QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES NEWEST VERSIO
2024-2025 |ALREADYGRADED A+
chial decubiti dressing with a diarrheal stool. What lect clean linens
activity is best for the nurse to assign to the unli- for the dressing
censed assistive personnel? change
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 addi-
tional dressing change
D. Position the client for access to the decubiti sties
and remove dressings
14. The LPN/LVN is planning to evaluate the effective- Intravenous, sub-
ness of several drugs administered by different lingual, intramus-
routes. Arrange the routes of administration in the cular, subcuta-
order from fastest to slowest rate of absorption. neous,
Subcutaneous
Intravenous
Intramuscular
Sublingual Oral
15. A 26-year-old gravida 4, para 0 had a spontaneous Express sorrow
abortion at 9 weeks gestation. At one-house post for the client's grief
dilation and curettage (D&C) the LPN/LVN assess the and offer to sit with
vital signs and vaginal bleeding. The client begins to her
cry softly. How should the nurse intervene?
A. Offer to call the social worker to discuss the pos-
sibility of abortion
B. Reassure the client that the infertility specialist can
help
C. Express sorrow for the client's grief and offer to sit
with her
D. Chart the vital signs and amount of vaginal bleed-
ing
16. A terminally ill male client and his family are request- A. Enhance symp-
ing hospice care after discharge from the hospital tom management
and ask the LPN/LVN to explain what kind of care
