PN HESI EXIT ACTUAL 2025 EXAM UPDATE (ACCURATE
QUESTIONS AND ANSWERS). LATEST ORIGINAL TEST
GRADED A+.
The LPN/LVN is planning care for the a client who has fourth degree midline laceration that
occurred during vaginal delivery of an 8 pound 10 ounce infant. What intervention has the
highest priority?
- ANS -A. Administer Prescribed stool softener
The LPN/LVN is palpating the right upper hypochondriac region of the abdomen of a client.
What organ lies underneath this area.
- ANS -C. Liver
A client comes to the antepartal clinic and tells the LPN/LVN that she is 6 weeks pregnant.
Which sign is she most likely to report?
- ANS -B. Amenorrhea
A client's daughter phones the charge nurse to report that the night LPN/ LVN did not provide
good care for her mother. What response should the nurse make?
- ANS -Ask for a description of what happened during the night
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?
- ANS -A. Autonomy vs. Shame and doubt
Which action should the LPN/LVN implement in caring for a client following an
electroencephalogram (EEG)?
- ANS -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?
- ANS -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?
- ANS -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?
,- ANS -B. At the level of the heart
What are the final parameters that produce blood pressure? (select all that apply)
- ANS -A. Heart rate
Stroke volume
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?
- ANS -B. Mood
Based on the documentation in the medical record, which action should the LPN/LVN
implement next?
- ANS - 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?
- ANS -Encourage mobilization and ambulation
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) - ANS -15mg
Which nursing activity is within the scope of practice for the practical nurse?
- ANS - 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?
- ANS -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.
- ANS -Intravenous, sublingual, intramuscular, subcutaneous,
A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9 weeks gestation. At one-
house post dilation and curettage (D&C) the LPN/LVN assess the vital signs and vaginal
bleeding. The client begins to cry softly. How should the nurse intervene?
- ANS - Express sorrow for the client's grief and offer to sit with her
, A terminally ill male client and his family are requesting hospice care after discharge from
the hospital and ask the LPN/LVN to explain what kind of care they should expect. The nurse
should indicate that hospice philosophy focuses on what aspect of health care?
- ANS - Enhance symptom management to improve end of life quality
The LPN/LVN observes a wife shaving her husband's beard with a safety razor by holding the
skin taut and shaving in the direction of the hair growth. What action should the nurse take?
- ANS -C. Encourage the wife to continue shaving her husband
To assess pedal pulse what arterial sites should the nurse palpate? (select all that apply)
- ANS -A. Posterior tibialis artery,
D. Dorsalis pedis artery
The LPN/LVN is admitting a client who is diagnosed with Angina Pectoris. Which precipitating
factor in this client's history is likely to be related to the anginal pain?
- ANS -A. Smokes one pack of cigarettes daily
The LPN/LVN is assessing an older resident of a long-term care facility who has a history of
Benign Prostatic Hypertrophy and identifies that the client's bladder is distended. The
healthcare provider prescribes post-voided residual catheterization over the next 24 hours
and placement of an indwelling catheter if the residual volume exceeds 100 mL. The client's
PO intake is 600 mL, and fifteen minutes ago, the client voided 90 mL. What action should
the nurse take?
- ANS -D. Catheterize with an indwelling catheter and if the residual volume is greater than
100 mL. Inflate the balloon
A client is receiving dexamethasone (Hexadrol, Decadron). What symptoms should the nurse
recognize as Cushionoid side effects?
- ANS -A. Moon face, Slow wound healing, muscle wasting sodium and water retention
The cervix is the opening into the uterine cavity. What is its function in reproduction?
- ANS -B. Secretes mucus to facilitate sperm transport
The LPN/LVN is working in a community health setting and assisting the charge nurse in
performing health screenings. Which individual is at highest risk for contracting an HIV
infection?
- ANS -A. 17-year-old who is sexually active simultaneously with numerous partners
The LPN/LVN is administering amiodarone (Cordarone) to a client who has been admitted
with Atrial Fibrillation (AFIB). What therapeutic response should the nurse anticipate?
- ANS - A. Conversion of irregular heart rate to regular heart rhythm
An elderly male client is planning to vacation with a group of senior citizens. He is concerned
about developing constipation during the airplane flight. He share this concern with the nurse
at the retirement home. Which recommendation is best for the nurse to provide?
QUESTIONS AND ANSWERS). LATEST ORIGINAL TEST
GRADED A+.
The LPN/LVN is planning care for the a client who has fourth degree midline laceration that
occurred during vaginal delivery of an 8 pound 10 ounce infant. What intervention has the
highest priority?
- ANS -A. Administer Prescribed stool softener
The LPN/LVN is palpating the right upper hypochondriac region of the abdomen of a client.
What organ lies underneath this area.
- ANS -C. Liver
A client comes to the antepartal clinic and tells the LPN/LVN that she is 6 weeks pregnant.
Which sign is she most likely to report?
- ANS -B. Amenorrhea
A client's daughter phones the charge nurse to report that the night LPN/ LVN did not provide
good care for her mother. What response should the nurse make?
- ANS -Ask for a description of what happened during the night
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?
- ANS -A. Autonomy vs. Shame and doubt
Which action should the LPN/LVN implement in caring for a client following an
electroencephalogram (EEG)?
- ANS -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?
- ANS -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?
- ANS -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?
,- ANS -B. At the level of the heart
What are the final parameters that produce blood pressure? (select all that apply)
- ANS -A. Heart rate
Stroke volume
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?
- ANS -B. Mood
Based on the documentation in the medical record, which action should the LPN/LVN
implement next?
- ANS - 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?
- ANS -Encourage mobilization and ambulation
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) - ANS -15mg
Which nursing activity is within the scope of practice for the practical nurse?
- ANS - 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?
- ANS -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.
- ANS -Intravenous, sublingual, intramuscular, subcutaneous,
A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9 weeks gestation. At one-
house post dilation and curettage (D&C) the LPN/LVN assess the vital signs and vaginal
bleeding. The client begins to cry softly. How should the nurse intervene?
- ANS - Express sorrow for the client's grief and offer to sit with her
, A terminally ill male client and his family are requesting hospice care after discharge from
the hospital and ask the LPN/LVN to explain what kind of care they should expect. The nurse
should indicate that hospice philosophy focuses on what aspect of health care?
- ANS - Enhance symptom management to improve end of life quality
The LPN/LVN observes a wife shaving her husband's beard with a safety razor by holding the
skin taut and shaving in the direction of the hair growth. What action should the nurse take?
- ANS -C. Encourage the wife to continue shaving her husband
To assess pedal pulse what arterial sites should the nurse palpate? (select all that apply)
- ANS -A. Posterior tibialis artery,
D. Dorsalis pedis artery
The LPN/LVN is admitting a client who is diagnosed with Angina Pectoris. Which precipitating
factor in this client's history is likely to be related to the anginal pain?
- ANS -A. Smokes one pack of cigarettes daily
The LPN/LVN is assessing an older resident of a long-term care facility who has a history of
Benign Prostatic Hypertrophy and identifies that the client's bladder is distended. The
healthcare provider prescribes post-voided residual catheterization over the next 24 hours
and placement of an indwelling catheter if the residual volume exceeds 100 mL. The client's
PO intake is 600 mL, and fifteen minutes ago, the client voided 90 mL. What action should
the nurse take?
- ANS -D. Catheterize with an indwelling catheter and if the residual volume is greater than
100 mL. Inflate the balloon
A client is receiving dexamethasone (Hexadrol, Decadron). What symptoms should the nurse
recognize as Cushionoid side effects?
- ANS -A. Moon face, Slow wound healing, muscle wasting sodium and water retention
The cervix is the opening into the uterine cavity. What is its function in reproduction?
- ANS -B. Secretes mucus to facilitate sperm transport
The LPN/LVN is working in a community health setting and assisting the charge nurse in
performing health screenings. Which individual is at highest risk for contracting an HIV
infection?
- ANS -A. 17-year-old who is sexually active simultaneously with numerous partners
The LPN/LVN is administering amiodarone (Cordarone) to a client who has been admitted
with Atrial Fibrillation (AFIB). What therapeutic response should the nurse anticipate?
- ANS - A. Conversion of irregular heart rate to regular heart rhythm
An elderly male client is planning to vacation with a group of senior citizens. He is concerned
about developing constipation during the airplane flight. He share this concern with the nurse
at the retirement home. Which recommendation is best for the nurse to provide?
