ACTUAL PN HESI EXIT EXAM QUESTION AND CORRECT ANSWERS 2025 UPDATE. ORIGINAL PDF ALREADY GRADED A+.

ACTUAL PN HESI EXIT EXAM QUESTION AND CORRECT ANSWERS 2025 UPDATE. ORIGINAL PDF ALREADY GRADED A+. The LPN/LVN is planning care for 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? - Answer - 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. - Answer - 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? - Answer - 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? - Answer - A. 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? - Answer - A. Autonomy vs. Shame and doubt Which action should the LPN/LVN implement in caring for a client following an electroencephalogram (EEG)? - Answer - D. Wash any paste from the client's hair and scalp The LPN/LVN is caring for a 75year-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? - Answer - 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? - Answer - 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? - Answer - B. At the level of the heart What are the final parameters that produce blood pressure? (select all that apply) - Answer - A. Heart rate B. Stroke volume 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? - Answer - B. Mood Based on the documentation in the medical record, which action should the LPN/LVN implement next? - Answer - 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? - Answer - 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)- Answer - 15mg Which nursing activity is within the scope of practice for the practical nurse? - Answer - 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? - Answer - 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. - Answer - 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? - Answer - 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? - Answer - A. 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? - Answer - C. Encourage the wife to continue shaving her husband To assess pedal pulse what arterial sites should the nurse palpate? (select all that apply) - Answer - 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? - Answer - 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? - Answer - 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? - Answer - 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? - Answer - 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? - Answer - 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? - Answer - 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 shares this concern with the nurse at the retirement home. Which recommendation is best for the nurse to provide? - Answer - C. Increase the fluid intake in your diet The LPN/LVN is assessing a client with dark skin who is in Respiratory Distress. Which client response should the nurse evaluate to determine cyanosis in this particular client? - Answer - C. The lips and mucus membranes of a client with dark skin are dusky in color When inserting an indwelling urinary catheter (Foley) in a female client, the nurse observes urine flow into the tubing. What action is taken next? - Answer - B. Insert the catheter an additional inch A client has a prescription for a Transcutaneous Electrical Nerve Stimulator (TENS) unit for pain management during the postoperative period following a lumber Laminectomy. What information should the nurse reinforce about the action of this adjuvant pain modality? - Answer - B. Pain perception in the cerebral cortex is dulled by the unit's discharge of an electrical stimulus Based on the Nursing diagnosis of "Potential for infection related to second and third-degree burns," which intervention has the highest priority? - Answer - B. Use of careful hand washing technique The mother of an 8-year-old boy tells the nurse that he fell out of a tree and hurt his arm and shoulder, which assessment finding is the most significant indicator of possible child abuse? - Answer - D. The mother refuses to answer questions about family history A client has a prescription for enteric-coated (EC) aspirin 325mg PO daily. The medication drawer contains one 325mg aspirin. What action should the nurse take? - Answer - C. Administer the aspirin with a full glass of water or a small snack The LPN/LVN explains the 2-week dosage prescription of prednisone (Deltasone) to a client who has poison ivy over multiple skin surfaces. What should the nurse emphasize about the dosing schedule? - Answer - C. Take the prednisone with meals The LPN/LVN is preparing to administer a 1.2mL injection to a 4-yearold. Which are the best sites to administer an IM injection? Select all that apply. - Answer - A. Vastus lateralis B. Ventrogluteal C. Dorsogluteal Which nonfood item is the most common cause of respiratory arrest in young children? - Answer - D. Latex balloons A new mother is at the clinic with her 4-week old for a well-baby checkup. The LPN/LVN should tell the mother to anticipate that the infant will demonstrate which millstone by 2-months of age. - Answer - B. Consistently returns smiles to mother The LPN/LVN is monitoring a client's intravenous infusion and observes that the venipuncture site is cool to the touch, swollen and the infusion rate is slower than the prescribed rate. What is the most likely cause of this finding? - Answer - D. The infusion site is infiltrated