HESI PN EXIT V3 EXAM 140 QUESTIONS
AND ANSWERS A+ GRADE 2025 VERIFIED
1) A client who returned from a cystoscopic examination complains of pain
while attempting to void. Which intervention should a nurse suggest to ease
the client's pain while attempting to void?
1. Drink plenty of fluids.
2. Pour water over the perineal area.
3. Run water in the bathroom sink.
4. Sit in a warm sitz bath.
Correct Answer: 4 Sit in a warm sitz bath.
2) A client has a nursing diagnosis of Risk for injury related to adverse effects
of potassium-wasting diuretics. What is a correctly written client outcome for
this nursing diagnosis?
1. "Before discharge, the client correctly identifies three potassium-rich food
sources."
2. "The client knows the importance of consuming potassium-rich foods daily."
3. "Before discharge, the client knows which food sources are high in
potassium."
4. "The client understands all complications of the disease process."
Correct Answer: 1 "Before discharge, the client correctly identifies three
potassium-rich food sources."
3) To minimize the amount of a drug received by an infant through breast-
feeding, the nurse should tell the mother to:
1. take the medication immediately before breast-feeding.
2. take the medication immediately after breast-feeding.
3. feed the infant 2 hours after taking the medication.
4. feed the infant 4 hours after taking the medication.
Correct Answer: 2 take the medication immediately after breast-feeding.
4) Which task can the licensed practical nurse (LPN) appropriately delegate
,to the nursing assistant?
1. Obtaining vital signs on a client who has just returned from undergoing a
colonoscopy
2. Feeding a client for the first time after he has experienced a stroke
3. Administering feedings through a nasogastric tube
4. Encouraging a client to drink fluids
Correct Answer: 4 Encouraging a client to drink fluids
5) The LPN/LVN receives the client's next scheduled bag of TPN labeled with the
additive NPH insulin. Which action should the nurse implement?
A. Hang the solution at the current rate.
B.Refrigerate the solution until needed.
C. Prepare the solution with new tubing.
D. Return the solution to the pharmacy.
Correct Answer: D Return the solution to the pharmacy.
6) A male client has just undergone a laryngectomy and has a cuffed tracheostomy
tube in place. When initiating bolus tube feedings postoperatively, when should the
nurse inflate the cuff?
A.Immediately after feeding
B.Just prior to tube feeding
C.Continuous inflation is required
D.Inflation is not required
Correct Answer: B Just prior to tube feeding
7) A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid
ventricular response. Based on this finding, the nurse anticipates assisting the
physician with which treatment?
A. Administer lidocaine,75 mg intravenous push.
B.Perform synchronized cardioversion.
C.Defibrillate the client as soon as possible.
D.Administer atropine, 0.4 mg intravenous push.
Correct Answer: B Perform synchronized cardioversion.
,8) A 63-year-old client with type 2 diabetes mellitus is admitted for treatment of an
ulcer on the heel of the left foot that has not healed with wound care. The nurse
observes that the entire left foot is darker in color than the right foot. Which
, additional symptom should the nurse expect to find?
A. Pedal pulses will be weak or absent in the left foot.
B. The client will state that the left foot is usually warm.
C. Flexion and extension of the left foot will be limited.
D.Capillary refill of the client's left toes will be brisk.
Correct Answer: A Pedal pulses will be weak or absent in the left foot.
9) A client with cirrhosis develops increasing pedal edema and ascites. Which
dietary modification is most important for the nurse to teach this client?
A.Avoid high-carbohydrate foods.
B.Decrease intake of fat-soluble vitamins.
C.Decrease caloric intake.
D.Restrict salt and fluid intake.
Correct Answer: D Restrict salt and fluid intake.
10) During report, the nurse learns that a client with tumor lysis syndrome is
receiving an IV infusion containing insulin. Which assessment should the nurse
complete first?
A. Review the client's history for diabetes mellitus.
B. Observe the extremity distal to the IV site.
C. Monitor the client's serum potassium and blood glucose levels.
D.Evaluate the client's oxygen saturation and breath sounds.
Correct Answer: C Monitor the client's serum potassium and blood glucose levels.
11) A resident in a long-term care facility is diagnosed with hepatitis B.
Which intervention should the nurse implement with the staff caring for this
client?
A. Determine if all employees have had the hepatitis B vaccine series.
B.Explain that this type of hepatitis can be transmitted when feeding the client.
C.Assure the employees that they cannot contract hepatitis B when providing
direct care.
D.Tell the employees that wearing gloves and a gown are required when providing
care.
AND ANSWERS A+ GRADE 2025 VERIFIED
1) A client who returned from a cystoscopic examination complains of pain
while attempting to void. Which intervention should a nurse suggest to ease
the client's pain while attempting to void?
1. Drink plenty of fluids.
2. Pour water over the perineal area.
3. Run water in the bathroom sink.
4. Sit in a warm sitz bath.
Correct Answer: 4 Sit in a warm sitz bath.
2) A client has a nursing diagnosis of Risk for injury related to adverse effects
of potassium-wasting diuretics. What is a correctly written client outcome for
this nursing diagnosis?
1. "Before discharge, the client correctly identifies three potassium-rich food
sources."
2. "The client knows the importance of consuming potassium-rich foods daily."
3. "Before discharge, the client knows which food sources are high in
potassium."
4. "The client understands all complications of the disease process."
Correct Answer: 1 "Before discharge, the client correctly identifies three
potassium-rich food sources."
3) To minimize the amount of a drug received by an infant through breast-
feeding, the nurse should tell the mother to:
1. take the medication immediately before breast-feeding.
2. take the medication immediately after breast-feeding.
3. feed the infant 2 hours after taking the medication.
4. feed the infant 4 hours after taking the medication.
Correct Answer: 2 take the medication immediately after breast-feeding.
4) Which task can the licensed practical nurse (LPN) appropriately delegate
,to the nursing assistant?
1. Obtaining vital signs on a client who has just returned from undergoing a
colonoscopy
2. Feeding a client for the first time after he has experienced a stroke
3. Administering feedings through a nasogastric tube
4. Encouraging a client to drink fluids
Correct Answer: 4 Encouraging a client to drink fluids
5) The LPN/LVN receives the client's next scheduled bag of TPN labeled with the
additive NPH insulin. Which action should the nurse implement?
A. Hang the solution at the current rate.
B.Refrigerate the solution until needed.
C. Prepare the solution with new tubing.
D. Return the solution to the pharmacy.
Correct Answer: D Return the solution to the pharmacy.
6) A male client has just undergone a laryngectomy and has a cuffed tracheostomy
tube in place. When initiating bolus tube feedings postoperatively, when should the
nurse inflate the cuff?
A.Immediately after feeding
B.Just prior to tube feeding
C.Continuous inflation is required
D.Inflation is not required
Correct Answer: B Just prior to tube feeding
7) A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid
ventricular response. Based on this finding, the nurse anticipates assisting the
physician with which treatment?
A. Administer lidocaine,75 mg intravenous push.
B.Perform synchronized cardioversion.
C.Defibrillate the client as soon as possible.
D.Administer atropine, 0.4 mg intravenous push.
Correct Answer: B Perform synchronized cardioversion.
,8) A 63-year-old client with type 2 diabetes mellitus is admitted for treatment of an
ulcer on the heel of the left foot that has not healed with wound care. The nurse
observes that the entire left foot is darker in color than the right foot. Which
, additional symptom should the nurse expect to find?
A. Pedal pulses will be weak or absent in the left foot.
B. The client will state that the left foot is usually warm.
C. Flexion and extension of the left foot will be limited.
D.Capillary refill of the client's left toes will be brisk.
Correct Answer: A Pedal pulses will be weak or absent in the left foot.
9) A client with cirrhosis develops increasing pedal edema and ascites. Which
dietary modification is most important for the nurse to teach this client?
A.Avoid high-carbohydrate foods.
B.Decrease intake of fat-soluble vitamins.
C.Decrease caloric intake.
D.Restrict salt and fluid intake.
Correct Answer: D Restrict salt and fluid intake.
10) During report, the nurse learns that a client with tumor lysis syndrome is
receiving an IV infusion containing insulin. Which assessment should the nurse
complete first?
A. Review the client's history for diabetes mellitus.
B. Observe the extremity distal to the IV site.
C. Monitor the client's serum potassium and blood glucose levels.
D.Evaluate the client's oxygen saturation and breath sounds.
Correct Answer: C Monitor the client's serum potassium and blood glucose levels.
11) A resident in a long-term care facility is diagnosed with hepatitis B.
Which intervention should the nurse implement with the staff caring for this
client?
A. Determine if all employees have had the hepatitis B vaccine series.
B.Explain that this type of hepatitis can be transmitted when feeding the client.
C.Assure the employees that they cannot contract hepatitis B when providing
direct care.
D.Tell the employees that wearing gloves and a gown are required when providing
care.
