CURRENT PN HESI EXIT EXAM WITH ANS 2025
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 priori-
ty?
A. Administer Prescribed stool softener A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep
medications.
C. Encourage breastfeeding to promote
uterine involution
D. Encourage use of prescribed anal-
gesic perineal sprays
The LPN/LVN is palpating the right upper
hypochondriac region of the abdomen of
a client. What organ lies underneath this
area.
A. Duodenum C. Liver
B. Gastric Pylorus
C. Liver
D. Spleen
A client comes to the antepartal clin-
ic and tells the LPN/LVN that she is 6
weeks pregnant. Which sign is she most
likely to report?
B. Amenorrhea
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
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?
A. Ask for a description of what hap-
A. Ask for a description of what hap-
pened during the night
pened during the night
B. Tell the daughter to talk to the unit's
nurse manager
C. Reassure the daughter that the moth-
, CURRENT PN HESI EXIT EXAM WITH ANS 2025
er will get better care.
D. Explain that all the staff are doing the
best they can.
A hosptitalized toddler who is recover-
ing 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
A. Autonomy vs. Shame and doubt
which developmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
Which action should the LPN/LVN imple-
ment 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 D. Wash any paste from the client's hair
lower extremities and scalp
C. Instruct the client to maintain bed rest
for eight hours
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 de-
cubitus ulcer at the coccyx. Which inter-
vention will be most helpful in preventing
further development of the decubitus?
A. Encourage the client to eat foods high
A. Encourage the client to eat foods high
in protein
in protein
B. Assess the client with daily range of
motion exercises
C. Teach the family how to perform sterile
wound care
D. Ensure the IV fluids are administered
as prescribed
What is the homeostatic cellular trans-
port mechanism that moves water from
, CURRENT PN HESI EXIT EXAM WITH ANS 2025
a hypotonic to a hypertonic fluid space?
A. Filtration
B. Diffusion C. Osmosis
C. Osmosis
D. Active transport
The LPN/LVN is taking blood pressure of
a client admitted with a possible myocar-
dial infarction. When taking the client's
BP at the brachial artery, the nurse
should place the client's arm in which
B. At the level of the heart
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
What are the final parameters that pro-
duce blood pressure? (select all that ap-
ply)
A. Heart rate
A. Heart rate
B. Stroke volume
B. Stroke volume
C. Peripheral resistance
C. Peripheral resistance
D. Neuroendocrine hormones
E. Muscle tone
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
B. Mood
antidepressant?
A. Appetite
B. Mood
C. Withdrawal
D. Energy level
Based on the documentation in the med-
ical record, which action should the
LPN/LVN implement next?
A. Give the rubella vaccine subcuta-
neously
, CURRENT PN HESI EXIT EXAM WITH ANS 2025
B. Observe the mother breastfeeding her
infant
C. Call the nursery for the infant's blood Give the rubella vaccine subcutaneously
type result
D. Administer Vicodin one tablet for pain
A client is admitted to the hospital with
a diagnosis of Pneumonia. Which inter-
vention should the LPN/LVN implement
to prevent complications associated with
Pneumonia?
A. Encourage mobilization and ambula-
Encourage mobilization and ambulation
tion
B. Encourage energy conservation with
complete bed rest
C. Provide humidified oxygen per nasal
cannula
D. Restrict PO and intravenous fluids
The practical nurse is preparing to ad-
minister a prescription for cefazolin (kef-
zol) 600 mg IM every 6 hours. The avail-
able vial is labeled, "Cefazolin (Kefzol)
1 gram and the instrutions for reconsit-
15mg
tution, "For IM use add 2ml sterile water
for injection. Total volume after recon-
struction = 2.5 ml. "when reconstituded,
how many milligrams are in each mil of
solutions (Enter numeric value only)
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 C. Observe a client rotate the subcuta-
that has become dislodged neous site for an insulin pump
C. Observe a client rotate the subcuta-
neous site for an insulin pump
D. Monitor a continous narcotic epidural
for a postoperative client
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 priori-
ty?
A. Administer Prescribed stool softener A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep
medications.
C. Encourage breastfeeding to promote
uterine involution
D. Encourage use of prescribed anal-
gesic perineal sprays
The LPN/LVN is palpating the right upper
hypochondriac region of the abdomen of
a client. What organ lies underneath this
area.
A. Duodenum C. Liver
B. Gastric Pylorus
C. Liver
D. Spleen
A client comes to the antepartal clin-
ic and tells the LPN/LVN that she is 6
weeks pregnant. Which sign is she most
likely to report?
B. Amenorrhea
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
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?
A. Ask for a description of what hap-
A. Ask for a description of what hap-
pened during the night
pened during the night
B. Tell the daughter to talk to the unit's
nurse manager
C. Reassure the daughter that the moth-
, CURRENT PN HESI EXIT EXAM WITH ANS 2025
er will get better care.
D. Explain that all the staff are doing the
best they can.
A hosptitalized toddler who is recover-
ing 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
A. Autonomy vs. Shame and doubt
which developmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
Which action should the LPN/LVN imple-
ment 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 D. Wash any paste from the client's hair
lower extremities and scalp
C. Instruct the client to maintain bed rest
for eight hours
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 de-
cubitus ulcer at the coccyx. Which inter-
vention will be most helpful in preventing
further development of the decubitus?
A. Encourage the client to eat foods high
A. Encourage the client to eat foods high
in protein
in protein
B. Assess the client with daily range of
motion exercises
C. Teach the family how to perform sterile
wound care
D. Ensure the IV fluids are administered
as prescribed
What is the homeostatic cellular trans-
port mechanism that moves water from
, CURRENT PN HESI EXIT EXAM WITH ANS 2025
a hypotonic to a hypertonic fluid space?
A. Filtration
B. Diffusion C. Osmosis
C. Osmosis
D. Active transport
The LPN/LVN is taking blood pressure of
a client admitted with a possible myocar-
dial infarction. When taking the client's
BP at the brachial artery, the nurse
should place the client's arm in which
B. At the level of the heart
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
What are the final parameters that pro-
duce blood pressure? (select all that ap-
ply)
A. Heart rate
A. Heart rate
B. Stroke volume
B. Stroke volume
C. Peripheral resistance
C. Peripheral resistance
D. Neuroendocrine hormones
E. Muscle tone
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
B. Mood
antidepressant?
A. Appetite
B. Mood
C. Withdrawal
D. Energy level
Based on the documentation in the med-
ical record, which action should the
LPN/LVN implement next?
A. Give the rubella vaccine subcuta-
neously
, CURRENT PN HESI EXIT EXAM WITH ANS 2025
B. Observe the mother breastfeeding her
infant
C. Call the nursery for the infant's blood Give the rubella vaccine subcutaneously
type result
D. Administer Vicodin one tablet for pain
A client is admitted to the hospital with
a diagnosis of Pneumonia. Which inter-
vention should the LPN/LVN implement
to prevent complications associated with
Pneumonia?
A. Encourage mobilization and ambula-
Encourage mobilization and ambulation
tion
B. Encourage energy conservation with
complete bed rest
C. Provide humidified oxygen per nasal
cannula
D. Restrict PO and intravenous fluids
The practical nurse is preparing to ad-
minister a prescription for cefazolin (kef-
zol) 600 mg IM every 6 hours. The avail-
able vial is labeled, "Cefazolin (Kefzol)
1 gram and the instrutions for reconsit-
15mg
tution, "For IM use add 2ml sterile water
for injection. Total volume after recon-
struction = 2.5 ml. "when reconstituded,
how many milligrams are in each mil of
solutions (Enter numeric value only)
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 C. Observe a client rotate the subcuta-
that has become dislodged neous site for an insulin pump
C. Observe a client rotate the subcuta-
neous site for an insulin pump
D. Monitor a continous narcotic epidural
for a postoperative client
