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PN HESI EXIT ACTUAL EXAM VERSION 4 NEWEST
2025/2026 COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|ALREADY
GRADED A+
1. The LPN/LVN is preparing to ambulate a postoperative client after cardiac
surgery. The nurse plans to do which to enable the client to best tolerate
the ambulation?
1. Provide the client with a walker.
2. Remove the telemetry equipment.
3. Encourage the client to cough and deep breathe.
4. Premedicate the client with an analgesic before ambulating.
2. A client is wearing a continuous cardiac monitor, which begins to alarm at the
nurse's station. The nurse sees no electrocardiographic complexes on the
screen. The nurse should do which first?
a. Call a code blue.
b. Call the health care provider.
c. Check the client status and lead placement.
d. Press the recorder button on the ECG console.
3. 3) The LPN/LVN in a medical unit is caring for a client with heart failure. The
client suddenly develops extreme dyspnea, tachycardia, and lung crackles,
and the nurse suspects pulmonary edema. The nurse immediately notifies
the registered nurse and expects which interventions to be prescribed?
Select all that apply.
a. Administering oxygen b.
c. Administering
Inserting a Foley catheter
furosemide (Lasix)
d. Administering morphine sulfate intravenously
e. Transporting the client to the coronary care unit
f. Placing the client in a low-Fowler's side-lying position
4. The nurse is monitoring a client following cardioversion. Which
observations should be of highest priority to the nurse?
a. Blood pressure
b. Status of airway
c. Oxygen flow rate
d. Level of consciousness
5. The nurse is assisting in caring for the client immediately
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after insertion of a permanent demand pacemaker via the right
pg. 2
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subclavian vein. The nurse prevents dislodgement of the pacing catheter by implementing which intervention?
a. Limiting movement and abduction of the left arm
b. Limiting movement and abduction of the right arm
c. Assisting the client to get out of bed and ambulate with a walker
4. Having the physical therapist do active range of motion to the
right arm
6. A client diagnosed with thrombophlebitis 1 day ago suddenly complains
of chest pain and shortness of breath, and the client is visibly anxious.
The LPN/LVN understands that a life-threatening complication of this
condition is which?
a. Pneumonia
b. Pulmonary edema
c. Pulmonary embolism
d. Myocardial infarction
7. A 24-year-old man seeks medical attention for complaints of claudication in
the arch of the foot. The nurse also notes superficial thrombophlebitis of
the lower leg. The nurse should check the client for which next?
a. Smoking history
b. Recent exposure to allergens
c. History of recent insect bites
d. Familial tendency toward peripheral vascular disease
8. The nurse has reinforced instructions to the client with Raynaud's
disease about self-management of the disease process. The nurse
determines that the client needs further teaching if the client
states which?
a. "Smoking cessation is very important."
b. "Moving to a warmer climate should help."
c. "Sources of caffeine should be eliminated from the diet."
4. "Taking nifedipine (Procardia) as prescribed will decrease vessel spasm."
9. A client with myocardial infarction suddenly becomes tachycardic, shows
signs of air hunger, and begins coughing frothy, pink- tinged sputum. The
nurse listens to breath sounds, expecting to hear which breath sounds
bilaterally?
a. Rhonchi
b. Crackles
c. Wheezes
pg. 3
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d. Diminished breath sounds
10. The LPN/LVN is collecting data on a client with a diagnosis ofright sided
heart failure. The nurse should expect to note which specific characteristic
of this condition?
a. Dyspnea
b. Hacking cough
c. Dependent edema
d. Crackles on lung auscultation
11. The LPN/LVN is checking the neurovascular status of a client who returned
to the surgical nursing unit 4 hours ago after undergoing an aortoiliac
bypass graft. The affected leg is warm, andthe nurse notes redness and
edema. The pedal pulse is palpable and unchanged from admission. The
nurse interprets that the neurovascular status is which?
a. Moderately impaired, and the surgeon should be called
b. Normal, caused by increased blood flow through the leg
c. Slightly deteriorating, and should be monitored for another hour
d. Adequate from an arterial approach, but venous
complications are arising
12. A client with a diagnosis of rapid rate atrial fibrillation asks thenurse why the
health care provider is going to perform carotid massage. The LPN/LVN
responds that this procedure may stimulate which?
a. Vagus nerve to slow the heart rate
b. Vagus nerve to increase the heart rate
c. Diaphragmatic nerve to slow the heart rate
d. Diaphragmatic nerve to increase the heart rate
13. A client is admitted to the hospital with possible rheumatic endocarditis.
The LPN/LVN should check for a history of which type of infection?
a. Viral infection
b. Yeast infection
c. Streptococcal infection
d. Staphylococcal infection
14. A client has an Unna boot applied for treatment of a venous stasis leg
ulcer. The LPN/LVN notes that the client's toes are mottled,
pg. 4
PN HESI EXIT ACTUAL EXAM VERSION 4 NEWEST
2025/2026 COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|ALREADY
GRADED A+
1. The LPN/LVN is preparing to ambulate a postoperative client after cardiac
surgery. The nurse plans to do which to enable the client to best tolerate
the ambulation?
1. Provide the client with a walker.
2. Remove the telemetry equipment.
3. Encourage the client to cough and deep breathe.
4. Premedicate the client with an analgesic before ambulating.
2. A client is wearing a continuous cardiac monitor, which begins to alarm at the
nurse's station. The nurse sees no electrocardiographic complexes on the
screen. The nurse should do which first?
a. Call a code blue.
b. Call the health care provider.
c. Check the client status and lead placement.
d. Press the recorder button on the ECG console.
3. 3) The LPN/LVN in a medical unit is caring for a client with heart failure. The
client suddenly develops extreme dyspnea, tachycardia, and lung crackles,
and the nurse suspects pulmonary edema. The nurse immediately notifies
the registered nurse and expects which interventions to be prescribed?
Select all that apply.
a. Administering oxygen b.
c. Administering
Inserting a Foley catheter
furosemide (Lasix)
d. Administering morphine sulfate intravenously
e. Transporting the client to the coronary care unit
f. Placing the client in a low-Fowler's side-lying position
4. The nurse is monitoring a client following cardioversion. Which
observations should be of highest priority to the nurse?
a. Blood pressure
b. Status of airway
c. Oxygen flow rate
d. Level of consciousness
5. The nurse is assisting in caring for the client immediately
,2|Page
after insertion of a permanent demand pacemaker via the right
pg. 2
,3|Page
subclavian vein. The nurse prevents dislodgement of the pacing catheter by implementing which intervention?
a. Limiting movement and abduction of the left arm
b. Limiting movement and abduction of the right arm
c. Assisting the client to get out of bed and ambulate with a walker
4. Having the physical therapist do active range of motion to the
right arm
6. A client diagnosed with thrombophlebitis 1 day ago suddenly complains
of chest pain and shortness of breath, and the client is visibly anxious.
The LPN/LVN understands that a life-threatening complication of this
condition is which?
a. Pneumonia
b. Pulmonary edema
c. Pulmonary embolism
d. Myocardial infarction
7. A 24-year-old man seeks medical attention for complaints of claudication in
the arch of the foot. The nurse also notes superficial thrombophlebitis of
the lower leg. The nurse should check the client for which next?
a. Smoking history
b. Recent exposure to allergens
c. History of recent insect bites
d. Familial tendency toward peripheral vascular disease
8. The nurse has reinforced instructions to the client with Raynaud's
disease about self-management of the disease process. The nurse
determines that the client needs further teaching if the client
states which?
a. "Smoking cessation is very important."
b. "Moving to a warmer climate should help."
c. "Sources of caffeine should be eliminated from the diet."
4. "Taking nifedipine (Procardia) as prescribed will decrease vessel spasm."
9. A client with myocardial infarction suddenly becomes tachycardic, shows
signs of air hunger, and begins coughing frothy, pink- tinged sputum. The
nurse listens to breath sounds, expecting to hear which breath sounds
bilaterally?
a. Rhonchi
b. Crackles
c. Wheezes
pg. 3
, 4|Page
d. Diminished breath sounds
10. The LPN/LVN is collecting data on a client with a diagnosis ofright sided
heart failure. The nurse should expect to note which specific characteristic
of this condition?
a. Dyspnea
b. Hacking cough
c. Dependent edema
d. Crackles on lung auscultation
11. The LPN/LVN is checking the neurovascular status of a client who returned
to the surgical nursing unit 4 hours ago after undergoing an aortoiliac
bypass graft. The affected leg is warm, andthe nurse notes redness and
edema. The pedal pulse is palpable and unchanged from admission. The
nurse interprets that the neurovascular status is which?
a. Moderately impaired, and the surgeon should be called
b. Normal, caused by increased blood flow through the leg
c. Slightly deteriorating, and should be monitored for another hour
d. Adequate from an arterial approach, but venous
complications are arising
12. A client with a diagnosis of rapid rate atrial fibrillation asks thenurse why the
health care provider is going to perform carotid massage. The LPN/LVN
responds that this procedure may stimulate which?
a. Vagus nerve to slow the heart rate
b. Vagus nerve to increase the heart rate
c. Diaphragmatic nerve to slow the heart rate
d. Diaphragmatic nerve to increase the heart rate
13. A client is admitted to the hospital with possible rheumatic endocarditis.
The LPN/LVN should check for a history of which type of infection?
a. Viral infection
b. Yeast infection
c. Streptococcal infection
d. Staphylococcal infection
14. A client has an Unna boot applied for treatment of a venous stasis leg
ulcer. The LPN/LVN notes that the client's toes are mottled,
pg. 4
