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Exam (elaborations)

PN HESI Exit Exam – Comprehensive Practice Questions and Verified Answers | NCLEX-PN Aligned | 2025 Edition

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This document includes a complete set of practice questions and verified answers for the PN HESI Exit Exam, designed to mirror NCLEX-PN standards. It covers core nursing content areas including pharmacology, med-surg, maternal-child health, mental health, fundamentals, and leadership. Each answer is accompanied by a rationale to strengthen critical thinking and ensure exam readiness. Ideal for practical nursing students preparing for the HESI Exit Exam or reviewing high-stakes material before NCLEX-PN testing.

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The LPN/LVN is planning care for the a client who has fourth degree midline laceration that occurred
vaginal delivery of an 8 pound 10 ounce infant. What intervention has the highest priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays

A. Administer Prescribed stool softener


The LPN/LVN is palpating the right upper hypochondriac region of the abdomen of a client. What org
underneath this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen
C. Liver


A client comes to the antepartal clinic and tells the LPN/LVN that she is 6 weeks pregnant. Which sign
most likely to report?
A. Decreased sexual libido
B. Amenorrhea

,C. Quickening
D. Nocturia

B. Amenorrhea


A client's daughter phones the charge nurse to report that the night LPN/ LVN did not provide good c
mother. What response should the nurse make?
A. Ask for a description of what happened during the night
B. Tell the daughter to talk to the unit's nurse manager
C. Reassure the daughter that the mother will get better care.
D. Explain that all the staff are doing the best they can.

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". Accor
Erikson's theory of psychosocial development, this child's behavior is a demonstration of which dev
stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust

A. Autonomy vs. Shame and doubt

,Which action should the LPN/LVN implement in caring for a client following an electroencephalogram
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client's hair and scalp

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
Which intervention will be most helpful in preventing further development of the decubitus?
A. Encourage the client to eat foods high 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

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 hypert
space?
A. Filtration
B. Diffusion

, C. Osmosis
D. Active transport

C. Osmosis


The LPN/LVN is taking blood pressure of a client admitted with a possible myocardial infarction. Whe
client's BP at the brachial artery, the nurse should place the client's arm in which 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

B. At the level of the heart

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