PN HESI Exit EXAM
2025/2026
V3
1) 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.
2) 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
3) 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.
,4) 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.
5) 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.
6) 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.
7) 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.
,Correct aAnswer: aA aDetermine aif aall aemployees ahave ahad athe ahepatitis aB avaccine
aseries.
8) The aLPN/LVN anotes athat athe aclient's adrainage ahas adecreased afrom a50 ato a5
amL/hr a12 ahours aafter achest atube ainsertion afor ahemothorax. aWhat ais athe abest
ainitial aaction a for athe anurse ato atake?
A. Document athis aexpected adecrease ain adrainage.
B. Clamp athe achest atube awhile aassessing afor aair aleaks.
C. Milk athe atube ato aremove aany aexcessive ablood aclot
abuildup. aD.Assess afor akinks aor adependent aloops ain athe
atubing.
Correct aAnswer: aD aAssess afor akinks aor adependent aloops ain athe atubing.
9) The anurse anotes athat aa aclient awho ais ascheduled afor asurgery athe anext
amorning ahas aan aelevated ablood aurea anitrogen a(BUN) alevel. aWhich acondition
ais amost alikely ato ahave acontributed ato athis afinding?
A. Myocardial ainfarction a2 amonths aago
B. Anorexia aand avomiting a for a the apast a2 adays
C. Recently adiagnosed atype a2 adiabetes a mellitus
D. Skeletal atraction afor aa aright ahip afracture
Correct aAnswer: aB aAnorexia aand avomiting afor athe apast a2 adays
10) The anurse ais areviewing aroutine amedications ataken aby aa aclient awith achronic
aangle aclosure aglaucoma. aWhich amedication aprescription ashould athe anurse
aquestion?
A.Antianginal awith aa atherapeutic aeffect aof avasodilation
aB.Anticholinergic awith aa aside aeffect aof apupillary
adilation aC.Antihistamine awith aa aside aeffect aof
asedation aD.Corticosteroid awith aa aside aeffect aof
ahyperglycemia
Correct aAnswer:B aAnticholinergic awith aa aside aeffect aof apupillary adilation
11) A a58-year-old aclient awho ahas ano ahealth aproblems aasks athe anurse aabout
areceiving athe apneumococcal avaccine a(Pneumovax). aWhich astatement agiven aby
athe
, nurse awould aoffer athe aclient aaccurate ainformation aabout athis avaccine?
A. The avaccine ais agiven aannually abefore athe aflu aseason ato athose aolder athan a50
a years.
B. The aimmunization a is aadministered aonce ato aolder aadults aor athose aat arisk a for
illness.
a
C. The avaccine ais afor aall aages aand ais agiven aprimarily ato athose apersons
atraveling aoverseas ato aareas aof ainfection.
D. The avaccine awill aprevent athe aoccurrence aof apneumococcal apneumonia afor aup
ato a5 ayears.
Correct aAnswer: aB aThe aimmunization ais aadministered aonce ato aolder aadults aor
athose aat arisk afor aillness.
12) The anurse ais aassessing aa amale aclient awith aacute apancreatitis. aWhich
afinding arequires athe aMOST aimmediate aintervention aby athe anurse?
A. The aclient's aamylase alevel ais athree atimes ahigher athan athe anormal alevel.
B. While athe anurse ais ataking athe aclient's ablood apressure, ahe ahas aa acarpal aspasm.
C. On aa a1 ato a10 ascale, athe aclient atells athe anurse athat ahis aepigastric apain ais aat a7.
D. The aclient astates athat ahe awill acontinue ato adrink aalcohol aafter agoing ahome.
Correct aAnswer: aB aWhile athe anurse ais ataking athe aclient's ablood apressure, ahe ahas
aa acarpal aspasm.
13) During a assessment aof aa aclient ain a the aintensive acare aunit, a the anurse
anotes a that athe aclient's aARE aCLEAR aUPON aAUSCULTATION, abut
ajugular avein adistention aand amuffled aheart asounds aare apresent. aWhich
aintervention ashould athe anurse aimplement?
A. Prepare athe aclient afor aa apericardial atap.
B.Administer aintravenous afurosemide a(Lasix).
a
C. Assist athe aclient ato acough a and abreathe adeeply.
D. Instruct athe aclient ato arestrict athe aoral afluid a intake.
a Correct aAnswer: aA. aPrepare athe aclient afor aa apericardial
a tap.
14) After aattending aa aclass aon areducing acancer arisk afactors, aa aclient aselects
abran aflakes awith a2% amilk a and aorange aslices afrom aa abreakfast amenu. aIn
aevaluating a the aclient's alearning, athe anurse aaffirms athat athe aclient ahas amade
agood achoices a and amakes awhat aadditional arecommendation?
2025/2026
V3
1) 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.
2) 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
3) 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.
,4) 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.
5) 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.
6) 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.
7) 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.
,Correct aAnswer: aA aDetermine aif aall aemployees ahave ahad athe ahepatitis aB avaccine
aseries.
8) The aLPN/LVN anotes athat athe aclient's adrainage ahas adecreased afrom a50 ato a5
amL/hr a12 ahours aafter achest atube ainsertion afor ahemothorax. aWhat ais athe abest
ainitial aaction a for athe anurse ato atake?
A. Document athis aexpected adecrease ain adrainage.
B. Clamp athe achest atube awhile aassessing afor aair aleaks.
C. Milk athe atube ato aremove aany aexcessive ablood aclot
abuildup. aD.Assess afor akinks aor adependent aloops ain athe
atubing.
Correct aAnswer: aD aAssess afor akinks aor adependent aloops ain athe atubing.
9) The anurse anotes athat aa aclient awho ais ascheduled afor asurgery athe anext
amorning ahas aan aelevated ablood aurea anitrogen a(BUN) alevel. aWhich acondition
ais amost alikely ato ahave acontributed ato athis afinding?
A. Myocardial ainfarction a2 amonths aago
B. Anorexia aand avomiting a for a the apast a2 adays
C. Recently adiagnosed atype a2 adiabetes a mellitus
D. Skeletal atraction afor aa aright ahip afracture
Correct aAnswer: aB aAnorexia aand avomiting afor athe apast a2 adays
10) The anurse ais areviewing aroutine amedications ataken aby aa aclient awith achronic
aangle aclosure aglaucoma. aWhich amedication aprescription ashould athe anurse
aquestion?
A.Antianginal awith aa atherapeutic aeffect aof avasodilation
aB.Anticholinergic awith aa aside aeffect aof apupillary
adilation aC.Antihistamine awith aa aside aeffect aof
asedation aD.Corticosteroid awith aa aside aeffect aof
ahyperglycemia
Correct aAnswer:B aAnticholinergic awith aa aside aeffect aof apupillary adilation
11) A a58-year-old aclient awho ahas ano ahealth aproblems aasks athe anurse aabout
areceiving athe apneumococcal avaccine a(Pneumovax). aWhich astatement agiven aby
athe
, nurse awould aoffer athe aclient aaccurate ainformation aabout athis avaccine?
A. The avaccine ais agiven aannually abefore athe aflu aseason ato athose aolder athan a50
a years.
B. The aimmunization a is aadministered aonce ato aolder aadults aor athose aat arisk a for
illness.
a
C. The avaccine ais afor aall aages aand ais agiven aprimarily ato athose apersons
atraveling aoverseas ato aareas aof ainfection.
D. The avaccine awill aprevent athe aoccurrence aof apneumococcal apneumonia afor aup
ato a5 ayears.
Correct aAnswer: aB aThe aimmunization ais aadministered aonce ato aolder aadults aor
athose aat arisk afor aillness.
12) The anurse ais aassessing aa amale aclient awith aacute apancreatitis. aWhich
afinding arequires athe aMOST aimmediate aintervention aby athe anurse?
A. The aclient's aamylase alevel ais athree atimes ahigher athan athe anormal alevel.
B. While athe anurse ais ataking athe aclient's ablood apressure, ahe ahas aa acarpal aspasm.
C. On aa a1 ato a10 ascale, athe aclient atells athe anurse athat ahis aepigastric apain ais aat a7.
D. The aclient astates athat ahe awill acontinue ato adrink aalcohol aafter agoing ahome.
Correct aAnswer: aB aWhile athe anurse ais ataking athe aclient's ablood apressure, ahe ahas
aa acarpal aspasm.
13) During a assessment aof aa aclient ain a the aintensive acare aunit, a the anurse
anotes a that athe aclient's aARE aCLEAR aUPON aAUSCULTATION, abut
ajugular avein adistention aand amuffled aheart asounds aare apresent. aWhich
aintervention ashould athe anurse aimplement?
A. Prepare athe aclient afor aa apericardial atap.
B.Administer aintravenous afurosemide a(Lasix).
a
C. Assist athe aclient ato acough a and abreathe adeeply.
D. Instruct athe aclient ato arestrict athe aoral afluid a intake.
a Correct aAnswer: aA. aPrepare athe aclient afor aa apericardial
a tap.
14) After aattending aa aclass aon areducing acancer arisk afactors, aa aclient aselects
abran aflakes awith a2% amilk a and aorange aslices afrom aa abreakfast amenu. aIn
aevaluating a the aclient's alearning, athe anurse aaffirms athat athe aclient ahas amade
agood achoices a and amakes awhat aadditional arecommendation?
