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 fAnswer: fA fDetermine fif fall femployees fhave fhad fthe fhepatitis fB fvaccine
fseries.
8) The fLPN/LVN fnotes fthat fthe fclient's fdrainage fhas fdecreased ffrom f50 fto f5
fmL/hr f12 fhours fafter fchest ftube finsertion ffor fhemothorax. fWhat fis fthe fbest
finitial faction f for fthe fnurse fto ftake?
A. Document fthis fexpected fdecrease fin fdrainage.
B. Clamp fthe fchest ftube fwhile fassessing ffor fair fleaks.
C. Milk fthe ftube fto fremove fany fexcessive fblood fclot
fbuildup. fD.Assess ffor fkinks for fdependent floops fin fthe
ftubing.
Correct fAnswer: fD fAssess ffor fkinks for fdependent floops fin fthe ftubing.
9) The fnurse fnotes fthat fa fclient fwho fis fscheduled ffor fsurgery fthe fnext fmorning
fhas fan felevated fblood furea fnitrogen f(BUN) flevel. fWhich fcondition fis fmost
flikely fto fhave fcontributed fto fthis ffinding?
A. Myocardial finfarction f2 fmonths fago
B. Anorexia fand fvomiting ffor fthe fpast f2 fdays
C. Recently fdiagnosed ftype f2 fdiabetes fmellitus
D. Skeletal ftraction ffor fa fright fhip ffracture
Correct fAnswer: fB fAnorexia fand fvomiting ffor fthe fpast f2 fdays
10) The fnurse fis freviewing froutine fmedications ftaken fby fa fclient fwith fchronic
fangle fclosure fglaucoma. fWhich fmedication fprescription fshould fthe fnurse
fquestion?
A.Antianginal fwith fa ftherapeutic feffect fof fvasodilation
fB.Anticholinergic fwith fa fside feffect fof fpupillary
fdilation fC.Antihistamine fwith fa fside feffect fof fsedation
fD.Corticosteroid fwith fa fside feffect fof fhyperglycemia
Correct fAnswer:B fAnticholinergic fwith fa fside feffect fof fpupillary fdilation
11) A f58-year-old fclient fwho fhas fno fhealth fproblems fasks fthe fnurse fabout
freceiving fthe fpneumococcal fvaccine f(Pneumovax). fWhich fstatement fgiven fby
fthe
, nurse fwould foffer fthe fclient faccurate finformation fabout fthis fvaccine?
A. The fvaccine fis fgiven fannually fbefore fthe fflu fseason fto fthose folder fthan f50
f years.
B. The fimmunization fis fadministered fonce fto folder fadults for fthose fat frisk ffor
illness.
f
C. The fvaccine fis ffor fall fages fand fis fgiven fprimarily fto fthose fpersons
ftraveling foverseas fto fareas fof finfection.
D. The fvaccine fwill fprevent fthe foccurrence fof fpneumococcal fpneumonia ffor fup fto
f5 fyears.
Correct fAnswer: fB fThe fimmunization fis fadministered fonce fto folder fadults for
fthose fat frisk ffor fillness.
12) The fnurse fis fassessing fa fmale fclient fwith facute fpancreatitis. fWhich
ffinding frequires fthe fMOST fimmediate fintervention fby fthe fnurse?
A. The fclient's famylase flevel fis fthree ftimes fhigher fthan fthe fnormal flevel.
B. While fthe fnurse fis ftaking fthe fclient's fblood fpressure, fhe fhas fa fcarpal fspasm.
C. On fa f1 fto f10 fscale, fthe fclient ftells fthe fnurse fthat fhis fepigastric fpain fis fat f7.
D. The fclient fstates fthat fhe fwill fcontinue fto fdrink falcohol fafter fgoing fhome.
Correct fAnswer: fB fWhile fthe fnurse fis ftaking fthe fclient's fblood fpressure, fhe fhas fa
fcarpal fspasm.
13) During f assessment fof fa fclient fin f the fintensive fcare funit, f the fnurse fnotes
f that fthe fclient's fARE fCLEAR fUPON fAUSCULTATION, fbut fjugular fvein
fdistention fand fmuffled fheart fsounds fare fpresent. fWhich fintervention fshould
fthe fnurse fimplement?
A. Prepare fthe fclient ffor fa fpericardial ftap.
B.Administer fintravenous ffurosemide f(Lasix).
f
C. Assist fthe fclient fto fcough fand fbreathe fdeeply.
D. Instruct fthe fclient fto frestrict fthe foral ffluid f intake.
f Correct fAnswer: fA. fPrepare fthe fclient ffor fa fpericardial
tap.
f
14) After fattending fa fclass fon freducing fcancer frisk ffactors, fa fclient fselects
fbran fflakes fwith f2% fmilk f and forange fslices ffrom fa fbreakfast fmenu. fIn
fevaluating f the fclient's flearning, fthe fnurse faffirms fthat fthe fclient fhas fmade
fgood fchoices f and fmakes fwhat fadditional frecommendation?
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 fAnswer: fA fDetermine fif fall femployees fhave fhad fthe fhepatitis fB fvaccine
fseries.
8) The fLPN/LVN fnotes fthat fthe fclient's fdrainage fhas fdecreased ffrom f50 fto f5
fmL/hr f12 fhours fafter fchest ftube finsertion ffor fhemothorax. fWhat fis fthe fbest
finitial faction f for fthe fnurse fto ftake?
A. Document fthis fexpected fdecrease fin fdrainage.
B. Clamp fthe fchest ftube fwhile fassessing ffor fair fleaks.
C. Milk fthe ftube fto fremove fany fexcessive fblood fclot
fbuildup. fD.Assess ffor fkinks for fdependent floops fin fthe
ftubing.
Correct fAnswer: fD fAssess ffor fkinks for fdependent floops fin fthe ftubing.
9) The fnurse fnotes fthat fa fclient fwho fis fscheduled ffor fsurgery fthe fnext fmorning
fhas fan felevated fblood furea fnitrogen f(BUN) flevel. fWhich fcondition fis fmost
flikely fto fhave fcontributed fto fthis ffinding?
A. Myocardial finfarction f2 fmonths fago
B. Anorexia fand fvomiting ffor fthe fpast f2 fdays
C. Recently fdiagnosed ftype f2 fdiabetes fmellitus
D. Skeletal ftraction ffor fa fright fhip ffracture
Correct fAnswer: fB fAnorexia fand fvomiting ffor fthe fpast f2 fdays
10) The fnurse fis freviewing froutine fmedications ftaken fby fa fclient fwith fchronic
fangle fclosure fglaucoma. fWhich fmedication fprescription fshould fthe fnurse
fquestion?
A.Antianginal fwith fa ftherapeutic feffect fof fvasodilation
fB.Anticholinergic fwith fa fside feffect fof fpupillary
fdilation fC.Antihistamine fwith fa fside feffect fof fsedation
fD.Corticosteroid fwith fa fside feffect fof fhyperglycemia
Correct fAnswer:B fAnticholinergic fwith fa fside feffect fof fpupillary fdilation
11) A f58-year-old fclient fwho fhas fno fhealth fproblems fasks fthe fnurse fabout
freceiving fthe fpneumococcal fvaccine f(Pneumovax). fWhich fstatement fgiven fby
fthe
, nurse fwould foffer fthe fclient faccurate finformation fabout fthis fvaccine?
A. The fvaccine fis fgiven fannually fbefore fthe fflu fseason fto fthose folder fthan f50
f years.
B. The fimmunization fis fadministered fonce fto folder fadults for fthose fat frisk ffor
illness.
f
C. The fvaccine fis ffor fall fages fand fis fgiven fprimarily fto fthose fpersons
ftraveling foverseas fto fareas fof finfection.
D. The fvaccine fwill fprevent fthe foccurrence fof fpneumococcal fpneumonia ffor fup fto
f5 fyears.
Correct fAnswer: fB fThe fimmunization fis fadministered fonce fto folder fadults for
fthose fat frisk ffor fillness.
12) The fnurse fis fassessing fa fmale fclient fwith facute fpancreatitis. fWhich
ffinding frequires fthe fMOST fimmediate fintervention fby fthe fnurse?
A. The fclient's famylase flevel fis fthree ftimes fhigher fthan fthe fnormal flevel.
B. While fthe fnurse fis ftaking fthe fclient's fblood fpressure, fhe fhas fa fcarpal fspasm.
C. On fa f1 fto f10 fscale, fthe fclient ftells fthe fnurse fthat fhis fepigastric fpain fis fat f7.
D. The fclient fstates fthat fhe fwill fcontinue fto fdrink falcohol fafter fgoing fhome.
Correct fAnswer: fB fWhile fthe fnurse fis ftaking fthe fclient's fblood fpressure, fhe fhas fa
fcarpal fspasm.
13) During f assessment fof fa fclient fin f the fintensive fcare funit, f the fnurse fnotes
f that fthe fclient's fARE fCLEAR fUPON fAUSCULTATION, fbut fjugular fvein
fdistention fand fmuffled fheart fsounds fare fpresent. fWhich fintervention fshould
fthe fnurse fimplement?
A. Prepare fthe fclient ffor fa fpericardial ftap.
B.Administer fintravenous ffurosemide f(Lasix).
f
C. Assist fthe fclient fto fcough fand fbreathe fdeeply.
D. Instruct fthe fclient fto frestrict fthe foral ffluid f intake.
f Correct fAnswer: fA. fPrepare fthe fclient ffor fa fpericardial
tap.
f
14) After fattending fa fclass fon freducing fcancer frisk ffactors, fa fclient fselects
fbran fflakes fwith f2% fmilk f and forange fslices ffrom fa fbreakfast fmenu. fIn
fevaluating f the fclient's flearning, fthe fnurse faffirms fthat fthe fclient fhas fmade
fgood fchoices f and fmakes fwhat fadditional frecommendation?
