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PN NURSING BREAKTHROUGH: HESI PN Exit Exam (3 VERSIONS) + NGN Questions & LEVEL 3 GUARANTEE

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Don't risk your LPN/LVN license! This exclusive bundle provides 3 complete versions of the HESI PN Exit Exam, updated for , and includes the difficult Next Generation NCLEX (NGN) format questions. Every answer is correct, verified, and structured to guarantee a Level 3 score. Key topics cover Maternal Newborn (Amenorrhea), Psychosocial Development (Erikson), and Prioritization/Delegation for LPN/LVN practice.

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Uploaded on
October 10, 2025
Number of pages
31
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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HESI PN EXIT LATEST EXAM 2025-2026 WITH NGN FORMAT QUESTION ANd
CORRECT ANSWERS | 3 VERSIONS AND A STUDY GUIDE | ACCURATE AND
VERIFIED FOR GUARANTEED PASS | LEVEL 3 GUARANTEED.

1. The LPN/LVN is palpating the right upper hypochondriac region of the
abdomen of a client. What organ lies underneath this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen: C. Liver
2. A client comes to the antepartal clinic and tells the LPN/LVN that she is 6
weeks pregnant. Which sign is she most likely to report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia: B. Amenorrhea
3. 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 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
4. A hosptitalized toddler who is recovering from a sickle cell crisis holds a
toy and say's "mine". According to Erikson's theory of psychosocial develop-
ment, this child's behavior is a demonstration of which developmental 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
5. Which action should the LPN/LVN implement 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 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
6. The LPN/LVN is caring for a 75- year-old male client who is beginning to
form a decubitus ulcer at the coccyx. Which intervention will be most helpful
in preventing further development of the decubitus?


, HESI PN EXIT LATEST EXAM 2025-2026 WITH NGN FORMAT QUESTION ANd
CORRECT ANSWERS | 3 VERSIONS AND A STUDY GUIDE | ACCURATE AND
VERIFIED FOR GUARANTEED PASS | LEVEL 3 GUARANTEED.

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
7. What is the homeostatic cellular transport mechanism that moves water
from a hypotonic to a hypertonic fluid space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport: C. Osmosis
8. The LPN/LVN is taking blood pressure of a client admitted with a possible
myocardial infarction. When taking the 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
9. What are the final parameters that produce blood pressure? (select all that
apply)
A. Heart rate
B. Stroke volume
C. Peripheral resistance
D. Neuroendocrine hormones
E. Muscle tone: A. Heart rate
B. Stroke volume
C. Peripheral resistance
10. A client begins an antidepressant drug during the second day of hospital-
ization. Which assessment is most important for the LPN/LVN to include in this
client's plan of care while the client is taking the antidepressant?
A. Appetite
B. Mood
C. Withdrawal
D. Energy level: B. Mood
11. Based on the documentation in the medical record, which action should
the LPN/LVN implement next?
A. Give the rubella vaccine subcutaneously


, HESI PN EXIT LATEST EXAM 2025-2026 WITH NGN FORMAT QUESTION ANd
CORRECT ANSWERS | 3 VERSIONS AND A STUDY GUIDE | ACCURATE AND
VERIFIED FOR GUARANTEED PASS | LEVEL 3 GUARANTEED.

B. Observe the mother breastfeeding her infant
C. Call the nursery for the infant's blood type result
D. Administer Vicodin one tablet for pain: Give the rubella vaccine subcutaneous-
ly
12. A client is admitted to the hospital with a diagnosis of Pneumonia. Which
intervention should the LPN/LVN implement to prevent complications associ-
ated with Pneumonia?
A. Encourage mobilization and ambulation
B. Encourage energy conservation with complete bed rest
C. Provide humidified oxygen per nasal cannula
D. Restrict PO and intravenous fluids: Encourage mobilization and ambulation
13. The practical nurse is preparing to administer a prescription for cefazolin
(kefzol) 600 mg IM every 6 hours. The available vial is labeled, "Cefazolin
(Kefzol) 1 gram and the instrutions for reconsittution, "For IM use add 2ml
sterile water for injection. Total volume after reconstruction = 2.5 ml. "when
reconstituded, how many milligrams are in each mil of solutions (Enter nu-
meric value only): 15mg
14. 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 that has become dislodged
C. Observe a client rotate the subcutaneous site for an insulin pump
D. Monitor a continous narcotic epidural for a postoperative client: C. Observe
a client rotate the subcutaneous site for an insulin pump
15. After morning dressing changes are completed, a male client who has
paraplegia contaminates his ischial decubiti dressing with a diarrheal stool.
What activity is best for the nurse to assign to the unlicensed assistive
personnel?
A. Identify the need for additional supplies to provide an extra dressing
change
B. Provide perianal care and collect clean linens for the dressing change
C. Document the diarrhea that necessitates an additional dressing change
D. Position the client for access to the decubiti sties and remove dressings: B.
Provide perianal care and collect clean linens for the dressing change
16. The LPN/LVN is planning to evaluate the effectiveness of several drugs
administered by different routes. Arrange the routes of administration in the
order from fastest to slowest rate of absorption.
Subcutaneous


, HESI PN EXIT LATEST EXAM 2025-2026 WITH NGN FORMAT QUESTION ANd
CORRECT ANSWERS | 3 VERSIONS AND A STUDY GUIDE | ACCURATE AND
VERIFIED FOR GUARANTEED PASS | LEVEL 3 GUARANTEED.

Intravenous
Intramuscular
Sublingual Oral: Intravenous, sublingual, intramuscular, subcutaneous,
17. A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9 weeks
gestation. At one-house post dilation and curettage (D&C) the LPN/LVN as-
sess the vital signs and vaginal bleeding. The client begins to cry softly. How
should the nurse intervene?
A. Offer to call the social worker to discuss the possibility of abortion
B. Reassure the client that the infertility specialist can help
C. Express sorrow for the client's grief and offer to sit with her
D. Chart the vital signs and amount of vaginal bleeding: Express sorrow for the
client's grief and offer to sit with her
18. A terminally ill male client and his family are requesting hospice care after
discharge from the hospital and ask the LPN/LVN to explain what kind of
care they should expect. The nurse should indicate that hospice philosophy
focuses on what aspect of health care?
A. Enhance symptom management to improve end of life quality
B. facilitates assisted suicide with the client's consent
C. Offers ways to postpone the death experience at home
D. Provide training for family members to care for the client.: A. Enhance
symptom management to improve end of life quality
19. The LPN/LVN observes a wife shaving her husband's beard with a safety
razor by holding the skin taut and shaving in the direction of the hair growth
. What action should the nurse take?
A. Advise the wife to shave against the hair growth
B. Teach the wife to keep the skin loose to avoid cuts
C. Encourage the wife to continue shaving her husband
D. Demonstrate the correct procedure to the wife: C. Encourage the wife to
continue shaving her husband
20. To assess pedal pulse what arterial sites should the nurse palpate? (select
all that apply)
A. Posterior tibialis artery
B. Politeal artery
C. External femoral artery
D. Dorsalis pedis artery
E Radial artery: A. Posterior tibialis artery,
D. Dorsalis pedis artery
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