HESI LPN Comprehensive Exit EXAM 2025
COMPLETE EXAM QUESTIONS AND
ACCURATE ANSWERS |ALREADY PASSED!!
A client with deep partial-thickness and full-thickness burns of the face and chest is
receiving wound care using the open method. The plan of care includes the Nsg Dx,
"Risk for infection R/T impaired tissue integrity." Based on the expected outcome,
"Client remains free of infections," which nursing interventions should the PN
implement?
A. Wear gown, cap, mask, and gloves during direct client care.
B. Restrict visitors in order to prevent wound contamination.
C. Use sterile water for debridement in the hydrotherapy tank.
D. Apply sterile dressings after debridement of burn wounds. - ANSWERSA. Wear
gown, cap, mask, and gloves during direct client care.
A female client who is newly diagnosed with Type 2 diabetes tells the PN that she
hates to exercise and asks whether just following her 1000-calorie diet will control
her diabetes. Which response should the PN provide that offers the best
information?
A. To ensure an increased energy and a sense of well-being, diet and exercise
should be balanced.
B. Exercise facilitates weight loss and decreases peripheral insulin resistance.
C. To improve cardiovascular and respiratory fitness, a regular routine for exercise
should be practiced.
D. A routine pattern for meal scheduling is needed for tight glucose control. -
ANSWERSB. Exercise facilitates weight loss and decreases peripheral insulin
resistance.
Exercise increases insulin sensitivity and has a direct effect on lowering the blood
glucose levels. Dietary compliance and regular exercise contribute to weight loss,
which also decreases insulin resistance.
Which information related to a client's history of benign prostatic hypertrophy (BPH)
should the practical nurse (PN) report to the healthcare provider?
A. Change in bowel movements.
B. Persistent lower back pain.
C. White penile discharge.
D. Difficulty with urination. - ANSWERSD. Difficulty with urination.
The prostate gland lies below the bladder neck and surrounds the urethra. An
increase in the size of the prostate gland caused by BPH compresses the urethra,
resulting in difficulty initiating the urinary stream.
,What action should the practical nurse (PN) implement first for a client with a head
injury and clear nasal drainage?
A. Obtain a specimen of the fluid for culture and sensitivity.
B. Check the nasal drainage with a glucose test strip.
C. Assess the client's temperature every 2 to 4 hours.
D. Inspect the nares bilaterally for signs of inflammation. - ANSWERSB. Check the
nasal drainage with a glucose test strip.
If the client is exhibiting clear nasal drainage after a head injury, the first action is to
determine if the fluid is cerebrospinal fluid (CSF). Glucose is present in CSF.
At the scene of a motor vehicle collision, the practical nurse (PN) stops to render
assistance to a victim who has bleeding injuries of the face and neck. Which action
should the PN implement after establishing that the victim is unresponsive?
A. Deliver two mouth-to-mouth breaths.
B. Immobilize the head and neck.
C. Open the airway using jaw thrust method.
D. Clear the airway using a finger sweep.Open the airway using jaw thrust method. -
ANSWERSB. Immobilize the head and neck.
Cervical spine trauma should be suspected in any client with significant upper torso,
face, head, or neck trauma, so cervical immobilization should be applied prior to
opening the airway using the jaw thrust, instead of the head tilt method.
The practical nurse (PN) is monitoring a client who is admitted in active labor. After
reviewing the nursing admission assessment, the PN determines the client's
membranes have been ruptured for 36 hours. The PN should monitor the client for
which risk factor?
A. Excessive bleeding.
B. Precipitous labor.
C. Supine hypotension.
D. Intrauterine infection. - ANSWERSD. Intrauterine infection.
When a client is in active labor with spontaneous rupture of membranes (SROM)
longer than 24 hours, microorganisms from the vagina can ascend into the amniotic
sac and cause chorioamnionitis and placentitis.
Which statement by the mother of a newborn should alert the practical nurse (PN) to
offer further information about the care of the umbilical cord?
A. "I will use warm water to wash my baby's diaper area with each change."
B. "I am going to sponge bathe my baby for the first couple of weeks."
C. "I can't wait to bathe my baby in the new baby tub as soon as I get home."
D. "I should keep the cord area dry and use an alcohol wipe until the cord falls off. -
ANSWERSC. "I can't wait to bathe my baby in the new baby tub as soon as I get
home."
, The infant should not be submerged in a tub bath until the umbilical cord dries and
falls off.
During a prenatal visit, expectant parents ask the practical nurse (PN) how to safely
transport a newborn home in a car seat. What information should the PN provide?
A. The car seat should be secured in the front seat using the seatbelt.
B. The chest harness should slide over the newborn's abdomen.
C. A car seat should be in the rear facing position in the back seat.
D. An infant should be elevated at a 60 degree angle while in the car seat. -
ANSWERSC. A car seat should be in the rear facing position in the back seat.
Infants should travel only in federally approved, rear-facing safety seats secured in
the rear seat from birth to 20 pounds and to 1 year of age.
Which finding in a newborn is most important for the practical nurse (PN) to report?
A. Clinical jaundice evident on the forehead within 24 hours of birth.
B. Icterus color of blanched skin on the thorax at day 3 after birth.
C. Serum bilirubin concentrations less than 2 mg/dl in cord blood.
D. Bilirubin level of 4 mg/dl using a transcutaneous bilirubinometry. - ANSWERSA.
Clinical jaundice evident on the forehead within 24 hours of birth.
Jaundice is clinically visible when bilirubin levels reach 5 to 7 mg/dl and appears in a
cephalocaudal manner, first noticed in the head, and then progresses gradually to
the thorax, abdomen, and extremities. Clinical jaundice that is evident within 24
hours of birth warrants immediate attention and is pathological. Although additional
assessments of physiological jaundice should be made, jaundice in the first 24 hours
is life threatening and requires immediate intervention.
Which site should the practical nurse (PN) avoid when administering IM
immunizations to toddlers?
A. Ventrogluteal.
B. Dorsogluteal.
C. Rectus femoris.
D. Vastus lateralis. - ANSWERSB. Dorsogluteal.
The IM dorsogluteal site should be avoided in infants, toddlers, and smaller
preschoolers due to the risk of damaging the sciatic nerve.
An infant is admitted to the hospital with dehydration and diarrhea. What is the best
liquid that the practical nurse (PN) should provide?
A. Pedialyte.
B. Water.
C. Apple juice.
D. Ginger ale. - ANSWERSB. Pedialyte.
COMPLETE EXAM QUESTIONS AND
ACCURATE ANSWERS |ALREADY PASSED!!
A client with deep partial-thickness and full-thickness burns of the face and chest is
receiving wound care using the open method. The plan of care includes the Nsg Dx,
"Risk for infection R/T impaired tissue integrity." Based on the expected outcome,
"Client remains free of infections," which nursing interventions should the PN
implement?
A. Wear gown, cap, mask, and gloves during direct client care.
B. Restrict visitors in order to prevent wound contamination.
C. Use sterile water for debridement in the hydrotherapy tank.
D. Apply sterile dressings after debridement of burn wounds. - ANSWERSA. Wear
gown, cap, mask, and gloves during direct client care.
A female client who is newly diagnosed with Type 2 diabetes tells the PN that she
hates to exercise and asks whether just following her 1000-calorie diet will control
her diabetes. Which response should the PN provide that offers the best
information?
A. To ensure an increased energy and a sense of well-being, diet and exercise
should be balanced.
B. Exercise facilitates weight loss and decreases peripheral insulin resistance.
C. To improve cardiovascular and respiratory fitness, a regular routine for exercise
should be practiced.
D. A routine pattern for meal scheduling is needed for tight glucose control. -
ANSWERSB. Exercise facilitates weight loss and decreases peripheral insulin
resistance.
Exercise increases insulin sensitivity and has a direct effect on lowering the blood
glucose levels. Dietary compliance and regular exercise contribute to weight loss,
which also decreases insulin resistance.
Which information related to a client's history of benign prostatic hypertrophy (BPH)
should the practical nurse (PN) report to the healthcare provider?
A. Change in bowel movements.
B. Persistent lower back pain.
C. White penile discharge.
D. Difficulty with urination. - ANSWERSD. Difficulty with urination.
The prostate gland lies below the bladder neck and surrounds the urethra. An
increase in the size of the prostate gland caused by BPH compresses the urethra,
resulting in difficulty initiating the urinary stream.
,What action should the practical nurse (PN) implement first for a client with a head
injury and clear nasal drainage?
A. Obtain a specimen of the fluid for culture and sensitivity.
B. Check the nasal drainage with a glucose test strip.
C. Assess the client's temperature every 2 to 4 hours.
D. Inspect the nares bilaterally for signs of inflammation. - ANSWERSB. Check the
nasal drainage with a glucose test strip.
If the client is exhibiting clear nasal drainage after a head injury, the first action is to
determine if the fluid is cerebrospinal fluid (CSF). Glucose is present in CSF.
At the scene of a motor vehicle collision, the practical nurse (PN) stops to render
assistance to a victim who has bleeding injuries of the face and neck. Which action
should the PN implement after establishing that the victim is unresponsive?
A. Deliver two mouth-to-mouth breaths.
B. Immobilize the head and neck.
C. Open the airway using jaw thrust method.
D. Clear the airway using a finger sweep.Open the airway using jaw thrust method. -
ANSWERSB. Immobilize the head and neck.
Cervical spine trauma should be suspected in any client with significant upper torso,
face, head, or neck trauma, so cervical immobilization should be applied prior to
opening the airway using the jaw thrust, instead of the head tilt method.
The practical nurse (PN) is monitoring a client who is admitted in active labor. After
reviewing the nursing admission assessment, the PN determines the client's
membranes have been ruptured for 36 hours. The PN should monitor the client for
which risk factor?
A. Excessive bleeding.
B. Precipitous labor.
C. Supine hypotension.
D. Intrauterine infection. - ANSWERSD. Intrauterine infection.
When a client is in active labor with spontaneous rupture of membranes (SROM)
longer than 24 hours, microorganisms from the vagina can ascend into the amniotic
sac and cause chorioamnionitis and placentitis.
Which statement by the mother of a newborn should alert the practical nurse (PN) to
offer further information about the care of the umbilical cord?
A. "I will use warm water to wash my baby's diaper area with each change."
B. "I am going to sponge bathe my baby for the first couple of weeks."
C. "I can't wait to bathe my baby in the new baby tub as soon as I get home."
D. "I should keep the cord area dry and use an alcohol wipe until the cord falls off. -
ANSWERSC. "I can't wait to bathe my baby in the new baby tub as soon as I get
home."
, The infant should not be submerged in a tub bath until the umbilical cord dries and
falls off.
During a prenatal visit, expectant parents ask the practical nurse (PN) how to safely
transport a newborn home in a car seat. What information should the PN provide?
A. The car seat should be secured in the front seat using the seatbelt.
B. The chest harness should slide over the newborn's abdomen.
C. A car seat should be in the rear facing position in the back seat.
D. An infant should be elevated at a 60 degree angle while in the car seat. -
ANSWERSC. A car seat should be in the rear facing position in the back seat.
Infants should travel only in federally approved, rear-facing safety seats secured in
the rear seat from birth to 20 pounds and to 1 year of age.
Which finding in a newborn is most important for the practical nurse (PN) to report?
A. Clinical jaundice evident on the forehead within 24 hours of birth.
B. Icterus color of blanched skin on the thorax at day 3 after birth.
C. Serum bilirubin concentrations less than 2 mg/dl in cord blood.
D. Bilirubin level of 4 mg/dl using a transcutaneous bilirubinometry. - ANSWERSA.
Clinical jaundice evident on the forehead within 24 hours of birth.
Jaundice is clinically visible when bilirubin levels reach 5 to 7 mg/dl and appears in a
cephalocaudal manner, first noticed in the head, and then progresses gradually to
the thorax, abdomen, and extremities. Clinical jaundice that is evident within 24
hours of birth warrants immediate attention and is pathological. Although additional
assessments of physiological jaundice should be made, jaundice in the first 24 hours
is life threatening and requires immediate intervention.
Which site should the practical nurse (PN) avoid when administering IM
immunizations to toddlers?
A. Ventrogluteal.
B. Dorsogluteal.
C. Rectus femoris.
D. Vastus lateralis. - ANSWERSB. Dorsogluteal.
The IM dorsogluteal site should be avoided in infants, toddlers, and smaller
preschoolers due to the risk of damaging the sciatic nerve.
An infant is admitted to the hospital with dehydration and diarrhea. What is the best
liquid that the practical nurse (PN) should provide?
A. Pedialyte.
B. Water.
C. Apple juice.
D. Ginger ale. - ANSWERSB. Pedialyte.
