PN HESI Exit Exam | Comprehensive LPN/LVN
Prep Guide
2025/2026 Real Assessment Q&A | 92 Items | Verified Expert Answers | A+ Study
Choice
EXAM OVERVIEW
This 2025/2026 **validated resource** contains the **complete PN HESI Exit Exam |
Comprehensive LPN/LVN Prep Guide** with **actual questions** and **verified
answers**. The examination measures **analytical reasoning**, **professional
judgment**, and **practical application** through 92 evidence-based scenarios that
assess competency in contemporary professional practice.
EXAM FEATURES
• 92 Evidence-Based Multiple Choice Questions
• Comprehensive Answer Keys with **Clinical Rationales**
• **Critical Analysis** and **Applied Reasoning** Emphasis
• Current 2025 **Evidence-Based Practice** Standards Integration
• 7 **Professional Domains** Comprehensively Assessed
• **Real-World Application** Scenarios with Professional Context
CORE TESTING AREAS
→ Nursing Fundamentals
→ Pharmacology
→ Medical-Surgical Nursing
→ Maternal–Newborn Nursing
→ Pediatric Nursing
→ Psychiatric/Mental Health Nursing
→ Leadership & Management (LPN Scope)
Page 1
,Question 1
A 75-year-old client with a history of diabetes mellitus is prescribed total parenteral
nutrition (TPN) with regular insulin. The client's current blood glucose level is 250 mg/dL.
Which action should the nurse take?
A. Notify the physician of the client's blood glucose level.
B. Administer the TPN with the current insulin dose.
C. Reduce the insulin dose in the TPN.
D. Hold the TPN until the blood glucose level is below 200 mg/dL.
Correct Answer
Notify the physician of the client's blood glucose level.
Rationale:
The nurse should notify the physician of the elevated blood glucose level to adjust the insulin dose.
Question 2
A postpartum client who is breastfeeding her newborn develops a temperature of 101.5°F
(38.6°C) on the third day after delivery. Which intervention should the nurse implement
first?
A. Administer acetaminophen to reduce the fever.
B. Encourage the client to increase her fluid intake.
C. Assess the client's breasts for engorgement or mastitis.
D. Notify the physician of the client's temperature.
Correct Answer
Assess the client's breasts for engorgement or mastitis.
Rationale:
The nurse should assess the client's breasts to identify the cause of the fever.
Page 2
,Question 3
A client with a history of chronic obstructive pulmonary disease (COPD) is prescribed
oxygen therapy at 2 L/min. The client's oxygen saturation is 88% on room air. Which
action should the nurse take?
A. Apply oxygen at 4 L/min.
B. Administer oxygen at the prescribed rate.
C. Encourage the client to cough and deep breathe.
D. Prepare the client for intubation.
Correct Answer
Administer oxygen at the prescribed rate.
Rationale:
The nurse should administer oxygen as prescribed to improve the client's oxygen saturation.
Question 4
A client with atrial fibrillation is prescribed warfarin 5 mg daily. The client's INR is 3.5.
Which action should the nurse take?
A. Notify the physician of the client's INR.
B. Administer the warfarin as prescribed.
C. Hold the warfarin and notify the physician.
D. Increase the warfarin dose.
Correct Answer
Notify the physician of the client's INR.
Rationale:
The nurse should notify the physician of the client's INR to adjust the warfarin dose.
Page 3
, Question 5
A client with a laryngectomy has a tracheostomy tube in place. During tracheostomy care,
the nurse notes that the client's cuff pressure is 30 mmHg. Which action should the nurse
take?
A. Leave the cuff pressure at 30 mmHg.
B. Reduce the cuff pressure to 20 mmHg.
C. Increase the cuff pressure to 40 mmHg.
D. Deflate the cuff and reassess.
Correct Answer
Reduce the cuff pressure to 20 mmHg.
Rationale:
The cuff pressure should be maintained at a safe level to prevent tracheal damage.
Question 6
A 28-year-old primigravida at 32 weeks' gestation presents with severe preeclampsia. She
is receiving magnesium sulfate IV. What is the primary purpose of this treatment?
A. To control seizures
B. To lower blood pressure
C. To induce labor
D. To promote fetal lung maturity
Correct Answer
To control seizures
Rationale:
Magnesium sulfate is used to prevent seizures in preeclampsia.
Page 4
Prep Guide
2025/2026 Real Assessment Q&A | 92 Items | Verified Expert Answers | A+ Study
Choice
EXAM OVERVIEW
This 2025/2026 **validated resource** contains the **complete PN HESI Exit Exam |
Comprehensive LPN/LVN Prep Guide** with **actual questions** and **verified
answers**. The examination measures **analytical reasoning**, **professional
judgment**, and **practical application** through 92 evidence-based scenarios that
assess competency in contemporary professional practice.
EXAM FEATURES
• 92 Evidence-Based Multiple Choice Questions
• Comprehensive Answer Keys with **Clinical Rationales**
• **Critical Analysis** and **Applied Reasoning** Emphasis
• Current 2025 **Evidence-Based Practice** Standards Integration
• 7 **Professional Domains** Comprehensively Assessed
• **Real-World Application** Scenarios with Professional Context
CORE TESTING AREAS
→ Nursing Fundamentals
→ Pharmacology
→ Medical-Surgical Nursing
→ Maternal–Newborn Nursing
→ Pediatric Nursing
→ Psychiatric/Mental Health Nursing
→ Leadership & Management (LPN Scope)
Page 1
,Question 1
A 75-year-old client with a history of diabetes mellitus is prescribed total parenteral
nutrition (TPN) with regular insulin. The client's current blood glucose level is 250 mg/dL.
Which action should the nurse take?
A. Notify the physician of the client's blood glucose level.
B. Administer the TPN with the current insulin dose.
C. Reduce the insulin dose in the TPN.
D. Hold the TPN until the blood glucose level is below 200 mg/dL.
Correct Answer
Notify the physician of the client's blood glucose level.
Rationale:
The nurse should notify the physician of the elevated blood glucose level to adjust the insulin dose.
Question 2
A postpartum client who is breastfeeding her newborn develops a temperature of 101.5°F
(38.6°C) on the third day after delivery. Which intervention should the nurse implement
first?
A. Administer acetaminophen to reduce the fever.
B. Encourage the client to increase her fluid intake.
C. Assess the client's breasts for engorgement or mastitis.
D. Notify the physician of the client's temperature.
Correct Answer
Assess the client's breasts for engorgement or mastitis.
Rationale:
The nurse should assess the client's breasts to identify the cause of the fever.
Page 2
,Question 3
A client with a history of chronic obstructive pulmonary disease (COPD) is prescribed
oxygen therapy at 2 L/min. The client's oxygen saturation is 88% on room air. Which
action should the nurse take?
A. Apply oxygen at 4 L/min.
B. Administer oxygen at the prescribed rate.
C. Encourage the client to cough and deep breathe.
D. Prepare the client for intubation.
Correct Answer
Administer oxygen at the prescribed rate.
Rationale:
The nurse should administer oxygen as prescribed to improve the client's oxygen saturation.
Question 4
A client with atrial fibrillation is prescribed warfarin 5 mg daily. The client's INR is 3.5.
Which action should the nurse take?
A. Notify the physician of the client's INR.
B. Administer the warfarin as prescribed.
C. Hold the warfarin and notify the physician.
D. Increase the warfarin dose.
Correct Answer
Notify the physician of the client's INR.
Rationale:
The nurse should notify the physician of the client's INR to adjust the warfarin dose.
Page 3
, Question 5
A client with a laryngectomy has a tracheostomy tube in place. During tracheostomy care,
the nurse notes that the client's cuff pressure is 30 mmHg. Which action should the nurse
take?
A. Leave the cuff pressure at 30 mmHg.
B. Reduce the cuff pressure to 20 mmHg.
C. Increase the cuff pressure to 40 mmHg.
D. Deflate the cuff and reassess.
Correct Answer
Reduce the cuff pressure to 20 mmHg.
Rationale:
The cuff pressure should be maintained at a safe level to prevent tracheal damage.
Question 6
A 28-year-old primigravida at 32 weeks' gestation presents with severe preeclampsia. She
is receiving magnesium sulfate IV. What is the primary purpose of this treatment?
A. To control seizures
B. To lower blood pressure
C. To induce labor
D. To promote fetal lung maturity
Correct Answer
To control seizures
Rationale:
Magnesium sulfate is used to prevent seizures in preeclampsia.
Page 4
