PN HESI EXIT EXAM, NEWEST 2024 ACTUAL EXAM, 140 QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
1. The LPN/LVN is planning care for the client who has fourth degree midline laceration that occurred during vagina
delivery of an 8 pound 10 ounce infant. What intervention has the highest priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays: A. Administer Pre- scribed stool softener
2. 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
3. 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
4. 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
,PN HESI EXIT EXAM, NEWEST 2024 ACTUAL EXAM, 140 QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
5. A hospitalized toddler who is recovering from a sickle cell crisis holds a toy and say's "mine". According to Erikson's
theory of psychosocial development, 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
6. 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
7. The LPN/LVN is caring for a 75- year-old male client who is beginning to form a decubitus ulcer at the coccyx. Whic
intervention will be most helpful in preventing further development of the decubitus?
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
8. 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
9. 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
,PN HESI EXIT EXAM, NEWEST 2024 ACTUAL EXAM, 140 QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
C. At the level of comfort for the client
D. Below the level of the heart: B. At the level of the heart
10.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
11.A client begins an antidepressant drug during the second day of hospitalization. Which assessment is mos
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
12.Based on the documentation in the medical record, which action should the LPN/LVN implement next?
A. Give the rubella vaccine subcutaneously
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 subcutaneously
13.A client is admitted to the hospital with a diagnosis of Pneumonia. Which intervention should the LPN/LV
implement to prevent complications associated with Pneumonia?
A. Encourage mobilization and ambulation
B. Encourage energy conservation with complete bed rest
C. Provide humidified oxygen per nasal cannula
, PN HESI EXIT EXAM, NEWEST 2024 ACTUAL EXAM, 140 QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
D. Restrict PO and intravenous fluids: Encourage mobilization and ambulation
14.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
15.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 continuous narcotic epidural for a postoperative client: C. Observe a client rotate the subcutaneous site
for an insulin pump
16.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
17.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 Intravenous Intramuscular
Sublingual Oral: Intravenous, sublingual, intramuscular, subcutaneous,
18.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
AND CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
1. The LPN/LVN is planning care for the client who has fourth degree midline laceration that occurred during vagina
delivery of an 8 pound 10 ounce infant. What intervention has the highest priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays: A. Administer Pre- scribed stool softener
2. 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
3. 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
4. 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
,PN HESI EXIT EXAM, NEWEST 2024 ACTUAL EXAM, 140 QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
5. A hospitalized toddler who is recovering from a sickle cell crisis holds a toy and say's "mine". According to Erikson's
theory of psychosocial development, 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
6. 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
7. The LPN/LVN is caring for a 75- year-old male client who is beginning to form a decubitus ulcer at the coccyx. Whic
intervention will be most helpful in preventing further development of the decubitus?
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
8. 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
9. 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
,PN HESI EXIT EXAM, NEWEST 2024 ACTUAL EXAM, 140 QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
C. At the level of comfort for the client
D. Below the level of the heart: B. At the level of the heart
10.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
11.A client begins an antidepressant drug during the second day of hospitalization. Which assessment is mos
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
12.Based on the documentation in the medical record, which action should the LPN/LVN implement next?
A. Give the rubella vaccine subcutaneously
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 subcutaneously
13.A client is admitted to the hospital with a diagnosis of Pneumonia. Which intervention should the LPN/LV
implement to prevent complications associated with Pneumonia?
A. Encourage mobilization and ambulation
B. Encourage energy conservation with complete bed rest
C. Provide humidified oxygen per nasal cannula
, PN HESI EXIT EXAM, NEWEST 2024 ACTUAL EXAM, 140 QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
D. Restrict PO and intravenous fluids: Encourage mobilization and ambulation
14.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
15.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 continuous narcotic epidural for a postoperative client: C. Observe a client rotate the subcutaneous site
for an insulin pump
16.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
17.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 Intravenous Intramuscular
Sublingual Oral: Intravenous, sublingual, intramuscular, subcutaneous,
18.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
