1|Page
OFFICIAL PN NGN HESI EXIT EXAM 2023-2025
LATEST VERSION WITH ACTUAL EXAM TIPS
• The LPN/LVN is preparing to ambulate a postoperative client
after cardiac surgery. The nurse plans to do which to enable the
client to besttolerate the ambulation?
1. Provide the client with a walker.
2. Remove the telemetry equipment.
3. Encourage the client to cough and deep breathe.
4. Premedicate the client with an analgesic before ambulating.
Correct Answer: 4. Premedicate the client with an analgesic before
ambulating.
• A client is wearing a continuous cardiac monitor, which begins
toalarm at the nurse's station. The nurse sees no
electrocardiographic complexes on the screen. The nurse should
do which first?
1. Call a code blue.
2. Call the health care provider.
3. Check the client status and lead placement.
4. Press the recorder button on the ECG console.
Correct Answer: 3. Check the client status and lead placement.
,2|Page
• The LPN/LVN in a medical unit is caring for a client with heart
failure. The client suddenly develops extreme dyspnea, tachycardia,
andlung crackles, and the nurse suspects pulmonary edema. The
nurse immediately notifies the registered nurse and expects which
interventions to be prescribed? Select all that apply.
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4. Administering morphine sulfate intravenously
5. Transporting the client to the coronary care unit
,3|Page
6. Placing the client in a low-Fowler's side-lying position
Correct Answer:
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
• The nurse is monitoring a client following cardioversion.
Whichobservations should be of highest priority to the nurse?
1. Blood pressure
2. Status of airway
3. Oxygen flow rate
4. Level of consciousness
Correct Answer: 2. Status of airway
• The nurse is assisting in caring for the client immediately after
insertion of a permanent demand pacemaker via the right
subclavianvein. The nurse prevents dislodgement of the pacing
catheter by implementing which intervention?
1. Limiting movement and abduction of the left arm
2. Limiting movement and abduction of the right arm
3. Assisting the client to get out of bed and ambulate with a walker
4. Having the physical therapist do active range of motion to the
rightarm
Correct Answer: 2. Limiting movement and abduction of the right arm
, 4|Page
• A client diagnosed with thrombophlebitis 1 day ago suddenly
complains of chest pain and shortness of breath, and the client is
visibly anxious. The LPN/LVN understands that a life-threatening
complicationof this condition is which?
1. Pneumonia
OFFICIAL PN NGN HESI EXIT EXAM 2023-2025
LATEST VERSION WITH ACTUAL EXAM TIPS
• The LPN/LVN is preparing to ambulate a postoperative client
after cardiac surgery. The nurse plans to do which to enable the
client to besttolerate the ambulation?
1. Provide the client with a walker.
2. Remove the telemetry equipment.
3. Encourage the client to cough and deep breathe.
4. Premedicate the client with an analgesic before ambulating.
Correct Answer: 4. Premedicate the client with an analgesic before
ambulating.
• A client is wearing a continuous cardiac monitor, which begins
toalarm at the nurse's station. The nurse sees no
electrocardiographic complexes on the screen. The nurse should
do which first?
1. Call a code blue.
2. Call the health care provider.
3. Check the client status and lead placement.
4. Press the recorder button on the ECG console.
Correct Answer: 3. Check the client status and lead placement.
,2|Page
• The LPN/LVN in a medical unit is caring for a client with heart
failure. The client suddenly develops extreme dyspnea, tachycardia,
andlung crackles, and the nurse suspects pulmonary edema. The
nurse immediately notifies the registered nurse and expects which
interventions to be prescribed? Select all that apply.
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4. Administering morphine sulfate intravenously
5. Transporting the client to the coronary care unit
,3|Page
6. Placing the client in a low-Fowler's side-lying position
Correct Answer:
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
• The nurse is monitoring a client following cardioversion.
Whichobservations should be of highest priority to the nurse?
1. Blood pressure
2. Status of airway
3. Oxygen flow rate
4. Level of consciousness
Correct Answer: 2. Status of airway
• The nurse is assisting in caring for the client immediately after
insertion of a permanent demand pacemaker via the right
subclavianvein. The nurse prevents dislodgement of the pacing
catheter by implementing which intervention?
1. Limiting movement and abduction of the left arm
2. Limiting movement and abduction of the right arm
3. Assisting the client to get out of bed and ambulate with a walker
4. Having the physical therapist do active range of motion to the
rightarm
Correct Answer: 2. Limiting movement and abduction of the right arm
, 4|Page
• A client diagnosed with thrombophlebitis 1 day ago suddenly
complains of chest pain and shortness of breath, and the client is
visibly anxious. The LPN/LVN understands that a life-threatening
complicationof this condition is which?
1. Pneumonia
