HESI PN EXIT LATEST EXAM 2024-2025
WITH NGN FORMAT QUESTION AND
VERIFIED ANSWERS. 3 VERSIONS AND
A STUDY GUIDE
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 ANS: C. Liver
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 ANS: B. Amenorrhea
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. ANS: A. Ask for a description of what happened
during the night
,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 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 ANS: A. Autonomy vs. Shame and doubt
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 ANS: D. Wash any paste from the client's hair and
scalp
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?
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 ANS: A. Encourage the client to eat foods high in
protein
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 ANS: C. Osmosis
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 ANS: B. At the level of the heart
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 ANS: A. Heart rate
B. Stroke volume
C. Peripheral resistance
A client begins an antidepressant drug during the second day of hospitalization. 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 ANS: B. Mood
, 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 ANS: Give the rubella vaccine subcutaneously
A client is admitted to the hospital with a diagnosis of Pneumonia. Which intervention should the
LPN/LVN 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
D. Restrict PO and intravenous fluids ANS: Encourage mobilization and ambulation
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 numeric value only) ANS: 15mg
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 ANS: C. Observe a client rotate the
subcutaneous site for an insulin pump
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
WITH NGN FORMAT QUESTION AND
VERIFIED ANSWERS. 3 VERSIONS AND
A STUDY GUIDE
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 ANS: C. Liver
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 ANS: B. Amenorrhea
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. ANS: A. Ask for a description of what happened
during the night
,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 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 ANS: A. Autonomy vs. Shame and doubt
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 ANS: D. Wash any paste from the client's hair and
scalp
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?
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 ANS: A. Encourage the client to eat foods high in
protein
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 ANS: C. Osmosis
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 ANS: B. At the level of the heart
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 ANS: A. Heart rate
B. Stroke volume
C. Peripheral resistance
A client begins an antidepressant drug during the second day of hospitalization. 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 ANS: B. Mood
, 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 ANS: Give the rubella vaccine subcutaneously
A client is admitted to the hospital with a diagnosis of Pneumonia. Which intervention should the
LPN/LVN 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
D. Restrict PO and intravenous fluids ANS: Encourage mobilization and ambulation
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 numeric value only) ANS: 15mg
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 ANS: C. Observe a client rotate the
subcutaneous site for an insulin pump
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
