PN HESI Exit Exam Version 1 (2025) – Updated Test Bank
with Verified Questions & Complete Correct Solutions
1) The LPN/LVN is planning care for the a client who has
fourth degree midline laceration that occurred during
vaginal 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.
Correct Answer: A. Administer Prescribed 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
Correct Answer: 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
Correct Answer: 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 nightB. 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.
Correct Answer: A. Ask for a description of what happened during the
night
5) 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
Correct Answer: 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
Correct Answer: 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. 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
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
Correct Answer: 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
Correct Answer: Give the rubella vaccine subcutaneously
13) 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
Correct Answer: Enourage 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
numeric value only) oral.
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
assess 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
C. Express sorrow for the client's grief and offer to sit with her
D. Chart the vital signs and amount of vaginal bleeding
Correct Answer: Express sorrow for the client's grief and offer to sit with
her
19) A terminally ill male client and his family are requesting hospice care
after discharge from the hospital and ask the LPN/LVN to explain what kind
of care they should expect. The nurse should indicate that hospice philosophy
focuses on what aspect of health care?
A. Enhance symptom management to improve end of life quality
B. facilitates assisted suicide with the client's consent
C. Offers ways to postpone the death experience at home
D. Provide training for family members to care for the client.
Correct Answer: A. Enhance symptom management to improve end of life
quality
20) The LPN/LVN observes a wife shaving her husband's beard with a safety
razor by holding the skin taut and shaving in the direction of the hair growth .
What action should the nurse take?
A. Advise the wife to shave against the hair growth
B. Teach the wife to keep the skin loose to avoid cuts
C. Encourage the wife to continue shaving her husband
D. Demonstrate the correct procedure to the wife
Correct Answer: C. Encourage the wife to continue shaving her husband
with Verified Questions & Complete Correct Solutions
1) The LPN/LVN is planning care for the a client who has
fourth degree midline laceration that occurred during
vaginal 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.
Correct Answer: A. Administer Prescribed 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
Correct Answer: 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
Correct Answer: 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 nightB. 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.
Correct Answer: A. Ask for a description of what happened during the
night
5) 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
Correct Answer: 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
Correct Answer: 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. 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
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
Correct Answer: 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
Correct Answer: Give the rubella vaccine subcutaneously
13) 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
Correct Answer: Enourage 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
numeric value only) oral.
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
assess 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
C. Express sorrow for the client's grief and offer to sit with her
D. Chart the vital signs and amount of vaginal bleeding
Correct Answer: Express sorrow for the client's grief and offer to sit with
her
19) A terminally ill male client and his family are requesting hospice care
after discharge from the hospital and ask the LPN/LVN to explain what kind
of care they should expect. The nurse should indicate that hospice philosophy
focuses on what aspect of health care?
A. Enhance symptom management to improve end of life quality
B. facilitates assisted suicide with the client's consent
C. Offers ways to postpone the death experience at home
D. Provide training for family members to care for the client.
Correct Answer: A. Enhance symptom management to improve end of life
quality
20) The LPN/LVN observes a wife shaving her husband's beard with a safety
razor by holding the skin taut and shaving in the direction of the hair growth .
What action should the nurse take?
A. Advise the wife to shave against the hair growth
B. Teach the wife to keep the skin loose to avoid cuts
C. Encourage the wife to continue shaving her husband
D. Demonstrate the correct procedure to the wife
Correct Answer: C. Encourage the wife to continue shaving her husband
