RN HESI EXIT EXAM VERSION 3 TEST
PAPER 2026 COMPLETE 160 QUESTIONS
AND VERIFIED ANSWERS GRADED A+
◉ A client is wearing a continuous cardiac monitor, which begins to
alarm at the nurse's station. The nurse sees no electrocardiographic
complexes on the screen. The nurse should do which first? Answer:
Check the client status and lead placement.
◉ The LPN/LVN in a medical unit is caring for a client with heart failure.
The client suddenly develops extreme dyspnea, tachycardia, and lung
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. Answer: 1.
Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
◉ The nurse is monitoring a client following cardioversion. Which
observations should be of highest priority to the nurse? Answer: Status
of airway
◉ The nurse is assisting in caring for the client immediately after
insertion of a permanent demand pacemaker via the right subclavian
vein. The nurse prevents dislodgement of the pacing catheter by
implementing which intervention? Answer: Limiting movement and
abduction of the right arm
,◉ 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 complication
of this condition is which? Answer: Pulmonary embolism
◉ A 24-year-old man seeks medical attention for complaints of
claudication in the arch of the foot. The nurse also notes superficial
thrombophlebitis of the lower leg. The nurse should check the client for
which next? Answer: Smoking history
◉ The nurse has reinforced instructions to the client with Raynaud's
disease about self-management of the disease process. The nurse
determines that the client needs further teaching if the client states
which? Answer: "Moving to a warmer climate should help."
◉ A client with myocardial infarction suddenly becomes tachycardic,
shows signs of air hunger, and begins coughing frothy, pink-tinged
sputum. The nurse listens to breath sounds, expecting to hear which
breath sounds bilaterally? Answer: Crackles
◉ The LPN/LVN is collecting data on a client with a diagnosis of right-
sided heart failure. The nurse should expect to note which specific
characteristic of this condition? Answer: Dependent edema
, ◉ The LPN/LVN is checking the neurovascular status of a client who
returned to the surgical nursing unit 4 hours ago after undergoing an
aortoiliac bypass graft. The affected leg is warm, and the nurse notes
redness and edema. The pedal pulse is palpable and unchanged from
admission. The nurse interprets that the neurovascular status is which?
Answer: Normal, caused by increased blood flow through the leg
◉ A client with a diagnosis of rapid rate atrial fibrillation asks the nurse
why the health care provider is going to perform carotid massage. The
LPN/LVN responds that this procedure may stimulate which? Answer:
Vagus nerve to slow the heart rate
◉ A client is admitted to the hospital with possible rheumatic
endocarditis. The LPN/LVN should check for a history of which type of
infection? Answer: Staphylococcal infection
◉ client has an Unna boot applied for treatment of a venous stasis leg
ulcer. The LPN/LVN notes that the client's toes are mottled, and cool
and the client verbalizes some numbness and tingling of the foot.
Which interpretation should the nurse make of these findings? Answer:
The boot has been applied too tightly
◉ A client with angina complains that the anginal pain is prolonged and
severe and occurs at the same time each day, most often in the
morning. On further data collection, the nurse notes that the pain
occurs in the absence of precipitating factors. How should the LPN/LVN
best describe this type of anginal pain? Answer: Variant angina
PAPER 2026 COMPLETE 160 QUESTIONS
AND VERIFIED ANSWERS GRADED A+
◉ A client is wearing a continuous cardiac monitor, which begins to
alarm at the nurse's station. The nurse sees no electrocardiographic
complexes on the screen. The nurse should do which first? Answer:
Check the client status and lead placement.
◉ The LPN/LVN in a medical unit is caring for a client with heart failure.
The client suddenly develops extreme dyspnea, tachycardia, and lung
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. Answer: 1.
Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
◉ The nurse is monitoring a client following cardioversion. Which
observations should be of highest priority to the nurse? Answer: Status
of airway
◉ The nurse is assisting in caring for the client immediately after
insertion of a permanent demand pacemaker via the right subclavian
vein. The nurse prevents dislodgement of the pacing catheter by
implementing which intervention? Answer: Limiting movement and
abduction of the right arm
,◉ 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 complication
of this condition is which? Answer: Pulmonary embolism
◉ A 24-year-old man seeks medical attention for complaints of
claudication in the arch of the foot. The nurse also notes superficial
thrombophlebitis of the lower leg. The nurse should check the client for
which next? Answer: Smoking history
◉ The nurse has reinforced instructions to the client with Raynaud's
disease about self-management of the disease process. The nurse
determines that the client needs further teaching if the client states
which? Answer: "Moving to a warmer climate should help."
◉ A client with myocardial infarction suddenly becomes tachycardic,
shows signs of air hunger, and begins coughing frothy, pink-tinged
sputum. The nurse listens to breath sounds, expecting to hear which
breath sounds bilaterally? Answer: Crackles
◉ The LPN/LVN is collecting data on a client with a diagnosis of right-
sided heart failure. The nurse should expect to note which specific
characteristic of this condition? Answer: Dependent edema
, ◉ The LPN/LVN is checking the neurovascular status of a client who
returned to the surgical nursing unit 4 hours ago after undergoing an
aortoiliac bypass graft. The affected leg is warm, and the nurse notes
redness and edema. The pedal pulse is palpable and unchanged from
admission. The nurse interprets that the neurovascular status is which?
Answer: Normal, caused by increased blood flow through the leg
◉ A client with a diagnosis of rapid rate atrial fibrillation asks the nurse
why the health care provider is going to perform carotid massage. The
LPN/LVN responds that this procedure may stimulate which? Answer:
Vagus nerve to slow the heart rate
◉ A client is admitted to the hospital with possible rheumatic
endocarditis. The LPN/LVN should check for a history of which type of
infection? Answer: Staphylococcal infection
◉ client has an Unna boot applied for treatment of a venous stasis leg
ulcer. The LPN/LVN notes that the client's toes are mottled, and cool
and the client verbalizes some numbness and tingling of the foot.
Which interpretation should the nurse make of these findings? Answer:
The boot has been applied too tightly
◉ A client with angina complains that the anginal pain is prolonged and
severe and occurs at the same time each day, most often in the
morning. On further data collection, the nurse notes that the pain
occurs in the absence of precipitating factors. How should the LPN/LVN
best describe this type of anginal pain? Answer: Variant angina
