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HESI PN EXIT V3 EXAM 140 QUESTIONS AND ANSWERS A+
GRADE 2024/2025 VERIFIED
1) The LPN/LVN receives the client's next scheduled bag of TPN labeled with the additive
NPH insulin. Which action should the nurse implement?
A. Hang the solution at the current rate. B.Refrigerate the solution until needed.
C. Prepare the solution with new tubing.
D. Return the solution to the pharmacy.
Correct Answer: D Return the solution to the pharmacy.
2) A male client has just undergone a laryngectomy and has a cuffed tracheostomy tube in
place. When initiating bolus tube feedings postoperatively, when should the nurse inflate the
cuff?
A.Immediately after feeding B.Just prior to tube feeding C.Continuous inflation is required
D.Inflation is not required
Correct Answer: B Just prior to tube feeding
3) A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid
ventricular response. Based on this finding, the nurse anticipates assisting the physician with
which treatment?
A. Administer lidocaine,75 mg intravenous push. B.Perform synchronized cardioversion.
C.Defibrillate the client as soon as possible. D.Administer atropine, 0.4 mg intravenous push.
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Correct Answer: B Perform synchronized cardioversion.
4) A 63-year-old client with type 2 diabetes mellitus is admitted for treatment of an ulcer on
the heel of the left foot that has not healed with wound care. The nurse observes that the entire
left foot is darker in color than the right foot. Which
additional symptom should the nurse expect to find?
A. Pedal pulses will be weak or absent in the left foot.
B. The client will state that the left foot is usually warm.
C. Flexion and extension of the left foot will be limited. D.Capillary refill of the client's left
toes will be brisk.
Correct Answer: A Pedal pulses will be weak or absent in the left foot.
5) A client with cirrhosis develops increasing pedal edema and ascites. Which dietary
modification is most important for the nurse to teach this client?
A.Avoid high-carbohydrate foods.
B.Decrease intake of fat-soluble vitamins.
C.Decrease caloric intake.
D.Restrict salt and fluid intake.
Correct Answer: D Restrict salt and fluid intake.
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6) During report, the nurse learns that a client with tumor lysis syndrome is receiving an IV
infusion containing insulin. Which assessment should the nurse complete first?
A. Review the client's history for diabetes mellitus.
B. Observe the extremity distal to the IV site.
C. Monitor the client's serum potassium and blood glucose levels. D.Evaluate the client's
oxygen saturation and breath sounds.
Correct Answer: C Monitor the client's serum potassium and blood glucose levels.
7) A resident in a long-term care facility is diagnosed with hepatitis B. Which intervention
should the nurse implement with the staff caring for this client?
A. Determine if all employees have had the hepatitis B vaccine series. B.Explain that this
type of hepatitis can be transmitted when feeding the client. C.Assure the employees that they
cannot contract hepatitis B when providing direct care.
D.Tell the employees that wearing gloves and a gown are required when providing care.
Correct Answer: A Determine if all employees have had the hepatitis B vaccine series.
8) The LPN/LVN notes that the client's drainage has decreased from 50 to 5 mL/hr 12 hours
after chest tube insertion for hemothorax. What is the best initial action for the nurse to take?
A. Document this expected decrease in drainage.
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B. Clamp the chest tube while assessing for air leaks.
C. Milk the tube to remove any excessive blood clot buildup. D.Assess for kinks or
dependent loops in the tubing.
Correct Answer: D Assess for kinks or dependent loops in the tubing.
9) The nurse notes that a client who is scheduled for surgery the next morning has an
elevated blood urea nitrogen (BUN) level. Which condition is most likely to have contributed to
this finding?
A. Myocardial infarction 2 months ago
B. Anorexia and vomiting for the past 2 days
C. Recently diagnosed type 2 diabetes mellitus
D. Skeletal traction for a right hip fracture
Correct Answer: B Anorexia and vomiting for the past 2 days
10) The nurse is reviewing routine medications taken by a client with chronic angle closure
glaucoma. Which medication prescription should the nurse question?
A.Antianginal with a therapeutic effect of vasodilation B.Anticholinergic with a side effect of
pupillary dilation C.Antihistamine with a side effect of sedation D.Corticosteroid with a side
effect of hyperglycemia
Correct Answer:B Anticholinergic with a side effect of pupillary dilation
HESI PN EXIT V3 EXAM 140 QUESTIONS AND ANSWERS A+
GRADE 2024/2025 VERIFIED
1) The LPN/LVN receives the client's next scheduled bag of TPN labeled with the additive
NPH insulin. Which action should the nurse implement?
A. Hang the solution at the current rate. B.Refrigerate the solution until needed.
C. Prepare the solution with new tubing.
D. Return the solution to the pharmacy.
Correct Answer: D Return the solution to the pharmacy.
2) A male client has just undergone a laryngectomy and has a cuffed tracheostomy tube in
place. When initiating bolus tube feedings postoperatively, when should the nurse inflate the
cuff?
A.Immediately after feeding B.Just prior to tube feeding C.Continuous inflation is required
D.Inflation is not required
Correct Answer: B Just prior to tube feeding
3) A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid
ventricular response. Based on this finding, the nurse anticipates assisting the physician with
which treatment?
A. Administer lidocaine,75 mg intravenous push. B.Perform synchronized cardioversion.
C.Defibrillate the client as soon as possible. D.Administer atropine, 0.4 mg intravenous push.
,Created By: A Solution
Correct Answer: B Perform synchronized cardioversion.
4) A 63-year-old client with type 2 diabetes mellitus is admitted for treatment of an ulcer on
the heel of the left foot that has not healed with wound care. The nurse observes that the entire
left foot is darker in color than the right foot. Which
additional symptom should the nurse expect to find?
A. Pedal pulses will be weak or absent in the left foot.
B. The client will state that the left foot is usually warm.
C. Flexion and extension of the left foot will be limited. D.Capillary refill of the client's left
toes will be brisk.
Correct Answer: A Pedal pulses will be weak or absent in the left foot.
5) A client with cirrhosis develops increasing pedal edema and ascites. Which dietary
modification is most important for the nurse to teach this client?
A.Avoid high-carbohydrate foods.
B.Decrease intake of fat-soluble vitamins.
C.Decrease caloric intake.
D.Restrict salt and fluid intake.
Correct Answer: D Restrict salt and fluid intake.
,Created By: A Solution
6) During report, the nurse learns that a client with tumor lysis syndrome is receiving an IV
infusion containing insulin. Which assessment should the nurse complete first?
A. Review the client's history for diabetes mellitus.
B. Observe the extremity distal to the IV site.
C. Monitor the client's serum potassium and blood glucose levels. D.Evaluate the client's
oxygen saturation and breath sounds.
Correct Answer: C Monitor the client's serum potassium and blood glucose levels.
7) A resident in a long-term care facility is diagnosed with hepatitis B. Which intervention
should the nurse implement with the staff caring for this client?
A. Determine if all employees have had the hepatitis B vaccine series. B.Explain that this
type of hepatitis can be transmitted when feeding the client. C.Assure the employees that they
cannot contract hepatitis B when providing direct care.
D.Tell the employees that wearing gloves and a gown are required when providing care.
Correct Answer: A Determine if all employees have had the hepatitis B vaccine series.
8) The LPN/LVN notes that the client's drainage has decreased from 50 to 5 mL/hr 12 hours
after chest tube insertion for hemothorax. What is the best initial action for the nurse to take?
A. Document this expected decrease in drainage.
, Created By: A Solution
B. Clamp the chest tube while assessing for air leaks.
C. Milk the tube to remove any excessive blood clot buildup. D.Assess for kinks or
dependent loops in the tubing.
Correct Answer: D Assess for kinks or dependent loops in the tubing.
9) The nurse notes that a client who is scheduled for surgery the next morning has an
elevated blood urea nitrogen (BUN) level. Which condition is most likely to have contributed to
this finding?
A. Myocardial infarction 2 months ago
B. Anorexia and vomiting for the past 2 days
C. Recently diagnosed type 2 diabetes mellitus
D. Skeletal traction for a right hip fracture
Correct Answer: B Anorexia and vomiting for the past 2 days
10) The nurse is reviewing routine medications taken by a client with chronic angle closure
glaucoma. Which medication prescription should the nurse question?
A.Antianginal with a therapeutic effect of vasodilation B.Anticholinergic with a side effect of
pupillary dilation C.Antihistamine with a side effect of sedation D.Corticosteroid with a side
effect of hyperglycemia
Correct Answer:B Anticholinergic with a side effect of pupillary dilation
