HESI EXIT PN EXAM 2024-2025 ACTUAL EXAM
150 REAL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
Which nonfood item is the most common cause of respiratory arrest in young children?
• Broken rattles
• Buttons
• Pacifiers
• Latex balloons
D. Latex balloons
A new mother is at the clinic with her 4-week old for a well baby check up. The LPN/LVN should tell the
mother to anticipate that the infant will demonstrate which millstone by 2-months of age.
• Turns from side to back and returns
• Consistently returns smiles to mother
• Finds hands and plays with fingers
• Holds head up and supports weight with arms
B. Consistently returns smiles to mother
The LPN/LVN is monitoring a client's intravenous infusion and observes that the venipuncture site is
coolto the touch, swollen and the infusion rate is slower than the prescribed rate. What is the most
likely cause of this finding? A. The solution's rate is too rapid
• The client has phlebitis
• The infusion site is infected
• The infusion site is infiltrated
D. The infusion site is infiltrated
The LPN/LVN observes that a male client's urinary catheter (Foley) drainage tubing is secured with
tapeto his abdomen and then attached to the bed frame. What action should the nurse implement?
• Raise the bed to ensure the drainage bag remains off the floor
• Attach the drainage bag to the side rail instead of the bed frame
• Observe the appearance of the urine in the drainage tubing
• Secure the tubing to the client's gown instead of his abdomen
C. Observe the appearance of the urine in the drainage tubing
,In assisting a client to obtain a sputum specimen, the LPN/LVN observes the client cough and spit a
largeamount of frothy saliva in the specimen collection cup. What action should the nurse implement
next?
• Advise the client that suctioning will be used to obtain another specimen
• Re-instruct the client in coughing techniques to obtain another specimen
• Provide the client a glass of water and mouthwash to rinse the mouth
• Label the container and place the container in a bio-hazard transport bag
B. Re-instruct the client in coughing techniques to obtain another specimen
After report, the LPN/LVN receives the laboratory values for 4 clients. Which client requires the nurse's
immediate intervention? The client who is.....
• short of breath after a shower and has a hemoglobin of 8 grams
• Bleeding from a finger stick and has a prothrombin time of 30 seconds
• Febrile and has a WBC count of 14,000/mm3
• Trembling and has a glucose level of 50 mg/dL
D. Trembling and has a glucose level of 50 mg/Dl
4 hours after administration of 20U of regular insulin, the client becomes shaky and diaphoretic. What
action should the nurse take?
• Encourage the client to exercise
• Administer a PRN dose of 10U of regular insulin
• Give the client crackers and milk
• Record the client's reaction on the diabetic flow sheet
C. Give the client crackers and milk
The LPN/LVN is changing the colostomy bag for a client who is complaining of leakage of diarrheal
stoolunder the disposable ostomy bag. What action should the nurse implement to prevent leakage?
• Place a 4X4 wick in the stoma opening
• Apply a layer of zinc oxide ointment to the perimeter of the stoma
• Cut the bag opening to the measurement of the stoma size
• Administer a PRN antidiarrheal agent
C. Cut the bag opening to the measurement of the stoma size
, Prior to administering morphine sulfate (Morphine), the LPN/LVN takes the client's vital signs. Based
onwhich finding should the nurse withhold administration of the medication until the charge nurse is
notified?
• Temperature of 100.8F
• A pulse rate of 150 beats per minute
• A respiratory rate of 10 breaths per minute
• A blood pressure of 180/110
C. A respiratory rate of 10 breaths per minute
Following an open reduction of the tibian, the LPN/LVN notes fresh bleeding on the client's cast. Which
intervention should the nurse implement?
• Assess the client's hemoglobin to determine if the client is in shock
• Call the surgeon and prepare to take the client back to the operating room C. Outline the area
withink and check it q15 minutes to see if the area has increased
D. No action is required since postoperative bleeding can be expected
C. Outline the area with ink and check it q15 minutes to see if the area has increased
The is with a client when the healthcare provider explains that the biopsy classifies the results as a
T1N0M0 tumor. Later in the morning, the client asks the nurse, "what do these letters T1N0M0, stand
for?" which response should the nurse provide first?
• "The letters are used to predict the prognosis of the cancer or tumor."
• "The letters stand for tumor size, node involvement and metastasis."
• "Let me refer you to the charge nurse."
• "Are you confused? Would you like to talk?"
B. "The letters stand for tumor size, node involvement and metastasis."
The LPN/LVN plans to administer the rubella vaccine to a postpartum client whose titer is < 1:8 and
whois breastfeeding? what information should the nurse provide this client?
• The client should bottle feed and pump her breast for 3 days following immunization
• The vaccine is given to produce maternal antibodies before lactation occurs
• The infant will receive immunization through the mother's breast milk
• The client should not get pregnant for 3 months after immunization
B. The vaccine is given to produce maternal antibodies before lactation occurs
In counting a client's radial pulse, the LPN/LVN notes the pulse is weak and irregular. To record the
mostaccurate heart rate, what should the nurse take? A. Recheck the radial pulse in thirty minutes
• Palpate the radial pulse for thirty seconds and double the rate
150 REAL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
Which nonfood item is the most common cause of respiratory arrest in young children?
• Broken rattles
• Buttons
• Pacifiers
• Latex balloons
D. Latex balloons
A new mother is at the clinic with her 4-week old for a well baby check up. The LPN/LVN should tell the
mother to anticipate that the infant will demonstrate which millstone by 2-months of age.
• Turns from side to back and returns
• Consistently returns smiles to mother
• Finds hands and plays with fingers
• Holds head up and supports weight with arms
B. Consistently returns smiles to mother
The LPN/LVN is monitoring a client's intravenous infusion and observes that the venipuncture site is
coolto the touch, swollen and the infusion rate is slower than the prescribed rate. What is the most
likely cause of this finding? A. The solution's rate is too rapid
• The client has phlebitis
• The infusion site is infected
• The infusion site is infiltrated
D. The infusion site is infiltrated
The LPN/LVN observes that a male client's urinary catheter (Foley) drainage tubing is secured with
tapeto his abdomen and then attached to the bed frame. What action should the nurse implement?
• Raise the bed to ensure the drainage bag remains off the floor
• Attach the drainage bag to the side rail instead of the bed frame
• Observe the appearance of the urine in the drainage tubing
• Secure the tubing to the client's gown instead of his abdomen
C. Observe the appearance of the urine in the drainage tubing
,In assisting a client to obtain a sputum specimen, the LPN/LVN observes the client cough and spit a
largeamount of frothy saliva in the specimen collection cup. What action should the nurse implement
next?
• Advise the client that suctioning will be used to obtain another specimen
• Re-instruct the client in coughing techniques to obtain another specimen
• Provide the client a glass of water and mouthwash to rinse the mouth
• Label the container and place the container in a bio-hazard transport bag
B. Re-instruct the client in coughing techniques to obtain another specimen
After report, the LPN/LVN receives the laboratory values for 4 clients. Which client requires the nurse's
immediate intervention? The client who is.....
• short of breath after a shower and has a hemoglobin of 8 grams
• Bleeding from a finger stick and has a prothrombin time of 30 seconds
• Febrile and has a WBC count of 14,000/mm3
• Trembling and has a glucose level of 50 mg/dL
D. Trembling and has a glucose level of 50 mg/Dl
4 hours after administration of 20U of regular insulin, the client becomes shaky and diaphoretic. What
action should the nurse take?
• Encourage the client to exercise
• Administer a PRN dose of 10U of regular insulin
• Give the client crackers and milk
• Record the client's reaction on the diabetic flow sheet
C. Give the client crackers and milk
The LPN/LVN is changing the colostomy bag for a client who is complaining of leakage of diarrheal
stoolunder the disposable ostomy bag. What action should the nurse implement to prevent leakage?
• Place a 4X4 wick in the stoma opening
• Apply a layer of zinc oxide ointment to the perimeter of the stoma
• Cut the bag opening to the measurement of the stoma size
• Administer a PRN antidiarrheal agent
C. Cut the bag opening to the measurement of the stoma size
, Prior to administering morphine sulfate (Morphine), the LPN/LVN takes the client's vital signs. Based
onwhich finding should the nurse withhold administration of the medication until the charge nurse is
notified?
• Temperature of 100.8F
• A pulse rate of 150 beats per minute
• A respiratory rate of 10 breaths per minute
• A blood pressure of 180/110
C. A respiratory rate of 10 breaths per minute
Following an open reduction of the tibian, the LPN/LVN notes fresh bleeding on the client's cast. Which
intervention should the nurse implement?
• Assess the client's hemoglobin to determine if the client is in shock
• Call the surgeon and prepare to take the client back to the operating room C. Outline the area
withink and check it q15 minutes to see if the area has increased
D. No action is required since postoperative bleeding can be expected
C. Outline the area with ink and check it q15 minutes to see if the area has increased
The is with a client when the healthcare provider explains that the biopsy classifies the results as a
T1N0M0 tumor. Later in the morning, the client asks the nurse, "what do these letters T1N0M0, stand
for?" which response should the nurse provide first?
• "The letters are used to predict the prognosis of the cancer or tumor."
• "The letters stand for tumor size, node involvement and metastasis."
• "Let me refer you to the charge nurse."
• "Are you confused? Would you like to talk?"
B. "The letters stand for tumor size, node involvement and metastasis."
The LPN/LVN plans to administer the rubella vaccine to a postpartum client whose titer is < 1:8 and
whois breastfeeding? what information should the nurse provide this client?
• The client should bottle feed and pump her breast for 3 days following immunization
• The vaccine is given to produce maternal antibodies before lactation occurs
• The infant will receive immunization through the mother's breast milk
• The client should not get pregnant for 3 months after immunization
B. The vaccine is given to produce maternal antibodies before lactation occurs
In counting a client's radial pulse, the LPN/LVN notes the pulse is weak and irregular. To record the
mostaccurate heart rate, what should the nurse take? A. Recheck the radial pulse in thirty minutes
• Palpate the radial pulse for thirty seconds and double the rate
