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HESI PN EXIT EXAM / PN HESI EXIT EXAM UPDATED QUESTIONS AND CORRECTANSWERS GRADED A+

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HESI PN EXIT EXAM / PN HESI EXIT EXAM UPDATED QUESTIONS AND CORRECTANSWERS GRADED A+ 1) The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery. The nurse plans to do which to enable the client to best tolerate the ambulation? 1.Provide the client with a walker. 2.Remove the telemetry equipment. 3. Encourage the client to cough and deep breathe. 4. Premedicate the client with an analgesic before ambulating. Correct Answer: 4. Premedicate the client with an analgesic beforeambulating. 2) A client is wearing a continuous cardiac monitor, which begins toalarm at the nurse's station. The nurse sees no electrocardiographic complexes on the screen. The nurse should do which first? 1. Call a code blue. 2.Call the health care provider. 3. Check the client status and lead placement. 4. Press the recorder button on the ECG console. Correct Answer: 3. Check the client status and lead placement. 3) The LPN/LVN in a medical unit is caring for a client with heart failure. The client suddenly develops extreme dyspnea, tachycardia, andlung 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. Administering oxygen 1. Inserting a Foley catheter 2. Administering furosemide (Lasix) 3.Administering morphine sulfate intravenously 4.Transporting the client to the coronary care unit 5.Placing the client in a low-Fowler's side-lying position Correct Answer: 1. Administering oxygen 2. Inserting a Foley catheter 3. Administering furosemide (Lasix) 4) The nurse is monitoring a client following cardioversion. Whichobservations should be of highest priority to the nurse? 1.Blood pressure 2.Status of airway 3. Oxygen flow rate 4. Level of consciousness Correct Answer: 2. Status of airway 5) The nurse is assisting in caring for the client immediately after insertion of a permanent demand pacemaker via the right subclavianvein. The nurse prevents dislodgement of the pacing catheter by implementing which intervention? 1. Limiting movement and abduction of the left arm 2. Limiting movement and abduction of the right arm 3. Assisting the client to get out of bed and ambulate with a walker 4. Having the physical therapist do active range of motion to the rightarm Correct Answer: 2. Limiting movement and abduction of the right arm 6) 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 complicationof this condition is which? 1.Pneumonia 2. Pulmonary edema 3. Pulmonary embolism 4. Myocardial infarction Correct Answer: 3. Pulmonary embolism

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HESI PN EXIT EXAM / PN HESI EXIT
EXAM 2025-2026 UPDATED QUESTIONS AND
CORRECTANSWERS GRADED A+
1) The .LPN/LVN .is .preparing .to .ambulate .a .postoperative .client .after
.cardiac .surgery. .The .nurse .plans .to .do .which .to .enable .the .client .to
.best .tolerate .the .ambulation?


1. Provide .the .client .with .a .walker.
2. Remove .the .telemetry .equipment.
3. Encourage .the .client .to .cough .and .deep .breathe.
4. Premedicate .the .client .with .an .analgesic .before .ambulating.

Correct .Answer: .4. .Premedicate .the .client .with .an .analgesic
.beforeambulating.




2) A .client .is .wearing .a .continuous .cardiac .monitor, .which
.begins .toalarm .at .the .nurse's .station. .The .nurse .sees .no
.electrocardiographic .complexes .on .the .screen. .The .nurse .should
.do .which .first?




1. Call .a .code .blue.
2. Call .the .health .care .provider.
3. Check .the .client .status .and .lead .placement.
4. Press .the .recorder .button .on .the .ECG .console.

Correct .Answer: .3. .Check .the .client .status .and .lead .placement.


3) The .LPN/LVN .in .a .medical .unit .is .caring .for .a .client .with .heart
.failure. .The .client .suddenly .develops .extreme .dyspnea,
.tachycardia, .andlung .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.
Administering .oxygen
1. Inserting .a .Foley .catheter
2. Administering .furosemide .(Lasix)
3. Administering .morphine .sulfate .intravenously

,4. Transporting .the .client .to .the .coronary .care .unit

,5. Placing .the .client .in .a .low-Fowler's .side-lying .position

Correct .Answer:
1. Administering .oxygen
2. Inserting .a .Foley .catheter
3. Administering .furosemide .(Lasix)


4) The .nurse .is .monitoring .a .client .following .cardioversion.
.Whichobservations .should .be .of .highest .priority .to .the
.nurse?




1. Blood .pressure
2. Status .of .airway
3. Oxygen .flow .rate
4. Level .of .consciousness

Correct .Answer: .2. .Status .of .airway


5) The .nurse .is .assisting .in .caring .for .the .client .immediately
.after .insertion .of .a .permanent .demand .pacemaker .via .the .right
.subclavianvein. .The .nurse .prevents .dislodgement .of .the .pacing
.catheter .by .implementing .which .intervention?




1. Limiting .movement .and .abduction .of .the .left .arm
2. Limiting .movement .and .abduction .of .the .right .arm
3. Assisting .the .client .to .get .out .of .bed .and .ambulate .with .a .walker
4. Having .the .physical .therapist .do .active .range .of .motion .to
.the .rightarm



Correct .Answer: .2. .Limiting .movement .and .abduction .of .the .right .arm


6) 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 .complicationof .this .condition .is .which?


1. Pneumonia

, 2. Pulmonary .edema
3. Pulmonary .embolism
4. Myocardial .infarction

Correct .Answer: .3. .Pulmonary .embolism


7) 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 .forwhich .next?




1. Smoking .history
2. Recent .exposure .to .allergens
3. History .of .recent .insect .bites
4. Familial .tendency .toward .peripheral .vascular

. diseaseCorrect .Answer: .1. .Smoking .history


8) The .nurse .has .reinforced .instructions .to .the .client .with
.Raynaud'sdisease .about .self-management .of .the .disease
.process. .The .nurse .determines .that .the .client .needs .further
.teaching .if .the .client .states .which?




1. "Smoking .cessation .is .very .important."
2. "Moving .to .a .warmer .climate .should .help."
3. "Sources .of .caffeine .should .be .eliminated .from .the .diet."
4. "Taking .nifedipine .(Procardia) .as .prescribed .will .decrease
.vesselspasm."



Correct .Answer: .2. ."Moving .to .a .warmer .climate .should .help."


9) 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?

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