PN Hesi Exit Exam (2025) Actual Exam
Questions and Answers A+ Graded
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
A. .Administer .Prescribed .stool .softener
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
C. . Liver
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
B. .Amenorrhea
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 .night
B. .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.
A. .Ask .for .a .description .of .what .happened .during .the .night
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
A. .Autonomy .vs. .Shame .and .doubt
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
D. .Wash .any .paste .from .the .client's .hair .and .scalp
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
A. Encourage .the .client .to .eat .foods .high .in .protein
,What .is .the .homeostatic .cellular .transport .mechanism .that .moves .water .from .a .hypotonic .to .a
.hypertonic .fluid .space?
A. . Filtration
B. .Diffusion
C. . Osmosis
D. .Active .transport
C. . Osmosis
The .LPN/LVN .is .taking .blood .pressure .of .a .client .admitted .with .a .possible .myocardial .infarction.
.When .taking .the .client's .BP .at .the .brachial .artery, .the .nurse .should .place .the .client's .arm .in
.which .position?
A. .Slightly .above .the .level .of .the .heart
B. .At .the .level .of .the .heart
C. .At .the .level .of .comfort .for .the .client
D. .Below .the .level .of .the .heart
B. At .the .level .of .the .heart
What .are .the .final .parameters .that .produce .blood .pressure? .(select .all .that .apply)
A. Heart .rate
B. Stroke .volume
C. Peripheral .resistance
D. Neuroendocrine .hormones
E. Muscle .tone
A. Heart .rate
B. Stroke .volume
C. Peripheral .resistance
, A .client .begins .an .antidepressant .drug .during .the .second .day .of .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
B. .Mood
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
Give .the .rubella .vaccine .subcutaneously
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
Encourage .mobilization .and .ambulation
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)
15mg
Questions and Answers A+ Graded
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
A. .Administer .Prescribed .stool .softener
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
C. . Liver
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
B. .Amenorrhea
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 .night
B. .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.
A. .Ask .for .a .description .of .what .happened .during .the .night
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
A. .Autonomy .vs. .Shame .and .doubt
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
D. .Wash .any .paste .from .the .client's .hair .and .scalp
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
A. Encourage .the .client .to .eat .foods .high .in .protein
,What .is .the .homeostatic .cellular .transport .mechanism .that .moves .water .from .a .hypotonic .to .a
.hypertonic .fluid .space?
A. . Filtration
B. .Diffusion
C. . Osmosis
D. .Active .transport
C. . Osmosis
The .LPN/LVN .is .taking .blood .pressure .of .a .client .admitted .with .a .possible .myocardial .infarction.
.When .taking .the .client's .BP .at .the .brachial .artery, .the .nurse .should .place .the .client's .arm .in
.which .position?
A. .Slightly .above .the .level .of .the .heart
B. .At .the .level .of .the .heart
C. .At .the .level .of .comfort .for .the .client
D. .Below .the .level .of .the .heart
B. At .the .level .of .the .heart
What .are .the .final .parameters .that .produce .blood .pressure? .(select .all .that .apply)
A. Heart .rate
B. Stroke .volume
C. Peripheral .resistance
D. Neuroendocrine .hormones
E. Muscle .tone
A. Heart .rate
B. Stroke .volume
C. Peripheral .resistance
, A .client .begins .an .antidepressant .drug .during .the .second .day .of .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
B. .Mood
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
Give .the .rubella .vaccine .subcutaneously
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
Encourage .mobilization .and .ambulation
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)
15mg
