1 HESI LPN Latest Comprehensive Final Exit Exam 2025
A .newborn .with .apnea .is .being .discharged .from .the .hospital .with .home
. monitoring. .What .information .concerning .the .infant's .care .should .the
. practical .nurse .review .with .the .parents?
A. .Cardiopulmonary .resuscitation .(CPR).
B. .Administration .of .intravenous .antibiotics.
C. .Reassurance .that .the .infant .cannot .be .electrocuted .during .monitoring.
D. .Advise .that .the .infant .not .be .left .with .caretakers, .such .as .babysitters.
A. .Cardiopulmonary .resuscitation .(CPR).
Rationale: .Apnea .of .infancy .(AOI) .engenders .great .anxiety .in .parents,
. and .the .initiation .of .home .monitoring .presents .additional .emotional
. stress. .When .home .monitoring .is .required .the .parents .should .receive
. instructions .that .include .cardiopulmonary .resuscitation(A). .(B) .does .not
. indicate .Apnea
Which .protocol .regarding .standard .policies .about .prescriptions .should .the
. practical .nurse .(PN) .question?
A. .All .drug .prescriptions .should .have .the .date, .time, .and .prescriber's
. signature.
B. Verbal .orders .are .accepted .from .prescribers .and .should .include
, signatures.
2
C. .Prescribers .may .write .specific .times .at .which .the .medications .are .to .be
given.
D. .Preoperative .prescriptions .should .be .resumed .after .a .client .returns .from
. surgery
D. .Preoperative .prescriptions .should .be .resumed .after .a .client .returns .from
. surgery.
Rationale: .A .standard .policy .about .preoperative .medications .that
. preoperative .prescriptions .are .automatically .canceled .for .surgery .and
. should .be .rewritten, .if .indicated ., .in .the .postoperatively .so .the .(PN)
. should .question .(D). .(A,B,C) .are .correct .statements.
When .reviewing .the .safety .precautions .regarding .newborns, .what
. information .should .the .practical .nurse .communicate .to .the .parents?
A. .Position .the .infant .to .sleep .on .the .baby's .back.
B. .Use .a .crib .with .slats .no .more .than .4 .inches .apart.
C. .Propping .a .bottle .can .be .done .when .the .infant .gets .older.
D. .Place .the .infant .a .front-facing .car .seat .in .the .automobile.
,3 A. .Position .the .infant .to .sleep .on .the .baby's .back.
Rationale: .The .incident .of .sudden .infant .death .syndrome .(SIDS) .decline
. when .infants .are .positioned .on .their .backs .(A), .instead .of .prone .for
. sleeping. .Crib .slats
(B) .2.375 .inches .apart .to .prevent .the .baby .from .slipping. .(C) .Never .prop .a
. babies .bottle. .(D)Infant .who .weighs .less .than .30lbs .should .be .placed .in .a
. rear .facing .car .seat.
When .monitoring .a .newborn, .which .observation .should .the .practical .nurse
. report .to .the .healthcare .provider?
A. .Rectal .temperature .of .37.6° .C.
B. .Axillary .temperature .of .37.1° .C.
C. .Heart .rate .of .110 .beats .per .minute. .Correct
D. .Respiration .rate .of .40 .breaths .per .minute.
C. .Heart .rate .of .110 .beats .per .minute
Rationale: .The .normal .range .for .a .heart .beat .for .an .infant .is .120-160 .so .a
. heart .rate .of .110 .should .be .reported .to .the .healthcare .provider. .Newborn
. temperature .ranges .from .97.7,99.4,36.5,37.5 .and .normal .respiratory .rate .is
. 30-60
, 4
After .reviewing .discharge .instructions .with .a .male .client .who .has .hepatitis .C,
what .statement .by .the .client .indicates .to .the .practical .nurse .that .the .client
. understands .his .disease?
A. ."I .will .avoid .taking .any .products .with .acetaminophen, .such .as .Tylenol."
B. ."I .will .eliminate .alcohol .consumption .until .my .infection .subsides."
C. ."I .should .eat .a .diet .rich .in .dark .green .leafy .vegetables."
D. ."I .understand .that .my .other .medications .doses .need .to .be .increased."
A. ."I .will .avoid .taking .any .products .with .acetaminophen, .such .as .Tylenol."
Rationale: .Tylenol .is .metabolized .in .the .liver .and .should .be .avoided .with
. clients .with .liver .disease
Which .action .should .the .practical .nurse .perform .first .for .a .child .who .is
. injured .on .the .school .grounds .and .has .an .obvious .mis-alignment .of
. the .lower .forearm?
A. .Remove .the .child's .finger .rings.
B. .Assess .and .document .the .child's .level .of .pain.
C. .Evaluate .the .child's .range .of .motion.
D. .Place .arm .in .a .sling .at .level .of .the .child's .heart.
A .newborn .with .apnea .is .being .discharged .from .the .hospital .with .home
. monitoring. .What .information .concerning .the .infant's .care .should .the
. practical .nurse .review .with .the .parents?
A. .Cardiopulmonary .resuscitation .(CPR).
B. .Administration .of .intravenous .antibiotics.
C. .Reassurance .that .the .infant .cannot .be .electrocuted .during .monitoring.
D. .Advise .that .the .infant .not .be .left .with .caretakers, .such .as .babysitters.
A. .Cardiopulmonary .resuscitation .(CPR).
Rationale: .Apnea .of .infancy .(AOI) .engenders .great .anxiety .in .parents,
. and .the .initiation .of .home .monitoring .presents .additional .emotional
. stress. .When .home .monitoring .is .required .the .parents .should .receive
. instructions .that .include .cardiopulmonary .resuscitation(A). .(B) .does .not
. indicate .Apnea
Which .protocol .regarding .standard .policies .about .prescriptions .should .the
. practical .nurse .(PN) .question?
A. .All .drug .prescriptions .should .have .the .date, .time, .and .prescriber's
. signature.
B. Verbal .orders .are .accepted .from .prescribers .and .should .include
, signatures.
2
C. .Prescribers .may .write .specific .times .at .which .the .medications .are .to .be
given.
D. .Preoperative .prescriptions .should .be .resumed .after .a .client .returns .from
. surgery
D. .Preoperative .prescriptions .should .be .resumed .after .a .client .returns .from
. surgery.
Rationale: .A .standard .policy .about .preoperative .medications .that
. preoperative .prescriptions .are .automatically .canceled .for .surgery .and
. should .be .rewritten, .if .indicated ., .in .the .postoperatively .so .the .(PN)
. should .question .(D). .(A,B,C) .are .correct .statements.
When .reviewing .the .safety .precautions .regarding .newborns, .what
. information .should .the .practical .nurse .communicate .to .the .parents?
A. .Position .the .infant .to .sleep .on .the .baby's .back.
B. .Use .a .crib .with .slats .no .more .than .4 .inches .apart.
C. .Propping .a .bottle .can .be .done .when .the .infant .gets .older.
D. .Place .the .infant .a .front-facing .car .seat .in .the .automobile.
,3 A. .Position .the .infant .to .sleep .on .the .baby's .back.
Rationale: .The .incident .of .sudden .infant .death .syndrome .(SIDS) .decline
. when .infants .are .positioned .on .their .backs .(A), .instead .of .prone .for
. sleeping. .Crib .slats
(B) .2.375 .inches .apart .to .prevent .the .baby .from .slipping. .(C) .Never .prop .a
. babies .bottle. .(D)Infant .who .weighs .less .than .30lbs .should .be .placed .in .a
. rear .facing .car .seat.
When .monitoring .a .newborn, .which .observation .should .the .practical .nurse
. report .to .the .healthcare .provider?
A. .Rectal .temperature .of .37.6° .C.
B. .Axillary .temperature .of .37.1° .C.
C. .Heart .rate .of .110 .beats .per .minute. .Correct
D. .Respiration .rate .of .40 .breaths .per .minute.
C. .Heart .rate .of .110 .beats .per .minute
Rationale: .The .normal .range .for .a .heart .beat .for .an .infant .is .120-160 .so .a
. heart .rate .of .110 .should .be .reported .to .the .healthcare .provider. .Newborn
. temperature .ranges .from .97.7,99.4,36.5,37.5 .and .normal .respiratory .rate .is
. 30-60
, 4
After .reviewing .discharge .instructions .with .a .male .client .who .has .hepatitis .C,
what .statement .by .the .client .indicates .to .the .practical .nurse .that .the .client
. understands .his .disease?
A. ."I .will .avoid .taking .any .products .with .acetaminophen, .such .as .Tylenol."
B. ."I .will .eliminate .alcohol .consumption .until .my .infection .subsides."
C. ."I .should .eat .a .diet .rich .in .dark .green .leafy .vegetables."
D. ."I .understand .that .my .other .medications .doses .need .to .be .increased."
A. ."I .will .avoid .taking .any .products .with .acetaminophen, .such .as .Tylenol."
Rationale: .Tylenol .is .metabolized .in .the .liver .and .should .be .avoided .with
. clients .with .liver .disease
Which .action .should .the .practical .nurse .perform .first .for .a .child .who .is
. injured .on .the .school .grounds .and .has .an .obvious .mis-alignment .of
. the .lower .forearm?
A. .Remove .the .child's .finger .rings.
B. .Assess .and .document .the .child's .level .of .pain.
C. .Evaluate .the .child's .range .of .motion.
D. .Place .arm .in .a .sling .at .level .of .the .child's .heart.
