1
NGN HESI PN EXIT EXAM
2025: 75 QUESTIONS WITH
RATIONALE GRADED A+ -
GUARANTEED PASS
Client Care Questions
Question 1
A patient with a new colostomy is being assessed by the LPN. What is the priority action?
A) Teach dietary restrictions
B) Administer pain medication
C) Assess the stoma
D) Schedule a follow-up appointment
Rationale: Assessing the stoma is the priority to ensure it is pink, moist, and functioning,
indicating proper healing and no complications. Teaching, pain management, and scheduling are
secondary.
Question 2
The LPN is assisting a patient with ambulation post-surgery. Which action ensures safety?
A) Allow independent ambulation
B) Use a gait belt
C) Encourage rapid walking
D) Keep the bed in the highest position
Rationale: A gait belt provides support and prevents falls during ambulation. Independent
ambulation, rapid walking, or a high bed position increases fall risk.
Question 3
A patient with diabetes reports shakiness and sweating. What is the LPN’s first action?
, 2
A) Administer insulin
B) Check blood glucose level
C) Provide a high-protein snack
D) Notify the healthcare provider
Rationale: Checking blood glucose confirms hypoglycemia, guiding appropriate intervention.
Administering insulin or snacks without confirmation is unsafe.
Question 4
The LPN is caring for a patient with a urinary catheter. Which finding indicates a potential
infection?
A) Clear, yellow urine
B) Cloudy urine with sediment
C) Catheter secured to the thigh
D) Drainage bag below bladder level
Rationale: Cloudy urine with sediment suggests a urinary tract infection, requiring further
evaluation. Other findings are normal for catheter care.
Question 5
A patient with heart failure reports dyspnea at rest. Which position should the LPN place the
patient in?
A) Supine
B) Fowler’s position
C) Prone
D) Trendelenburg
Rationale: Fowler’s position promotes lung expansion, easing breathing in heart failure. Other
positions may worsen dyspnea.
Question 6
The LPN is providing care for a patient with a tracheostomy. What is the priority action?
A) Change the tracheostomy tube daily
B) Suction as needed
C) Apply a dry dressing
D) Restrict neck movement
Rationale: Suctioning maintains airway patency, the priority for tracheostomy care. Daily tube
changes, dry dressings, or neck restriction are inappropriate.
, 3
Question 7
A patient with a pressure injury is at risk for infection. Which intervention should the LPN
prioritize?
A) Apply a dry gauze dressing
B) Keep the wound clean and moist
C) Use adhesive tape on the wound
D) Limit repositioning
Rationale: A clean, moist environment promotes healing and reduces infection risk. Dry
dressings, adhesive tape, or infrequent repositioning increase complications.
Question 8
The LPN is assisting a patient with a new ostomy. Which statement indicates a need for further
teaching?
A) “I will change the pouch every 5–7 days.”
B) “I will limit water intake to reduce output.”
C) “I will check the skin around the stoma.”
D) “I will start with a low-fiber diet.”
Rationale: Limiting water intake can cause dehydration and is incorrect. Other statements reflect
proper ostomy care.
Question 9
A patient with a history of stroke is at risk for aspiration. Which action should the LPN take
during feeding?
A) Offer thin liquids
B) Position upright for meals
C) Encourage large bites
D) Feed in a supine position
Rationale: Upright positioning reduces aspiration risk in patients with dysphagia. Thin liquids,
large bites, or supine positioning increase risk.
Question 10
The LPN is providing a bed bath. Which action promotes patient dignity?
A) Expose the entire body
B) Cover areas not being washed
NGN HESI PN EXIT EXAM
2025: 75 QUESTIONS WITH
RATIONALE GRADED A+ -
GUARANTEED PASS
Client Care Questions
Question 1
A patient with a new colostomy is being assessed by the LPN. What is the priority action?
A) Teach dietary restrictions
B) Administer pain medication
C) Assess the stoma
D) Schedule a follow-up appointment
Rationale: Assessing the stoma is the priority to ensure it is pink, moist, and functioning,
indicating proper healing and no complications. Teaching, pain management, and scheduling are
secondary.
Question 2
The LPN is assisting a patient with ambulation post-surgery. Which action ensures safety?
A) Allow independent ambulation
B) Use a gait belt
C) Encourage rapid walking
D) Keep the bed in the highest position
Rationale: A gait belt provides support and prevents falls during ambulation. Independent
ambulation, rapid walking, or a high bed position increases fall risk.
Question 3
A patient with diabetes reports shakiness and sweating. What is the LPN’s first action?
, 2
A) Administer insulin
B) Check blood glucose level
C) Provide a high-protein snack
D) Notify the healthcare provider
Rationale: Checking blood glucose confirms hypoglycemia, guiding appropriate intervention.
Administering insulin or snacks without confirmation is unsafe.
Question 4
The LPN is caring for a patient with a urinary catheter. Which finding indicates a potential
infection?
A) Clear, yellow urine
B) Cloudy urine with sediment
C) Catheter secured to the thigh
D) Drainage bag below bladder level
Rationale: Cloudy urine with sediment suggests a urinary tract infection, requiring further
evaluation. Other findings are normal for catheter care.
Question 5
A patient with heart failure reports dyspnea at rest. Which position should the LPN place the
patient in?
A) Supine
B) Fowler’s position
C) Prone
D) Trendelenburg
Rationale: Fowler’s position promotes lung expansion, easing breathing in heart failure. Other
positions may worsen dyspnea.
Question 6
The LPN is providing care for a patient with a tracheostomy. What is the priority action?
A) Change the tracheostomy tube daily
B) Suction as needed
C) Apply a dry dressing
D) Restrict neck movement
Rationale: Suctioning maintains airway patency, the priority for tracheostomy care. Daily tube
changes, dry dressings, or neck restriction are inappropriate.
, 3
Question 7
A patient with a pressure injury is at risk for infection. Which intervention should the LPN
prioritize?
A) Apply a dry gauze dressing
B) Keep the wound clean and moist
C) Use adhesive tape on the wound
D) Limit repositioning
Rationale: A clean, moist environment promotes healing and reduces infection risk. Dry
dressings, adhesive tape, or infrequent repositioning increase complications.
Question 8
The LPN is assisting a patient with a new ostomy. Which statement indicates a need for further
teaching?
A) “I will change the pouch every 5–7 days.”
B) “I will limit water intake to reduce output.”
C) “I will check the skin around the stoma.”
D) “I will start with a low-fiber diet.”
Rationale: Limiting water intake can cause dehydration and is incorrect. Other statements reflect
proper ostomy care.
Question 9
A patient with a history of stroke is at risk for aspiration. Which action should the LPN take
during feeding?
A) Offer thin liquids
B) Position upright for meals
C) Encourage large bites
D) Feed in a supine position
Rationale: Upright positioning reduces aspiration risk in patients with dysphagia. Thin liquids,
large bites, or supine positioning increase risk.
Question 10
The LPN is providing a bed bath. Which action promotes patient dignity?
A) Expose the entire body
B) Cover areas not being washed
