HESI LPN EXIT EXAM 2025 ACTUAL EXAM
HESI LPN EXIT EXAM 2025 ACTUAL EXAM/HESI PN EXIT
EXAM /PN HESI EXIT EXAM WITH VERIFIED
SOLUTIONS/AGRADE
As the nurse observes the student nurse during the administration of a narcotic
analgesic IM injection, the nurse notes that the student begins to give the medication
without first aspirating. What should the nurse do?
A) Ask the student: "What did you forget to do?"
B) Stop. Tell me why aspiration is needed.
C) Loudly state: "You forgot to aspirate."
D) Walk up and whisper in the student's ear "Stop. Aspirate. Then inject." - ANSWER-is D: Walk
up and whisper in the student's ear "Stop. Aspirate. Then
inject."
A client with Guillain Barre is in a non responsive state, yet vital signs are stable and
breathing is independent. What should the nurse document to most accurately describe
the client's condition?
A) Comatose, breathing unlabored
B) Glascow Coma Scale 8, respirations regular
C) Appears to be sleeping, vital signs stable
D) Glascow Coma Scale 13, no ventilator required - ANSWER-is B: Glascow Coma Scale 8,
respirations regular
A client enters the emergency department unconscious via ambulance from the
client's work place. What document should be given priority to guide the direction of care
for this client?
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, HESI LPN EXIT EXAM 2025 ACTUAL EXAM
A) The statement of client rights and the client self determination act
B) Orders written by the health care provider
C) A notarized original of advance directives brought in by the partner
D) The clinical pathway protocol of the agency and the emergency department - ANSWER-is C: A
notarized original of advance directives brought in by the
partner
The charge nurse has a health care team that consists of 1 PN, 1 unlicensed assistive
personnel (UAP) and 1 PN nursing student. Which assignment should be questioned by
the nurse manager?
A) An admission at the change of shifts with atrial fibrillation and heart failure - PN
B) Client who had a major stroke 6 days ago - PN nursing student
C) A child with burns who has packed cells and albumin IV running - charge nurse
D) An elderly client who had a myocardial infarction a week ago - UAP - ANSWER-is A: An
admission at the change of shifts with atrial fibrillation and
heart failure - PN
A mother brings her 3 month-old into the clinic, complaining that the child seems to
be spitting up all the time and has a lot of gas. The nurse expects to find which of the
following on the initial history and physical assessment?
A) Increased temperature and lethargy
B) Restlessness and increased mucus production
C) Increased sleeping and listlessness
D) Diarrhea and poor skin turgor - ANSWER-is B: Restlessness and increased mucus production
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, HESI LPN EXIT EXAM 2025 ACTUAL EXAM
As the nurse takes a history of a 3 year-old with neuroblastoma, what comments by
the parents require follow-up and are consistent with the diagnosis?
A) "The child has been listless and has lost weight."
B) "The urine is dark yellow and small in amounts."
C) "Clothes are becoming tighter across her abdomen."
D) "We notice muscle weakness and some unsteadiness." - ANSWER-is C: "Clothes are
becoming tighter across her abdomen."
A 16 year-old enters the emergency department. The triage nurse identifies that this
teenager is legally married and signs the consent form for treatment. What would be the
appropriate action by the nurse?
A) Ask the teenager to wait until a parent or legal guardian can be contacted
B) Withhold treatment until telephone consent can be obtained from the partner
C) Refer the teenager to a community pediatric hospital emergency department
D) Proceed with the triage process in the same manner as any adult client - ANSWER-is D:
Proceed with the triage process in the same manner as any adult
client
A newly admitted elderly client is severely dehydrated. When planning care for this
client, which task is appropriate to assign to an unlicensed assistive personnel (UAP)?
A) Converse with the client to determine if the mucous membranes are impaired
B) Report hourly outputs of less than 30 ml/hr
C) Monitor client's ability for movement in the bed
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, HESI LPN EXIT EXAM 2025 ACTUAL EXAM
D) Check skin turgor every 4 hours - ANSWER-is B: Report output of less than 30 ml/hr
The nurse has admitted a 4 year-old with the diagnosis of possible rheumatic fever.
Which statement by the parent would cause the nurse to suspect an association with this
disease?
A) Our child had chickenpox 6 months ago.
B) Strep throat went through all the children at the day care last month.
C) Both ears were infected over 3 months age.
D) Last week both feet had a fungal skin infection. - ANSWER-is B: Strep throat went through all
the children at the day care last
month.
The nurse knows that which statement by the mother indicates that the mother
understands safety precautions with her four month-old infant and her 4 year-old child?
A) "I strap the infant car seat on the front seat to face backwards."
B) "I place my infant in the middle of the living room floor on a blanket to play with my
4 year old while I make supper in the kitchen."
C) "My sleeping baby lies so cute in the crib with the little buttocks stuck up in the air
while the four year old naps on the sofa."
D) "I have the 4 year-old hold and help feed the four month-old a bottle in the kitchen
while I make supper." - ANSWER-is D: "I have the four year-old hold and help feed the four
month-old
a bottle in the kitchen
Upon completing the admission documents, the nurse learns that the 87 year-old client
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HESI LPN EXIT EXAM 2025 ACTUAL EXAM/HESI PN EXIT
EXAM /PN HESI EXIT EXAM WITH VERIFIED
SOLUTIONS/AGRADE
As the nurse observes the student nurse during the administration of a narcotic
analgesic IM injection, the nurse notes that the student begins to give the medication
without first aspirating. What should the nurse do?
A) Ask the student: "What did you forget to do?"
B) Stop. Tell me why aspiration is needed.
C) Loudly state: "You forgot to aspirate."
D) Walk up and whisper in the student's ear "Stop. Aspirate. Then inject." - ANSWER-is D: Walk
up and whisper in the student's ear "Stop. Aspirate. Then
inject."
A client with Guillain Barre is in a non responsive state, yet vital signs are stable and
breathing is independent. What should the nurse document to most accurately describe
the client's condition?
A) Comatose, breathing unlabored
B) Glascow Coma Scale 8, respirations regular
C) Appears to be sleeping, vital signs stable
D) Glascow Coma Scale 13, no ventilator required - ANSWER-is B: Glascow Coma Scale 8,
respirations regular
A client enters the emergency department unconscious via ambulance from the
client's work place. What document should be given priority to guide the direction of care
for this client?
1|Page
, HESI LPN EXIT EXAM 2025 ACTUAL EXAM
A) The statement of client rights and the client self determination act
B) Orders written by the health care provider
C) A notarized original of advance directives brought in by the partner
D) The clinical pathway protocol of the agency and the emergency department - ANSWER-is C: A
notarized original of advance directives brought in by the
partner
The charge nurse has a health care team that consists of 1 PN, 1 unlicensed assistive
personnel (UAP) and 1 PN nursing student. Which assignment should be questioned by
the nurse manager?
A) An admission at the change of shifts with atrial fibrillation and heart failure - PN
B) Client who had a major stroke 6 days ago - PN nursing student
C) A child with burns who has packed cells and albumin IV running - charge nurse
D) An elderly client who had a myocardial infarction a week ago - UAP - ANSWER-is A: An
admission at the change of shifts with atrial fibrillation and
heart failure - PN
A mother brings her 3 month-old into the clinic, complaining that the child seems to
be spitting up all the time and has a lot of gas. The nurse expects to find which of the
following on the initial history and physical assessment?
A) Increased temperature and lethargy
B) Restlessness and increased mucus production
C) Increased sleeping and listlessness
D) Diarrhea and poor skin turgor - ANSWER-is B: Restlessness and increased mucus production
2|Page
, HESI LPN EXIT EXAM 2025 ACTUAL EXAM
As the nurse takes a history of a 3 year-old with neuroblastoma, what comments by
the parents require follow-up and are consistent with the diagnosis?
A) "The child has been listless and has lost weight."
B) "The urine is dark yellow and small in amounts."
C) "Clothes are becoming tighter across her abdomen."
D) "We notice muscle weakness and some unsteadiness." - ANSWER-is C: "Clothes are
becoming tighter across her abdomen."
A 16 year-old enters the emergency department. The triage nurse identifies that this
teenager is legally married and signs the consent form for treatment. What would be the
appropriate action by the nurse?
A) Ask the teenager to wait until a parent or legal guardian can be contacted
B) Withhold treatment until telephone consent can be obtained from the partner
C) Refer the teenager to a community pediatric hospital emergency department
D) Proceed with the triage process in the same manner as any adult client - ANSWER-is D:
Proceed with the triage process in the same manner as any adult
client
A newly admitted elderly client is severely dehydrated. When planning care for this
client, which task is appropriate to assign to an unlicensed assistive personnel (UAP)?
A) Converse with the client to determine if the mucous membranes are impaired
B) Report hourly outputs of less than 30 ml/hr
C) Monitor client's ability for movement in the bed
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, HESI LPN EXIT EXAM 2025 ACTUAL EXAM
D) Check skin turgor every 4 hours - ANSWER-is B: Report output of less than 30 ml/hr
The nurse has admitted a 4 year-old with the diagnosis of possible rheumatic fever.
Which statement by the parent would cause the nurse to suspect an association with this
disease?
A) Our child had chickenpox 6 months ago.
B) Strep throat went through all the children at the day care last month.
C) Both ears were infected over 3 months age.
D) Last week both feet had a fungal skin infection. - ANSWER-is B: Strep throat went through all
the children at the day care last
month.
The nurse knows that which statement by the mother indicates that the mother
understands safety precautions with her four month-old infant and her 4 year-old child?
A) "I strap the infant car seat on the front seat to face backwards."
B) "I place my infant in the middle of the living room floor on a blanket to play with my
4 year old while I make supper in the kitchen."
C) "My sleeping baby lies so cute in the crib with the little buttocks stuck up in the air
while the four year old naps on the sofa."
D) "I have the 4 year-old hold and help feed the four month-old a bottle in the kitchen
while I make supper." - ANSWER-is D: "I have the four year-old hold and help feed the four
month-old
a bottle in the kitchen
Upon completing the admission documents, the nurse learns that the 87 year-old client
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