2025 HESI PN Exit Exam V1, V2, V3 | 300 Real LPN Test Bank Questions &
Answers with A+ Rationales | Guaranteed Pass
1.
A 76-year-old client with a history of congestive heart failure is prescribed
furosemide 40 mg PO twice daily. During morning rounds, the client complains
of generalized weakness and reports feeling lightheaded when standing. The nurse
assesses the client and notes muscle cramps and an irregular heart rhythm. Which
electrolyte imbalance should the nurse suspect based on these symptoms?
A. Hypercalcemia
B. Hypokalemia
C. Hypermagnesemia
D. Hyponatremia
Correct Answer: B
Rationale: Furosemide is a loop diuretic that causes increased urinary excretion of
potassium. The client's symptoms—muscle cramps, weakness, and cardiac
irregularity—are classic signs of hypokalemia. This condition requires immediate
evaluation and possible potassium replacement.
,2.
A nurse is reinforcing teaching to a client recently prescribed a metered-dose
inhaler (MDI) for asthma management. The client demonstrates the technique by
exhaling fully, placing the inhaler mouthpiece between the lips, pressing down on
the canister, inhaling deeply, and immediately exhaling. What part of this technique
requires correction?
A. Exhaling fully before use
B. Pressing the inhaler during inhalation
C. Inhaling deeply through the mouth
D. Exhaling immediately after inhaling
Correct Answer: D
Rationale: After inhaling the medication, the client should be instructed to hold
their breath for 10 seconds, allowing the medication to settle in the lungs.
Immediate exhalation decreases the amount of medication absorbed into the
airway, reducing the effectiveness of the treatment.
3.
A client has been diagnosed with a Clostridium difficile (C. diff) infection and is
,placed on isolation precautions. The nurse prepares to provide care. Which
infection control practice is most appropriate for this client?
A. Wear a surgical mask when entering the room
B. Use alcohol-based hand sanitizer before and after care
C. Don gown and gloves before entering the room
D. Keep the client's door closed at all times
Correct Answer: C
Rationale: C. diff requires contact precautions, including gown and gloves, due
to its highly contagious nature via fecal-oral route. Alcohol-based hand sanitizers
are ineffective against C. diff spores; soap and water must be used. A closed door is
not required unless airborne precautions apply.
4.
A 74-year-old client with early-stage Alzheimer’s disease becomes increasingly
disoriented in the evening and has been found attempting to leave the bed
unassisted. The client is identified as a fall risk. Which action is most appropriate
to ensure the client's safety?
A. Relocate the client to a room close to the nurse’s station
B. Restrain the client using wrist restraints
, C. Lower all four bed rails and provide full sedation
D. Allow the client to ambulate independently to prevent agitation
Correct Answer: A
Rationale: Placing the client near the nurse’s station enhances observation and
enables quicker staff response. Restraints and sedation increase risks in elderly
clients with dementia. Bed rails can also increase injury risk if the client attempts
to climb over them.
5.
A nurse is providing instructions to a client who is preparing for a fecal occult
blood test. Which client statement indicates understanding of the preparation
required?
A. “I will eat a steak the night before for strength.”
B. “I can continue taking my aspirin as usual.”
C. “I will avoid NSAIDs and red meat for 3 days before the test.”
D. “I can collect the stool directly from the toilet bowl.”
Correct Answer: C
Rationale: Certain foods and medications like NSAIDs and red meat can cause
false-positive results in fecal occult blood testing. Clients should avoid these for at
Answers with A+ Rationales | Guaranteed Pass
1.
A 76-year-old client with a history of congestive heart failure is prescribed
furosemide 40 mg PO twice daily. During morning rounds, the client complains
of generalized weakness and reports feeling lightheaded when standing. The nurse
assesses the client and notes muscle cramps and an irregular heart rhythm. Which
electrolyte imbalance should the nurse suspect based on these symptoms?
A. Hypercalcemia
B. Hypokalemia
C. Hypermagnesemia
D. Hyponatremia
Correct Answer: B
Rationale: Furosemide is a loop diuretic that causes increased urinary excretion of
potassium. The client's symptoms—muscle cramps, weakness, and cardiac
irregularity—are classic signs of hypokalemia. This condition requires immediate
evaluation and possible potassium replacement.
,2.
A nurse is reinforcing teaching to a client recently prescribed a metered-dose
inhaler (MDI) for asthma management. The client demonstrates the technique by
exhaling fully, placing the inhaler mouthpiece between the lips, pressing down on
the canister, inhaling deeply, and immediately exhaling. What part of this technique
requires correction?
A. Exhaling fully before use
B. Pressing the inhaler during inhalation
C. Inhaling deeply through the mouth
D. Exhaling immediately after inhaling
Correct Answer: D
Rationale: After inhaling the medication, the client should be instructed to hold
their breath for 10 seconds, allowing the medication to settle in the lungs.
Immediate exhalation decreases the amount of medication absorbed into the
airway, reducing the effectiveness of the treatment.
3.
A client has been diagnosed with a Clostridium difficile (C. diff) infection and is
,placed on isolation precautions. The nurse prepares to provide care. Which
infection control practice is most appropriate for this client?
A. Wear a surgical mask when entering the room
B. Use alcohol-based hand sanitizer before and after care
C. Don gown and gloves before entering the room
D. Keep the client's door closed at all times
Correct Answer: C
Rationale: C. diff requires contact precautions, including gown and gloves, due
to its highly contagious nature via fecal-oral route. Alcohol-based hand sanitizers
are ineffective against C. diff spores; soap and water must be used. A closed door is
not required unless airborne precautions apply.
4.
A 74-year-old client with early-stage Alzheimer’s disease becomes increasingly
disoriented in the evening and has been found attempting to leave the bed
unassisted. The client is identified as a fall risk. Which action is most appropriate
to ensure the client's safety?
A. Relocate the client to a room close to the nurse’s station
B. Restrain the client using wrist restraints
, C. Lower all four bed rails and provide full sedation
D. Allow the client to ambulate independently to prevent agitation
Correct Answer: A
Rationale: Placing the client near the nurse’s station enhances observation and
enables quicker staff response. Restraints and sedation increase risks in elderly
clients with dementia. Bed rails can also increase injury risk if the client attempts
to climb over them.
5.
A nurse is providing instructions to a client who is preparing for a fecal occult
blood test. Which client statement indicates understanding of the preparation
required?
A. “I will eat a steak the night before for strength.”
B. “I can continue taking my aspirin as usual.”
C. “I will avoid NSAIDs and red meat for 3 days before the test.”
D. “I can collect the stool directly from the toilet bowl.”
Correct Answer: C
Rationale: Certain foods and medications like NSAIDs and red meat can cause
false-positive results in fecal occult blood testing. Clients should avoid these for at
