HESI LPN COMPREHENSIVE FINAL EXIT EXAM STUDY GUIDE.
HESI LPN COMPREHENSIVE.
HESI LPN COMPREHENSIVE FINAL EXIT EXAM
STUDY GUIDE. GRADED A+. WITH 100%
VERIFIED ANSWERS WITH RATIONALES.
LATEST 2025/2026 UPDATE.
A 14-year-old female arrives in the school nurse's office seeking information
about healthcare agencies in the community. The practical nurse (PN)
understands the client can make an autonomous healthcare decision if she has
which circumstance? - ANSWERS-A. Pregnancy.
Rationale: According to the supreme court a minor who is pregnant (A) can make
an autonomous healthcare decision
A child is admitted for severe abdominal pain and possible appendicitis.
Laboratory and x-ray studies are prescribed. During the diagnostic period, the
practical nurse should implement which nursing actions? (Check all that apply.) -
ANSWERS-A. Maintain child's comfort.
B. Relieve parent and child's anxiety.
C. Prepare for surgery.
A child who is currently undergoing chemotherapy (CT) for leukemia is brought to
the clinic for a possible broken ankle. What priority action should the practical
nurse implement? - ANSWERS-B. Place a mask on the child.
Rationale: The child who is receiving CT for leukemia is immunosuppressed and
should be protected from airborne pathogens and other sick children in the
clinic. Placing a mask on the child
,HESI LPN COMPREHENSIVE FINAL EXIT EXAM STUDY GUIDE.
A client arrives in the clinic complaining of radiating back pain. Which finding
related to a possible dissecting aneurysm should the practical nurse (PN) report
to the healthcare provider? - ANSWERS-A. Ripping chest pain and blood
pressures of 150/90 in right arm and 120/70 in left arm.
Rationale: A dissecting aneurysm is a tearing of the intima of a major artery, such
as the ascending aorta, and classically presents with the onset of sudden, severe,
ripping pain that moves. Depending on the location, as the intima of the artery
tears, a difference in the extremity perfusion (A), deceased urine output, or
petechiae on the feet occur. (ation
A client in a nursing home becomes violent and verbally threatens an unlicensed
assistive personnel (UAP). Which is the best way for the practical nurse (PN) in
charge during the shift to handle the staff's reaction to the incident? - ANSWERS-
B.Offer a group discussion session so staff can share their thoughts and feelings
Rationale: A critical incident stress debriefing evolves expression of personal
feelings, discussion, and working on unresolved emotional issues to minimize
post traumatic stress for the staff member. A CISD is the best action for the PN in
charge to take (B) in conjunction with the guidance and assistance of the nursing
supervisor in the facility
A client is being discharged after repair of a retinal detachment. The practical
nurse (PN) reviews the written discharge information with the client and family.
Which instruction should the PN emphasize to the client when arriving at home?
- ANSWERS-B. Take a PRN antiemetic with early signs of nausea.
Rationale: To minimize increased intraocular pressure, it is most important that
the client take an antiemetic as soon as nausea is experienced
A client receives a prescription for diltiazem (Cardizem) at 5 mg/hour. The drug is
dispensed as 125 mg in 100 ml D5W. How many ml/hour should the practical
nurse (PN) program the infusion pump? - ANSWERS-•4
125 mg divided by 100 ml = 1.25 mg/ml = concentration of the Cardizem solution
Using the formula, D/H x Q, 5 mg/1.25 mg x 1 ml = 4 ml/hour
, HESI LPN COMPREHENSIVE FINAL EXIT EXAM STUDY GUIDE.
A client who had a total knee arthroplasty (TKA) three days ago is being
transferred to the rehabilitation center. The healthcare provider prescribes
activity as tolerated. Which action should the practical nurse (PN) take?
A. Ask someone to follow the client with a wheelchair.
B. Obtain clarification of prescription about weight bearing.
C. Inquire about routine physical therapy progression.
D. Ask the client what he did yesterday for activity. - ANSWERS-B. Obtain
clarification of prescription about weight bearing.
Rationale: The healthcare provider should indicate the amount of weight bearing
the client should safely be able to tolerate after TKA, so the PN should clarify the
prescription (B). (A) is a safety measure to prevent falls while the client begins
mobilization. (C) may be helpful but does not provide individualized care for the
client.
(D) provides a comparison for the client's progression with activity as tolerated
A client who is 39-weeks gestation arrives at the clinic asks the practical nurse if
she is ready to have her baby soon. Which finding should the practical nurse (PN)
respond to first? - ANSWERS-B. Reports feeling wet and warm as if she is voiding
involuntarily.
Rationale: Rupture of the membranes that may leak at first and is often reported
as a sensation of perineal wetness (B),
A client who is pregnant arrives at an urgent care clinic and complains of feeling
very uncomfortable. The client states she feels a strong urge to have a bowel
movement. Which action is most important for the practical nurse (PN) to
implement? - ANSWERS-
A. Place the client in a room with a precipitous delivery tray.
Rationale: The client is manifesting signs of an imminent delivery, which includes
regular contractions that are very uncomfortable, a strong urge to defecate, and
pushing, so she should be immediately placed in the room with a precipitous
delivery tray (A) to ensure a safe, sterile environment for delivery.
A client who is receiving continuous oxygen is going home after discharge from
the hospital. The practical nurse (PN) discovers that oxygen has not been
delivered to the client's home. What priority action should the PN implement? -
ANSWERS-D. Delay the time of the client's discharge.
HESI LPN COMPREHENSIVE.
HESI LPN COMPREHENSIVE FINAL EXIT EXAM
STUDY GUIDE. GRADED A+. WITH 100%
VERIFIED ANSWERS WITH RATIONALES.
LATEST 2025/2026 UPDATE.
A 14-year-old female arrives in the school nurse's office seeking information
about healthcare agencies in the community. The practical nurse (PN)
understands the client can make an autonomous healthcare decision if she has
which circumstance? - ANSWERS-A. Pregnancy.
Rationale: According to the supreme court a minor who is pregnant (A) can make
an autonomous healthcare decision
A child is admitted for severe abdominal pain and possible appendicitis.
Laboratory and x-ray studies are prescribed. During the diagnostic period, the
practical nurse should implement which nursing actions? (Check all that apply.) -
ANSWERS-A. Maintain child's comfort.
B. Relieve parent and child's anxiety.
C. Prepare for surgery.
A child who is currently undergoing chemotherapy (CT) for leukemia is brought to
the clinic for a possible broken ankle. What priority action should the practical
nurse implement? - ANSWERS-B. Place a mask on the child.
Rationale: The child who is receiving CT for leukemia is immunosuppressed and
should be protected from airborne pathogens and other sick children in the
clinic. Placing a mask on the child
,HESI LPN COMPREHENSIVE FINAL EXIT EXAM STUDY GUIDE.
A client arrives in the clinic complaining of radiating back pain. Which finding
related to a possible dissecting aneurysm should the practical nurse (PN) report
to the healthcare provider? - ANSWERS-A. Ripping chest pain and blood
pressures of 150/90 in right arm and 120/70 in left arm.
Rationale: A dissecting aneurysm is a tearing of the intima of a major artery, such
as the ascending aorta, and classically presents with the onset of sudden, severe,
ripping pain that moves. Depending on the location, as the intima of the artery
tears, a difference in the extremity perfusion (A), deceased urine output, or
petechiae on the feet occur. (ation
A client in a nursing home becomes violent and verbally threatens an unlicensed
assistive personnel (UAP). Which is the best way for the practical nurse (PN) in
charge during the shift to handle the staff's reaction to the incident? - ANSWERS-
B.Offer a group discussion session so staff can share their thoughts and feelings
Rationale: A critical incident stress debriefing evolves expression of personal
feelings, discussion, and working on unresolved emotional issues to minimize
post traumatic stress for the staff member. A CISD is the best action for the PN in
charge to take (B) in conjunction with the guidance and assistance of the nursing
supervisor in the facility
A client is being discharged after repair of a retinal detachment. The practical
nurse (PN) reviews the written discharge information with the client and family.
Which instruction should the PN emphasize to the client when arriving at home?
- ANSWERS-B. Take a PRN antiemetic with early signs of nausea.
Rationale: To minimize increased intraocular pressure, it is most important that
the client take an antiemetic as soon as nausea is experienced
A client receives a prescription for diltiazem (Cardizem) at 5 mg/hour. The drug is
dispensed as 125 mg in 100 ml D5W. How many ml/hour should the practical
nurse (PN) program the infusion pump? - ANSWERS-•4
125 mg divided by 100 ml = 1.25 mg/ml = concentration of the Cardizem solution
Using the formula, D/H x Q, 5 mg/1.25 mg x 1 ml = 4 ml/hour
, HESI LPN COMPREHENSIVE FINAL EXIT EXAM STUDY GUIDE.
A client who had a total knee arthroplasty (TKA) three days ago is being
transferred to the rehabilitation center. The healthcare provider prescribes
activity as tolerated. Which action should the practical nurse (PN) take?
A. Ask someone to follow the client with a wheelchair.
B. Obtain clarification of prescription about weight bearing.
C. Inquire about routine physical therapy progression.
D. Ask the client what he did yesterday for activity. - ANSWERS-B. Obtain
clarification of prescription about weight bearing.
Rationale: The healthcare provider should indicate the amount of weight bearing
the client should safely be able to tolerate after TKA, so the PN should clarify the
prescription (B). (A) is a safety measure to prevent falls while the client begins
mobilization. (C) may be helpful but does not provide individualized care for the
client.
(D) provides a comparison for the client's progression with activity as tolerated
A client who is 39-weeks gestation arrives at the clinic asks the practical nurse if
she is ready to have her baby soon. Which finding should the practical nurse (PN)
respond to first? - ANSWERS-B. Reports feeling wet and warm as if she is voiding
involuntarily.
Rationale: Rupture of the membranes that may leak at first and is often reported
as a sensation of perineal wetness (B),
A client who is pregnant arrives at an urgent care clinic and complains of feeling
very uncomfortable. The client states she feels a strong urge to have a bowel
movement. Which action is most important for the practical nurse (PN) to
implement? - ANSWERS-
A. Place the client in a room with a precipitous delivery tray.
Rationale: The client is manifesting signs of an imminent delivery, which includes
regular contractions that are very uncomfortable, a strong urge to defecate, and
pushing, so she should be immediately placed in the room with a precipitous
delivery tray (A) to ensure a safe, sterile environment for delivery.
A client who is receiving continuous oxygen is going home after discharge from
the hospital. The practical nurse (PN) discovers that oxygen has not been
delivered to the client's home. What priority action should the PN implement? -
ANSWERS-D. Delay the time of the client's discharge.
