HESI Exit v2 (NGN style Qs & Case studies)
TEST STUDY GUIDE 2025/2026 QUESTIONS BANK
AND CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS
<RECENT VERSION>
1. The LPN/LVN is preparing to ambulate a postoperative client after cardiac
surgery. The nurse plans to do which to enable the client to best tolerate the
ambulation? - ANSWER ✓ Premedicate the client with an analgesic before
ambulating.
2. A client is wearing a continuous cardiac monitor, which begins to alarm at
the nurse's station. The nurse sees no electrocardiographic complexes on the
screen. The nurse should do which first? - ANSWER ✓ Check the client
status and lead placement.
3. The LPN/LVN in a medical unit is caring for a client with heart failure. The
client suddenly develops extreme dyspnea, tachycardia, and lung crackles,
and the nurse suspects pulmonary edema. The nurse immediately notifies the
registered nurse and expects which interventions to be prescribed? Select all
that apply. - ANSWER ✓ 1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4. The nurse is monitoring a client following cardioversion. Which
observations should be of highest priority to the nurse? - ANSWER ✓ Status
of airway
5. The nurse is assisting in caring for the client immediately after insertion of a
permanent demand pacemaker via the right subclavian vein. The nurse
prevents dislodgement of the pacing catheter by implementing which
, intervention? - ANSWER ✓ Limiting movement and abduction of the right
arm
6. A client diagnosed with thrombophlebitis 1 day ago suddenly complains of
chest pain and shortness of breath, and the client is visibly anxious. The
LPN/LVN understands that a life-threatening complication of this condition
is which? - ANSWER ✓ Pulmonary embolism
7. A 24-year-old man seeks medical attention for complaints of claudication in
the arch of the foot. The nurse also notes superficial thrombophlebitis of the
lower leg. The nurse should check the client for which next? - ANSWER ✓
Smoking history
8. The nurse has reinforced instructions to the client with Raynaud's disease
about self-management of the disease process. The nurse determines that the
client needs further teaching if the client states which? - ANSWER ✓
"Moving to a warmer climate should help."
9. A client with myocardial infarction suddenly becomes tachycardic, shows
signs of air hunger, and begins coughing frothy, pink-tinged sputum. The
nurse listens to breath sounds, expecting to hear which breath sounds
bilaterally? - ANSWER ✓ Crackles
10.The LPN/LVN is collecting data on a client with a diagnosis of right-
sided heart failure. The nurse should expect to note which specific
characteristic of this condition? - ANSWER ✓ Dependent edema
11.The LPN/LVN is checking the neurovascular status of a client who returned
to the surgical nursing unit 4 hours ago after undergoing an aortoiliac bypass
graft. The affected leg is warm, and the nurse notes redness and edema. The
pedal pulse is palpable and unchanged from admission. The nurse interprets
that the neurovascular status is which? - ANSWER ✓ Normal, caused by
increased blood flow through the leg
12.A client with a diagnosis of rapid rate atrial fibrillation asks the nurse why
the health care provider is going to perform carotid massage. The LPN/LVN
responds that this procedure may stimulate which? - ANSWER ✓ Vagus
nerve to slow the heart rate
,13.A client is admitted to the hospital with possible rheumatic endocarditis. The
LPN/LVN should check for a history of which type of infection? -
ANSWER ✓ Staphylococcal infection
14.Client has an Unna boot applied for treatment of a venous stasis leg ulcer.
The LPN/LVN notes that the client's toes are mottled, and cool and the client
verbalizes some numbness and tingling of the foot. Which interpretation
should the nurse make of these findings? - ANSWER ✓ The boot has been
applied too tightly
15.A client with angina complains that the anginal pain is prolonged and severe
and occurs at the same time each day, most often in the morning. On further
data collection, the nurse notes that the pain occurs in the absence of
precipitating factors. How should the LPN/LVN best describe this type of
anginal pain? - ANSWER ✓ Variant angina
16.While assessing a radial artery catheter, the client complains of numbness
and pain distal to the insertion site. What interventions should the nurse
implement? - ANSWER ✓ Promptly remove the arterial catheter from the
radial artery.
17.A client is admitted with an epidural hematoma that resulted from a
skateboarding accident. To differentiate the vascular source of the
intracranial bleeding, which finding should the nurse monitor? - ANSWER
✓ Rapid onset of decreased level of consciousness.
18.When preparing a client for discharge from the hospital following a
cystectomy and a urinary diversion to treat bladder cancer, which instruction
is most important for the nurse to include in the client's discharge teaching
plan? - ANSWER ✓ Report any signs of cloudy urine output.
19.The nurse is assigned to care for a client who had a myocardial infarction
(MI) 2
days ago. The client has many questions about this condition. What areais a
priority for
the nurse to discuss at this time?
A) Daily needs and concerns
B) The overview cardiac rehabilitation
, C) Medication and diet guideline
D) Activity and rest guidelines - ANSWER ✓ A) Daily needs and
concerns
20.The nurse is preparing a client with a deep vein thrombosis (DVT) for a
Venous Doppler evaluation. Which of the following would be necessary for
preparing the client
for this test?
A) Client should be NPO after midnight
B) Client should receive a sedative medication prior to the test
C) Discontinue anticoagulant therapy prior to the test
D) No special preparation is necessary - ANSWER ✓ D) No special
preparation is necessary
21.While interviewing a client, the nurse notices that the client is shifting
positions,
wringing her hands, and avoiding eye contact. It is important for the nurse to
A) Ask the client what she is feeling
B) Assess the client for auditory hallucinations
C) Recognize the behavior as a side effect of medication
D) Re-focus the discussion on a less anxiety provoking topic - ANSWER
✓ A) Ask the client what she is feeling
22.Which statement made by a client indicates to the nurse that he may have a
thought
disorder?
A) "I'm so angry about this. Wait until my partner hears about this." B)
"I'm a little confused. What time is it?"
B) "I can't find my 'mesmer' shoes. Have you seen them?"
C) "I'm fine. It's my daughter who has the problem." - ANSWER ✓ C) "I
can't find my 'mesmer' shoes. Have you seen them?"
23.The nurse is observing a client with an obsessive-compulsive disorder in an
inpatient
setting. Which behavior is consistent with this diagnosis?
A) Repeatedly checking that the door is locked
B) Verbalized suspicions about thefts
C) Preference for consistent caregivers
TEST STUDY GUIDE 2025/2026 QUESTIONS BANK
AND CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS
<RECENT VERSION>
1. The LPN/LVN is preparing to ambulate a postoperative client after cardiac
surgery. The nurse plans to do which to enable the client to best tolerate the
ambulation? - ANSWER ✓ Premedicate the client with an analgesic before
ambulating.
2. A client is wearing a continuous cardiac monitor, which begins to alarm at
the nurse's station. The nurse sees no electrocardiographic complexes on the
screen. The nurse should do which first? - ANSWER ✓ Check the client
status and lead placement.
3. The LPN/LVN in a medical unit is caring for a client with heart failure. The
client suddenly develops extreme dyspnea, tachycardia, and lung crackles,
and the nurse suspects pulmonary edema. The nurse immediately notifies the
registered nurse and expects which interventions to be prescribed? Select all
that apply. - ANSWER ✓ 1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4. The nurse is monitoring a client following cardioversion. Which
observations should be of highest priority to the nurse? - ANSWER ✓ Status
of airway
5. The nurse is assisting in caring for the client immediately after insertion of a
permanent demand pacemaker via the right subclavian vein. The nurse
prevents dislodgement of the pacing catheter by implementing which
, intervention? - ANSWER ✓ Limiting movement and abduction of the right
arm
6. A client diagnosed with thrombophlebitis 1 day ago suddenly complains of
chest pain and shortness of breath, and the client is visibly anxious. The
LPN/LVN understands that a life-threatening complication of this condition
is which? - ANSWER ✓ Pulmonary embolism
7. A 24-year-old man seeks medical attention for complaints of claudication in
the arch of the foot. The nurse also notes superficial thrombophlebitis of the
lower leg. The nurse should check the client for which next? - ANSWER ✓
Smoking history
8. The nurse has reinforced instructions to the client with Raynaud's disease
about self-management of the disease process. The nurse determines that the
client needs further teaching if the client states which? - ANSWER ✓
"Moving to a warmer climate should help."
9. A client with myocardial infarction suddenly becomes tachycardic, shows
signs of air hunger, and begins coughing frothy, pink-tinged sputum. The
nurse listens to breath sounds, expecting to hear which breath sounds
bilaterally? - ANSWER ✓ Crackles
10.The LPN/LVN is collecting data on a client with a diagnosis of right-
sided heart failure. The nurse should expect to note which specific
characteristic of this condition? - ANSWER ✓ Dependent edema
11.The LPN/LVN is checking the neurovascular status of a client who returned
to the surgical nursing unit 4 hours ago after undergoing an aortoiliac bypass
graft. The affected leg is warm, and the nurse notes redness and edema. The
pedal pulse is palpable and unchanged from admission. The nurse interprets
that the neurovascular status is which? - ANSWER ✓ Normal, caused by
increased blood flow through the leg
12.A client with a diagnosis of rapid rate atrial fibrillation asks the nurse why
the health care provider is going to perform carotid massage. The LPN/LVN
responds that this procedure may stimulate which? - ANSWER ✓ Vagus
nerve to slow the heart rate
,13.A client is admitted to the hospital with possible rheumatic endocarditis. The
LPN/LVN should check for a history of which type of infection? -
ANSWER ✓ Staphylococcal infection
14.Client has an Unna boot applied for treatment of a venous stasis leg ulcer.
The LPN/LVN notes that the client's toes are mottled, and cool and the client
verbalizes some numbness and tingling of the foot. Which interpretation
should the nurse make of these findings? - ANSWER ✓ The boot has been
applied too tightly
15.A client with angina complains that the anginal pain is prolonged and severe
and occurs at the same time each day, most often in the morning. On further
data collection, the nurse notes that the pain occurs in the absence of
precipitating factors. How should the LPN/LVN best describe this type of
anginal pain? - ANSWER ✓ Variant angina
16.While assessing a radial artery catheter, the client complains of numbness
and pain distal to the insertion site. What interventions should the nurse
implement? - ANSWER ✓ Promptly remove the arterial catheter from the
radial artery.
17.A client is admitted with an epidural hematoma that resulted from a
skateboarding accident. To differentiate the vascular source of the
intracranial bleeding, which finding should the nurse monitor? - ANSWER
✓ Rapid onset of decreased level of consciousness.
18.When preparing a client for discharge from the hospital following a
cystectomy and a urinary diversion to treat bladder cancer, which instruction
is most important for the nurse to include in the client's discharge teaching
plan? - ANSWER ✓ Report any signs of cloudy urine output.
19.The nurse is assigned to care for a client who had a myocardial infarction
(MI) 2
days ago. The client has many questions about this condition. What areais a
priority for
the nurse to discuss at this time?
A) Daily needs and concerns
B) The overview cardiac rehabilitation
, C) Medication and diet guideline
D) Activity and rest guidelines - ANSWER ✓ A) Daily needs and
concerns
20.The nurse is preparing a client with a deep vein thrombosis (DVT) for a
Venous Doppler evaluation. Which of the following would be necessary for
preparing the client
for this test?
A) Client should be NPO after midnight
B) Client should receive a sedative medication prior to the test
C) Discontinue anticoagulant therapy prior to the test
D) No special preparation is necessary - ANSWER ✓ D) No special
preparation is necessary
21.While interviewing a client, the nurse notices that the client is shifting
positions,
wringing her hands, and avoiding eye contact. It is important for the nurse to
A) Ask the client what she is feeling
B) Assess the client for auditory hallucinations
C) Recognize the behavior as a side effect of medication
D) Re-focus the discussion on a less anxiety provoking topic - ANSWER
✓ A) Ask the client what she is feeling
22.Which statement made by a client indicates to the nurse that he may have a
thought
disorder?
A) "I'm so angry about this. Wait until my partner hears about this." B)
"I'm a little confused. What time is it?"
B) "I can't find my 'mesmer' shoes. Have you seen them?"
C) "I'm fine. It's my daughter who has the problem." - ANSWER ✓ C) "I
can't find my 'mesmer' shoes. Have you seen them?"
23.The nurse is observing a client with an obsessive-compulsive disorder in an
inpatient
setting. Which behavior is consistent with this diagnosis?
A) Repeatedly checking that the door is locked
B) Verbalized suspicions about thefts
C) Preference for consistent caregivers
