PN HESI EXIT EXAM
PN HESI EXIT EXAM NEWEST 2025/2026 COMPLETE 150
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |BRAND NEW VERSION!!
The nurse is implementing the plan of care for a client who admits having suicidal
thoughts. Which client behavior indicates the highest risk for the client acting on
these suicidal thoughts?
A. Describes being very depressed
B. Has little appetite and neglects personal hygiene
C. Is not interested in the activities of family and friends
D. Begins to show signs of improvement
D. Begins to show signs of improvement
On a short-staffed unit a long-term care facility, it is important that the nurse
assign the unlicensed assistive personnel (UAP) to complete morning care for the
resident with which problem first?
A. Dyspnea who uses oxygen continuously
B. Straight catheterization to be performed q6h
C. Frequent episodes of fecal incontinence
D. Bolus feeding via PEG tube to be performed q4h Correct
C. Frequent episodes of fecal incontinence
The LPN/LVN assess a client receiving a hypertonic full strength tube feeding that
is infusing continuous at 50 mL/hr. Which finding is most important for the nurse
to report to the charge nurse?
A. Dry mucous membranes
B. Gastric residual of 50 mL
C. Report of increased hunger
D. Hyperactive bowel sounds
C. Report of increased hunger
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, PN HESI EXIT EXAM
A male client who was admitted with Gangrene of the right lower extremity (RLE)
is confused and his wife refuses to sign the operative permit for an above the knee
amputation. What action should the nurse take next?
A. Explain the consequences of Sepsis if the amputation is delayed
B. Notify the RN that the client's wife needs further explanation about the
procedure
C. Document on the client's record the refusal for surgical treatment
D. Encourage the client's wife to express concerns about making the decision
D. Encourage the client's wife to express concerns about making the decision
A male client attends a community support program for mentally impaired and
chemically abusive clients. The client tells the nurse that his drug of choice are
cocaine and heroin. What is the greatest health risk for this client? A. Hepatitis
B. Hypertension
C. Diabetes
D. Glaucoma
D. Glaucoma
A male client who was admitted with Gangrene of the right lower extremity (RLE)
is confused and his wife refuses to sign the operative permit for an above the knee
amputation. What action should the nurse take next?
A. Explain the consequences of Sepsis if the amputation is delayed
B. Notify the RN that the client's wife needs further explanation about the
procedure
C. Document on the client record the refusal for surgical treatment
D. Encourage the client's wife to express concerns about making the decision
D. Encourage the client's wife to express concerns about making the decision
The LPN/LVN is caring for a group of clients on a postpartum unit. After shift
report, which client should the nurse assess first?
A. Gravida 6 Para 5 who delivered vaginally 24 hours ago
B. Gravida 1 Para 0 who is not having contractions
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, PN HESI EXIT EXAM
C. Gravida 3 Para 3 who delivered vaginally 2 hours ago
D. Gravida 1 Para 2 who is preparing for discharge
C. Gravida 3 Para 3 who delivered vaginally 2 hours ago
A client returns to the unit following a cardiac catheterization with a Femoral
artery Access. Which objective criteria is most important for the nurse to obtain
immediately upon the clients return?
A. Pupil responses to light
B. Pedal pulses
C. Respiratory rate
D. Peripheral mobility
B. Pedal pulses
An elderly female client tells the nurse that she does not do regular Breast Self
Examinations (BSE) because she is too old. The nurse's response to the client is
based on what information?
A. The incidence of breast cancer increases with age
B. The client should have a health care provider do a breast exam at least once a
year
C. After age 70, breast cancer is less likely to occur
D. The history of breast cancer in a family member is indicative of the need for BSE
A. The incidence of breast cancer increases with age
A client with Meningitis is in a coma and Nursing care includes seizure
precautions. To help prevent seizure activity, what interventions should the nurse
implement?
A. Maintain an oral airway suction equipment and oxygen at the bedside
B. Provide respiratory isolation precautions for visitors and staff
C. Provide emergency anti convulsant medication at the bedside
D. Maintain a quiet calm darkened environment
D. Maintain a quiet calm darkened environment
3|Page
, PN HESI EXIT EXAM
The LPN/LVN is assisting a female client to obtain a voided specimen for urine
culture. After the client cleanses the meatus, which intervention is performed
next?
A. Initiate the urine stream
B. Separate the labia
C. Position the collection cup
D. Observe the urine
B. Separate the labia
A new protocol for fall prevention is being implemented on the medical unit.
During safety rounds, the nurse identifies that an unlicensed assistive personnel
(UAP) has omitted a vital component of the protocol. After implementing the
missing component, what should action should the nurse take?
A. Report the UAP's omission to the charge nurse
B. Complete an unusual occurrence report
C. Supervise the UAP after reviewing the protocol
D. Assign the UAP to more stable clients the next day
C. Supervise the UAP after reviewing the protocol
What is the best intervention for the nurse to implement when providing morning
care for an ambulatory client with an indwelling catheter (Foley)?
A. Keep the catheter intact while assisting the client with a shower
B. Remove the catheter while the client takes a shower
C. Provide the client with a sponge bath in a chair or the bed
D. Assist the client with a tub with the catheter clamped
A. Keep the catheter intact while assisting the client with a shower
The LPN/LVN is planning care for the a client who has fourth degree midline
laceration that occurred during vaginal delivery of an 8 pound 10 ounce infant.
What intervention has the highest priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
4|Page
PN HESI EXIT EXAM NEWEST 2025/2026 COMPLETE 150
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |BRAND NEW VERSION!!
The nurse is implementing the plan of care for a client who admits having suicidal
thoughts. Which client behavior indicates the highest risk for the client acting on
these suicidal thoughts?
A. Describes being very depressed
B. Has little appetite and neglects personal hygiene
C. Is not interested in the activities of family and friends
D. Begins to show signs of improvement
D. Begins to show signs of improvement
On a short-staffed unit a long-term care facility, it is important that the nurse
assign the unlicensed assistive personnel (UAP) to complete morning care for the
resident with which problem first?
A. Dyspnea who uses oxygen continuously
B. Straight catheterization to be performed q6h
C. Frequent episodes of fecal incontinence
D. Bolus feeding via PEG tube to be performed q4h Correct
C. Frequent episodes of fecal incontinence
The LPN/LVN assess a client receiving a hypertonic full strength tube feeding that
is infusing continuous at 50 mL/hr. Which finding is most important for the nurse
to report to the charge nurse?
A. Dry mucous membranes
B. Gastric residual of 50 mL
C. Report of increased hunger
D. Hyperactive bowel sounds
C. Report of increased hunger
1|Page
, PN HESI EXIT EXAM
A male client who was admitted with Gangrene of the right lower extremity (RLE)
is confused and his wife refuses to sign the operative permit for an above the knee
amputation. What action should the nurse take next?
A. Explain the consequences of Sepsis if the amputation is delayed
B. Notify the RN that the client's wife needs further explanation about the
procedure
C. Document on the client's record the refusal for surgical treatment
D. Encourage the client's wife to express concerns about making the decision
D. Encourage the client's wife to express concerns about making the decision
A male client attends a community support program for mentally impaired and
chemically abusive clients. The client tells the nurse that his drug of choice are
cocaine and heroin. What is the greatest health risk for this client? A. Hepatitis
B. Hypertension
C. Diabetes
D. Glaucoma
D. Glaucoma
A male client who was admitted with Gangrene of the right lower extremity (RLE)
is confused and his wife refuses to sign the operative permit for an above the knee
amputation. What action should the nurse take next?
A. Explain the consequences of Sepsis if the amputation is delayed
B. Notify the RN that the client's wife needs further explanation about the
procedure
C. Document on the client record the refusal for surgical treatment
D. Encourage the client's wife to express concerns about making the decision
D. Encourage the client's wife to express concerns about making the decision
The LPN/LVN is caring for a group of clients on a postpartum unit. After shift
report, which client should the nurse assess first?
A. Gravida 6 Para 5 who delivered vaginally 24 hours ago
B. Gravida 1 Para 0 who is not having contractions
2|Page
, PN HESI EXIT EXAM
C. Gravida 3 Para 3 who delivered vaginally 2 hours ago
D. Gravida 1 Para 2 who is preparing for discharge
C. Gravida 3 Para 3 who delivered vaginally 2 hours ago
A client returns to the unit following a cardiac catheterization with a Femoral
artery Access. Which objective criteria is most important for the nurse to obtain
immediately upon the clients return?
A. Pupil responses to light
B. Pedal pulses
C. Respiratory rate
D. Peripheral mobility
B. Pedal pulses
An elderly female client tells the nurse that she does not do regular Breast Self
Examinations (BSE) because she is too old. The nurse's response to the client is
based on what information?
A. The incidence of breast cancer increases with age
B. The client should have a health care provider do a breast exam at least once a
year
C. After age 70, breast cancer is less likely to occur
D. The history of breast cancer in a family member is indicative of the need for BSE
A. The incidence of breast cancer increases with age
A client with Meningitis is in a coma and Nursing care includes seizure
precautions. To help prevent seizure activity, what interventions should the nurse
implement?
A. Maintain an oral airway suction equipment and oxygen at the bedside
B. Provide respiratory isolation precautions for visitors and staff
C. Provide emergency anti convulsant medication at the bedside
D. Maintain a quiet calm darkened environment
D. Maintain a quiet calm darkened environment
3|Page
, PN HESI EXIT EXAM
The LPN/LVN is assisting a female client to obtain a voided specimen for urine
culture. After the client cleanses the meatus, which intervention is performed
next?
A. Initiate the urine stream
B. Separate the labia
C. Position the collection cup
D. Observe the urine
B. Separate the labia
A new protocol for fall prevention is being implemented on the medical unit.
During safety rounds, the nurse identifies that an unlicensed assistive personnel
(UAP) has omitted a vital component of the protocol. After implementing the
missing component, what should action should the nurse take?
A. Report the UAP's omission to the charge nurse
B. Complete an unusual occurrence report
C. Supervise the UAP after reviewing the protocol
D. Assign the UAP to more stable clients the next day
C. Supervise the UAP after reviewing the protocol
What is the best intervention for the nurse to implement when providing morning
care for an ambulatory client with an indwelling catheter (Foley)?
A. Keep the catheter intact while assisting the client with a shower
B. Remove the catheter while the client takes a shower
C. Provide the client with a sponge bath in a chair or the bed
D. Assist the client with a tub with the catheter clamped
A. Keep the catheter intact while assisting the client with a shower
The LPN/LVN is planning care for the a client who has fourth degree midline
laceration that occurred during vaginal delivery of an 8 pound 10 ounce infant.
What intervention has the highest priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
4|Page
