HESI PN EXIT V3 EXAM 140 QUESTIONS
AND ANSWERS A+ GRADE 2026/2027 VERIFIED
1) The LPN/LVN receives the client's next scheduled bag of TPN labeled
with the additive NPH insulin. Which action should the nurse implement?
A. Hang the solution at the current rate.
B.Refrigerate the solution until needed.
C. Prepare the solution with new tubing.
Return the solution to the
pharmacy.
D.
Correct Answer: D Return the solution to the pharmacy.
2) A male client has just undergone a laryngectomy and has a cuffed
tracheostomy tube in place. When initiating bolus tube feedings
postoperatively, when should the nurse inflate the cuff?
A.Immediately after feeding
B.Just prior to tube feeding
C.Continuous inflation is required
D.Inflation is not required
Correct Answer: B Just prior to tube feeding
3) A client on telemetry has a pattern of uncontrolled atrial fibrillation
with a rapid ventricular response. Based on this finding, the nurse
anticipates assisting the physician with which treatment?
A. Administer lidocaine,75 mg intravenous push.
B.Perform synchronized cardioversion.
C.Defibrillate the client as soon as possible.
D.Administer atropine, 0.4 mg intravenous push.
Correct Answer: B Perform synchronized cardioversion.
,4) A 63 - year - old client with type 2 diabetes mellitus is admitted for
treatment of an ulcer on the heel of the left foot that has not healed with
wound care. The nurse observes that the entire left foot is darker in color
than the right foot. Which additional symptom should the nurse expect to
find?
Pedal pulses will be weak or absent in the left
foot.
A.
B. The client will state that the left foot is usually warm.
C. Flexion and extension of the left foot will be limited.
D.Capillary refill of the client's left toes will be brisk.
Correct Answer: A Pedal pulses will be weak or absent in the left foot.
5) A client with cirrhosis develops increasing pedal edema and ascites.
Which dietary modification is most important for the nurse to teach this
client?
A.Avoid high - carbohydrate foods.
B.Decrease intake of fat - soluble vitamins.
C.Decrease caloric intake.
D.Restrict salt and fluid intake.
Correct Answer: D Restrict salt and fluid intake.
6) During report, the nurse learns that a client with tumor lysis
syndrome is receiving an IV infusion containing insulin. Which assessment
should the nurse complete first?
A. Review the client's history for diabetes mellitus.
B. Observe the extremity distal to the IV site.
Monitor the client's serum potassium and blood glucose
levels.
C.
D.Evaluate the client's oxygen saturation and breath sounds.
Correct Answer: C Monitor the client's serum potassium and blood glucose
levels.
,7) A resident in a long - term care facility is diagnosed with hepatitis B.
Which intervention should the nurse implement with the staff caring for
this client?
A. Determine if all employees have had the hepatitis B vaccine series.
B.Explain that this type of hepatitis can be transmitted when feeding
the client. C.Assure the employees that they cannot contract hepatitis
B when providing direct care.
D.Tell the employees that wearing gloves and a gown are required when
providing care.
Correct Answer: A Determine if all employees have had the hepatitis B
vaccine series.
8) The LPN/LVN notes that the client's drainage has decreased from 50
to 5 mL/hr 12 hours after chest tube insertion for hemothorax. What is the
best initial action for the nurse to take?
A. Document this expected decrease in drainage.
B. Clamp the chest tube while assessing for air leaks.
C. Milk the tube to remove any excessive blood clot buildup.
D.Assess for kinks or dependent loops in the tubing.
Correct Answer: D Assess for kinks or dependent loops in the tubing.
9) The nurse notes that a client who is scheduled for surgery the next
morning has an elevated blood urea nitrogen (BUN) level. Which condition
is most likely to have contributed to this finding?
A. Myocardial infarction 2 months ago
Anorexia and vomiting for the past 2
days
B.
C. Recently diagnosed type 2 diabetes mellitus
D.Skeletal traction for a right hip fracture
Correct Answer: B Anorexia and vomiting for the past 2 days
, 10) The nurse is reviewing routine medications taken by a client with
chronic angle closure glaucoma. Which medication prescription should the
nurse question?
A.Antianginal with a therapeutic effect of vasodilation
B.Anticholinergic with a side effect of pupillary dilation
C.Antihistamine with a side effect of sedation
D.Corticosteroid with a side effect of hyperglycemia
Correct Answer:B Anticholinergic with a side effect of pupillary dilation
11) A 58 - year - old client who has no health problems asks the nurse
about receiving the pneumococcal vaccine (Pneumovax). Which statement
given by the nurse would offer the client accurate information about this
vaccine?
A. The vaccine is given annually before the flu season to those older than 50
years.
The immunization is administered once to older adults or those at risk for
illness.
B.
C. The vaccine is for all ages and is given primarily to those persons
traveling overseas to areas of infection.
D.The vaccine will prevent the occurrence of pneumococcal pneumonia for
up to 5 years.
Correct Answer: B The immunization is administered once to older adults
or those at risk for illness.
12) The nurse is assessing a male client with acute pancreatitis. Which
finding requires the MOST immediate intervention by the nurse?
A. The client's amylase level is three times higher than the normal
level.
While the nurse is taking the client's blood pressure, he has a carpal
spasm.
B.
C. On a 1 to 10 scale, the client tells the nurse that his epigastric pain is
at 7.
AND ANSWERS A+ GRADE 2026/2027 VERIFIED
1) The LPN/LVN receives the client's next scheduled bag of TPN labeled
with the additive NPH insulin. Which action should the nurse implement?
A. Hang the solution at the current rate.
B.Refrigerate the solution until needed.
C. Prepare the solution with new tubing.
Return the solution to the
pharmacy.
D.
Correct Answer: D Return the solution to the pharmacy.
2) A male client has just undergone a laryngectomy and has a cuffed
tracheostomy tube in place. When initiating bolus tube feedings
postoperatively, when should the nurse inflate the cuff?
A.Immediately after feeding
B.Just prior to tube feeding
C.Continuous inflation is required
D.Inflation is not required
Correct Answer: B Just prior to tube feeding
3) A client on telemetry has a pattern of uncontrolled atrial fibrillation
with a rapid ventricular response. Based on this finding, the nurse
anticipates assisting the physician with which treatment?
A. Administer lidocaine,75 mg intravenous push.
B.Perform synchronized cardioversion.
C.Defibrillate the client as soon as possible.
D.Administer atropine, 0.4 mg intravenous push.
Correct Answer: B Perform synchronized cardioversion.
,4) A 63 - year - old client with type 2 diabetes mellitus is admitted for
treatment of an ulcer on the heel of the left foot that has not healed with
wound care. The nurse observes that the entire left foot is darker in color
than the right foot. Which additional symptom should the nurse expect to
find?
Pedal pulses will be weak or absent in the left
foot.
A.
B. The client will state that the left foot is usually warm.
C. Flexion and extension of the left foot will be limited.
D.Capillary refill of the client's left toes will be brisk.
Correct Answer: A Pedal pulses will be weak or absent in the left foot.
5) A client with cirrhosis develops increasing pedal edema and ascites.
Which dietary modification is most important for the nurse to teach this
client?
A.Avoid high - carbohydrate foods.
B.Decrease intake of fat - soluble vitamins.
C.Decrease caloric intake.
D.Restrict salt and fluid intake.
Correct Answer: D Restrict salt and fluid intake.
6) During report, the nurse learns that a client with tumor lysis
syndrome is receiving an IV infusion containing insulin. Which assessment
should the nurse complete first?
A. Review the client's history for diabetes mellitus.
B. Observe the extremity distal to the IV site.
Monitor the client's serum potassium and blood glucose
levels.
C.
D.Evaluate the client's oxygen saturation and breath sounds.
Correct Answer: C Monitor the client's serum potassium and blood glucose
levels.
,7) A resident in a long - term care facility is diagnosed with hepatitis B.
Which intervention should the nurse implement with the staff caring for
this client?
A. Determine if all employees have had the hepatitis B vaccine series.
B.Explain that this type of hepatitis can be transmitted when feeding
the client. C.Assure the employees that they cannot contract hepatitis
B when providing direct care.
D.Tell the employees that wearing gloves and a gown are required when
providing care.
Correct Answer: A Determine if all employees have had the hepatitis B
vaccine series.
8) The LPN/LVN notes that the client's drainage has decreased from 50
to 5 mL/hr 12 hours after chest tube insertion for hemothorax. What is the
best initial action for the nurse to take?
A. Document this expected decrease in drainage.
B. Clamp the chest tube while assessing for air leaks.
C. Milk the tube to remove any excessive blood clot buildup.
D.Assess for kinks or dependent loops in the tubing.
Correct Answer: D Assess for kinks or dependent loops in the tubing.
9) The nurse notes that a client who is scheduled for surgery the next
morning has an elevated blood urea nitrogen (BUN) level. Which condition
is most likely to have contributed to this finding?
A. Myocardial infarction 2 months ago
Anorexia and vomiting for the past 2
days
B.
C. Recently diagnosed type 2 diabetes mellitus
D.Skeletal traction for a right hip fracture
Correct Answer: B Anorexia and vomiting for the past 2 days
, 10) The nurse is reviewing routine medications taken by a client with
chronic angle closure glaucoma. Which medication prescription should the
nurse question?
A.Antianginal with a therapeutic effect of vasodilation
B.Anticholinergic with a side effect of pupillary dilation
C.Antihistamine with a side effect of sedation
D.Corticosteroid with a side effect of hyperglycemia
Correct Answer:B Anticholinergic with a side effect of pupillary dilation
11) A 58 - year - old client who has no health problems asks the nurse
about receiving the pneumococcal vaccine (Pneumovax). Which statement
given by the nurse would offer the client accurate information about this
vaccine?
A. The vaccine is given annually before the flu season to those older than 50
years.
The immunization is administered once to older adults or those at risk for
illness.
B.
C. The vaccine is for all ages and is given primarily to those persons
traveling overseas to areas of infection.
D.The vaccine will prevent the occurrence of pneumococcal pneumonia for
up to 5 years.
Correct Answer: B The immunization is administered once to older adults
or those at risk for illness.
12) The nurse is assessing a male client with acute pancreatitis. Which
finding requires the MOST immediate intervention by the nurse?
A. The client's amylase level is three times higher than the normal
level.
While the nurse is taking the client's blood pressure, he has a carpal
spasm.
B.
C. On a 1 to 10 scale, the client tells the nurse that his epigastric pain is
at 7.
