Download PN HESI EXAM LATEST UPDATES -2025/2026- ACTUAL QUESTIONS WITH VERIFIED ANSWERS and more Exams Nursing in PDF only on Docsity!
PN HESI EXAM LATEST UPDATES - 2025/2026- ACTUAL
QUESTIONS WITH VERIFIED ANSWERS ALREADY GRADED A+
GUARANTEED SUCCESS
A client's daughter phones the charge nurse to report that the night LPN/ LVN did not provide good care for her mother. What response should the nurse make? A. Ask for a description of what happened during the night B. Tell the daughter to talk to the unit's nurse manager C. Reassure the daughter that the mother will get better care. D. Explain that all the staff are doing the best they can. A. Ask for a description of what happened during the night A hosptitalized toddler who is recovering from a sickle cell crisis holds a toy and say's "mine". According to Erikson's theory of psychosocial development, this child's behavior is a demonstration of which developmental stage? A. Autonomy vs. Shame and doubt. B. Industry vs. Inferiority C. intiative vs. Guilt D. Trust vs. Mistrust A. Autonomy vs. Shame and doubt
The LPN/LVN is palpating the right upper hypochondriac region of the abdomen of a client. What organ lies underneath this area. A. Duodenum B. Gastric Pylorus C. Liver D. Spleen C. Liver A client comes to the antepartal clinic and tells the LPN/LVN that she is 6 weeks pregnant. Which sign is she most likely to report? A. Decreased sexual libido B. Amenorrhea C. Quickening D. Nocturia B. Amenorrhea Which action should the LPN/LVN implement in caring for a client following an electroencephalogram (EEG)? A. Monitor the client's vital signs q4h B. Assess for sensation in the client's lower extremities C. Instruct the client to maintain bed rest for eight hours
A. Slightly above the level of the heart B. At the level of the heart C. At the level of comfort for the client D. Below the level of the heart B. At the level of the heart What are the final parameters that produce blood pressure? (select all that apply) A. Heart rate B. Stroke volume C. Peripheral resistance D. Neuroendocrine hormones E. Muscle tone A. Heart rate B. Stroke volume C. Peripheral resistance A client begins an antidepressant drug during the second day of hospitalization. Which assessment is most important for the LPN/LVN to include in this client's plan of care while the client is taking the antidepressant? A. Appetite B. Mood C. Withdrawal
D. Energy level B. Mood Based on the documentation in the medical record, which action should the LPN/LVN implement next? A. Give the rubella vaccine subcutaneously B. Observe the mother breastfeeding her infant C. Call the nursery for the infant's blood type result D. Administer Vicodin one tablet for pain Give the rubella vaccine subcutaneously A client is admitted to the hospital with a diagnosis of Pneumonia. Which intervention should the LPN/LVN implement to prevent complications associated with Pneumonia? A. Encourage mobilization and ambulation B. Encourage energy conservation with complete bed rest C. Provide humidified oxygen per nasal cannula D. Restrict PO and intravenous fluids Encourage mobilization and ambulation The practical nurse is preparing to administer a prescription for cefazolin (kefzol) 600 mg IM every 6 hours. The available vial is labeled, "Cefazolin (Kefzol) 1 gram
The LPN/LVN is planning to evaluate the effectiveness of several drugs administered by different routes. Arrange the routes of administration in the order from fastest to slowest rate of absorption. Subcutaneous Intravenous Intramuscular Sublingual Oral Intravenous, sublingual, intramuscular, subcutaneous, A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9 weeks gestation. At one-house post dilation and curettage (D&C) the LPN/LVN assess the vital signs and vaginal bleeding. The client begins to cry softly. How should the nurse intervene? A. Offer to call the social worker to discuss the possibility of abortion B. Reassure the client that the infertility specialist can help C. Express sorrow for the client's grief and offer to sit with her D. Chart the vital signs and amount of vaginal bleeding Express sorrow for the client's grief and offer to sit with her A terminally ill male client and his family are requesting hospice care after discharge from the hospital and ask the LPN/LVN to explain what kind of care they should expect. The nurse should indicate that hospice philosophy focuses on what aspect of health care? A. Enhance symptom management to improve end of life quality B. facilitates assisted suicide with the client's consent
C. Offers ways to postpone the death experience at home D. Provide training for family members to care for the client. A. Enhance symptom management to improve end of life quality The LPN/LVN observes a wife shaving her husband's beard with a safety razor by holding the skin taut and shaving in the direction of the hair growth. What action should the nurse take? A. Advise the wife to shave against the hair growth B. Teach the wife to keep the skin loose to avoid cuts C. Encourage the wife to continue shaving her husband D. Demonstrate the correct procedure to the wife C. Encourage the wife to continue shaving her husband To assess pedal pulse what arterial sites should the nurse palpate? (select all that apply) A. Posterior tibialis artery B. Politeal artery C. External femoral artery D. Dorsalis pedis artery E Radial artery A. Posterior tibialis artery, D. Dorsalis pedis artery
A client is receiving dexamethasone (Hexadrol, Decadron). What symptoms should the nurse recognize as Cushionoid side effects? A. Moon face, Slow wound healing, muscle wasting sodium and water retention B. Tachycardia hypertension, weight loss, heat intolerance, nervousness, restlessness, tremor C. Bradycardia, weight gain, cold intolerance, myxedema facies and periobarbital edema D. Hyperpigmentation, hyponatremia, hyperkalemia, dehydration, hypotension A. Moon face, Slow wound healing, muscle wasting sodium and water retention The cervix is the opening into the uterine cavity. What is its function in reproduction? A. Accepts and interprets signals of sexual stimuli B. Secretes mucus to facilitate sperm transport C. Serves as the site for union of ovum and sperm D. Receives the penis during intercourse B. Secretes mucus to facilitate sperm transport The LPN/LVN is working in a community health setting and assisting the charge nurse in performing health screenings. Which individual is at highest risk for contracting an HIV infection? A. 17-year-old who is sexually active simultaneously with numerous partners
B. 34-year old homosexual who is in a monogamous relationship C. 30-year-old cocaine user who inhales and smokes drugs D. 45-year-old who has received two blood transfusions in the past 6 months A. 17-year-old who is sexually active simultaneously with numerous partners The LPN/LVN is administering amiodarone (Cordarone) to a client who has been admitted with Atrial Fibrillation (AFIB). What therapeutic response should the nurse anticipate? A. Conversion of irregular heart rate to regular heart rhythm B. Pulse oximetry readings within normal range during activity C. Peripheral pulse points with adequate capillary refill D. Increase exercise tolerance without shortness of breath A. Conversion of irregular heart rate to regular heart rhythm An elderly male client is planning to vacation with a group of senior citizens. He is concerned about developing constipation during the airplane flight. He share this concern with the nurse at the retirement home. Which recommendation is best for the nurse to provide? A. Use an over the counter stool softener when needed B. Eat a high protein diet C Increase the fluid intake in your diet D. Decrease the fat content in your diet C. Increase the fluid intake in your diet
B. Pain perception in the cerebral cortex is dulled by the unit's discharge of an electrical stimulus C. An infusion of medication in the spinal canal will block pain perception D. The discharge of electricity will distract the client's focus on the pain B. Pain perception in the cerebral cortex is dulled by the unit's discharge of an electrical stimulus Based on the Nursing diagnosis of "Potential for infection related to second and third degree burns," which intervention has the highest priority? A. Application of topical antibacterial cream B. Use of careful hand washing technique C. Administration of plasma expanders D. Limiting visitors to the burned client. B. Use of careful hand washing technique The mother of an 8-year-old boy tells the nurse that he fell out of a tree and hurt his arm and shoulder, which assessment finding is the most significant indicator of possible child abuse? A. The child looks at the floor when answering the nurse's questions B. The mother's version of the injury is different from the child's version C. The child has several abrasions on the chest and legs D. The mother refuses to answer questions about family history D. The mother refuses to answer questions about family history
A client has a prescription for enteric-coated (EC) aspirin 325mg PO daily. The medication drawer contains one 325mg aspirin. What action should the nurse take? A. Contact the pharmacy and request the prescribed form of aspirin B. Instruct the client about the effects when given the medication C. Administer the aspirin with a full glass of water or a small snack D. Withhold the aspirin until consulting with the healthcare provider C. Administer the aspirin with a full glass of water or a small snack The LPN/LVN explains the 2-week dosage prescription of prednisone (Deltasone) to a client who has poison ivy over multiple skin surfaces. What should the nurse emphasize about the dosing schedule? A. Decrease dosage daily as prescribed B. Monitor oral temperature daily C. Take the prednisone with meals D. Return for blood glucose monitoring in one week C. Take the prednisone with meals 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. C. Encourage breastfeeding to promote uterine involution D. Encourage use of prescribed analgesic perineal sprays
B. Consistently returns smiles to mother C. Finds hands and plays with fingers D. Holds head up and supports weight with arms B. Consistently returns smiles to mother The LPN/LVN is monitoring a client's intravenous infusion and observes that the venipuncture site is cool to the touch, swollen and the infusion rate is slower than the prescribed rate. What is the most likely cause of this finding? A. The solution's rate is too rapid B. The client has phlebitis C. The infusion site is infected D. The infusion site is infiltrated D. The infusion site is infiltrated The LPN/LVN observes that a male client's urinary catheter (Foley) drainage tubing is secured with tape to his abdomen and then attached to the bed frame. What action should the nurse implement? A. Raise the bed to ensure the drainage bag remains off the floor B. Attach the drainage bag to the side rail instead of the bed frame C. Observe the appearance of the urine in the drainage tubing D. Secure the tubing to the client's gown instead of his abdomen C. Observe the appearance of the urine in the drainage tubing
In assisting a client to obtain a sputum specimen, the LPN/LVN observes the client cough and spit a large amount of frothy saliva in the specimen collection cup. What action should the nurse implement next? A. Advise the client that suctioning will be used to obtain another specimen B. Re-instruct the client in coughing techniques to obtain another specimen C. Provide the client a glass of water and mouthwash to rinse the mouth D. Label the container and place the container in a bio-hazard transport bag B. Re-instruct the client in coughing techniques to obtain another specimen After report, the LPN/LVN receives the laboratory values for 4 clients. Which client requires the nurse's immediate intervention? The client who is..... A. short of breath after a shower and has a hemoglobin of 8 grams B. Bleeding from a finger stick and has a prothrombin time of 30 seconds C. Febrile and has a WBC count of 14,000/mm D. Trembling and has a glucose level of 50 mg/dL D. Trembling and has a glucose level of 50 mg/dL In counting a client's radial pulse, the LPN/LVN notes the pulse is weak and irregular. To record the most accurate heart rate, what should the nurse take? A. Recheck the radial pulse in thirty minutes B. Palpate the radial pulse for thirty seconds and double the rate C. Count the apical pulse rate for sixty seconds D. Compare the radial pulse rate bilaterally and record the higher rate.
B. Longitudinally from the right forehead to the right cheek C. From the mid-forehead over to the right zygomatic process D. From the right lateral forehead surface to the medial nasal crease B. Longitudinally from the right forehead to the right cheek 36 hours after delivery, the nurse determines a client's fundus is just above the umbilicus and displaced to the right of midline. What action should the nurse take first? A. Palpate the bladder for distention B. Ask the client when her last bowel movement occurred C. Catheterize the client and record the amount D. Assess the amount of lochia A. Palpate the bladder for distention A client presents in the clinic because of generalized swelling after a bee sting. What intervention should the nurse implement first? A. Assess site of sting and remove stinger if present B. Perform mini-mental status exam to assess level of consciousness C. Determine respiratory status and apply a pulse oximeter D. Attach electrodes to monitor cardiac rhythm C. Determine respiratory status and apply a pulse oximeter
The LPN/LVN is administering multiple medications to a 78-year-old client because of problems related to polypharmacy. At this client's age, which assessment is most important for the nurse to make? A. Cumulative serum drug levels and toxicity B. Synergistic actions due to simultaneous administration C. Tolerance to drugs that have been taken for long periods of time D. Antagonist actions of multiple medications A. Cumulative serum drug levels and toxicity In obtaining an orthostatic vital sign measurement, what action should the nurse take first? A. Count the client's radial pulse B. Apply a blood pressure cuff C. Instruct the client to lie supine D. Assist the client to stand upright C. Instruct the client to lie supine A 3-week-old infant is admitted for surgical repair of Pyloric Stenosis. What interventions should the nurse expect to implement to establish hydration in the immediate postoperative period? A. Diaper weights and urine specific gravity B. Gastronomy feedings in supine position C. Nipple feedings with glucose water
