HESI LPN-ADN ENTRANCE EXAM
FINAL “EXIT” HESI! Last day of Concorde LVN School – 04/16/2021
HESI LPN-ADN ENTRANCE
s EXAM
before
Ipen
modium
Reduced
(MOBILITY
whena(MOBILITY
procedure
your
is EXAMS)
?- ANS
potassium
used
tremorsfor
and
EXAMS)
-reduced
ANS
levelA+
24-48GRADED
hours
isdrooling
above
Diarrhea
A+
aWhen
GRADED
?100%
5Normal
- ANSVERIFIED
potassium
Anticholinergic
100%
How
oflevels
Hypernatermia
effects
a patient is on long VERIFIED
should
-, ANS Metformin
3.5-5
dsythrimas
Parkinson's
Coumadin What
in the
medication
you should hap
-heart
not ANS
give -
ANS Aspirin
Diuretics
Das
transport
be used
eye on rug ,Blood
thean
nearby for
glucosethinners
bipolar
energy
objectsrequired
source Drugs
disorder forbody
by- the
ANS
Presbyopia Hypertension
Lithium
- cells from-the
ANSFunction ANSof BetaBlockers
insulin
bloodstream
Age-related - ANS
decreased or Thiazide
Insulin
toability
the toisfocus
needed
individual the toto
cells
1. An ambulatory clinic nurse is interviewing a client who is complaining of flulike
symptoms. The client suddenly develops chest pain. Which question best
assists the nurse to discriminate pain caused by a non-Cardiac problem?
a. "Can you describe the pain to me?"
b. "Have you ever had this pain before?"
c. "Does the pain get worse when you breathe in?"
2. A client with myocardial infarction (MI) has been transferredfrom the coronary
care unit (CCU) to the general medical unit with cardiac monitoring via
telemetry. The nurse assisting in caring for the client expects to note which type
of activity prescribed?
a. Strict bed rest for 24 hours
b. Bathroom privileges and self-care activities
c. Unrestricted activities because the client is monitored
d. Unsupervised hallway ambulation with distances less than 200 feet
3. The LPN/LVN is preparing to care for a client who will be arriving from the recovery
room after an above-the-knee amputation. The nurse ensures that which priority item
is available for emergency use?
a. Surgical tourniquet
b. Dry sterile dressings
c. Incentive spirometer
d. Over-the-bed trapeze
4. A client is diagnosed with thrombophlebitis. The nurseshould tell the client
that which prescription is indicated?
a. Bed rest, with bathroom privileges only
b. Bed rest, keeping the affected extremity flat
c. Bed rest, with elevation of the affected extremity
d. Bed rest, with the affected extremity in a dependent position
pg. 1
, HESI LPN-ADN ENTRANCE EXAM
FINAL “EXIT” HESI! Last day of Concorde LVN School – 04/16/2021
HESI LPN-ADN ENTRANCE
s EXAM
before
Ipen
modium
Reduced
(MOBILITY
whena(MOBILITY
procedure
your
is EXAMS)
?- ANS
potassium
used
tremorsfor
and
EXAMS)
-reduced
ANS
levelA+
24-48GRADED
hours
isdrooling
above
Diarrhea
A+
aWhen
GRADED
?100%
5Normal
- ANSVERIFIED
potassium
Anticholinergic
100%
How
oflevels
Hypernatermia
effects
a patient is on long VERIFIED
should
-, ANS Metformin
3.5-5
dsythrimas
Parkinson's
Coumadin What
in the
medication
you should hap
-heart
not ANS
give -
ANS Aspirin
Diuretics
Das
transport
be used
eye on rug ,Blood
thean
nearby for
glucosethinners
bipolar
energy
objectsrequired
source Drugs
disorder forbody
by- the
ANS
Presbyopia Hypertension
Lithium
- cells from-the
ANSFunction ANSof BetaBlockers
insulin
bloodstream
Age-related - ANS
decreased or Thiazide
Insulin
toability
the toisfocus
needed
individual the toto
cells
5. A client returns to the nursing unit after an above knee amputation of the right leg.
In which position should the nurse placethe client?
a. Prone with the head on a pillow
b. With the foot of the bed elevated
c. Reverse Trendelenburg's position
d. With the residual limb flat on the bed
6. The LPN/LVN is collecting data from a client about medications being taken, and
the client tells the nurse that he is taking herbal supplements for the treatment
of varicose veins. Thenurse understands that the client is most likely taking
which?
a. Bilberry
b. Ginseng
c. Feverfew
d. Evening primrose
25. The LPN/LVN is planning to reinforce instructions to a client with peripheral
arterial disease about measures to limit disease progression. The nurse should
include which items on a list of suggestions to be given to the client? Select all
that apply.
a. Wear elastic stockings.
b. Be careful not to injure the legs or feet.
c. Use a heating pad on the legs to aid vasodilation.
d. Walk each day to increase circulation to the legs.
e. Cut down on the amount of fats consumed in the diet.
27. A client is at risk for developing disseminated intravascular coagulopathy (DIC).
The LPN/LVN should become concerned with which fibrinogen level?
a. 90 mg/dL
b. 190 mg/dL
c. 290 mg/dL
d. 390 mg/dL
28. A hospitalized client with a history of angina pectoris is ambulating in the corridor.
The client suddenly complains of severesubsternal chest pain. The LPN/LVN
should take which action first?
a. Check the client's vital signs.
b. Assist the client to sit or lie down.
c. Administer sublingual nitroglycerin.
d. Apply nasal oxygen at a rate of 2 L/min.
29. The LPN/LVN notes bilateral 2+ edema in the lower extremitiesof a client with
known coronary artery disease who was admitted to the hospital 2 days ago.
Based on this finding, the nurse should implement which action?
pg. 2
, HESI LPN-ADN ENTRANCE EXAM
FINAL “EXIT” HESI! Last day of Concorde LVN School – 04/16/2021
HESI LPN-ADN ENTRANCE
s EXAM
before
Ipen
modium
Reduced
(MOBILITY
whena(MOBILITY
procedure
your
is EXAMS)
?- ANS
potassium
used
tremorsfor
and
EXAMS)
-reduced
ANS
levelA+
24-48GRADED
hours
isdrooling
above
Diarrhea
A+
aWhen
GRADED
?100%
5Normal
- ANSVERIFIED
potassium
Anticholinergic
100%
How
oflevels
Hypernatermia
effects
a patient is on long VERIFIED
should
-, ANS Metformin
3.5-5
dsythrimas
Parkinson's
Coumadin What
in the
medication
you should hap
-heart
not ANS
give -
ANS Aspirin
Diuretics
Das
transport
be used
eye on rug ,Blood
thean
nearby for
glucosethinners
bipolar
energy
objectsrequired
source Drugs
disorder forbody
by- the
ANS
Presbyopia Hypertension
Lithium
- cells from-the
ANSFunction ANSof BetaBlockers
insulin
bloodstream
Age-related - ANS
decreased or Thiazide
Insulin
toability
the toisfocus
needed
individual the toto
cells
a. Reviews the intake and output records for the last 2 days
b. Prescribes daily weights starting on the following morning
c. Changes the time of diuretic administration from morning to evening
d. Requests a sodium restriction of 1 g/day from the health care provider
30. A client brings the following medications to the clinic for a yearly physical. The
LPN/LVN realizes which medication has been prescribed to treat heart failure?
a. Digoxin (Lanoxin)
b. Warfarin (Coumadin)
c. Amiodarone (Cordarone)
d. Potassium chloride (K-Dur)
31. A student nurse is assigned to assist in caring for a client withacute pulmonary
edema who is receiving digoxin (Lanoxin) and heparin therapy. The nursing
instructor reviews the plan of care formulated by the student and tells the student
that which intervention is unsafe?
a. Restricting the client's potassium intake
b. Encouraging the client to rest after meals
c. Administering the heparin with a 25-gauge needle
d. Holding the digoxin for a heart rate less than 60 beats per minute
32. A client has an inoperable abdominal aortic aneurysm (AAA). Which
measure should the nurse anticipate reinforcingwhen teaching the client?
a. Bed rest
b. Restricting fluids
c. Antihypertensives
d. Maintaining a low-fiber diet
33. The LPN/LVN finds a client tensing while lying in bed staring atthe cardiac monitor.
Which is the nurse's best response when the client states, "There sure are a lot of
wires around there. I sure hope we don't get hit by lightning!"?
a. "Would you like a mild sedative to help you relax?"
b. "Oh, don't worry, the weather is supposed to be sunny and clear
today."
pg. 3
, HESI LPN-ADN ENTRANCE EXAM
FINAL “EXIT” HESI! Last day of Concorde LVN School – 04/16/2021
HESI LPN-ADN ENTRANCE
s EXAM
before
Ipen
modium
Reduced
(MOBILITY
whena(MOBILITY
procedure
your
is EXAMS)
?- ANS
potassium
used
tremorsfor
and
EXAMS)
-reduced
ANS
levelA+
24-48GRADED
hours
isdrooling
above
Diarrhea
A+
aWhen
GRADED
?100%
5Normal
- ANSVERIFIED
potassium
Anticholinergic
100%
How
oflevels
Hypernatermia
effects
a patient is on long VERIFIED
should
-, ANS Metformin
3.5-5
dsythrimas
Parkinson's
Coumadin What
in the
medication
you should hap
-heart
not ANS
give -
ANS Aspirin
Diuretics
Das
transport
be used
eye on rug ,Blood
thean
nearby for
glucosethinners
bipolar
energy
objectsrequired
source Drugs
disorder forbody
by- the
ANS
Presbyopia Hypertension
Lithium
- cells from-the
ANSFunction ANSof BetaBlockers
insulin
bloodstream
Age-related - ANS
decreased or Thiazide
Insulin
toability
the toisfocus
needed
individual the toto
cells
c.
how the cardiac monitor works?"
d. "I can appreciate your concerns. Your family can stay with you
tonight if you want them to."
34. The LPN/LVN is asked to assist another health care memberin providing care
to a client who is placed in a modified Trendelenburg's position. The nurse
interprets that the client is likely being treated for which condition?
a. Shock
b. Kidney dysfunction
c. Respiratory insufficiency
d. Increased intracranial pressure
35. A client is seen in the health care provider's office for a physical examination
after experiencing unusual fatigue over thelast several weeks. Height is 5 feet,
8 inches, with a weight of 220 pounds. Vital signs are temperature 98.6° F oral,
pulse 86 beats per minute, respirations 18 breaths per minute, and blood
pressure 184/96 mm Hg. Random blood glucose is 110 mg/dL. In order to best
collect relevant data, which question should the LPN/LVN ask the client first?
a. "Do you exercise regularly?"
b. "Would you consider losing weight?"
c. "Is there a history of diabetes mellitus in your family?"
d. "When was the last time you had your blood pressure checked?"
36. The client scheduled for a right femoropopliteal bypass graftis at risk for
compromised tissue perfusion to the extremity. The LPN/LVN takes which
action before surgery to address this risk?
a. Having the client void before surgery
b. Completing a preoperative checklist
c. Marking the location of the pedal pulses on the right leg
d. Checking the results of any baseline coagulation studies
37. When preparing a client for a pericardiocentesis, which positiondoes the LPN/LVN
place the client in?
a. Supine with slight lowering of the head
b. Lying on the right side with a pillow under the head
c. Lying on the left side with a pillow under the chest wall d.
Supine
angle with the head of bed elevated at a 45- to 60-degree
38. For a client diagnosed with pulmonary edema, the LPN/LVN establishes a goal to
have the client participate in activities that reduce cardiac workload. Which
client activities will contribute to achieving this goal?
pg. 4
FINAL “EXIT” HESI! Last day of Concorde LVN School – 04/16/2021
HESI LPN-ADN ENTRANCE
s EXAM
before
Ipen
modium
Reduced
(MOBILITY
whena(MOBILITY
procedure
your
is EXAMS)
?- ANS
potassium
used
tremorsfor
and
EXAMS)
-reduced
ANS
levelA+
24-48GRADED
hours
isdrooling
above
Diarrhea
A+
aWhen
GRADED
?100%
5Normal
- ANSVERIFIED
potassium
Anticholinergic
100%
How
oflevels
Hypernatermia
effects
a patient is on long VERIFIED
should
-, ANS Metformin
3.5-5
dsythrimas
Parkinson's
Coumadin What
in the
medication
you should hap
-heart
not ANS
give -
ANS Aspirin
Diuretics
Das
transport
be used
eye on rug ,Blood
thean
nearby for
glucosethinners
bipolar
energy
objectsrequired
source Drugs
disorder forbody
by- the
ANS
Presbyopia Hypertension
Lithium
- cells from-the
ANSFunction ANSof BetaBlockers
insulin
bloodstream
Age-related - ANS
decreased or Thiazide
Insulin
toability
the toisfocus
needed
individual the toto
cells
1. An ambulatory clinic nurse is interviewing a client who is complaining of flulike
symptoms. The client suddenly develops chest pain. Which question best
assists the nurse to discriminate pain caused by a non-Cardiac problem?
a. "Can you describe the pain to me?"
b. "Have you ever had this pain before?"
c. "Does the pain get worse when you breathe in?"
2. A client with myocardial infarction (MI) has been transferredfrom the coronary
care unit (CCU) to the general medical unit with cardiac monitoring via
telemetry. The nurse assisting in caring for the client expects to note which type
of activity prescribed?
a. Strict bed rest for 24 hours
b. Bathroom privileges and self-care activities
c. Unrestricted activities because the client is monitored
d. Unsupervised hallway ambulation with distances less than 200 feet
3. The LPN/LVN is preparing to care for a client who will be arriving from the recovery
room after an above-the-knee amputation. The nurse ensures that which priority item
is available for emergency use?
a. Surgical tourniquet
b. Dry sterile dressings
c. Incentive spirometer
d. Over-the-bed trapeze
4. A client is diagnosed with thrombophlebitis. The nurseshould tell the client
that which prescription is indicated?
a. Bed rest, with bathroom privileges only
b. Bed rest, keeping the affected extremity flat
c. Bed rest, with elevation of the affected extremity
d. Bed rest, with the affected extremity in a dependent position
pg. 1
, HESI LPN-ADN ENTRANCE EXAM
FINAL “EXIT” HESI! Last day of Concorde LVN School – 04/16/2021
HESI LPN-ADN ENTRANCE
s EXAM
before
Ipen
modium
Reduced
(MOBILITY
whena(MOBILITY
procedure
your
is EXAMS)
?- ANS
potassium
used
tremorsfor
and
EXAMS)
-reduced
ANS
levelA+
24-48GRADED
hours
isdrooling
above
Diarrhea
A+
aWhen
GRADED
?100%
5Normal
- ANSVERIFIED
potassium
Anticholinergic
100%
How
oflevels
Hypernatermia
effects
a patient is on long VERIFIED
should
-, ANS Metformin
3.5-5
dsythrimas
Parkinson's
Coumadin What
in the
medication
you should hap
-heart
not ANS
give -
ANS Aspirin
Diuretics
Das
transport
be used
eye on rug ,Blood
thean
nearby for
glucosethinners
bipolar
energy
objectsrequired
source Drugs
disorder forbody
by- the
ANS
Presbyopia Hypertension
Lithium
- cells from-the
ANSFunction ANSof BetaBlockers
insulin
bloodstream
Age-related - ANS
decreased or Thiazide
Insulin
toability
the toisfocus
needed
individual the toto
cells
5. A client returns to the nursing unit after an above knee amputation of the right leg.
In which position should the nurse placethe client?
a. Prone with the head on a pillow
b. With the foot of the bed elevated
c. Reverse Trendelenburg's position
d. With the residual limb flat on the bed
6. The LPN/LVN is collecting data from a client about medications being taken, and
the client tells the nurse that he is taking herbal supplements for the treatment
of varicose veins. Thenurse understands that the client is most likely taking
which?
a. Bilberry
b. Ginseng
c. Feverfew
d. Evening primrose
25. The LPN/LVN is planning to reinforce instructions to a client with peripheral
arterial disease about measures to limit disease progression. The nurse should
include which items on a list of suggestions to be given to the client? Select all
that apply.
a. Wear elastic stockings.
b. Be careful not to injure the legs or feet.
c. Use a heating pad on the legs to aid vasodilation.
d. Walk each day to increase circulation to the legs.
e. Cut down on the amount of fats consumed in the diet.
27. A client is at risk for developing disseminated intravascular coagulopathy (DIC).
The LPN/LVN should become concerned with which fibrinogen level?
a. 90 mg/dL
b. 190 mg/dL
c. 290 mg/dL
d. 390 mg/dL
28. A hospitalized client with a history of angina pectoris is ambulating in the corridor.
The client suddenly complains of severesubsternal chest pain. The LPN/LVN
should take which action first?
a. Check the client's vital signs.
b. Assist the client to sit or lie down.
c. Administer sublingual nitroglycerin.
d. Apply nasal oxygen at a rate of 2 L/min.
29. The LPN/LVN notes bilateral 2+ edema in the lower extremitiesof a client with
known coronary artery disease who was admitted to the hospital 2 days ago.
Based on this finding, the nurse should implement which action?
pg. 2
, HESI LPN-ADN ENTRANCE EXAM
FINAL “EXIT” HESI! Last day of Concorde LVN School – 04/16/2021
HESI LPN-ADN ENTRANCE
s EXAM
before
Ipen
modium
Reduced
(MOBILITY
whena(MOBILITY
procedure
your
is EXAMS)
?- ANS
potassium
used
tremorsfor
and
EXAMS)
-reduced
ANS
levelA+
24-48GRADED
hours
isdrooling
above
Diarrhea
A+
aWhen
GRADED
?100%
5Normal
- ANSVERIFIED
potassium
Anticholinergic
100%
How
oflevels
Hypernatermia
effects
a patient is on long VERIFIED
should
-, ANS Metformin
3.5-5
dsythrimas
Parkinson's
Coumadin What
in the
medication
you should hap
-heart
not ANS
give -
ANS Aspirin
Diuretics
Das
transport
be used
eye on rug ,Blood
thean
nearby for
glucosethinners
bipolar
energy
objectsrequired
source Drugs
disorder forbody
by- the
ANS
Presbyopia Hypertension
Lithium
- cells from-the
ANSFunction ANSof BetaBlockers
insulin
bloodstream
Age-related - ANS
decreased or Thiazide
Insulin
toability
the toisfocus
needed
individual the toto
cells
a. Reviews the intake and output records for the last 2 days
b. Prescribes daily weights starting on the following morning
c. Changes the time of diuretic administration from morning to evening
d. Requests a sodium restriction of 1 g/day from the health care provider
30. A client brings the following medications to the clinic for a yearly physical. The
LPN/LVN realizes which medication has been prescribed to treat heart failure?
a. Digoxin (Lanoxin)
b. Warfarin (Coumadin)
c. Amiodarone (Cordarone)
d. Potassium chloride (K-Dur)
31. A student nurse is assigned to assist in caring for a client withacute pulmonary
edema who is receiving digoxin (Lanoxin) and heparin therapy. The nursing
instructor reviews the plan of care formulated by the student and tells the student
that which intervention is unsafe?
a. Restricting the client's potassium intake
b. Encouraging the client to rest after meals
c. Administering the heparin with a 25-gauge needle
d. Holding the digoxin for a heart rate less than 60 beats per minute
32. A client has an inoperable abdominal aortic aneurysm (AAA). Which
measure should the nurse anticipate reinforcingwhen teaching the client?
a. Bed rest
b. Restricting fluids
c. Antihypertensives
d. Maintaining a low-fiber diet
33. The LPN/LVN finds a client tensing while lying in bed staring atthe cardiac monitor.
Which is the nurse's best response when the client states, "There sure are a lot of
wires around there. I sure hope we don't get hit by lightning!"?
a. "Would you like a mild sedative to help you relax?"
b. "Oh, don't worry, the weather is supposed to be sunny and clear
today."
pg. 3
, HESI LPN-ADN ENTRANCE EXAM
FINAL “EXIT” HESI! Last day of Concorde LVN School – 04/16/2021
HESI LPN-ADN ENTRANCE
s EXAM
before
Ipen
modium
Reduced
(MOBILITY
whena(MOBILITY
procedure
your
is EXAMS)
?- ANS
potassium
used
tremorsfor
and
EXAMS)
-reduced
ANS
levelA+
24-48GRADED
hours
isdrooling
above
Diarrhea
A+
aWhen
GRADED
?100%
5Normal
- ANSVERIFIED
potassium
Anticholinergic
100%
How
oflevels
Hypernatermia
effects
a patient is on long VERIFIED
should
-, ANS Metformin
3.5-5
dsythrimas
Parkinson's
Coumadin What
in the
medication
you should hap
-heart
not ANS
give -
ANS Aspirin
Diuretics
Das
transport
be used
eye on rug ,Blood
thean
nearby for
glucosethinners
bipolar
energy
objectsrequired
source Drugs
disorder forbody
by- the
ANS
Presbyopia Hypertension
Lithium
- cells from-the
ANSFunction ANSof BetaBlockers
insulin
bloodstream
Age-related - ANS
decreased or Thiazide
Insulin
toability
the toisfocus
needed
individual the toto
cells
c.
how the cardiac monitor works?"
d. "I can appreciate your concerns. Your family can stay with you
tonight if you want them to."
34. The LPN/LVN is asked to assist another health care memberin providing care
to a client who is placed in a modified Trendelenburg's position. The nurse
interprets that the client is likely being treated for which condition?
a. Shock
b. Kidney dysfunction
c. Respiratory insufficiency
d. Increased intracranial pressure
35. A client is seen in the health care provider's office for a physical examination
after experiencing unusual fatigue over thelast several weeks. Height is 5 feet,
8 inches, with a weight of 220 pounds. Vital signs are temperature 98.6° F oral,
pulse 86 beats per minute, respirations 18 breaths per minute, and blood
pressure 184/96 mm Hg. Random blood glucose is 110 mg/dL. In order to best
collect relevant data, which question should the LPN/LVN ask the client first?
a. "Do you exercise regularly?"
b. "Would you consider losing weight?"
c. "Is there a history of diabetes mellitus in your family?"
d. "When was the last time you had your blood pressure checked?"
36. The client scheduled for a right femoropopliteal bypass graftis at risk for
compromised tissue perfusion to the extremity. The LPN/LVN takes which
action before surgery to address this risk?
a. Having the client void before surgery
b. Completing a preoperative checklist
c. Marking the location of the pedal pulses on the right leg
d. Checking the results of any baseline coagulation studies
37. When preparing a client for a pericardiocentesis, which positiondoes the LPN/LVN
place the client in?
a. Supine with slight lowering of the head
b. Lying on the right side with a pillow under the head
c. Lying on the left side with a pillow under the chest wall d.
Supine
angle with the head of bed elevated at a 45- to 60-degree
38. For a client diagnosed with pulmonary edema, the LPN/LVN establishes a goal to
have the client participate in activities that reduce cardiac workload. Which
client activities will contribute to achieving this goal?
pg. 4
