HESI LPN-ADN ENTRANCE EXAM GRADED A 100% VERIFIED LATEST UPDATE 2026
Question 1
An elderly client with Type 2 Diabetes Mellitus is two days post-operative following an
abdominal hysterectomy. The client experiences a syncopal episode. Assessment reveals vital
signs are within normal limits, but the capillary blood glucose is 325 mg/dL. Which intervention
should the nurse implement first?
A) Administer a bolus of intravenous normal saline
B) Administer regular insulin per the prescribed sliding scale
C) Notify the healthcare provider of the blood glucose level
D) Provide the client with 4 ounces of orange juice
E) Document the finding as an expected post-operative stress response
Correct Answer: B) administer regular insulin per sliding scale
Rationale: Hyperglycemia is a common post-operative complication, especially in diabetic
patients due to surgical stress. A blood glucose of 325 mg/dL is significantly elevated and
requires immediate correction to prevent complications like DKA or impaired wound
healing. Per the nursing process, once the assessment (the fingerstick) is complete, the first
action is to implement the prescribed treatment for that specific abnormal value, which is
the sliding scale insulin.
Question 2
A 3-week-old infant is admitted for surgical repair of hypertrophic pyloric stenosis. Which
intervention should the nurse expect to implement to establish hydration in the immediate
postoperative period?
A) Total parenteral nutrition (TPN)
B) Full-strength infant formula every 3 hours
C) Nipple feedings with glucose water
D) Intravenous administration of albumin
E) Placement of a nasogastric tube for continuous bolus feedings
Correct Answer: C) nipple feedings with glucose water
Rationale: Post-operative care for pyloric stenosis involves a graduated feeding schedule. In
the immediate period after surgery, the infant is started on clear liquids, such as glucose
water or electrolyte solutions, in small amounts via a nipple. This allows the nurse to assess
the infant's tolerance and the presence of vomiting before advancing to breast milk or
formula.
Question 3
A 3-year-old child is admitted with a fever of unknown origin (FUO) and begins vomiting. The
child’s temperature is 101.8°F. The last dose of antipyretic was 5 hours ago. The child has PRN
prescriptions for acetaminophen 160 mg elixir or 160 mg suppositories. What action should the
nurse take?
, 2
A) Administer the acetaminophen elixir immediately
B) Encourage the child to drink small sips of ginger ale
C) Administer the acetaminophen suppository and make the child NPO
D) Wait one hour and re-check the temperature
E) Hold all medications and allow the child to rest
Correct Answer: C) make the child NPO and hold all mediations until the vomiting has
stopped.
Rationale: When a patient is actively vomiting, oral medications (elixir) should be avoided
as they may be expelled before absorption and can further irritate the gastric mucosa. The
child should be made NPO (nothing by mouth) to rest the stomach. To treat the fever while
vomiting is occurring, the rectal route (suppository) is the appropriate alternative for
medication administration.
Question 4
Four hours after the administration of 20 units of regular insulin, a client reports feeling shaky
and is observed to be diaphoretic. Which action should the nurse take?
A) Re-check the blood glucose in two hours
B) Administer an additional 5 units of regular insulin
C) Give the client crackers and milk
D) Call a code blue
E) Encourage the client to perform deep breathing exercises
Correct Answer: C) give the client crackers and milk
Rationale: Regular insulin peaks 2 to 4 hours after administration. Shakiness and
diaphoresis are classic signs of hypoglycemia. Since the client is conscious and able to
communicate, the nurse should provide a combination of a simple carbohydrate (to raise
glucose quickly) and a complex carbohydrate/protein (milk/crackers) to maintain the
glucose level until the next meal.
Question 5
A 6-month-old child is admitted with bronchiolitis. While monitoring the child’s respiratory
status, which symptom indicates most clearly to the nurse that the child is experiencing acute
respiratory distress?
A) A heart rate of 110 beats per minute
B) A high-pitched cry
C) Sleeping for more than two hours
D) Diaphoresis while feeding
E) Interest in playing with a mobile
Correct Answer: B) A high-pitched cry.
Rationale: In infants, a high-pitched cry can indicate neurological distress or extreme
, 3
physiological stress, often associated with inadequate oxygenation. Other classic signs of
respiratory distress in an infant include nasal flaring, grunting, and intercostal retractions.
A heart rate of 110 is normal for a 6-month-old.
Question 6
An 8-year-old client is recovering from a Celiac Crisis and is being transitioned back to a regular
diet. Which cereal should the nurse provide to ensure compliance with a gluten-free diet?
A) Wheat flakes
B) Barley cereal
C) Rice cereal
D) Rye toast
E) Malted grain cereal
Correct Answer: C) rice
Rationale: Celiac disease is an autoimmune disorder where the ingestion of gluten leads to
damage in the small intestine. Gluten is found in wheat, barley, and rye (BROW). Rice and
corn are naturally gluten-free and are safe for clients with Celiac disease to consume.
Question 7
In obstetric nursing, the term "Gravida" refers to which of the following?
A) The number of children currently living
B) The number of births occurring after 20 weeks gestation
C) The total number of confirmed pregnancies regardless of the outcome
D) A woman who has never been pregnant
E) A woman who has had multiple miscarriages only
Correct Answer: C) total number of confirmed pregnancies regardless of the outcome
Rationale: Gravida indicates the number of times a woman has been pregnant, including
the current pregnancy, miscarriages, abortions, and live births. It is a measure of
pregnancy history, not the outcome of the pregnancies.
Question 8
The term "Para" is defined as the number of:
A) Pregnancies that reached 20 weeks gestation
B) Children born at home
C) Total years of fertility
D) Miscarriages before 12 weeks
E) Successful breastfed infants
Correct Answer: A) number of births after 20 weeks
Rationale: Para refers to the number of pregnancies that have reached the age of viability
, 4
(generally 20 weeks), regardless of whether the infant was born alive or stillborn. It does
not count the number of fetuses (e.g., twins count as one para event).
Question 9
What is the correct medical term for a woman who is pregnant for the very first time?
A) Multigravida
B) Nullipara
C) Primigravida
D) Primipara
E) Multipara
Correct Answer: C) primigravida
Rationale: "Primi" means first, and "gravida" means pregnancy. Therefore, a primigravida
is a woman experiencing her first pregnancy.
Question 10
A 26-year-old client (Gravida 4, Para 0) has just undergone a dilation and curettage (D&C)
following a spontaneous abortion at 9 weeks. The client begins to cry softly. Which intervention
is most appropriate for the nurse?
A) Tell the client she is young and can have more children
B) Leave the room to give the client privacy
C) Express sorrow for the client's grief and offer to sit with her
D) Call the hospital chaplain immediately without asking
E) Explain the physiological reasons why miscarriages occur
Correct Answer: C) express sorrow for the clients grief and offer to sit with her.
Rationale: Therapeutic communication in the face of loss involves acknowledging the
client's feelings (validation) and providing a supportive presence (offering self). Avoid
clichés or minimizing the loss (Option A). Staying with the client shows support, whereas
leaving (Option B) may feel like abandonment.
Question 11
A primigravida who delivered a 7-pound infant 26 hours ago asks when she can resume sexual
intercourse with her husband. Which information should the nurse reinforce?
A) Intercourse can resume immediately upon discharge
B) They must wait at least six months
C) They can have intercourse when the episiotomy is healed and lochial flow has stopped
D) Intercourse is prohibited until the first follow-up at 12 weeks
E) They can resume once the infant sleeps through the night
Correct Answer: C) they can have intercourse when the episiotomy is healed and the lochial
flow has stopped
Question 1
An elderly client with Type 2 Diabetes Mellitus is two days post-operative following an
abdominal hysterectomy. The client experiences a syncopal episode. Assessment reveals vital
signs are within normal limits, but the capillary blood glucose is 325 mg/dL. Which intervention
should the nurse implement first?
A) Administer a bolus of intravenous normal saline
B) Administer regular insulin per the prescribed sliding scale
C) Notify the healthcare provider of the blood glucose level
D) Provide the client with 4 ounces of orange juice
E) Document the finding as an expected post-operative stress response
Correct Answer: B) administer regular insulin per sliding scale
Rationale: Hyperglycemia is a common post-operative complication, especially in diabetic
patients due to surgical stress. A blood glucose of 325 mg/dL is significantly elevated and
requires immediate correction to prevent complications like DKA or impaired wound
healing. Per the nursing process, once the assessment (the fingerstick) is complete, the first
action is to implement the prescribed treatment for that specific abnormal value, which is
the sliding scale insulin.
Question 2
A 3-week-old infant is admitted for surgical repair of hypertrophic pyloric stenosis. Which
intervention should the nurse expect to implement to establish hydration in the immediate
postoperative period?
A) Total parenteral nutrition (TPN)
B) Full-strength infant formula every 3 hours
C) Nipple feedings with glucose water
D) Intravenous administration of albumin
E) Placement of a nasogastric tube for continuous bolus feedings
Correct Answer: C) nipple feedings with glucose water
Rationale: Post-operative care for pyloric stenosis involves a graduated feeding schedule. In
the immediate period after surgery, the infant is started on clear liquids, such as glucose
water or electrolyte solutions, in small amounts via a nipple. This allows the nurse to assess
the infant's tolerance and the presence of vomiting before advancing to breast milk or
formula.
Question 3
A 3-year-old child is admitted with a fever of unknown origin (FUO) and begins vomiting. The
child’s temperature is 101.8°F. The last dose of antipyretic was 5 hours ago. The child has PRN
prescriptions for acetaminophen 160 mg elixir or 160 mg suppositories. What action should the
nurse take?
, 2
A) Administer the acetaminophen elixir immediately
B) Encourage the child to drink small sips of ginger ale
C) Administer the acetaminophen suppository and make the child NPO
D) Wait one hour and re-check the temperature
E) Hold all medications and allow the child to rest
Correct Answer: C) make the child NPO and hold all mediations until the vomiting has
stopped.
Rationale: When a patient is actively vomiting, oral medications (elixir) should be avoided
as they may be expelled before absorption and can further irritate the gastric mucosa. The
child should be made NPO (nothing by mouth) to rest the stomach. To treat the fever while
vomiting is occurring, the rectal route (suppository) is the appropriate alternative for
medication administration.
Question 4
Four hours after the administration of 20 units of regular insulin, a client reports feeling shaky
and is observed to be diaphoretic. Which action should the nurse take?
A) Re-check the blood glucose in two hours
B) Administer an additional 5 units of regular insulin
C) Give the client crackers and milk
D) Call a code blue
E) Encourage the client to perform deep breathing exercises
Correct Answer: C) give the client crackers and milk
Rationale: Regular insulin peaks 2 to 4 hours after administration. Shakiness and
diaphoresis are classic signs of hypoglycemia. Since the client is conscious and able to
communicate, the nurse should provide a combination of a simple carbohydrate (to raise
glucose quickly) and a complex carbohydrate/protein (milk/crackers) to maintain the
glucose level until the next meal.
Question 5
A 6-month-old child is admitted with bronchiolitis. While monitoring the child’s respiratory
status, which symptom indicates most clearly to the nurse that the child is experiencing acute
respiratory distress?
A) A heart rate of 110 beats per minute
B) A high-pitched cry
C) Sleeping for more than two hours
D) Diaphoresis while feeding
E) Interest in playing with a mobile
Correct Answer: B) A high-pitched cry.
Rationale: In infants, a high-pitched cry can indicate neurological distress or extreme
, 3
physiological stress, often associated with inadequate oxygenation. Other classic signs of
respiratory distress in an infant include nasal flaring, grunting, and intercostal retractions.
A heart rate of 110 is normal for a 6-month-old.
Question 6
An 8-year-old client is recovering from a Celiac Crisis and is being transitioned back to a regular
diet. Which cereal should the nurse provide to ensure compliance with a gluten-free diet?
A) Wheat flakes
B) Barley cereal
C) Rice cereal
D) Rye toast
E) Malted grain cereal
Correct Answer: C) rice
Rationale: Celiac disease is an autoimmune disorder where the ingestion of gluten leads to
damage in the small intestine. Gluten is found in wheat, barley, and rye (BROW). Rice and
corn are naturally gluten-free and are safe for clients with Celiac disease to consume.
Question 7
In obstetric nursing, the term "Gravida" refers to which of the following?
A) The number of children currently living
B) The number of births occurring after 20 weeks gestation
C) The total number of confirmed pregnancies regardless of the outcome
D) A woman who has never been pregnant
E) A woman who has had multiple miscarriages only
Correct Answer: C) total number of confirmed pregnancies regardless of the outcome
Rationale: Gravida indicates the number of times a woman has been pregnant, including
the current pregnancy, miscarriages, abortions, and live births. It is a measure of
pregnancy history, not the outcome of the pregnancies.
Question 8
The term "Para" is defined as the number of:
A) Pregnancies that reached 20 weeks gestation
B) Children born at home
C) Total years of fertility
D) Miscarriages before 12 weeks
E) Successful breastfed infants
Correct Answer: A) number of births after 20 weeks
Rationale: Para refers to the number of pregnancies that have reached the age of viability
, 4
(generally 20 weeks), regardless of whether the infant was born alive or stillborn. It does
not count the number of fetuses (e.g., twins count as one para event).
Question 9
What is the correct medical term for a woman who is pregnant for the very first time?
A) Multigravida
B) Nullipara
C) Primigravida
D) Primipara
E) Multipara
Correct Answer: C) primigravida
Rationale: "Primi" means first, and "gravida" means pregnancy. Therefore, a primigravida
is a woman experiencing her first pregnancy.
Question 10
A 26-year-old client (Gravida 4, Para 0) has just undergone a dilation and curettage (D&C)
following a spontaneous abortion at 9 weeks. The client begins to cry softly. Which intervention
is most appropriate for the nurse?
A) Tell the client she is young and can have more children
B) Leave the room to give the client privacy
C) Express sorrow for the client's grief and offer to sit with her
D) Call the hospital chaplain immediately without asking
E) Explain the physiological reasons why miscarriages occur
Correct Answer: C) express sorrow for the clients grief and offer to sit with her.
Rationale: Therapeutic communication in the face of loss involves acknowledging the
client's feelings (validation) and providing a supportive presence (offering self). Avoid
clichés or minimizing the loss (Option A). Staying with the client shows support, whereas
leaving (Option B) may feel like abandonment.
Question 11
A primigravida who delivered a 7-pound infant 26 hours ago asks when she can resume sexual
intercourse with her husband. Which information should the nurse reinforce?
A) Intercourse can resume immediately upon discharge
B) They must wait at least six months
C) They can have intercourse when the episiotomy is healed and lochial flow has stopped
D) Intercourse is prohibited until the first follow-up at 12 weeks
E) They can resume once the infant sleeps through the night
Correct Answer: C) they can have intercourse when the episiotomy is healed and the lochial
flow has stopped
