LPN FUNDAMENTALS HESI PRACTICE EXAM
100+ QUESTIONS WITH VERIFIED SOLUTIONS
TESTED AND APPROVED NEW MODIFIED 2026
LATEST
What action should the practical nurse (PN) take when drawing medication from
an ampule?
A. Aspirate with a filter needle and syringe.
B. Tap the bottom of the ampule lightly.
C. Snap the neck of ampule towards nurse.
D. Use an alcohol swab to open ampule. -Correct ANS-A. An ampule is made
of glass with a constricted neck that is snapped off to allow access to the
medication. Medications are easily withdrawn from the ampule by aspirating the
fluid with a filter needle and syringe. Filter needles are used when withdrawing
medication from a glass ampule to prevent glass particles from being drawn into
the syringe with the medication. Tap the top, not the bottom
(B), of the ampule lightly to allow all of the medication to drop to the bottom.
When opening the ampule, the top should be snapped away from the nurse's face
and body (C). An opened alcohol swab wrapped around the top of the ampule
may allow alcohol to leak into the ampule
The practical nurse (PN) is preparing to reconstitute a drug from powder form for
IM administration. Which step should the PN implement first? A. Verify the drug
with the medication administration record.
B. Mix the powder with the solution.
C. Attach the needle to the syringe.
D. Read the label to determine the amount of diluent to use. --CORRECT
,ANSWER--A. The Five Rights of medication administration include the right drug,
right dose, right route, right time, and right client. The first action should be
verification of the right drug in the powder form for reconstitution.
Which action should the practical nurse (PN) implement when administering a
subcutaneous injection to a client who weighs 325 pounds? A. Produce a bleb at
the injection site.
B. Insert the needle at a 15-degree angle.
C. Select a needle with a longer shaft.
D. Rub vigorously for a faster response. -Correct ANS-C. To ensure penetration
into the deep layer of subcutaneuos adipose for a client who is obese, the needle
length should be longer than the usual needle (preferably 3/8 to 5/8 inch in
length) for subcutaneous injection.
Which finding indicates to the practical nurse (PN) that an older client who is
receiving intravenous therapy is experiencing fluid overload? A. Edema in lower
extremities.
B. Crackles in the lung fields.
C. Pulse rate of 64 beats/min.
D. Respirations of 16 breaths/min. -Correct ANS-B. IV fluid overload in an
older client is likely to cause an increase in the workload of the heart causing a
decrease in cardiac output
The practical nurse (PN) is checking the surgical dressing for a client who arrived
on the postoperative unit an hour ago. The dressing has an increase in the
accumulation of serosanguinous drainage. What nursing action should the PN
take?
A. Reinforce the dressing with clean gauze sponges and tape.
B. Change the surgical dressing immediately to prevent infection.
,C. Mark the outlined area of drainage with date, time and initials.
D. Collect a sample of the drainage for a culture and sensitivity -Correct ANS-
C. The area of bleeding on the dressing should be outlined, dated, timed and
initialed for furture comparison and evaluation
A male client who is 2 days postoperative for exploratory abdominal surgery is
ambulating in the hall with the practical nurse (PN). The client tells the PN, "I
think something in my incision just let go." Which action should the PN implement
first?
A. Notify the healthcare provider.
B. Assist the client to a supine position.
C. Instruct the client to avoid deep breathing.
D. Request an abdominal binder from a coworker. -Correct ANS-B.
The sensation of the surgical site letting go is characteristic of wound dehiscence
in the early postoperative period. The client should be placed into a supine
position
The practical nurse (PN) is applying a dry, sterile dressing to a client's abdominal
wound. Which allergy should the PN verify with the client? A. Tape.
B. Antibiotic ointment.
C. Povidone-iodine.
D. Hydrogen peroxide. -Correct ANS-A. a dry, sterile dressing includes the use
of gauze and tape . Although a client may be allergic to the other substances used
in wound care, (B, C, and D) are not used for a dry, sterile dressing.
, A client with cancer who has been taking opioid analgesics for two years now
requires increased doses to obtain pain relief. The client expresses fear about
becoming addicted to these drugs. What information should the practical nurse
(PN) provide?
A. Opioid use with cancer does not cause addiction.
B. Addiction is easily reversed if it occurs during pain management.
C. Prescribed opiates for cancer pain relief improve qualify of life.
D. Opioid dosages can be tapered if a client fears addiction. --CORRECT
ANSWER--C. Prescribed opiates for cancer pain relief improve qualify of life
The goal of pain management for clients with cancer using opiates is to minimize
pain and maintain quality of life
A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse
(PN) assesses the client every two hours for the desire to void. Which
documented assessment requires further intervention by the PN? A. 1:30 pm:
unable to void.
B. 5:30 pm: unable to void.
C. 3:30 pm: unable to void.
D. 11:30 am: unable to void. -Correct ANS-B. A client is due to void within 8
hours of catheter removal, so at 5:30 PM. Longer than 8 hours after removal,
catheter reinsertion may be necessary. If the bladder is not distended, further
action may not be needed
100+ QUESTIONS WITH VERIFIED SOLUTIONS
TESTED AND APPROVED NEW MODIFIED 2026
LATEST
What action should the practical nurse (PN) take when drawing medication from
an ampule?
A. Aspirate with a filter needle and syringe.
B. Tap the bottom of the ampule lightly.
C. Snap the neck of ampule towards nurse.
D. Use an alcohol swab to open ampule. -Correct ANS-A. An ampule is made
of glass with a constricted neck that is snapped off to allow access to the
medication. Medications are easily withdrawn from the ampule by aspirating the
fluid with a filter needle and syringe. Filter needles are used when withdrawing
medication from a glass ampule to prevent glass particles from being drawn into
the syringe with the medication. Tap the top, not the bottom
(B), of the ampule lightly to allow all of the medication to drop to the bottom.
When opening the ampule, the top should be snapped away from the nurse's face
and body (C). An opened alcohol swab wrapped around the top of the ampule
may allow alcohol to leak into the ampule
The practical nurse (PN) is preparing to reconstitute a drug from powder form for
IM administration. Which step should the PN implement first? A. Verify the drug
with the medication administration record.
B. Mix the powder with the solution.
C. Attach the needle to the syringe.
D. Read the label to determine the amount of diluent to use. --CORRECT
,ANSWER--A. The Five Rights of medication administration include the right drug,
right dose, right route, right time, and right client. The first action should be
verification of the right drug in the powder form for reconstitution.
Which action should the practical nurse (PN) implement when administering a
subcutaneous injection to a client who weighs 325 pounds? A. Produce a bleb at
the injection site.
B. Insert the needle at a 15-degree angle.
C. Select a needle with a longer shaft.
D. Rub vigorously for a faster response. -Correct ANS-C. To ensure penetration
into the deep layer of subcutaneuos adipose for a client who is obese, the needle
length should be longer than the usual needle (preferably 3/8 to 5/8 inch in
length) for subcutaneous injection.
Which finding indicates to the practical nurse (PN) that an older client who is
receiving intravenous therapy is experiencing fluid overload? A. Edema in lower
extremities.
B. Crackles in the lung fields.
C. Pulse rate of 64 beats/min.
D. Respirations of 16 breaths/min. -Correct ANS-B. IV fluid overload in an
older client is likely to cause an increase in the workload of the heart causing a
decrease in cardiac output
The practical nurse (PN) is checking the surgical dressing for a client who arrived
on the postoperative unit an hour ago. The dressing has an increase in the
accumulation of serosanguinous drainage. What nursing action should the PN
take?
A. Reinforce the dressing with clean gauze sponges and tape.
B. Change the surgical dressing immediately to prevent infection.
,C. Mark the outlined area of drainage with date, time and initials.
D. Collect a sample of the drainage for a culture and sensitivity -Correct ANS-
C. The area of bleeding on the dressing should be outlined, dated, timed and
initialed for furture comparison and evaluation
A male client who is 2 days postoperative for exploratory abdominal surgery is
ambulating in the hall with the practical nurse (PN). The client tells the PN, "I
think something in my incision just let go." Which action should the PN implement
first?
A. Notify the healthcare provider.
B. Assist the client to a supine position.
C. Instruct the client to avoid deep breathing.
D. Request an abdominal binder from a coworker. -Correct ANS-B.
The sensation of the surgical site letting go is characteristic of wound dehiscence
in the early postoperative period. The client should be placed into a supine
position
The practical nurse (PN) is applying a dry, sterile dressing to a client's abdominal
wound. Which allergy should the PN verify with the client? A. Tape.
B. Antibiotic ointment.
C. Povidone-iodine.
D. Hydrogen peroxide. -Correct ANS-A. a dry, sterile dressing includes the use
of gauze and tape . Although a client may be allergic to the other substances used
in wound care, (B, C, and D) are not used for a dry, sterile dressing.
, A client with cancer who has been taking opioid analgesics for two years now
requires increased doses to obtain pain relief. The client expresses fear about
becoming addicted to these drugs. What information should the practical nurse
(PN) provide?
A. Opioid use with cancer does not cause addiction.
B. Addiction is easily reversed if it occurs during pain management.
C. Prescribed opiates for cancer pain relief improve qualify of life.
D. Opioid dosages can be tapered if a client fears addiction. --CORRECT
ANSWER--C. Prescribed opiates for cancer pain relief improve qualify of life
The goal of pain management for clients with cancer using opiates is to minimize
pain and maintain quality of life
A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse
(PN) assesses the client every two hours for the desire to void. Which
documented assessment requires further intervention by the PN? A. 1:30 pm:
unable to void.
B. 5:30 pm: unable to void.
C. 3:30 pm: unable to void.
D. 11:30 am: unable to void. -Correct ANS-B. A client is due to void within 8
hours of catheter removal, so at 5:30 PM. Longer than 8 hours after removal,
catheter reinsertion may be necessary. If the bladder is not distended, further
action may not be needed
