HESI LPN Exam Prep 2026/2027 | Questions & Correct
Answers | Graded A+
1. Why is it important for the practical nurse to mark the area of drainage on a
surgical dressing?
It ensures that the dressing is changed immediately.
It indicates that the dressing is secure and does not need attention.
It prevents the need for further assessments.
Marking the area helps in monitoring changes in the drainage over
time.
2. Why is it important for a practical nurse to consider the balance of benefits
and risks when requesting restraints for a client?
It is important to avoid any form of restraint to prevent legal issues.
It is important to follow hospital policy without considering the client's
condition.
It is important to use restraints to control all aggressive behaviors
immediately.
It is important to ensure that the client's safety is prioritized while
minimizing potential harm from restraints.
3. Why is it important for the practical nurse to verify the drug with the
medication administration record before reconstitution?
To ensure the correct medication is being prepared for the patient.
To determine the appropriate injection site.
To confirm the drug's expiration date.
To check the patient's vital signs.
,4. Describe why the Left Sims' position is preferred for administering a rectal
suppository.
The Left Sims' position is more comfortable for the client during the
procedure.
The Left Sims' position is the only position recommended for all rectal
procedures.
The Left Sims' position allows for easier access to the rectum and
promotes better absorption of the suppository.
The Left Sims' position prevents the client from moving during
administration.
5. If a practical nurse realizes that the drug to be reconstituted does not match
the medication administration record, what should be the next step?
Proceed with the reconstitution using the drug.
Ask a colleague for their opinion on the drug.
Document the discrepancy in the patient's chart.
Notify the healthcare provider immediately.
6. If a practical nurse finds that a client has a high gastric residual volume during
tube feeding, what should the nurse consider doing next based on agency
policy?
Consult the agency policy for guidelines on managing high gastric
residual volumes.
Immediately stop the feeding and notify the physician.
Administer an antiemetic medication to prevent nausea.
Increase the rate of the feeding to ensure adequate nutrition.
,7. A practical nurse is monitoring an older client receiving IV fluids who
suddenly develops crackles in the lung fields. What is the most appropriate
initial action for the nurse to take?
Increase the IV fluid rate to compensate.
Reposition the patient to a sitting position.
Notify the healthcare provider and assess the patient further.
Administer a diuretic immediately.
8. What should a practical nurse do with aspirated gastric contents during a
tube feeding assessment?
Return all the aspirated contents to the stomach followed with water
and consult the agency policy.
Replace half of the aspirated gastric contents and slow the rate of the
feeding.
Rinse the feeding tube after throwing the aspirated gastric contents
away and restart the feeding.
Throw the aspirated gastric contents away and stop the continuous
feeding.
9. What type of medication should not be delayed when preparing for
administration via a feeding tube?
Cherry flavored elixir
Flavorless suspension
Timed release capsule
Reconstituted powder
, 10. A person who is the primary caregiver for a mother with Alzheimer disease
says, Sometimes I hate my mother for living this long and Dad for dying and
not caring for her. Which response is most therapeutic?
Have you ever felt angry enough to be abusive toward your mother?
Please consider discussing these feelings with other members of your
family.
Its fairly common for a caregiver to feel such negative emotions.
What do you do to cope with these negative feelings?
11. When a nurse attempts to pass a nasogastric tube through the patient's
pharynx, the patient begins to cough and shows signs of respiratory distress.
Which of the following would be an appropriate intervention in this situation?
If patient can tolerate another attempt, ask him or her to raise the chin
and swallow as the tube is advanced.
Ask the patient to take a deep breath and continue advancing the
tube.
Stop advancing the tube and pull it back into the nasal area.
Immediately remove the tube and call the physician.
12. A practical nurse is tasked with changing a dressing for a patient with a
vertical incision. How should the nurse adapt the tape removal technique to
ensure patient comfort and safety?
The nurse should pull the tape from the bottom to the top of the
incision.
The nurse should peel the tape from one side to the other to avoid
discomfort.
The nurse should remove the dressing quickly to minimize patient
discomfort.
Answers | Graded A+
1. Why is it important for the practical nurse to mark the area of drainage on a
surgical dressing?
It ensures that the dressing is changed immediately.
It indicates that the dressing is secure and does not need attention.
It prevents the need for further assessments.
Marking the area helps in monitoring changes in the drainage over
time.
2. Why is it important for a practical nurse to consider the balance of benefits
and risks when requesting restraints for a client?
It is important to avoid any form of restraint to prevent legal issues.
It is important to follow hospital policy without considering the client's
condition.
It is important to use restraints to control all aggressive behaviors
immediately.
It is important to ensure that the client's safety is prioritized while
minimizing potential harm from restraints.
3. Why is it important for the practical nurse to verify the drug with the
medication administration record before reconstitution?
To ensure the correct medication is being prepared for the patient.
To determine the appropriate injection site.
To confirm the drug's expiration date.
To check the patient's vital signs.
,4. Describe why the Left Sims' position is preferred for administering a rectal
suppository.
The Left Sims' position is more comfortable for the client during the
procedure.
The Left Sims' position is the only position recommended for all rectal
procedures.
The Left Sims' position allows for easier access to the rectum and
promotes better absorption of the suppository.
The Left Sims' position prevents the client from moving during
administration.
5. If a practical nurse realizes that the drug to be reconstituted does not match
the medication administration record, what should be the next step?
Proceed with the reconstitution using the drug.
Ask a colleague for their opinion on the drug.
Document the discrepancy in the patient's chart.
Notify the healthcare provider immediately.
6. If a practical nurse finds that a client has a high gastric residual volume during
tube feeding, what should the nurse consider doing next based on agency
policy?
Consult the agency policy for guidelines on managing high gastric
residual volumes.
Immediately stop the feeding and notify the physician.
Administer an antiemetic medication to prevent nausea.
Increase the rate of the feeding to ensure adequate nutrition.
,7. A practical nurse is monitoring an older client receiving IV fluids who
suddenly develops crackles in the lung fields. What is the most appropriate
initial action for the nurse to take?
Increase the IV fluid rate to compensate.
Reposition the patient to a sitting position.
Notify the healthcare provider and assess the patient further.
Administer a diuretic immediately.
8. What should a practical nurse do with aspirated gastric contents during a
tube feeding assessment?
Return all the aspirated contents to the stomach followed with water
and consult the agency policy.
Replace half of the aspirated gastric contents and slow the rate of the
feeding.
Rinse the feeding tube after throwing the aspirated gastric contents
away and restart the feeding.
Throw the aspirated gastric contents away and stop the continuous
feeding.
9. What type of medication should not be delayed when preparing for
administration via a feeding tube?
Cherry flavored elixir
Flavorless suspension
Timed release capsule
Reconstituted powder
, 10. A person who is the primary caregiver for a mother with Alzheimer disease
says, Sometimes I hate my mother for living this long and Dad for dying and
not caring for her. Which response is most therapeutic?
Have you ever felt angry enough to be abusive toward your mother?
Please consider discussing these feelings with other members of your
family.
Its fairly common for a caregiver to feel such negative emotions.
What do you do to cope with these negative feelings?
11. When a nurse attempts to pass a nasogastric tube through the patient's
pharynx, the patient begins to cough and shows signs of respiratory distress.
Which of the following would be an appropriate intervention in this situation?
If patient can tolerate another attempt, ask him or her to raise the chin
and swallow as the tube is advanced.
Ask the patient to take a deep breath and continue advancing the
tube.
Stop advancing the tube and pull it back into the nasal area.
Immediately remove the tube and call the physician.
12. A practical nurse is tasked with changing a dressing for a patient with a
vertical incision. How should the nurse adapt the tape removal technique to
ensure patient comfort and safety?
The nurse should pull the tape from the bottom to the top of the
incision.
The nurse should peel the tape from one side to the other to avoid
discomfort.
The nurse should remove the dressing quickly to minimize patient
discomfort.
