HESI LPN ENTRANCE EXAM QUESTIONS & ANSWERS 2026-2027 | COMPRE… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
HESI LPN Entrance Exam
Questions & Answers
2026-2027 |
Comprehensive Exam
Review (Rationales)
Verified Answers Exam Ready With Rationales
111 QUESTIONS
DOCUMENT OVERVIEW
This document provides 111 verified exam questions with correct answers and detailed rationales,
focusing on nursing knowledge essential for LPN candidates. It is designed to enhance understanding
of critical concepts in nursing practice. Students can use this comprehensive resource for effective
study, review, and preparation for certification exams.
CONTENTS
• Postoperative Care • Diabetes Management
• Pediatric Nursing • Maternal Health
• Mental Health • Assessment Techniques
• Medication Administration • Infection Control
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 111
2 days after an abdominal hysterectomy, an elderly client with diabetes Mellitus Type II has a syncopal
episode. Her vital signs are within normal limits and her sugar is 325 mg/dL. what intervention should
the nurse implement first?
CORRECT ANSWER
administer regular insulin per sliding scale
RATIONALE
Elevated blood glucose levels can lead to hyperglycemic symptoms, including altered consciousness, which
may explain the syncopal episode. Administering regular insulin per sliding scale promptly addresses the
hyperglycemia and stabilizes the patient's condition.
Q2 QUESTION 2 OF 111
4 hours after administration of 20U of regular insulin, the client becomes shaky and diaphoretic. what
action should the nurse take?
CORRECT ANSWER
give the client crackers and milk
RATIONALE
Hypoglycemia can occur after insulin administration, leading to symptoms like shakiness and diaphoresis;
providing simple carbohydrates, such as crackers and milk, quickly raises blood glucose levels to alleviate
these symptoms. This intervention aligns with the principle of immediate treatment for hypoglycemic episodes
to prevent progression to severe hypoglycemia.
Q3 QUESTION 3 OF 111
a 6-month child with bronchiolitis is admitted to the hospital. In monitoring the respiratory status of
this child, which symptom indicates the nurse that he is experiencing respiratory distress?
CORRECT ANSWER
A high pitched cry.
Page 2
, RATIONALE
A high-pitched cry in infants may indicate respiratory distress due to increased work of breathing or airway
obstruction, reflecting heightened respiratory effort or anxiety. This symptom aligns with the physiological
response to hypoxia or respiratory compromise, necessitating immediate assessment and intervention.
Q4 QUESTION 4 OF 111
After a change of shift report, the nurse makes rounds on a postoperative unit. Which client finding
necessitates the immediate attention of the nurse?
CORRECT ANSWER
A. A client who is having bright red drainage from the rectum following a colonoscopy with a polyp
removal
RATIONALE
Bright red rectal drainage post-polypectomy indicates potential hemorrhage, which poses a significant risk for
hemodynamic instability and requires immediate intervention. Recognizing signs of active bleeding is crucial
in postoperative care to prevent complications.
Q5 QUESTION 5 OF 111
After morning dressing changes are completed, a male client who has paraplegia contaminates his
ischial decubiti dressing with a diarrheal stool. What activity is best for the nurse to assign to the
unlicensed assistive personnel?
CORRECT ANSWER
B. Provide perianal care and collect clean linens for the dressing change
RATIONALE
Assigning perianal care and collecting clean linens facilitates infection control and prepares for an appropriate
dressing change, aligning with the UAP's scope of practice. This task supports the maintenance of hygiene and
skin integrity, which is critical for a patient with decubitus ulcers.
Q6 QUESTION 6 OF 111
A client is having Radical Mastectomy. What is the position of choice during the immediate
postoperative period?
CORRECT ANSWER
C. Semi-Fowler's position with the arm on the operative side elevated
Page 3
, RATIONALE
Elevating the operative arm in Semi-Fowler's position promotes venous return and minimizes edema,
facilitating effective drainage and circulation post-surgery. This positioning also enhances respiratory function
by preventing pressure on the diaphragm, which is critical following a radical mastectomy.
Q7 QUESTION 7 OF 111
A client is returning to the surgical unit after a total right knee replacement. Which assessment
findings are most important for the nurse to include in this client's record?
CORRECT ANSWER
A. Pedal pulses, pallor, pain, paresthesia or paralysis
RATIONALE
Assessing pedal pulses, pallor, pain, paresthesia, and paralysis is critical for detecting potential complications
such as impaired circulation or neurovascular compromise following surgery. These findings align with the
assessment of the neurovascular status, which is vital in preventing serious postoperative complications like
compartment syndrome or thrombosis.
Q8 QUESTION 8 OF 111
A client returns to the postoperative unit following an open reduction and internal fixation of a hip
fracture. The practical nurse applies the prescribed sequential compression devise (SCD) to both
lower extremities. (BLE). What action is important when turning the client to a lateral position?
CORRECT ANSWER
D. Observe the SCDs continue to inflate and deflate when the client is turned
RATIONALE
Maintaining the functionality of the sequential compression devices (SCDs) during repositioning ensures
ongoing venous thromboembolism prophylaxis, which is critical for minimizing the risk of deep vein
thrombosis postoperatively. Continuous inflation and deflation indicate proper placement and operation of
the SCDs, supporting venous return and circulation.
Q9 QUESTION 9 OF 111
A client's daughter phones the charge nurse to report that the night nurse did not provide good care
for her mother. What response should the nurse make?
CORRECT ANSWER
A. Ask for a description of what happened during the night
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
HESI LPN Entrance Exam
Questions & Answers
2026-2027 |
Comprehensive Exam
Review (Rationales)
Verified Answers Exam Ready With Rationales
111 QUESTIONS
DOCUMENT OVERVIEW
This document provides 111 verified exam questions with correct answers and detailed rationales,
focusing on nursing knowledge essential for LPN candidates. It is designed to enhance understanding
of critical concepts in nursing practice. Students can use this comprehensive resource for effective
study, review, and preparation for certification exams.
CONTENTS
• Postoperative Care • Diabetes Management
• Pediatric Nursing • Maternal Health
• Mental Health • Assessment Techniques
• Medication Administration • Infection Control
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 111
2 days after an abdominal hysterectomy, an elderly client with diabetes Mellitus Type II has a syncopal
episode. Her vital signs are within normal limits and her sugar is 325 mg/dL. what intervention should
the nurse implement first?
CORRECT ANSWER
administer regular insulin per sliding scale
RATIONALE
Elevated blood glucose levels can lead to hyperglycemic symptoms, including altered consciousness, which
may explain the syncopal episode. Administering regular insulin per sliding scale promptly addresses the
hyperglycemia and stabilizes the patient's condition.
Q2 QUESTION 2 OF 111
4 hours after administration of 20U of regular insulin, the client becomes shaky and diaphoretic. what
action should the nurse take?
CORRECT ANSWER
give the client crackers and milk
RATIONALE
Hypoglycemia can occur after insulin administration, leading to symptoms like shakiness and diaphoresis;
providing simple carbohydrates, such as crackers and milk, quickly raises blood glucose levels to alleviate
these symptoms. This intervention aligns with the principle of immediate treatment for hypoglycemic episodes
to prevent progression to severe hypoglycemia.
Q3 QUESTION 3 OF 111
a 6-month child with bronchiolitis is admitted to the hospital. In monitoring the respiratory status of
this child, which symptom indicates the nurse that he is experiencing respiratory distress?
CORRECT ANSWER
A high pitched cry.
Page 2
, RATIONALE
A high-pitched cry in infants may indicate respiratory distress due to increased work of breathing or airway
obstruction, reflecting heightened respiratory effort or anxiety. This symptom aligns with the physiological
response to hypoxia or respiratory compromise, necessitating immediate assessment and intervention.
Q4 QUESTION 4 OF 111
After a change of shift report, the nurse makes rounds on a postoperative unit. Which client finding
necessitates the immediate attention of the nurse?
CORRECT ANSWER
A. A client who is having bright red drainage from the rectum following a colonoscopy with a polyp
removal
RATIONALE
Bright red rectal drainage post-polypectomy indicates potential hemorrhage, which poses a significant risk for
hemodynamic instability and requires immediate intervention. Recognizing signs of active bleeding is crucial
in postoperative care to prevent complications.
Q5 QUESTION 5 OF 111
After morning dressing changes are completed, a male client who has paraplegia contaminates his
ischial decubiti dressing with a diarrheal stool. What activity is best for the nurse to assign to the
unlicensed assistive personnel?
CORRECT ANSWER
B. Provide perianal care and collect clean linens for the dressing change
RATIONALE
Assigning perianal care and collecting clean linens facilitates infection control and prepares for an appropriate
dressing change, aligning with the UAP's scope of practice. This task supports the maintenance of hygiene and
skin integrity, which is critical for a patient with decubitus ulcers.
Q6 QUESTION 6 OF 111
A client is having Radical Mastectomy. What is the position of choice during the immediate
postoperative period?
CORRECT ANSWER
C. Semi-Fowler's position with the arm on the operative side elevated
Page 3
, RATIONALE
Elevating the operative arm in Semi-Fowler's position promotes venous return and minimizes edema,
facilitating effective drainage and circulation post-surgery. This positioning also enhances respiratory function
by preventing pressure on the diaphragm, which is critical following a radical mastectomy.
Q7 QUESTION 7 OF 111
A client is returning to the surgical unit after a total right knee replacement. Which assessment
findings are most important for the nurse to include in this client's record?
CORRECT ANSWER
A. Pedal pulses, pallor, pain, paresthesia or paralysis
RATIONALE
Assessing pedal pulses, pallor, pain, paresthesia, and paralysis is critical for detecting potential complications
such as impaired circulation or neurovascular compromise following surgery. These findings align with the
assessment of the neurovascular status, which is vital in preventing serious postoperative complications like
compartment syndrome or thrombosis.
Q8 QUESTION 8 OF 111
A client returns to the postoperative unit following an open reduction and internal fixation of a hip
fracture. The practical nurse applies the prescribed sequential compression devise (SCD) to both
lower extremities. (BLE). What action is important when turning the client to a lateral position?
CORRECT ANSWER
D. Observe the SCDs continue to inflate and deflate when the client is turned
RATIONALE
Maintaining the functionality of the sequential compression devices (SCDs) during repositioning ensures
ongoing venous thromboembolism prophylaxis, which is critical for minimizing the risk of deep vein
thrombosis postoperatively. Continuous inflation and deflation indicate proper placement and operation of
the SCDs, supporting venous return and circulation.
Q9 QUESTION 9 OF 111
A client's daughter phones the charge nurse to report that the night nurse did not provide good care
for her mother. What response should the nurse make?
CORRECT ANSWER
A. Ask for a description of what happened during the night
Page 4
