HESI LPN - ADN ENTRANCE EXAM TEST BANK ACTUAL
2026/2027 HIGH YIELD PRACTICE QUESTIONS AND STUDY
GUIDE COMPLETE ACCURATE EXAM REAL QUESTIONS
AND CORRECT VERIFIED SOLUTIONS WITH DETAILED
RATIONALES (100% RELIABLE ANSWERS) CURRENTLY
UPDATED VERSION 2026 EDITION |GUARANTEED PASS A+
|FULL REVISED HESI LPN - ADN ENTRANCE APPROVED
EXAM | JUST RELEASED
Q1. A patient is receiving a blood transfusion. Which sign indicates a
potential transfusion reaction that requires immediate action?
A) Mild itching at the IV site
B) Flushing and feeling warm
C) Chills, fever, and back pain — CORRECT ANSWER
D) Slight increase in heart rate
Rationale: Chills, fever, and back pain are classic signs of a
hemolytic transfusion reaction. The nurse should stop the
transfusion immediately, maintain IV access with normal saline,
and notify the provider. Mild itching or flushing may occur but are
less urgent.
,Q2. A nurse is caring for a patient on fall precautions. Which
intervention is most effective in preventing falls?
A) Keeping the bed in the lowest position
B) Using bed alarms for all patients
C) Placing the call light within reach
D) All of the above — CORRECT ANSWER
Rationale: Fall prevention requires multiple interventions: bed in
lowest position, bed/chair alarms, call light within reach, non-slip
footwear, and frequent rounding. A multifactorial approach is
most effective.
Q3. Which vital sign finding would the nurse report immediately in a
postoperative patient?
A) Heart rate 88 bpm
B) Blood pressure 118/72 mmHg
C) Respiratory rate 28 breaths/min with crackles — CORRECT
ANSWER
D) Temperature 99.2°F (37.3°C)
,Rationale: Tachypnea (RR 28) with crackles suggests pulmonary
edema or fluid overload, a serious postoperative complication.
This requires immediate provider notification. The other vital
signs are within normal limits.
Q4. Which of the following is the correct sequence for donning
personal protective equipment (PPE)?
A) Gloves, gown, mask, eye protection
B) Gown, mask, eye protection, gloves — CORRECT ANSWER
C) Mask, eye protection, gown, gloves
D) Eye protection, mask, gown, gloves
Rationale: The correct sequence for donning PPE is gown first,
then mask, eye protection, and gloves last. This ensures the most
contaminated items are applied last. Removal sequence is gloves,
eye protection, gown, mask.
Q5. A patient is on strict intake and output monitoring. The nurse
should record which of the following as output?
A) Oral fluids consumed
B) IV fluids infused
, C) Urine, emesis, and wound drainage — CORRECT ANSWER
D) Tube feeding volume
Rationale: Output includes urine, emesis, diarrhea, wound
drainage, and chest tube output. Oral fluids and IV fluids are
input, not output. Accurate I&O is critical for fluid balance
assessment.
Q6. Which dietary modification is appropriate for a patient with a
new colostomy?
A) Increase high-fiber foods
B) Avoid gas-producing foods initially — CORRECT ANSWER
C) Increase dairy products
D) Decrease fluid intake
Rationale: Patients with a new colostomy should initially avoid
gas-producing foods (beans, broccoli, cabbage, onions) and
gradually reintroduce them to assess tolerance. High-fiber foods
should be introduced slowly to prevent obstruction.
Q7. A patient is prescribed NPO (nothing by mouth) status. What is
the primary reason for this order?
2026/2027 HIGH YIELD PRACTICE QUESTIONS AND STUDY
GUIDE COMPLETE ACCURATE EXAM REAL QUESTIONS
AND CORRECT VERIFIED SOLUTIONS WITH DETAILED
RATIONALES (100% RELIABLE ANSWERS) CURRENTLY
UPDATED VERSION 2026 EDITION |GUARANTEED PASS A+
|FULL REVISED HESI LPN - ADN ENTRANCE APPROVED
EXAM | JUST RELEASED
Q1. A patient is receiving a blood transfusion. Which sign indicates a
potential transfusion reaction that requires immediate action?
A) Mild itching at the IV site
B) Flushing and feeling warm
C) Chills, fever, and back pain — CORRECT ANSWER
D) Slight increase in heart rate
Rationale: Chills, fever, and back pain are classic signs of a
hemolytic transfusion reaction. The nurse should stop the
transfusion immediately, maintain IV access with normal saline,
and notify the provider. Mild itching or flushing may occur but are
less urgent.
,Q2. A nurse is caring for a patient on fall precautions. Which
intervention is most effective in preventing falls?
A) Keeping the bed in the lowest position
B) Using bed alarms for all patients
C) Placing the call light within reach
D) All of the above — CORRECT ANSWER
Rationale: Fall prevention requires multiple interventions: bed in
lowest position, bed/chair alarms, call light within reach, non-slip
footwear, and frequent rounding. A multifactorial approach is
most effective.
Q3. Which vital sign finding would the nurse report immediately in a
postoperative patient?
A) Heart rate 88 bpm
B) Blood pressure 118/72 mmHg
C) Respiratory rate 28 breaths/min with crackles — CORRECT
ANSWER
D) Temperature 99.2°F (37.3°C)
,Rationale: Tachypnea (RR 28) with crackles suggests pulmonary
edema or fluid overload, a serious postoperative complication.
This requires immediate provider notification. The other vital
signs are within normal limits.
Q4. Which of the following is the correct sequence for donning
personal protective equipment (PPE)?
A) Gloves, gown, mask, eye protection
B) Gown, mask, eye protection, gloves — CORRECT ANSWER
C) Mask, eye protection, gown, gloves
D) Eye protection, mask, gown, gloves
Rationale: The correct sequence for donning PPE is gown first,
then mask, eye protection, and gloves last. This ensures the most
contaminated items are applied last. Removal sequence is gloves,
eye protection, gown, mask.
Q5. A patient is on strict intake and output monitoring. The nurse
should record which of the following as output?
A) Oral fluids consumed
B) IV fluids infused
, C) Urine, emesis, and wound drainage — CORRECT ANSWER
D) Tube feeding volume
Rationale: Output includes urine, emesis, diarrhea, wound
drainage, and chest tube output. Oral fluids and IV fluids are
input, not output. Accurate I&O is critical for fluid balance
assessment.
Q6. Which dietary modification is appropriate for a patient with a
new colostomy?
A) Increase high-fiber foods
B) Avoid gas-producing foods initially — CORRECT ANSWER
C) Increase dairy products
D) Decrease fluid intake
Rationale: Patients with a new colostomy should initially avoid
gas-producing foods (beans, broccoli, cabbage, onions) and
gradually reintroduce them to assess tolerance. High-fiber foods
should be introduced slowly to prevent obstruction.
Q7. A patient is prescribed NPO (nothing by mouth) status. What is
the primary reason for this order?
