LPN/LVN HESI EXIT EXAM PRACTICE QUESTIONS
— SET C: 200 MULTIPLE-CHOICE QUESTIONS
WITH ANSWERS AND RATIONALES
FUNDAMENTALS OF NURSING (1–40)
1. A PN is preparing to administer a medication through a nasogastric tube.
Which action should the PN take first?
A) Crush all medications together
B) Verify tube placement
C) Flush the tube with 10 mL of air
D) Administer medications rapidly
Answer: B
Rationale: Tube placement must be verified before administering anything
through an NG tube.
2. A client is on contact precautions for a wound infection. Which PPE is
required when entering the room?
A) Gloves only
B) Gown and gloves
C) Mask and goggles
D) N95 respirator
Answer: B
Rationale: Contact precautions require a gown and gloves for room entry.
3. Which action best demonstrates proper hand hygiene?
A) Using alcohol-based hand rub when hands are visibly soiled
B) Washing hands for at least 20 seconds with soap and water
,C) Wearing gloves instead of washing hands
D) Rinsing hands quickly under cold water
Answer: B
Rationale: Soap and water for at least 20 seconds is required when hands
are visibly soiled.
4. A client refuses a bath. What is the PN’s best response?
A) “You must take a bath today.”
B) “Why don’t you want to be clean?”
C) “Would you prefer a shower or a partial bath?”
D) “I will document that you refused care.”
Answer: C
Rationale: Offering choices respects autonomy and may increase
cooperation.
5. Which finding indicates a stage 1 pressure injury?
A) Full-thickness skin loss
B) Nonblanchable redness over intact skin
C) Blister formation
D) Visible subcutaneous fat
Answer: B
Rationale: Stage 1 is intact skin with nonblanchable redness.
6. A PN is caring for a client with an IV infusion. Which finding suggests
infiltration?
A) Warm, red area at the site
B) Cool, pale swelling at the site
C) Blood return in the tubing
D) Rapid infusion rate
Answer: B
Rationale: Infiltration causes coolness, pallor, and swelling from fluid in
tissue.
,7. Which client is at highest risk for falls?
A) A 30-year-old with a fractured arm
B) A 75-year-old taking a diuretic
C) A 40-year-old postoperative client
D) A 50-year-old with hypertension
Answer: B
Rationale: Older age and diuretic use increase fall risk due to urgency and
orthostasis.
8. A PN is teaching a client about a low-fiber diet. Which food should the
client avoid?
A) White rice
B) Whole-grain bread
C) Bananas
D) Eggs
Answer: B
Rationale: Whole-grain bread is high in fiber and should be avoided on a
low-fiber diet.
9. What is the correct sequence for removing PPE?
A) Gloves, gown, mask, goggles
B) Gown, gloves, goggles, mask
C) Gloves, goggles, gown, mask
D) Mask, gloves, gown, goggles
Answer: C
Rationale: Remove gloves first, then goggles, gown, and mask last.
10. A client has a new order for strict intake and output. Which item should
the PN record as intake?
A) Urine
B) Ice chips
C) Vomitus
D) Wound drainage
, Answer: B
Rationale: Ice chips are considered intake; the others are output.
11. A PN is preparing to give an intramuscular injection to an adult. Which
angle is correct?
A) 15 degrees
B) 45 degrees
C) 90 degrees
D) 180 degrees
Answer: C
Rationale: IM injections use a 90-degree angle in adults.
12. Which action is correct when a client is choking and cannot speak?
A) Give water
B) Encourage coughing
C) Perform abdominal thrusts
D) Lay the client flat
Answer: C
Rationale: Abdominal thrusts are indicated for a conscious choking victim
who cannot speak.
13. A client is on seizure precautions. Which item should be at the bedside?
A) Tongue blade
B) Oxygen and suction
C) Restraints
D) IV start kit
Answer: B
Rationale: Oxygen and suction are needed to maintain airway during a
seizure.
14. A PN is reinforcing teaching about crutch walking. Which instruction is
correct?
A) Bear weight on the axillae
B) Place crutches 2 inches below the axillae
— SET C: 200 MULTIPLE-CHOICE QUESTIONS
WITH ANSWERS AND RATIONALES
FUNDAMENTALS OF NURSING (1–40)
1. A PN is preparing to administer a medication through a nasogastric tube.
Which action should the PN take first?
A) Crush all medications together
B) Verify tube placement
C) Flush the tube with 10 mL of air
D) Administer medications rapidly
Answer: B
Rationale: Tube placement must be verified before administering anything
through an NG tube.
2. A client is on contact precautions for a wound infection. Which PPE is
required when entering the room?
A) Gloves only
B) Gown and gloves
C) Mask and goggles
D) N95 respirator
Answer: B
Rationale: Contact precautions require a gown and gloves for room entry.
3. Which action best demonstrates proper hand hygiene?
A) Using alcohol-based hand rub when hands are visibly soiled
B) Washing hands for at least 20 seconds with soap and water
,C) Wearing gloves instead of washing hands
D) Rinsing hands quickly under cold water
Answer: B
Rationale: Soap and water for at least 20 seconds is required when hands
are visibly soiled.
4. A client refuses a bath. What is the PN’s best response?
A) “You must take a bath today.”
B) “Why don’t you want to be clean?”
C) “Would you prefer a shower or a partial bath?”
D) “I will document that you refused care.”
Answer: C
Rationale: Offering choices respects autonomy and may increase
cooperation.
5. Which finding indicates a stage 1 pressure injury?
A) Full-thickness skin loss
B) Nonblanchable redness over intact skin
C) Blister formation
D) Visible subcutaneous fat
Answer: B
Rationale: Stage 1 is intact skin with nonblanchable redness.
6. A PN is caring for a client with an IV infusion. Which finding suggests
infiltration?
A) Warm, red area at the site
B) Cool, pale swelling at the site
C) Blood return in the tubing
D) Rapid infusion rate
Answer: B
Rationale: Infiltration causes coolness, pallor, and swelling from fluid in
tissue.
,7. Which client is at highest risk for falls?
A) A 30-year-old with a fractured arm
B) A 75-year-old taking a diuretic
C) A 40-year-old postoperative client
D) A 50-year-old with hypertension
Answer: B
Rationale: Older age and diuretic use increase fall risk due to urgency and
orthostasis.
8. A PN is teaching a client about a low-fiber diet. Which food should the
client avoid?
A) White rice
B) Whole-grain bread
C) Bananas
D) Eggs
Answer: B
Rationale: Whole-grain bread is high in fiber and should be avoided on a
low-fiber diet.
9. What is the correct sequence for removing PPE?
A) Gloves, gown, mask, goggles
B) Gown, gloves, goggles, mask
C) Gloves, goggles, gown, mask
D) Mask, gloves, gown, goggles
Answer: C
Rationale: Remove gloves first, then goggles, gown, and mask last.
10. A client has a new order for strict intake and output. Which item should
the PN record as intake?
A) Urine
B) Ice chips
C) Vomitus
D) Wound drainage
, Answer: B
Rationale: Ice chips are considered intake; the others are output.
11. A PN is preparing to give an intramuscular injection to an adult. Which
angle is correct?
A) 15 degrees
B) 45 degrees
C) 90 degrees
D) 180 degrees
Answer: C
Rationale: IM injections use a 90-degree angle in adults.
12. Which action is correct when a client is choking and cannot speak?
A) Give water
B) Encourage coughing
C) Perform abdominal thrusts
D) Lay the client flat
Answer: C
Rationale: Abdominal thrusts are indicated for a conscious choking victim
who cannot speak.
13. A client is on seizure precautions. Which item should be at the bedside?
A) Tongue blade
B) Oxygen and suction
C) Restraints
D) IV start kit
Answer: B
Rationale: Oxygen and suction are needed to maintain airway during a
seizure.
14. A PN is reinforcing teaching about crutch walking. Which instruction is
correct?
A) Bear weight on the axillae
B) Place crutches 2 inches below the axillae
