LPN/LVN HESI EXIT EXAM REVIEW — 200 DIFFERENT
PRACTICE QUESTIONS WITH ANSWERS
SECTION 1: FUNDAMENTALS OF NURSING (30 Questions)
1. A PN is caring for a client on fall precautions. Which action is most
important to prevent falls?
A) Keep the call light within reach
B) Raise all four side rails
C) Place the bed in the lowest position
D) Apply wrist restraints
Answer: C
Rationale: Placing the bed in the lowest position is the most critical
intervention to reduce the risk of injury if a client falls out of bed. Raising all
four side rails is considered a restraint and is not appropriate.
2. A client refuses a prescribed medication. What action should the PN
take first?
A) Administer the medication by another route
B) Document the refusal and notify the charge nurse
C) Crush the medication and mix it with applesauce
D) Explain the consequences of refusing the medication
Answer: D
Rationale: The nurse must first explain the consequences of refusal to
ensure the client is making an informed decision. If the client still refuses,
the refusal is documented and the provider is notified.
3. What is medical asepsis?
A) Complete elimination of all microorganisms including spores
B) The practice of reducing the number of microorganisms to prevent
infection ("clean technique")
,C) Use of sterile gloves for all patient contact
D) Wearing full PPE for every patient encounter
Answer: B
Rationale: Medical asepsis, or "clean technique," reduces the number of
microorganisms. Surgical asepsis eliminates all microorganisms.
4. A PN is preparing to ambulate a postoperative client after cardiac
surgery. Which action is most important to ensure client safety?
A) Place the bed in the highest position
B) Ensure the client has non-skid footwear
C) Position the bedside table directly in front of the client
D) Raise all four side rails before ambulating
Answer: B
Rationale: Non-skid footwear reduces the risk of slipping and falling
during ambulation. The bed should be in the lowest position, and side rails
should not be raised as they would impede ambulation.
5. A client receiving a blood transfusion develops chills and back pain.
What is the PN's priority action?
A) Slow the transfusion rate
B) Stop the transfusion immediately
C) Administer acetaminophen as ordered
D) Notify the healthcare provider
Answer: B
Rationale: Chills and back pain are signs of a possible hemolytic
transfusion reaction. The transfusion must be stopped immediately, then
the provider is notified and IV access is maintained with normal saline.
6. A client with a tracheostomy requires suctioning. What should the
PN do first?
A) Apply suction while inserting the catheter
B) Hyperoxygenate the client
, C) Insert the catheter gently
D) Suction for 20 seconds
Answer: B
Rationale: Hyperoxygenating the client before suctioning helps prevent
hypoxia during the procedure. Suction should only be applied during
withdrawal.
7. The PN is providing care to a client who is 2 hours postoperative
following abdominal surgery. The PN notes the client's wound
dressing has a small amount of sanguineous drainage. What action
should the PN take?
A) Immediately notify the healthcare provider
B) Document the finding and continue to monitor
C) Reinforce the dressing with additional gauze
D) Remove the dressing and assess the wound
Answer: B
Rationale: A small amount of sanguineous drainage immediately
postoperative is expected. The PN should document the finding and
continue to monitor for any increase in drainage or signs of hemorrhage.
8. The PN is providing care to a client who is 1 day postoperative
following abdominal surgery. The client reports feeling nauseated. The
PN notes the client's abdomen is distended, and no bowel sounds are
auscultated. Which nursing action is most appropriate?
A) Administer an antiemetic as prescribed
B) Encourage the client to drink clear liquids
C) Insert a nasogastric tube
D) Notify the healthcare provider
Answer: D
Rationale: Abdominal distention and absent bowel sounds following
abdominal surgery may indicate paralytic ileus or another complication
requiring immediate evaluation by the provider.
PRACTICE QUESTIONS WITH ANSWERS
SECTION 1: FUNDAMENTALS OF NURSING (30 Questions)
1. A PN is caring for a client on fall precautions. Which action is most
important to prevent falls?
A) Keep the call light within reach
B) Raise all four side rails
C) Place the bed in the lowest position
D) Apply wrist restraints
Answer: C
Rationale: Placing the bed in the lowest position is the most critical
intervention to reduce the risk of injury if a client falls out of bed. Raising all
four side rails is considered a restraint and is not appropriate.
2. A client refuses a prescribed medication. What action should the PN
take first?
A) Administer the medication by another route
B) Document the refusal and notify the charge nurse
C) Crush the medication and mix it with applesauce
D) Explain the consequences of refusing the medication
Answer: D
Rationale: The nurse must first explain the consequences of refusal to
ensure the client is making an informed decision. If the client still refuses,
the refusal is documented and the provider is notified.
3. What is medical asepsis?
A) Complete elimination of all microorganisms including spores
B) The practice of reducing the number of microorganisms to prevent
infection ("clean technique")
,C) Use of sterile gloves for all patient contact
D) Wearing full PPE for every patient encounter
Answer: B
Rationale: Medical asepsis, or "clean technique," reduces the number of
microorganisms. Surgical asepsis eliminates all microorganisms.
4. A PN is preparing to ambulate a postoperative client after cardiac
surgery. Which action is most important to ensure client safety?
A) Place the bed in the highest position
B) Ensure the client has non-skid footwear
C) Position the bedside table directly in front of the client
D) Raise all four side rails before ambulating
Answer: B
Rationale: Non-skid footwear reduces the risk of slipping and falling
during ambulation. The bed should be in the lowest position, and side rails
should not be raised as they would impede ambulation.
5. A client receiving a blood transfusion develops chills and back pain.
What is the PN's priority action?
A) Slow the transfusion rate
B) Stop the transfusion immediately
C) Administer acetaminophen as ordered
D) Notify the healthcare provider
Answer: B
Rationale: Chills and back pain are signs of a possible hemolytic
transfusion reaction. The transfusion must be stopped immediately, then
the provider is notified and IV access is maintained with normal saline.
6. A client with a tracheostomy requires suctioning. What should the
PN do first?
A) Apply suction while inserting the catheter
B) Hyperoxygenate the client
, C) Insert the catheter gently
D) Suction for 20 seconds
Answer: B
Rationale: Hyperoxygenating the client before suctioning helps prevent
hypoxia during the procedure. Suction should only be applied during
withdrawal.
7. The PN is providing care to a client who is 2 hours postoperative
following abdominal surgery. The PN notes the client's wound
dressing has a small amount of sanguineous drainage. What action
should the PN take?
A) Immediately notify the healthcare provider
B) Document the finding and continue to monitor
C) Reinforce the dressing with additional gauze
D) Remove the dressing and assess the wound
Answer: B
Rationale: A small amount of sanguineous drainage immediately
postoperative is expected. The PN should document the finding and
continue to monitor for any increase in drainage or signs of hemorrhage.
8. The PN is providing care to a client who is 1 day postoperative
following abdominal surgery. The client reports feeling nauseated. The
PN notes the client's abdomen is distended, and no bowel sounds are
auscultated. Which nursing action is most appropriate?
A) Administer an antiemetic as prescribed
B) Encourage the client to drink clear liquids
C) Insert a nasogastric tube
D) Notify the healthcare provider
Answer: D
Rationale: Abdominal distention and absent bowel sounds following
abdominal surgery may indicate paralytic ileus or another complication
requiring immediate evaluation by the provider.
