HESI PN FUNDAMENTAL WITH OVER 120 QUESTIONS
AND ANSWERS
1) A client who is in hospice care complains of increasing amounts of pain.
The healthcare provider prescribes an analgesic every four hours as needed.
Which action should the LPN/LVN implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities.
Correct Answer: A
2) When assessing a client with wrist restraints, the nurse observes that the
fingers on the right hand are blue. What action should the LPN implement
first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
Correct Answer: A
3) The LPN/LVN is assessing the nutritional status of several clients. Which
client has the greatest nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer.
Correct Answer: B
4) A client is in the radiology department at 0900 when the prescription
levofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administered.
The client returns to the unit at 1300. What is the best intervention for the
LPN/LVN to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the
morning.
C. Notify the charge nurse and complete an incident report to explain the
missed dose.
D. Give the missed dose at 1300 and change the schedule to administer daily
at 1300.
Correct Answer: D
5) While instructing a male client's wife in the performance of passive rangeof-
motion exercises to his contracted shoulder, the nurse observes that she is
,holding his arm above and below the elbow. What nursing action should the
LPN/LVN implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain warmth.
C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion.
Correct Answer: A
6) What is the most important reason for starting intravenous infusions in the
upper extremities rather than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is
used.
D. Veins are located deep in the feet and ankles, resulting in a more painful
procedure.
Correct Answer: B
7) The LPN observes an unlicensed assistive personnel (UAP) taking a
client's blood pressure with a cuff that is too small, but the blood pressure
reading obtained is within the client's usual range. What action is most
important for the nurse to implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure.
Correct Answer: B
8) A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The
preparation arrives from the pharmacy diluted in 50 ml of 0.9% NaCl. The
LPN plans to administer the IVPB dose over 20 minutes. For how many ml/
hr should the infusion pump be set to deliver the secondary infusion?
Correct Answer: 150
9) Twenty minutes after beginning a heat application, the client states that
the heating pad no longer feels warm enough. What is the best response by
the LPN/LVN?
A. That means you have derived the maximum benefit, and the heat can be
removed.
B. Your blood vessels are becoming dilated and removing the heat from the
site.
C. We will increase the temperature 5 degrees when the pad no longer feels
warm.
D. The body's receptors adapt over time as they are exposed to heat.
Correct Answer: D
10) The LPN is instructing a client with high cholesterol about diet and life
,style modification. What comment from the client indicates that the teaching
has been effective?
A. If I exercise at least two times weekly for one hour, I will lower my
cholesterol.
B. I need to avoid eating proteins, including red meat.
C. I will limit my intake of beef to 4 ounces per week.
D. My blood level of low density lipoproteins needs to increase.
Correct Answer: C
11) The UAPs working on a chronic neuro unit ask the LPN/LVN to help
them determine the safest way to transfer an elderly client with left-sided
weakness from the bed to the chair. What method describes the correct
transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side before
moving.
B. Assist the client to a standing position, then place the right hand on the
armrest.
C. Have the client place the left foot next to the chair and pivot to the left
before sitting.
D. Move the chair parallel to the right side of the bed, and stand the client on
the right foot.
Correct Answer: D
12) An unlicensed assistive personnel (UAP) places a client in a left lateral
position prior to administering a soap suds enema. Which instruction should
the LPN/LVN provide the UAP?
A. Position the client on the right side of the bed in reverse Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of castile
soap.
C. Reposition in a Sim's position with the client's weight on the anterior
ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to waist
level.
Correct Answer: C
13) A client who is a Jehovah's Witness is admitted to the nursing unit.
Which concern should the LPN have for planning care in terms of the
client's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed.
Correct Answer: B
14) The LPN/LVN observes that a male client has removed the covering from an ice pack
applied to his knee. What action should the nurse take first?
, A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin.
Correct Answer: A
15) The LPN/LVN mixes 50 mg of Nipride in 250 ml of D5W and plans to
administer the solution at a rate of 5 mcg/kg/min to a client weighing 182
pounds. Using a drip factor of 60 gtt/ml, how many drops per minute should
the client receive?
A. 31 gtt/min.
B. 62 gtt/min.
C. 93 gtt/min.
D. 124 gtt/min.
Correct Answer: D
16. a nurse in a clinical is caring for a middle age adult who states, "the doctor says that
since I am at an average risk for colon cancer, I should have a routine screening. what does
that
involve?" which of the following responses should the nurse make?
A. "I'll get a blood sample from you and send it for a screening test."
B. "beginning at age 60, you should have a colonoscopy."
C. "you should have a decal occult blood test every year."
D. "the recommendation is to have a sigmoidoscopy every 10 years."
"You should have a fecal occult blood test every year."
Colorectal cancer screening for clients at average risk begins at age 50. One option for
screening is a fecal occult blood test annually.
17. a nurse is caring for a client who is having difficulty breathing. the client is laying in bed
with a nasal cannula delivering oxygen. which of the following intervention should the
nurse take first?
A. suction the client's airway
B. administer a bronchodilator
C. increase the humidity in the client's room
D. assist the client to an upright position
assist the client to an upright position
When providing client care, the nurse should first use the least invasive intervention.
Therefore, the nurse should elevate the head of the client's bed to the semi-Fowler's or high
Fowler's position to facilitate maximal chest expansion. Sitting upright improves gas
exchange and prevents pressure on the diaphragm from abdominal organs.
18. a nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a
client.
which of the following actions should the nurse take?
A. gently shake the container of medication prior to administration
B. transfer the medication to a medicine cup
AND ANSWERS
1) A client who is in hospice care complains of increasing amounts of pain.
The healthcare provider prescribes an analgesic every four hours as needed.
Which action should the LPN/LVN implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities.
Correct Answer: A
2) When assessing a client with wrist restraints, the nurse observes that the
fingers on the right hand are blue. What action should the LPN implement
first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
Correct Answer: A
3) The LPN/LVN is assessing the nutritional status of several clients. Which
client has the greatest nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer.
Correct Answer: B
4) A client is in the radiology department at 0900 when the prescription
levofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administered.
The client returns to the unit at 1300. What is the best intervention for the
LPN/LVN to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the
morning.
C. Notify the charge nurse and complete an incident report to explain the
missed dose.
D. Give the missed dose at 1300 and change the schedule to administer daily
at 1300.
Correct Answer: D
5) While instructing a male client's wife in the performance of passive rangeof-
motion exercises to his contracted shoulder, the nurse observes that she is
,holding his arm above and below the elbow. What nursing action should the
LPN/LVN implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain warmth.
C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion.
Correct Answer: A
6) What is the most important reason for starting intravenous infusions in the
upper extremities rather than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is
used.
D. Veins are located deep in the feet and ankles, resulting in a more painful
procedure.
Correct Answer: B
7) The LPN observes an unlicensed assistive personnel (UAP) taking a
client's blood pressure with a cuff that is too small, but the blood pressure
reading obtained is within the client's usual range. What action is most
important for the nurse to implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure.
Correct Answer: B
8) A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The
preparation arrives from the pharmacy diluted in 50 ml of 0.9% NaCl. The
LPN plans to administer the IVPB dose over 20 minutes. For how many ml/
hr should the infusion pump be set to deliver the secondary infusion?
Correct Answer: 150
9) Twenty minutes after beginning a heat application, the client states that
the heating pad no longer feels warm enough. What is the best response by
the LPN/LVN?
A. That means you have derived the maximum benefit, and the heat can be
removed.
B. Your blood vessels are becoming dilated and removing the heat from the
site.
C. We will increase the temperature 5 degrees when the pad no longer feels
warm.
D. The body's receptors adapt over time as they are exposed to heat.
Correct Answer: D
10) The LPN is instructing a client with high cholesterol about diet and life
,style modification. What comment from the client indicates that the teaching
has been effective?
A. If I exercise at least two times weekly for one hour, I will lower my
cholesterol.
B. I need to avoid eating proteins, including red meat.
C. I will limit my intake of beef to 4 ounces per week.
D. My blood level of low density lipoproteins needs to increase.
Correct Answer: C
11) The UAPs working on a chronic neuro unit ask the LPN/LVN to help
them determine the safest way to transfer an elderly client with left-sided
weakness from the bed to the chair. What method describes the correct
transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side before
moving.
B. Assist the client to a standing position, then place the right hand on the
armrest.
C. Have the client place the left foot next to the chair and pivot to the left
before sitting.
D. Move the chair parallel to the right side of the bed, and stand the client on
the right foot.
Correct Answer: D
12) An unlicensed assistive personnel (UAP) places a client in a left lateral
position prior to administering a soap suds enema. Which instruction should
the LPN/LVN provide the UAP?
A. Position the client on the right side of the bed in reverse Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of castile
soap.
C. Reposition in a Sim's position with the client's weight on the anterior
ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to waist
level.
Correct Answer: C
13) A client who is a Jehovah's Witness is admitted to the nursing unit.
Which concern should the LPN have for planning care in terms of the
client's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed.
Correct Answer: B
14) The LPN/LVN observes that a male client has removed the covering from an ice pack
applied to his knee. What action should the nurse take first?
, A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin.
Correct Answer: A
15) The LPN/LVN mixes 50 mg of Nipride in 250 ml of D5W and plans to
administer the solution at a rate of 5 mcg/kg/min to a client weighing 182
pounds. Using a drip factor of 60 gtt/ml, how many drops per minute should
the client receive?
A. 31 gtt/min.
B. 62 gtt/min.
C. 93 gtt/min.
D. 124 gtt/min.
Correct Answer: D
16. a nurse in a clinical is caring for a middle age adult who states, "the doctor says that
since I am at an average risk for colon cancer, I should have a routine screening. what does
that
involve?" which of the following responses should the nurse make?
A. "I'll get a blood sample from you and send it for a screening test."
B. "beginning at age 60, you should have a colonoscopy."
C. "you should have a decal occult blood test every year."
D. "the recommendation is to have a sigmoidoscopy every 10 years."
"You should have a fecal occult blood test every year."
Colorectal cancer screening for clients at average risk begins at age 50. One option for
screening is a fecal occult blood test annually.
17. a nurse is caring for a client who is having difficulty breathing. the client is laying in bed
with a nasal cannula delivering oxygen. which of the following intervention should the
nurse take first?
A. suction the client's airway
B. administer a bronchodilator
C. increase the humidity in the client's room
D. assist the client to an upright position
assist the client to an upright position
When providing client care, the nurse should first use the least invasive intervention.
Therefore, the nurse should elevate the head of the client's bed to the semi-Fowler's or high
Fowler's position to facilitate maximal chest expansion. Sitting upright improves gas
exchange and prevents pressure on the diaphragm from abdominal organs.
18. a nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a
client.
which of the following actions should the nurse take?
A. gently shake the container of medication prior to administration
B. transfer the medication to a medicine cup
