FINALl“EXIT”lHESI!lLastldayloflConcordelLVNlSchooll–l04/16/2021
HESI LPN ENTRANCE EXAM 140 QUESTIONS AND COR
l l l l l l l
RECT ANSWERS| HESI PN ENTRANCE EXAM 220QUES
l l l l l l l
TIONS AND CORRECT ANSWERS
l l l
1. ThelLPN/LVNlislpreparingltolambulatelalpostoperativelclientlafterlca
rdiaclsurgery.lThelnurselplansltoldolwhichltolenablelthelclientltolbestlt
oleratelthelambulation?
1. Providelthelclientlwithlalwalker.
2. Removeltheltelemetrylequipment.
3. Encouragelthelclientltolcoughlandldeeplbreathe.
4. Premedicatelthelclientlwithlanlanalgesiclbeforelambulating.
2. Alclientlislwearinglalcontinuouslcardiaclmonitor,lwhichlbeginsltolalarmlatlt
helnurse'slstation.lThelnurselseeslnolelectrocardiographiclcomplexeslonlth
elscreen.lThelnurselshouldl dolwhichlfirst?
a. Calllalcodelblue.
b. Calllthel healthl carelprovider.
c. Checklthelclientlstatuslandlleadlplacement.
d. PresslthelrecorderlbuttonlonlthelECGlconsole.
3. 3)lThelLPN/LVNlinlalmedicallunitlislcaringlforlalclientlwithlheartlfailu
re.lThelclientlsuddenlyldevelopslextremeldyspnea,ltachycardia,landllu
nglcrackles,landlthel nurselsuspectsl pulmonaryledema.lThelnurselim
mediatelylnotifieslthelregisteredlnurselandlexpectslwhichlinterventio
nsltolbelprescribed?lSelectlalllthatlapply.
a. Administeringl oxygen
b. InsertinglalFoleylcatheter
c. Administeringlfurosemidel(Lasix)
d. Administeringl morphinelsulfatelintravenously
e. Transportingl thel clientl tol thel coronaryl carel unit
f. Placinglthelclientlinlallow-Fowler'slside-lyinglposition
4. Thel nurselisl monitoringl al clientl followingl cardioversion.lWhichl
observationsl shouldlbeloflhighestl priorityltolthel nurse?
a. Bloodl pressure
b. Statusloflairway
c. Oxygenlflowlrate
d. Levell ofl consciousness
5. Thelnurselislassistinglinlcaringlforlthelclientlimmediately
afterlinsertionloflalpermanentldemandl pacemakerlvialthelright
pg.l1
, FINALl“EXIT”lHESI!lLastldayloflConcordelLVNlSchooll–l04/16/2021
subclavianlvein.lThelnurselpreventsldislodgementloflthelpacinglcath
eterlbylimplementinglwhichlintervention?
a. Limitinglmovementlandlabductionloflthelleftlarm
b. Limitinglmovementlandlabductionloflthelrightlarm
c. Assistinglthelclientltolgetloutloflbedlandlambulatelwithlalwalk
erl4.lHavinglthelphysicalltherapistldolactivelrangeloflmotionlt
olthelrightlarm
6. Alclientl diagnosedl withlthrombophlebitisl 1ldaylagolsuddenlylcompl
ainsloflchestlpainlandlshortnessloflbreath,landlthelclientlislvisiblylan
xious.lThelLPN/LVNlunderstandslthatlallife-
threateninglcomplicationloflthislconditionlislwhich?
a. Pneumonia
b. Pulmonaryledema
c. Pulmonaryl embolism
d. Myocardiallinfarction
7. Al24-year-
oldlmanlseekslmedicallattentionlforlcomplaintsloflclaudicationlinlthel
archloflthelfoot.lThelnurselalsolnoteslsuperficiallthrombophlebitisloflt
hellowerlleg.lThelnurselshouldlchecklthelclientlforlwhichlnext?
a. Smokinglhistory
b. Recentlexposureltolallergens
c. Historyloflrecentlinsectlbites
d. Familialltendencyltowardlperipherallvascularldisease
8. ThelnurselhaslreinforcedlinstructionsltolthelclientlwithlRayn
aud'sl diseasel aboutl self-
managementl oflthel diseaselprocess.lThelnurseldetermineslt
hatlthelclientlneedslfurtherlteachingliflthelclientlstateslwhich?
a. "Smokingl cessationl isl veryl important."
b. "Movingltolalwarmerlclimatelshouldl help."
c. "Sourcesloflcaffeinelshouldlbeleliminatedlfromltheldiet."
4.l "Takingl nifedipinel (Procardia)l asl prescribedl willldecreasel
vessellspasm."
9. Alclientlwithlmyocardiallinfarctionlsuddenlylbecomesltachycardic,ls
howsl signsl ofl airl hunger,l andl beginsl coughingl frothy,l pink-
ltinged lsputum.lThe lnurse llistensltolbreathlsounds,lexpecting ltolhea
rlwhichlbreathlsoundslbilaterally?
a. Rhonchi
b. Crackles
c. Wheezes
pg.l2
, FINALl“EXIT”lHESI!lLastldayloflConcordelLVNlSchooll–l04/16/2021
d. Diminishedl breathl sounds
10. ThelLPN/LVNlislcollectingldatalonlalclientlwithlaldiagnosisloflrightlsid
edlheartlfailure.lThelnurselshouldlexpectltolnotelwhichlspecificlcharac
teristicloflthislcondition?
a. Dyspnea
b. Hackinglcough
c. Dependentl edema
d. Crackleslonllunglauscultation
11. ThelLPN/LVNlislcheckinglthelneurovascularlstatusloflalclientlwholret
urnedl tol thel surgicall nursingl unitl 4l hoursl agol afterl undergoinglanlao
rtoiliaclbypasslgraft.lThelaffectedlleglislwarm,landlthel nurselnotesl red
nessl andl edema.l Thel pedall pulsel isl palpablel andlunchangedl froml ad
mission.l Thel nursel interpretsl thatl thelneurovascularlstatuslislwhich?
a. Moderatelylimpaired,landlthelsurgeonlshouldlbelcalled
b. Normal,lcausedlbylincreasedlbloodlflowlthroughlthelleg
c. Slightlyldeteriorating,landlshouldlbelmonitoredlforlanotherlh
our
d. Adequatelfromlanlarteriallapproach,lbutlvenouslc
omplicationslarelarising
12. Al clientl withl al diagnosisl ofl rapidl ratel atriall fibrillationl asksl thel nurselwh
ylthelhealthlcarelproviderlislgoingltolperformlcarotidlmassage.lThelLP
N/LVNlrespondslthatlthislprocedurelmaylstimulatelwhich?
a. Vaguslnerveltolslowlthelheartlrate
b. Vaguslnerveltolincreaselthelheartlrate
c. Diaphragmaticlnerveltolslowlthelheartlrate
d. Diaphragmaticlnerveltolincreaselthelheartlrate
13. Alclientlisladmittedltolthelhospitallwithlpossiblelrheumaticlendocardit
is.l Thel LPN/LVNl shouldl checkl forl al historyl ofl whichl typeloflinfection?
a. Virallinfection
b. Yeastlinfection
c. Streptococcall infection
d. Staphylococcallinfection
14. AlclientlhaslanlUnnalbootlappliedlforltreatmentloflalvenouslstasisllegl
ulcer.lThel LPN/LVNl noteslthatl thel client'sl toesl arelmottled,
pg.l3
, FINALl“EXIT”lHESI!lLastldayloflConcordelLVNlSchooll–l04/16/2021
andlcoollandlthelclientlverbalizeslsomelnumbnessl andltinglingloflthefoot.lWhic
hlinterpretationlshouldlthelnurselmakelofltheselfindings?
a. Thelbootlhaslnotlyetldried.
b. Thelbootlislcontrollingllegledema.
c. Thelbootlislimpairinglvenouslreturn.
d. Thelbootlhaslbeenlappliedltooltightly.
15. Alclientlwithlanginalcomplainslthatlthelanginallpainlislprolongedlandlsev
erelandloccursl atlthel sameltimeleachl day,l mostloftenlinlthelmorning.lOn
lfurther ldatalcollection, lthe lnurse lnotes lthatlthe lpainloccurs linlthelabsen
celoflprecipitatinglfactors.lHowlshouldlthelLPN/LVNlbestldescribelthisl
typeloflanginallpain?
a. Stablel angina
b. Variantlangina
c. Unstablel angina
d. Nonanginall pain
16. ThelLPN/LVNlislmonitoringlalclientlwithlanlabdominallaorticlan
eurysml(AAA).lWhichlfindinglislprobablylunrelatedltolthelAAA
?
a. Pulsatilelabdominall mass
b. Hyperactivelbowell soundslinlthelarea
c. Systoliclbruitloverlthelarealoflthelmass
d. Subjectivelsensationl ofl"heartl beating"linlthelabdomen
17. Anlemergencyldepartmentlclientlwholcomplainsloflslightlylimprovedlbu
tlunrelievedlchestlpainlforl2ldayslislreluctantltoltakelanitroglycerinlsubli
ngualltabletlofferedlbylthelnurse.lThelclientlstates,l"Ildon'tlneedlthat—
myldadltakeslthatlforlhislheart.lThere'slnothinglwronglwithlmylheart."lW
hichldescriptionlbestldescribesltheclient'slresponse?
a. Angry
b. Denial
c. Phobic
d. Obsessive-compulsive
18. Alclientlislscheduledlforlalcardiaclcatheterizationlusinglalradiopaqueldy
e.lThelLPN/LVNlcheckslwhichlmostlcriticallitemlbeforelthelprocedure
?
a. Intakelandloutput
b. Heightlandlweight
c. Peripherallpulselrates
d. Priorl reactionl tol contrastl media
pg.l4
HESI LPN ENTRANCE EXAM 140 QUESTIONS AND COR
l l l l l l l
RECT ANSWERS| HESI PN ENTRANCE EXAM 220QUES
l l l l l l l
TIONS AND CORRECT ANSWERS
l l l
1. ThelLPN/LVNlislpreparingltolambulatelalpostoperativelclientlafterlca
rdiaclsurgery.lThelnurselplansltoldolwhichltolenablelthelclientltolbestlt
oleratelthelambulation?
1. Providelthelclientlwithlalwalker.
2. Removeltheltelemetrylequipment.
3. Encouragelthelclientltolcoughlandldeeplbreathe.
4. Premedicatelthelclientlwithlanlanalgesiclbeforelambulating.
2. Alclientlislwearinglalcontinuouslcardiaclmonitor,lwhichlbeginsltolalarmlatlt
helnurse'slstation.lThelnurselseeslnolelectrocardiographiclcomplexeslonlth
elscreen.lThelnurselshouldl dolwhichlfirst?
a. Calllalcodelblue.
b. Calllthel healthl carelprovider.
c. Checklthelclientlstatuslandlleadlplacement.
d. PresslthelrecorderlbuttonlonlthelECGlconsole.
3. 3)lThelLPN/LVNlinlalmedicallunitlislcaringlforlalclientlwithlheartlfailu
re.lThelclientlsuddenlyldevelopslextremeldyspnea,ltachycardia,landllu
nglcrackles,landlthel nurselsuspectsl pulmonaryledema.lThelnurselim
mediatelylnotifieslthelregisteredlnurselandlexpectslwhichlinterventio
nsltolbelprescribed?lSelectlalllthatlapply.
a. Administeringl oxygen
b. InsertinglalFoleylcatheter
c. Administeringlfurosemidel(Lasix)
d. Administeringl morphinelsulfatelintravenously
e. Transportingl thel clientl tol thel coronaryl carel unit
f. Placinglthelclientlinlallow-Fowler'slside-lyinglposition
4. Thel nurselisl monitoringl al clientl followingl cardioversion.lWhichl
observationsl shouldlbeloflhighestl priorityltolthel nurse?
a. Bloodl pressure
b. Statusloflairway
c. Oxygenlflowlrate
d. Levell ofl consciousness
5. Thelnurselislassistinglinlcaringlforlthelclientlimmediately
afterlinsertionloflalpermanentldemandl pacemakerlvialthelright
pg.l1
, FINALl“EXIT”lHESI!lLastldayloflConcordelLVNlSchooll–l04/16/2021
subclavianlvein.lThelnurselpreventsldislodgementloflthelpacinglcath
eterlbylimplementinglwhichlintervention?
a. Limitinglmovementlandlabductionloflthelleftlarm
b. Limitinglmovementlandlabductionloflthelrightlarm
c. Assistinglthelclientltolgetloutloflbedlandlambulatelwithlalwalk
erl4.lHavinglthelphysicalltherapistldolactivelrangeloflmotionlt
olthelrightlarm
6. Alclientl diagnosedl withlthrombophlebitisl 1ldaylagolsuddenlylcompl
ainsloflchestlpainlandlshortnessloflbreath,landlthelclientlislvisiblylan
xious.lThelLPN/LVNlunderstandslthatlallife-
threateninglcomplicationloflthislconditionlislwhich?
a. Pneumonia
b. Pulmonaryledema
c. Pulmonaryl embolism
d. Myocardiallinfarction
7. Al24-year-
oldlmanlseekslmedicallattentionlforlcomplaintsloflclaudicationlinlthel
archloflthelfoot.lThelnurselalsolnoteslsuperficiallthrombophlebitisloflt
hellowerlleg.lThelnurselshouldlchecklthelclientlforlwhichlnext?
a. Smokinglhistory
b. Recentlexposureltolallergens
c. Historyloflrecentlinsectlbites
d. Familialltendencyltowardlperipherallvascularldisease
8. ThelnurselhaslreinforcedlinstructionsltolthelclientlwithlRayn
aud'sl diseasel aboutl self-
managementl oflthel diseaselprocess.lThelnurseldetermineslt
hatlthelclientlneedslfurtherlteachingliflthelclientlstateslwhich?
a. "Smokingl cessationl isl veryl important."
b. "Movingltolalwarmerlclimatelshouldl help."
c. "Sourcesloflcaffeinelshouldlbeleliminatedlfromltheldiet."
4.l "Takingl nifedipinel (Procardia)l asl prescribedl willldecreasel
vessellspasm."
9. Alclientlwithlmyocardiallinfarctionlsuddenlylbecomesltachycardic,ls
howsl signsl ofl airl hunger,l andl beginsl coughingl frothy,l pink-
ltinged lsputum.lThe lnurse llistensltolbreathlsounds,lexpecting ltolhea
rlwhichlbreathlsoundslbilaterally?
a. Rhonchi
b. Crackles
c. Wheezes
pg.l2
, FINALl“EXIT”lHESI!lLastldayloflConcordelLVNlSchooll–l04/16/2021
d. Diminishedl breathl sounds
10. ThelLPN/LVNlislcollectingldatalonlalclientlwithlaldiagnosisloflrightlsid
edlheartlfailure.lThelnurselshouldlexpectltolnotelwhichlspecificlcharac
teristicloflthislcondition?
a. Dyspnea
b. Hackinglcough
c. Dependentl edema
d. Crackleslonllunglauscultation
11. ThelLPN/LVNlislcheckinglthelneurovascularlstatusloflalclientlwholret
urnedl tol thel surgicall nursingl unitl 4l hoursl agol afterl undergoinglanlao
rtoiliaclbypasslgraft.lThelaffectedlleglislwarm,landlthel nurselnotesl red
nessl andl edema.l Thel pedall pulsel isl palpablel andlunchangedl froml ad
mission.l Thel nursel interpretsl thatl thelneurovascularlstatuslislwhich?
a. Moderatelylimpaired,landlthelsurgeonlshouldlbelcalled
b. Normal,lcausedlbylincreasedlbloodlflowlthroughlthelleg
c. Slightlyldeteriorating,landlshouldlbelmonitoredlforlanotherlh
our
d. Adequatelfromlanlarteriallapproach,lbutlvenouslc
omplicationslarelarising
12. Al clientl withl al diagnosisl ofl rapidl ratel atriall fibrillationl asksl thel nurselwh
ylthelhealthlcarelproviderlislgoingltolperformlcarotidlmassage.lThelLP
N/LVNlrespondslthatlthislprocedurelmaylstimulatelwhich?
a. Vaguslnerveltolslowlthelheartlrate
b. Vaguslnerveltolincreaselthelheartlrate
c. Diaphragmaticlnerveltolslowlthelheartlrate
d. Diaphragmaticlnerveltolincreaselthelheartlrate
13. Alclientlisladmittedltolthelhospitallwithlpossiblelrheumaticlendocardit
is.l Thel LPN/LVNl shouldl checkl forl al historyl ofl whichl typeloflinfection?
a. Virallinfection
b. Yeastlinfection
c. Streptococcall infection
d. Staphylococcallinfection
14. AlclientlhaslanlUnnalbootlappliedlforltreatmentloflalvenouslstasisllegl
ulcer.lThel LPN/LVNl noteslthatl thel client'sl toesl arelmottled,
pg.l3
, FINALl“EXIT”lHESI!lLastldayloflConcordelLVNlSchooll–l04/16/2021
andlcoollandlthelclientlverbalizeslsomelnumbnessl andltinglingloflthefoot.lWhic
hlinterpretationlshouldlthelnurselmakelofltheselfindings?
a. Thelbootlhaslnotlyetldried.
b. Thelbootlislcontrollingllegledema.
c. Thelbootlislimpairinglvenouslreturn.
d. Thelbootlhaslbeenlappliedltooltightly.
15. Alclientlwithlanginalcomplainslthatlthelanginallpainlislprolongedlandlsev
erelandloccursl atlthel sameltimeleachl day,l mostloftenlinlthelmorning.lOn
lfurther ldatalcollection, lthe lnurse lnotes lthatlthe lpainloccurs linlthelabsen
celoflprecipitatinglfactors.lHowlshouldlthelLPN/LVNlbestldescribelthisl
typeloflanginallpain?
a. Stablel angina
b. Variantlangina
c. Unstablel angina
d. Nonanginall pain
16. ThelLPN/LVNlislmonitoringlalclientlwithlanlabdominallaorticlan
eurysml(AAA).lWhichlfindinglislprobablylunrelatedltolthelAAA
?
a. Pulsatilelabdominall mass
b. Hyperactivelbowell soundslinlthelarea
c. Systoliclbruitloverlthelarealoflthelmass
d. Subjectivelsensationl ofl"heartl beating"linlthelabdomen
17. Anlemergencyldepartmentlclientlwholcomplainsloflslightlylimprovedlbu
tlunrelievedlchestlpainlforl2ldayslislreluctantltoltakelanitroglycerinlsubli
ngualltabletlofferedlbylthelnurse.lThelclientlstates,l"Ildon'tlneedlthat—
myldadltakeslthatlforlhislheart.lThere'slnothinglwronglwithlmylheart."lW
hichldescriptionlbestldescribesltheclient'slresponse?
a. Angry
b. Denial
c. Phobic
d. Obsessive-compulsive
18. Alclientlislscheduledlforlalcardiaclcatheterizationlusinglalradiopaqueldy
e.lThelLPN/LVNlcheckslwhichlmostlcriticallitemlbeforelthelprocedure
?
a. Intakelandloutput
b. Heightlandlweight
c. Peripherallpulselrates
d. Priorl reactionl tol contrastl media
pg.l4
