4/20/25, 10:44 AM Hesi LPN practice
PN HESI ACTUAL PRACTICE EXAM NEWEST VERSION
WITH ALL UPDATED QUESTIONS AND ACCURATE
DETAILED ANSWERS \\COMPLETE EXAM WITH VERIFIED
ANSWERS \ALREADY GRADED A+
A. An ampule is made of glass with a constricted
What action should the neck that is snapped off to allow access to the
practical nurse (PN) take medication. Medications are easily withdrawn
when drawing from the ampule by
medication from an aspirating the fluid with a filter needle and
ampule? syringe. Filter needles are used when
A. Aspirate with a filter
withdrawing medication from a glass ampule to
needle and syringe.
B. Tap the bottom of the
prevent glass particles from being drawn into the
ampule lightly. syringe with the medication. Tap the top, not the
C. Snap the neck of ampule bottom (B), of the
towards nurse.
ampule lightly to allow all of the medication to
D. Use an alcohol swab to
drop to the bottom. When opening the ampule,
open ampule.
the top should be snapped away from the nurse's
face and body (C). An opened alcohol swab
wrapped around the top of the ampule may
allow alcohol to leak into the ampule
The practical nurse A. The Five Rights of medication administration
(PN) is preparing to include the right drug, right dose, right route,
reconstitute a drug from right time, and right client. The first action
powder form for IM should be verification of the right drug in the
administration. Which powder form for reconstitution.
step should the PN
implement first?
A. Verify the drug with
the medication
administration
1/45
,4/20/25, 10:44 AM Hesi LPN practice
record.
B. Mix the powder with the
solution.
C. Attach the needle to the
syringe.
D. Read the label to
determine the amount of
diluent to use.
Which action should the C. To ensure penetration into the deep layer of
practical nurse (PN) subcutaneuos adipose for a client who is obese,
implement when the needle length should be longer than the usual
administering a needle (preferably 3/8 to 5/8 inch in length)
subcutaneous injection to for subcutaneous injection.
a client who weighs 325
pounds?
A. Produce a bleb at the
injection site.
B. Insert the needle at a 15-
degree angle.
C. Select a needle with a
longer shaft.
D. Rub vigorously for a
faster response.
Which finding indicates to B. IV fluid overload in an older client is likely to
the practical nurse (PN) cause an increase in the workload of the heart
that an older client who causing a decrease in cardiac output
is receiving intravenous
therapy is
experiencing fluid
overload?
A. Edema in lower
extremities.
B. Crackles in the lung
fields.
C. Pulse rate of 64
beats/min.
D. Respirations of 16
breaths/min.
2/45
,4/20/25, 10:44 AM Hesi LPN practice
The practical nurse (PN) C. The area of bleeding on the dressing should be
is checking the surgical outlined, dated, timed and initialed for furture
dressing for a client who comparison and evaluation
arrived
on the postoperative unit
an hour ago. The
dressing has an
increase in the
accumulation of
serosanguinous
drainage. What nursing
action should the PN
take?
A. Reinforce the dressing
with clean gauze
sponges and tape.
B. Change the surgical
dressing
immediately to prevent
infection.
C. Mark the outlined area
of drainage with date,
time and initials.
D. Collect a sample of the
drainage for a
culture and sensitivity
A male client who is 2 B. The sensation of the surgical site letting go is
days postoperative for characteristic of wound dehiscence in the early
exploratory abdominal postoperative period. The client should be placed
surgery is into a supine position
ambulating in the hall
with the practical nurse
(PN). The client tells the
PN, "I think
something in my incision
just let go." Which action
should the PN
implement first?
A. Notify the healthcare
provider.
3/45
, 4/20/25, 10:44 AM Hesi LPN practice
B. Assistthe client to a
supine position.
C. Instruct the client
to avoid deep
breathing.
D. Request an
abdominal binder from
a coworker.
The practical nurse (PN) A. a dry, sterile dressing includes the use of gauze
is applying a dry, sterile and tape . Although a client may be allergic to the
dressing to a client's other substances used in wound care, (B, C, and
abdominal wound. D) are not used for a dry, sterile dressing.
Which allergy should the
PN verify with the
client?
A. Tape.
B. Antibiotic ointment.
C. Povidone-iodine.
D. Hydrogen peroxide.
The practical nurse D. The tape should be removed by starting all four
(PN) is changing a sides and moving towards the center of the
postoperative dressing incision to prevent disruption of the wound.
for a client with a
horizontal lower
abdominal incision. What
method should the PN
use to remove the tape
from the dressing?
A. Pull from the left to
right across the
abdomen.
B. Peel across the
abdomen from the right
to the left.
C. Start from the top of the
incision moving to the
bottom.
4/45
PN HESI ACTUAL PRACTICE EXAM NEWEST VERSION
WITH ALL UPDATED QUESTIONS AND ACCURATE
DETAILED ANSWERS \\COMPLETE EXAM WITH VERIFIED
ANSWERS \ALREADY GRADED A+
A. An ampule is made of glass with a constricted
What action should the neck that is snapped off to allow access to the
practical nurse (PN) take medication. Medications are easily withdrawn
when drawing from the ampule by
medication from an aspirating the fluid with a filter needle and
ampule? syringe. Filter needles are used when
A. Aspirate with a filter
withdrawing medication from a glass ampule to
needle and syringe.
B. Tap the bottom of the
prevent glass particles from being drawn into the
ampule lightly. syringe with the medication. Tap the top, not the
C. Snap the neck of ampule bottom (B), of the
towards nurse.
ampule lightly to allow all of the medication to
D. Use an alcohol swab to
drop to the bottom. When opening the ampule,
open ampule.
the top should be snapped away from the nurse's
face and body (C). An opened alcohol swab
wrapped around the top of the ampule may
allow alcohol to leak into the ampule
The practical nurse A. The Five Rights of medication administration
(PN) is preparing to include the right drug, right dose, right route,
reconstitute a drug from right time, and right client. The first action
powder form for IM should be verification of the right drug in the
administration. Which powder form for reconstitution.
step should the PN
implement first?
A. Verify the drug with
the medication
administration
1/45
,4/20/25, 10:44 AM Hesi LPN practice
record.
B. Mix the powder with the
solution.
C. Attach the needle to the
syringe.
D. Read the label to
determine the amount of
diluent to use.
Which action should the C. To ensure penetration into the deep layer of
practical nurse (PN) subcutaneuos adipose for a client who is obese,
implement when the needle length should be longer than the usual
administering a needle (preferably 3/8 to 5/8 inch in length)
subcutaneous injection to for subcutaneous injection.
a client who weighs 325
pounds?
A. Produce a bleb at the
injection site.
B. Insert the needle at a 15-
degree angle.
C. Select a needle with a
longer shaft.
D. Rub vigorously for a
faster response.
Which finding indicates to B. IV fluid overload in an older client is likely to
the practical nurse (PN) cause an increase in the workload of the heart
that an older client who causing a decrease in cardiac output
is receiving intravenous
therapy is
experiencing fluid
overload?
A. Edema in lower
extremities.
B. Crackles in the lung
fields.
C. Pulse rate of 64
beats/min.
D. Respirations of 16
breaths/min.
2/45
,4/20/25, 10:44 AM Hesi LPN practice
The practical nurse (PN) C. The area of bleeding on the dressing should be
is checking the surgical outlined, dated, timed and initialed for furture
dressing for a client who comparison and evaluation
arrived
on the postoperative unit
an hour ago. The
dressing has an
increase in the
accumulation of
serosanguinous
drainage. What nursing
action should the PN
take?
A. Reinforce the dressing
with clean gauze
sponges and tape.
B. Change the surgical
dressing
immediately to prevent
infection.
C. Mark the outlined area
of drainage with date,
time and initials.
D. Collect a sample of the
drainage for a
culture and sensitivity
A male client who is 2 B. The sensation of the surgical site letting go is
days postoperative for characteristic of wound dehiscence in the early
exploratory abdominal postoperative period. The client should be placed
surgery is into a supine position
ambulating in the hall
with the practical nurse
(PN). The client tells the
PN, "I think
something in my incision
just let go." Which action
should the PN
implement first?
A. Notify the healthcare
provider.
3/45
, 4/20/25, 10:44 AM Hesi LPN practice
B. Assistthe client to a
supine position.
C. Instruct the client
to avoid deep
breathing.
D. Request an
abdominal binder from
a coworker.
The practical nurse (PN) A. a dry, sterile dressing includes the use of gauze
is applying a dry, sterile and tape . Although a client may be allergic to the
dressing to a client's other substances used in wound care, (B, C, and
abdominal wound. D) are not used for a dry, sterile dressing.
Which allergy should the
PN verify with the
client?
A. Tape.
B. Antibiotic ointment.
C. Povidone-iodine.
D. Hydrogen peroxide.
The practical nurse D. The tape should be removed by starting all four
(PN) is changing a sides and moving towards the center of the
postoperative dressing incision to prevent disruption of the wound.
for a client with a
horizontal lower
abdominal incision. What
method should the PN
use to remove the tape
from the dressing?
A. Pull from the left to
right across the
abdomen.
B. Peel across the
abdomen from the right
to the left.
C. Start from the top of the
incision moving to the
bottom.
4/45
