HESI LPN EXAM
HESI LPN Exam Questions with 100%
Correct Detailed Answers Correct Answers
with Detailed Rationales Graded A+ Latest
Versions 2025
The practical nurse (PN) is changing a postoperative dressing 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.
D. Remove all four sides by moving to the center of the incision.
D. The tape should be removed by starting all four sides and moving towards the center of the
incision to prevent disruption of the wound.
Which action should the practical nurse (PN) follow when applying an elasticized bandage to a
client's leg?
A. Secure the end with metal clips.
B. Overlap turns of the bandage equally.
C. Adjust the tension as needed.
D. Wrap from the proximal to distal end.
B. The overlapping turns of the elasticized bandage should be evenly wrapped. Metal clips (A) may
release and cause injury to the client. The bandage should be applied from the distal end to the
proximal end of an extremity
An older client who has been on bed rest is not eating well and is exhibiting abdominal distension,
cramping, and is passing small amounts of liquid stool. Which prescribed action is most important for
the practical nurse (PN) to implement?
A. Place incontinent pads on the bed.
B. Give a PRN dose of a stool softener.
A+ TEST BANK 1
, HESI LPN EXAM
C. Digitally remove a fecal impaction.
D. Administer a soap suds enema.
C. Abdominal distension, cramping, and passage of small amounts of liquid stool are signs and
symptoms of fecal impaction, which is relieved by digital removal.
Acetaminophen is prescribed for an unconscious client with a temperature of 104° F. Which route
should the practical nurse (PN) plan to administer this medication?
A. Oral.
B. Rectal.
C. Buccal.
D. Topical.
B. The rectal route, ensures absorption and safety for an unconscious client who is at risk for
aspiration. (A and C) are contraindicated for an unconscious client who may have a compromised gag
reflex and is unable to swallow
Which intervention should the practical nurse (PN) implement to help a client cope effectively with
chronic pain?
A. Administer around-the-clock opiate drugs.
B. Give scheduled doses of benzodiazepines.
C. Recommend avoiding painful activities.
D. Encourage using relaxation techniques.
D. Relaxation techniques can be an effective long-term strategy to help a client control tension,
anxiety, and cope with chronic pain. (A and B) are not useful for long term management of chronic
pain. (C) may not be feasible if activities of daily living are painful.
A young woman, who is the primary caregiver for her mother who has Alzheimer's disease, tells the
practical nurse (PN), "Sometimes I hate my mother for living this long and my Dad for dying and not
caring for her." What response should the PN offer?
A. What you do to cope with these feelings?
B. Have you told your family how you feel?
C. It's normal feel these emotions when you are stressed.
D. Don't worry, at least you can talk about your angry.
A. a response that invites the client to share feelings and perceptions is the most therapeutic
communication (B and C) do not provide the client the options to freely share her distress
During insertion of a nasogastric tube (NGT) into the right nares, the client starts to cough. Which
action should the practical nurse (PN) implement?
A. Notify the healthcare provider and report the inability to insert the NGT.
A+ TEST BANK 2
, HESI LPN EXAM
B. Flush the nasogastric tube with 30 ml of tap water to check for patency.
C. Withdraw the NGT to the oral pharynx, reposition client's head and reinsert.
D. Continue inserting the NGT because coughing is an expected response.
C. Difficulty entering the esophagus during insertion of a NGT may cause the client to cough if the
tube enters the larynx, which requires stopping the insertion of the NGT. To reintroduce the NGT, it
should be withdrawn until its tip is visualized in the oral pharynx, and the client's head repositioned
with the chin closer to the chest to prevent the NGT from entering the trachea
A client is receiving a continuous tube feeding. While checking the gastric residual volume, the
practical nurse (PN) aspirates 150 ml of gastric contents. What action should the PN take?
A. Rinse the feeding tube after throwing the aspirated gastric contents away and restart the feeding.
B. Replace half of the aspirated gastric contents and slow the rate of the feeding.
C. Throw the aspirated gastric contents away and stop the continuous feeding.
D. Return all the aspirated contents to the stomach followed with water and consult the agency
policy.
D. The residual volume should be replaced in order to prevent loss of electrolytes, and the agency
policy should be followed to determine the routine actions regarding the volume of the next
feeding, the rate of the feeding, or the duration to withhold the continuous feeding. Throwing the
aspirate away or only replacing a portion places the client at risk for electrolyte imbalance
The practical nurse (PN) is assisting a client plan a balanced vegetarian diet that provides the highest
in protein quality. Which selection should the PN recommend to the client?
A. Soybeans.
B. Peanuts.
C. Whole wheat.
D. Sesame seeds.
A. Soybeans are the highest in protein quality and contain the most nutritive value. (B and D) are
sources of protein but provide less nutritive value. Although whole wheat (C), a complex
carbohydrate, it is not as a protein source
The practical nurse (PN) is caring for a client who is admitted with influenza and vomiting for 3 days.
The client's skin turgor is poor and oral mucous membranes are dry. Which finding is most important
for the practical nurse (PN) to report to the charge nurse?
A+ TEST BANK 3
, HESI LPN EXAM
A. Weight loss of 4 pounds in last 3 days.
B. Hypotension and tachycardia.
C. Nausea and anorexia.
D. Dark amber urine output at 30 ml/hour.
B. The client's fluid loss from protracted vomiting causes a shift in intravascular fluids causing
dehydration, hypotension, and tachycardia, which should be reported to the charge nurse. (A, B, and
C) are signs consistent with dehydration, but the priority is the client's fluid depletion that is causing
a hypotensive state.
The practical nurse (PN) contacts the healthcare provider about an older client who is agitated and
aggressive with the staff. Which reason should the PN use to request a prescription for wrist
restraints?
A. To decrease the client's agitation and acting-out behaviors.
B. To provide an effective way to prevent falls when the client is alone.
C. To protect the client and reduce the likelihood of lawsuits.
D. To ensure the client's safety when the benefits outweigh the risks.
D. Restraints should be used when the benefits outweigh the risks in providing a safe environment
for the client, and ensuring the safety of others. Restraints can increase agitation (A) and are not the
most effective way to prevent falls (B). Restraints may provide protection, but must be diligently
monitored to prevent negligent injury
Which action should the practical nurse (PN) implement when supporting an older client who is
afraid of dying?
A. Ask the client about his belief of a spiritual life after death.
B. Provide basic comfort measures to alleviate pain and breathlessness.
C. Use open-ended questions to encourage the client to share feelings.
D. Talk about common beliefs that others have expressed about death.
C. Using open-ended questions gives a client the opportunity to share feelings, fears, and concerns
about the process of dying. Although (A and D) provide topics of discussion about death, the client is
often self-centered and is best supported by encouragement to express personal feelings about
death. (B) provides palliative physical measures, but the client should be supported and allowed to
verbally express emotional distress and anxiety.
A+ TEST BANK 4
HESI LPN Exam Questions with 100%
Correct Detailed Answers Correct Answers
with Detailed Rationales Graded A+ Latest
Versions 2025
The practical nurse (PN) is changing a postoperative dressing 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.
D. Remove all four sides by moving to the center of the incision.
D. The tape should be removed by starting all four sides and moving towards the center of the
incision to prevent disruption of the wound.
Which action should the practical nurse (PN) follow when applying an elasticized bandage to a
client's leg?
A. Secure the end with metal clips.
B. Overlap turns of the bandage equally.
C. Adjust the tension as needed.
D. Wrap from the proximal to distal end.
B. The overlapping turns of the elasticized bandage should be evenly wrapped. Metal clips (A) may
release and cause injury to the client. The bandage should be applied from the distal end to the
proximal end of an extremity
An older client who has been on bed rest is not eating well and is exhibiting abdominal distension,
cramping, and is passing small amounts of liquid stool. Which prescribed action is most important for
the practical nurse (PN) to implement?
A. Place incontinent pads on the bed.
B. Give a PRN dose of a stool softener.
A+ TEST BANK 1
, HESI LPN EXAM
C. Digitally remove a fecal impaction.
D. Administer a soap suds enema.
C. Abdominal distension, cramping, and passage of small amounts of liquid stool are signs and
symptoms of fecal impaction, which is relieved by digital removal.
Acetaminophen is prescribed for an unconscious client with a temperature of 104° F. Which route
should the practical nurse (PN) plan to administer this medication?
A. Oral.
B. Rectal.
C. Buccal.
D. Topical.
B. The rectal route, ensures absorption and safety for an unconscious client who is at risk for
aspiration. (A and C) are contraindicated for an unconscious client who may have a compromised gag
reflex and is unable to swallow
Which intervention should the practical nurse (PN) implement to help a client cope effectively with
chronic pain?
A. Administer around-the-clock opiate drugs.
B. Give scheduled doses of benzodiazepines.
C. Recommend avoiding painful activities.
D. Encourage using relaxation techniques.
D. Relaxation techniques can be an effective long-term strategy to help a client control tension,
anxiety, and cope with chronic pain. (A and B) are not useful for long term management of chronic
pain. (C) may not be feasible if activities of daily living are painful.
A young woman, who is the primary caregiver for her mother who has Alzheimer's disease, tells the
practical nurse (PN), "Sometimes I hate my mother for living this long and my Dad for dying and not
caring for her." What response should the PN offer?
A. What you do to cope with these feelings?
B. Have you told your family how you feel?
C. It's normal feel these emotions when you are stressed.
D. Don't worry, at least you can talk about your angry.
A. a response that invites the client to share feelings and perceptions is the most therapeutic
communication (B and C) do not provide the client the options to freely share her distress
During insertion of a nasogastric tube (NGT) into the right nares, the client starts to cough. Which
action should the practical nurse (PN) implement?
A. Notify the healthcare provider and report the inability to insert the NGT.
A+ TEST BANK 2
, HESI LPN EXAM
B. Flush the nasogastric tube with 30 ml of tap water to check for patency.
C. Withdraw the NGT to the oral pharynx, reposition client's head and reinsert.
D. Continue inserting the NGT because coughing is an expected response.
C. Difficulty entering the esophagus during insertion of a NGT may cause the client to cough if the
tube enters the larynx, which requires stopping the insertion of the NGT. To reintroduce the NGT, it
should be withdrawn until its tip is visualized in the oral pharynx, and the client's head repositioned
with the chin closer to the chest to prevent the NGT from entering the trachea
A client is receiving a continuous tube feeding. While checking the gastric residual volume, the
practical nurse (PN) aspirates 150 ml of gastric contents. What action should the PN take?
A. Rinse the feeding tube after throwing the aspirated gastric contents away and restart the feeding.
B. Replace half of the aspirated gastric contents and slow the rate of the feeding.
C. Throw the aspirated gastric contents away and stop the continuous feeding.
D. Return all the aspirated contents to the stomach followed with water and consult the agency
policy.
D. The residual volume should be replaced in order to prevent loss of electrolytes, and the agency
policy should be followed to determine the routine actions regarding the volume of the next
feeding, the rate of the feeding, or the duration to withhold the continuous feeding. Throwing the
aspirate away or only replacing a portion places the client at risk for electrolyte imbalance
The practical nurse (PN) is assisting a client plan a balanced vegetarian diet that provides the highest
in protein quality. Which selection should the PN recommend to the client?
A. Soybeans.
B. Peanuts.
C. Whole wheat.
D. Sesame seeds.
A. Soybeans are the highest in protein quality and contain the most nutritive value. (B and D) are
sources of protein but provide less nutritive value. Although whole wheat (C), a complex
carbohydrate, it is not as a protein source
The practical nurse (PN) is caring for a client who is admitted with influenza and vomiting for 3 days.
The client's skin turgor is poor and oral mucous membranes are dry. Which finding is most important
for the practical nurse (PN) to report to the charge nurse?
A+ TEST BANK 3
, HESI LPN EXAM
A. Weight loss of 4 pounds in last 3 days.
B. Hypotension and tachycardia.
C. Nausea and anorexia.
D. Dark amber urine output at 30 ml/hour.
B. The client's fluid loss from protracted vomiting causes a shift in intravascular fluids causing
dehydration, hypotension, and tachycardia, which should be reported to the charge nurse. (A, B, and
C) are signs consistent with dehydration, but the priority is the client's fluid depletion that is causing
a hypotensive state.
The practical nurse (PN) contacts the healthcare provider about an older client who is agitated and
aggressive with the staff. Which reason should the PN use to request a prescription for wrist
restraints?
A. To decrease the client's agitation and acting-out behaviors.
B. To provide an effective way to prevent falls when the client is alone.
C. To protect the client and reduce the likelihood of lawsuits.
D. To ensure the client's safety when the benefits outweigh the risks.
D. Restraints should be used when the benefits outweigh the risks in providing a safe environment
for the client, and ensuring the safety of others. Restraints can increase agitation (A) and are not the
most effective way to prevent falls (B). Restraints may provide protection, but must be diligently
monitored to prevent negligent injury
Which action should the practical nurse (PN) implement when supporting an older client who is
afraid of dying?
A. Ask the client about his belief of a spiritual life after death.
B. Provide basic comfort measures to alleviate pain and breathlessness.
C. Use open-ended questions to encourage the client to share feelings.
D. Talk about common beliefs that others have expressed about death.
C. Using open-ended questions gives a client the opportunity to share feelings, fears, and concerns
about the process of dying. Although (A and D) provide topics of discussion about death, the client is
often self-centered and is best supported by encouragement to express personal feelings about
death. (B) provides palliative physical measures, but the client should be supported and allowed to
verbally express emotional distress and anxiety.
A+ TEST BANK 4
