Page 1 of 35
“HESI LPN- Entrance exam “LATEST 2025
UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION)
HESI LPN- Entrance exam
2 days after an abdominal hysterectomy, an elderly client with diabetes
Mellitus Type II has a syncopal episode. Her vital signs are within normal limits
and her sugar is 325 mg/dL. what intervention should the nurse implement
first?
administer regular insulin per sliding scale
A 3-week-old infant is admitted for surgical repair of Pyloric Stenosis. What
interventions should the nurse expect to implement to establish hydration in
the immediate postoperative period?
nipple feedings with glucose water
a 3 year-old admitted with fever of unknown (FUO) has begun vomiting in the
past half hour. The child's temp. is 101.8F, and the last does of antipyretic
medication was given 5 hours ago. the child has prescriptions of
acetaminophen (Tylenol) 160 mg per 5 mL elixir or 16o mg suppositories PRN
fever or pain. what action should the nurse take at this time?
make the child NPO and hold all mediations until the vomiting has stopped.
4 hours after administration of 20U of regular insulin, the client becomes
shaky and diaphoretic. what action should the nurse take?
give the client crackers and milk
a 6-month child with bronchiolitis is admitted to the hospital. In monitoring the
respiratory status of this child, which symptom indicates the nurse that he is
experiencing respiratory distress?
A high pitched cry.
An 8-year-old recovering from a Celiac Crisis requests a bowl of cereal for
breakfast. Which cereal should the nurse provide?
rice
total number of confirmed pregnancies regardless of the outcome
Gravida
number of births after 20 weeks
, Page 2 of 35
Para
pregnant for the first time
primigravida
a 26 year old gravida-4, para-0 had a spontaneous abortion at 9 weeks
gestation. at one house post dilation and curettage (D&C) the nurse assess the
vital signs and vaginal bleeding. the client begins to cry softly. how should the
nurse intervene?
express sorrow for the clients grief and offer to sit with her.
A 26 year-old primigravida who delivered a 7-pound male infant 26 hours ago
tells the nurse that she is confused about when she and her husband can
return to having sexual intercourse. What info should the nurse reinforce with
this client?
they can have intercourse when the episiotomy is healed and the lochial flow has
stopped
36 hours after delivery, the nurse determines a clients fundus is just above the
umbilicus and displaced to the right of midline. what action should the nurse
take first?
palpate the bladder for distention
a 60 year old client with cancer of the liver is in hepatic coma and
unresponsive. what should the nurse say to family members were inquiring
about the condition of their loved one?
"Your loved ones condition is very critical, and there has been no response in the
last 24 hours"
a 67 year old woman who lives alone tripped on a rug in her home and
fractured her right hip. the nurse knows that which predisposing factor
contributes to the occurrence of hip fractures among elderly women.
osteoporosis resulting from hormonal changes.
a 75 year old male client with Alzheimer disease is admitted to an extended
care facility. what intervention should the nurse include into the his clients
Nursing care plan?
plan to have the same nursing staff provide care for the client whenever possible.
an 82-year old client is admitted to the hospital with a fractured right hip.
following surgical repair, a footboard is placed at the clients feet. what is the
reason the nurse will offer concerning the footboard?
footboard is used to prevent foot drop.
An adult female client is admitted to the psychiatric unit with diagnosis of
major depression. After 2 weeks of antidepressant medication therapy, the
nurse notices the client has more energy, is giving her belongings away to her
visitors, and is in an overall better mood. Which intervention is best for the
nurse to implement?
ask the client if she has had any recent thoughts of harming herself.
an adult male client tells the nurse that he believes someone is trying to obtain
his cpu records, which his wife reports are recreational in nature. the client
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insist that an elaborate alarm system needs to be installed in his home. the
nurse knows that this client is exhibiting which signs or symptoms?
delusions of persecution
After a change of shift report, the nurse makes rounds on a postoperative unit.
Which client finding necessitates the immediate attention of the nurse?
A. A client who is having bright red drainage from the rectum following a
colonoscopy with a polyp removal
After a client returns from Hemodialysis, the nurse measures the client's
weight and notes a 3-poundweight loss from the pre-dialysis weight. The client
reports feeling weak and fatigued. What action should the nurse take next?
A. Measure the client's blood pressure
After morning dressing changes are completed, a male client who has
paraplegia contaminates his ischial decubiti dressing with a diarrheal stool.
What activity is best for the nurse to assign to the unlicensed assistive
personnel?
B. Provide perianal care and collect clean linens for the dressing change
After report, the nurse receives the laboratory values for 4 clients. Which client
requires the nurse's immediate intervention? The client who is.....
D. Trembling and has a glucose level of 50 mg/dL
An ambulatory client with an indwelling urinary catheter (Foley) is requesting
to take a shower for the first time. What is the best intervention for the nurse to
implement?
B. Keep the catheter intact and assist the client with a shower
At 7AM, a Diabetic client is conscious with a serum glucose level of 50mg/dL.
To manage this client's care effectively, what should the nurse administer?
A. Orange juice
Augmentin (amoxicillin/clavulante) 500mg suspension is prescribed for an
older adult client who has trouble swallowing . The suspension is available in
125mg/5mL solution. How many ml should the client receive? (enter the
numberic value only)
20
Based on the documentation in the medical record, which action should the
nurse implement next?
A. Give the rubella vaccine subcutaneously
Based on the Nursing diagnosis of "Potential for infection related to second
and third degree burns," which intervention has the highest priority?
B. Use of careful hand washing technique
Based on the Nursing diagnosis of, "Risk for Infection," which intervention
should the nurse implement when providing care for an elderly client with
Urinary incontinence?
A. Maintain standard precautions
The care plan for a male client with amyotrophic lateral sclerosis includes the
Nursing diagnosis, "Decisional conflict related to concerns about mechanical
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ventilation." When assigned to care for this client, what intervention should
the nurse implement based on this diagnosis ?
D. Encourage the client to discuss his feelings and concerns related to the use of
mechanical ventilation
The cervix is the opening into the uterine cavity. What is its function in
reproduction?
B. Secretes mucus to facilitate sperm transport
The charge nurse brings a #18fr urinary catheter (Foley) with a 30 mL balloon
to the nurse who is preparing to insert a catheter in a female client who weighs
50 kg. What action should the nurse take first?
D. Consult with the charge nurse about the catheter
A child with Chronic Asthma is scheduled for Chest Physiotherapy. When
should the nurse administer the meter-dosed inhaler (MDI) puff of
bronchodilator relative to postural drainage treatments?
After postural drainage
A client asks the nurse to explain the location of the prostate gland. What is
the best response?
A. Close the rectal wall the prostate gland sits behind the symphysis pubis extending
around thebeginning of the urethra
A client at 28 weeks gestation is admitted to the antepartum unit and is being
treated for preterm labor. She has a prescription for brethine (Terbutaline) 250
micrograms subcutaneously q4h. The medication is available for injection in 1
mg per ML vials. How many mL should the nurse administer?
C. 0.25
A client begins an antidepressant drug during the second day of
hospitalization. Which assessment is most important for the nurse to include
in this client's plan of care while the client is taking the antidepressant?
Mood
a client comes to the antepartal clinic and tells the nurse that she is 6 weeks
pregnant. which sign is the most likely to report?
amenorrhea
A client complains of kidney pain. The nurse understands that the kidneys are
located where?
A. On the retroperitoneal posterior abdominal wall at the costovertebral angle
A client has a prescription for a Transcutaneous Electrical Nerve Stimulator
(TENS) unit for pain management during the postoperative period following a
lumber Laminectomy. What information should the nurse reinforce about the
action of this adjuvant pain modality?
B. Pain perception in the cerebral cortex is dulled by the unit's discharge of an
electrical stimulus
A client has a prescription for enteric-coated (EC) aspirin 325mg PO daily. The
medication drawer contains one 325mg aspirin. What action should the nurse
take?
C. Administer the aspirin with a full glass of water or a small snack
“HESI LPN- Entrance exam “LATEST 2025
UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION)
HESI LPN- Entrance exam
2 days after an abdominal hysterectomy, an elderly client with diabetes
Mellitus Type II has a syncopal episode. Her vital signs are within normal limits
and her sugar is 325 mg/dL. what intervention should the nurse implement
first?
administer regular insulin per sliding scale
A 3-week-old infant is admitted for surgical repair of Pyloric Stenosis. What
interventions should the nurse expect to implement to establish hydration in
the immediate postoperative period?
nipple feedings with glucose water
a 3 year-old admitted with fever of unknown (FUO) has begun vomiting in the
past half hour. The child's temp. is 101.8F, and the last does of antipyretic
medication was given 5 hours ago. the child has prescriptions of
acetaminophen (Tylenol) 160 mg per 5 mL elixir or 16o mg suppositories PRN
fever or pain. what action should the nurse take at this time?
make the child NPO and hold all mediations until the vomiting has stopped.
4 hours after administration of 20U of regular insulin, the client becomes
shaky and diaphoretic. what action should the nurse take?
give the client crackers and milk
a 6-month child with bronchiolitis is admitted to the hospital. In monitoring the
respiratory status of this child, which symptom indicates the nurse that he is
experiencing respiratory distress?
A high pitched cry.
An 8-year-old recovering from a Celiac Crisis requests a bowl of cereal for
breakfast. Which cereal should the nurse provide?
rice
total number of confirmed pregnancies regardless of the outcome
Gravida
number of births after 20 weeks
, Page 2 of 35
Para
pregnant for the first time
primigravida
a 26 year old gravida-4, para-0 had a spontaneous abortion at 9 weeks
gestation. at one house post dilation and curettage (D&C) the nurse assess the
vital signs and vaginal bleeding. the client begins to cry softly. how should the
nurse intervene?
express sorrow for the clients grief and offer to sit with her.
A 26 year-old primigravida who delivered a 7-pound male infant 26 hours ago
tells the nurse that she is confused about when she and her husband can
return to having sexual intercourse. What info should the nurse reinforce with
this client?
they can have intercourse when the episiotomy is healed and the lochial flow has
stopped
36 hours after delivery, the nurse determines a clients fundus is just above the
umbilicus and displaced to the right of midline. what action should the nurse
take first?
palpate the bladder for distention
a 60 year old client with cancer of the liver is in hepatic coma and
unresponsive. what should the nurse say to family members were inquiring
about the condition of their loved one?
"Your loved ones condition is very critical, and there has been no response in the
last 24 hours"
a 67 year old woman who lives alone tripped on a rug in her home and
fractured her right hip. the nurse knows that which predisposing factor
contributes to the occurrence of hip fractures among elderly women.
osteoporosis resulting from hormonal changes.
a 75 year old male client with Alzheimer disease is admitted to an extended
care facility. what intervention should the nurse include into the his clients
Nursing care plan?
plan to have the same nursing staff provide care for the client whenever possible.
an 82-year old client is admitted to the hospital with a fractured right hip.
following surgical repair, a footboard is placed at the clients feet. what is the
reason the nurse will offer concerning the footboard?
footboard is used to prevent foot drop.
An adult female client is admitted to the psychiatric unit with diagnosis of
major depression. After 2 weeks of antidepressant medication therapy, the
nurse notices the client has more energy, is giving her belongings away to her
visitors, and is in an overall better mood. Which intervention is best for the
nurse to implement?
ask the client if she has had any recent thoughts of harming herself.
an adult male client tells the nurse that he believes someone is trying to obtain
his cpu records, which his wife reports are recreational in nature. the client
, Page 3 of 35
insist that an elaborate alarm system needs to be installed in his home. the
nurse knows that this client is exhibiting which signs or symptoms?
delusions of persecution
After a change of shift report, the nurse makes rounds on a postoperative unit.
Which client finding necessitates the immediate attention of the nurse?
A. A client who is having bright red drainage from the rectum following a
colonoscopy with a polyp removal
After a client returns from Hemodialysis, the nurse measures the client's
weight and notes a 3-poundweight loss from the pre-dialysis weight. The client
reports feeling weak and fatigued. What action should the nurse take next?
A. Measure the client's blood pressure
After morning dressing changes are completed, a male client who has
paraplegia contaminates his ischial decubiti dressing with a diarrheal stool.
What activity is best for the nurse to assign to the unlicensed assistive
personnel?
B. Provide perianal care and collect clean linens for the dressing change
After report, the nurse receives the laboratory values for 4 clients. Which client
requires the nurse's immediate intervention? The client who is.....
D. Trembling and has a glucose level of 50 mg/dL
An ambulatory client with an indwelling urinary catheter (Foley) is requesting
to take a shower for the first time. What is the best intervention for the nurse to
implement?
B. Keep the catheter intact and assist the client with a shower
At 7AM, a Diabetic client is conscious with a serum glucose level of 50mg/dL.
To manage this client's care effectively, what should the nurse administer?
A. Orange juice
Augmentin (amoxicillin/clavulante) 500mg suspension is prescribed for an
older adult client who has trouble swallowing . The suspension is available in
125mg/5mL solution. How many ml should the client receive? (enter the
numberic value only)
20
Based on the documentation in the medical record, which action should the
nurse implement next?
A. Give the rubella vaccine subcutaneously
Based on the Nursing diagnosis of "Potential for infection related to second
and third degree burns," which intervention has the highest priority?
B. Use of careful hand washing technique
Based on the Nursing diagnosis of, "Risk for Infection," which intervention
should the nurse implement when providing care for an elderly client with
Urinary incontinence?
A. Maintain standard precautions
The care plan for a male client with amyotrophic lateral sclerosis includes the
Nursing diagnosis, "Decisional conflict related to concerns about mechanical
, Page 4 of 35
ventilation." When assigned to care for this client, what intervention should
the nurse implement based on this diagnosis ?
D. Encourage the client to discuss his feelings and concerns related to the use of
mechanical ventilation
The cervix is the opening into the uterine cavity. What is its function in
reproduction?
B. Secretes mucus to facilitate sperm transport
The charge nurse brings a #18fr urinary catheter (Foley) with a 30 mL balloon
to the nurse who is preparing to insert a catheter in a female client who weighs
50 kg. What action should the nurse take first?
D. Consult with the charge nurse about the catheter
A child with Chronic Asthma is scheduled for Chest Physiotherapy. When
should the nurse administer the meter-dosed inhaler (MDI) puff of
bronchodilator relative to postural drainage treatments?
After postural drainage
A client asks the nurse to explain the location of the prostate gland. What is
the best response?
A. Close the rectal wall the prostate gland sits behind the symphysis pubis extending
around thebeginning of the urethra
A client at 28 weeks gestation is admitted to the antepartum unit and is being
treated for preterm labor. She has a prescription for brethine (Terbutaline) 250
micrograms subcutaneously q4h. The medication is available for injection in 1
mg per ML vials. How many mL should the nurse administer?
C. 0.25
A client begins an antidepressant drug during the second day of
hospitalization. Which assessment is most important for the nurse to include
in this client's plan of care while the client is taking the antidepressant?
Mood
a client comes to the antepartal clinic and tells the nurse that she is 6 weeks
pregnant. which sign is the most likely to report?
amenorrhea
A client complains of kidney pain. The nurse understands that the kidneys are
located where?
A. On the retroperitoneal posterior abdominal wall at the costovertebral angle
A client has a prescription for a Transcutaneous Electrical Nerve Stimulator
(TENS) unit for pain management during the postoperative period following a
lumber Laminectomy. What information should the nurse reinforce about the
action of this adjuvant pain modality?
B. Pain perception in the cerebral cortex is dulled by the unit's discharge of an
electrical stimulus
A client has a prescription for enteric-coated (EC) aspirin 325mg PO daily. The
medication drawer contains one 325mg aspirin. What action should the nurse
take?
C. Administer the aspirin with a full glass of water or a small snack
