1|Page
HESI LPN- Entrance exam (NEW UPDATED VERSION) LATEST ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ [2026-
2027]
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? - CORRECT ANSWER
administer regular insulin per sliding scale
QUESTION :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? - CORRECT ANSWER palpate the bladder for distention
QUESTION :4 hours after administration of 20U of regular insulin, the client becomes
shaky and diaphoretic. what action should the nurse take? - CORRECT ANSWER
give the client crackers and milk
QUESTION :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? - CORRECT ANSWER express sorrow for the clients grief and offer to
sit with her.
QUESTION :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? -
CORRECT ANSWER they can have intercourse when the episiotomy is healed
and the lochial flow has stopped
QUESTION :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? - CORRECT ANSWER make the child NPO
and hold all mediations until the vomiting has stopped.
QUESTION :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? - CORRECT ANSWER nipple feedings with
glucose water
QUESTION :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? - CORRECT ANSWER A high pitched cry.
2026 2027 GRADED A+
,2|Page
QUESTION :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? - CORRECT ANSWER "Your loved ones condition is
very critical, and there has been no response in the last 24 hours"
QUESTION :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. - CORRECT ANSWER
osteoporosis resulting from hormonal changes.
QUESTION :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? - CORRECT ANSWER plan to have the same nursing staff
provide care for the client whenever possible.
QUESTION :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? - CORRECT ANSWER After postural
drainage
QUESTION :A client asks the nurse to explain the location of the prostate gland. What
is the best response? - CORRECT ANSWER A. Close the rectal wall the prostate
gland sits behind the symphysis pubis extending around thebeginning of the urethra
QUESTION :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? - CORRECT ANSWER C.
0.25
QUESTION :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? - CORRECT
ANSWER Mood
QUESTION :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? - CORRECT ANSWER
amenorrhea
QUESTION :A client complains of kidney pain. The nurse understands that the kidneys
are located where? - CORRECT ANSWER A. On the retroperitoneal posterior
abdominal wall at the costovertebral angle
2026 2027 GRADED A+
,3|Page
QUESTION :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? - CORRECT ANSWER B. Pain perception in the
cerebral cortex is dulled by the unit's discharge of an electrical stimulus
QUESTION :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?
- CORRECT ANSWER C. Administer the aspirin with a full glass of water or a
small snack
QUESTION :A client has a prescription for lorazepam (ativan) 1 mg for anxiety. The
medication is supplied as 0.5mg tablets. How many tablets should the client take?
(enter numeric value only. - CORRECT ANSWER 2
QUESTION :A client is admitted for observation after experiencing a Transient
Ischemic Attack (TIA). The nurse anticipates implementing care for which client
problem? - CORRECT ANSWER B. Altered breathing patterns
QUESTION :A client is admitted to the hospital with a diagnosis of Pneumonia. Which
intervention should the nurse implement to prevent complications associated with
Pneumonia? - CORRECT ANSWER A. Encourage mobilization and ambulation
QUESTION :A Client is admitted to the hospital with second and third degree burns to
the face and neck. How should the nurse best position the client to maximize function of
the neck and face and prevent contracture? - CORRECT ANSWER A. The neck
extended backward using a rolled towel behind the neck
QUESTION :A client is admitted to the rehabilitation unit after a Thrombotic
Cerebrovascular Accident (CVA) with Right Hemiplegia and expressive aphasia. What
intervention should the nurse implement to communicate with the client? - CORRECT
ANSWER D. Dysphagia precautions
QUESTION :A client is admitted with a fever of undermined origin (FUO). During
rounds, the nurse finds the client diaphoretic, and the linens are damp. What should the
nurse do first? - CORRECT ANSWER B. Check the client's vital signs and pain
scale
QUESTION :A client is admitted with a newly diagnosed case of active tuberculosis
(TB). Which intervention should the nurse teach the client about controlling transmission
of tuberculosis (TB)? - CORRECT ANSWER A. Proper disposal of tissues when
coughing
2026 2027 GRADED A+
, 4|Page
QUESTION :A client is complaining of muscle fatigue in the lower extremities. What is
the physiological cause of muscle fatigue? - CORRECT ANSWER A. The
depletion of glycogen and energy stores
QUESTION :A client is diagnosed with Clostridium Difficile (CDIFF). What action
should the nurse implement to prevent the spread of the organism? - CORRECT
ANSWER B. Don non-sterile gloves when performing direct care
QUESTION :A client is diagnosed with Pericarditis after a Myocardial Infarction (MI)
and asks the nurse, "Why did this happen?" What explanation should the nurse offer? -
CORRECT ANSWER A. The sac surrounding the heart has become inflamed from
the cells damaged by the heart attack
QUESTION :A client is having Radical Mastectomy. What is the position of choice
during the immediate postoperative period? - CORRECT ANSWER C. Semi-
Fowler's position with the arm on the operative side elevated
QUESTION :A client is receiving 0.5 grams of a prescription medication that is
dispensed as 500 mg/5mL. How many ml should the PN administer? (enter the numeric
value only. If rounding is required, round to the nearest tenth.) - CORRECT
ANSWER 5
QUESTION :A client is receiving dexamethasone (Hexadrol, Decadron). What
symptoms should the nurse recognize as Cushioned side effects? - CORRECT
ANSWER A. Moon face, Slow wound healing, muscle wasting sodium and water
retention
QUESTION :A client is receiving nitroglycerin sublingual tablets for angina. What
response should the nurse expect the client to manifest in response to the
administration of this drug during an acute anginal episode? - CORRECT ANSWER
B. Cessation of acute chest pain
QUESTION :A client is returning to the surgical unit after a total right knee replacement.
Which assessment findings are most important for the nurse to include in this client's
record? - CORRECT ANSWER A. Pedal pulses, pallor, pain, paresthesia or
paralysis
QUESTION :A client is using an incentive spirometer on the first postoperative day
after an inguinal Herniorrhaphy. The nurse should re-teach the proper use of the
spirometer when the client demonstrates what action? - CORRECT ANSWER C.
Blowing forcefully into the mouthpiece
2026 2027 GRADED A+
HESI LPN- Entrance exam (NEW UPDATED VERSION) LATEST ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ [2026-
2027]
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? - CORRECT ANSWER
administer regular insulin per sliding scale
QUESTION :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? - CORRECT ANSWER palpate the bladder for distention
QUESTION :4 hours after administration of 20U of regular insulin, the client becomes
shaky and diaphoretic. what action should the nurse take? - CORRECT ANSWER
give the client crackers and milk
QUESTION :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? - CORRECT ANSWER express sorrow for the clients grief and offer to
sit with her.
QUESTION :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? -
CORRECT ANSWER they can have intercourse when the episiotomy is healed
and the lochial flow has stopped
QUESTION :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? - CORRECT ANSWER make the child NPO
and hold all mediations until the vomiting has stopped.
QUESTION :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? - CORRECT ANSWER nipple feedings with
glucose water
QUESTION :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? - CORRECT ANSWER A high pitched cry.
2026 2027 GRADED A+
,2|Page
QUESTION :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? - CORRECT ANSWER "Your loved ones condition is
very critical, and there has been no response in the last 24 hours"
QUESTION :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. - CORRECT ANSWER
osteoporosis resulting from hormonal changes.
QUESTION :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? - CORRECT ANSWER plan to have the same nursing staff
provide care for the client whenever possible.
QUESTION :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? - CORRECT ANSWER After postural
drainage
QUESTION :A client asks the nurse to explain the location of the prostate gland. What
is the best response? - CORRECT ANSWER A. Close the rectal wall the prostate
gland sits behind the symphysis pubis extending around thebeginning of the urethra
QUESTION :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? - CORRECT ANSWER C.
0.25
QUESTION :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? - CORRECT
ANSWER Mood
QUESTION :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? - CORRECT ANSWER
amenorrhea
QUESTION :A client complains of kidney pain. The nurse understands that the kidneys
are located where? - CORRECT ANSWER A. On the retroperitoneal posterior
abdominal wall at the costovertebral angle
2026 2027 GRADED A+
,3|Page
QUESTION :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? - CORRECT ANSWER B. Pain perception in the
cerebral cortex is dulled by the unit's discharge of an electrical stimulus
QUESTION :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?
- CORRECT ANSWER C. Administer the aspirin with a full glass of water or a
small snack
QUESTION :A client has a prescription for lorazepam (ativan) 1 mg for anxiety. The
medication is supplied as 0.5mg tablets. How many tablets should the client take?
(enter numeric value only. - CORRECT ANSWER 2
QUESTION :A client is admitted for observation after experiencing a Transient
Ischemic Attack (TIA). The nurse anticipates implementing care for which client
problem? - CORRECT ANSWER B. Altered breathing patterns
QUESTION :A client is admitted to the hospital with a diagnosis of Pneumonia. Which
intervention should the nurse implement to prevent complications associated with
Pneumonia? - CORRECT ANSWER A. Encourage mobilization and ambulation
QUESTION :A Client is admitted to the hospital with second and third degree burns to
the face and neck. How should the nurse best position the client to maximize function of
the neck and face and prevent contracture? - CORRECT ANSWER A. The neck
extended backward using a rolled towel behind the neck
QUESTION :A client is admitted to the rehabilitation unit after a Thrombotic
Cerebrovascular Accident (CVA) with Right Hemiplegia and expressive aphasia. What
intervention should the nurse implement to communicate with the client? - CORRECT
ANSWER D. Dysphagia precautions
QUESTION :A client is admitted with a fever of undermined origin (FUO). During
rounds, the nurse finds the client diaphoretic, and the linens are damp. What should the
nurse do first? - CORRECT ANSWER B. Check the client's vital signs and pain
scale
QUESTION :A client is admitted with a newly diagnosed case of active tuberculosis
(TB). Which intervention should the nurse teach the client about controlling transmission
of tuberculosis (TB)? - CORRECT ANSWER A. Proper disposal of tissues when
coughing
2026 2027 GRADED A+
, 4|Page
QUESTION :A client is complaining of muscle fatigue in the lower extremities. What is
the physiological cause of muscle fatigue? - CORRECT ANSWER A. The
depletion of glycogen and energy stores
QUESTION :A client is diagnosed with Clostridium Difficile (CDIFF). What action
should the nurse implement to prevent the spread of the organism? - CORRECT
ANSWER B. Don non-sterile gloves when performing direct care
QUESTION :A client is diagnosed with Pericarditis after a Myocardial Infarction (MI)
and asks the nurse, "Why did this happen?" What explanation should the nurse offer? -
CORRECT ANSWER A. The sac surrounding the heart has become inflamed from
the cells damaged by the heart attack
QUESTION :A client is having Radical Mastectomy. What is the position of choice
during the immediate postoperative period? - CORRECT ANSWER C. Semi-
Fowler's position with the arm on the operative side elevated
QUESTION :A client is receiving 0.5 grams of a prescription medication that is
dispensed as 500 mg/5mL. How many ml should the PN administer? (enter the numeric
value only. If rounding is required, round to the nearest tenth.) - CORRECT
ANSWER 5
QUESTION :A client is receiving dexamethasone (Hexadrol, Decadron). What
symptoms should the nurse recognize as Cushioned side effects? - CORRECT
ANSWER A. Moon face, Slow wound healing, muscle wasting sodium and water
retention
QUESTION :A client is receiving nitroglycerin sublingual tablets for angina. What
response should the nurse expect the client to manifest in response to the
administration of this drug during an acute anginal episode? - CORRECT ANSWER
B. Cessation of acute chest pain
QUESTION :A client is returning to the surgical unit after a total right knee replacement.
Which assessment findings are most important for the nurse to include in this client's
record? - CORRECT ANSWER A. Pedal pulses, pallor, pain, paresthesia or
paralysis
QUESTION :A client is using an incentive spirometer on the first postoperative day
after an inguinal Herniorrhaphy. The nurse should re-teach the proper use of the
spirometer when the client demonstrates what action? - CORRECT ANSWER C.
Blowing forcefully into the mouthpiece
2026 2027 GRADED A+
