HESI LPN Entrance Nursing Admision Exam Questions And Correct
Detailed Answers 2026 Edition
1. A client with a Peptic Ulcer is prescribed Misoprostol.What is a
critical contraindication for this medication?
A.Hypertension.
B.Pregnancy.
C.Diabetes.
D.Asthma.
Rationale:Misoprostol is also used for medical abortions; it can cause
uterine contractions and miscarriage.
2. A nurse is assessing a client with a right-sided stroke. Which
symptom should the nurse expect?
A.Right-sided paralysis.
B. Impulsive behavior and poor judgment.
C.Difficulty with speech (aphasia).
D.Cautious and slow movements.
Rationale:Right-brain strokes often affect spatial-perceptual
orientation and cause impulsivity. Left-brain strokes typically cause
aphasia and cautious behavior.
3. A client with a large wound is scheduled for a VAC (Vacuum-
Assisted Closure) therapy. What is the goal?
A.To keep the wound dry.
B. To promote granulation tissue and reduce edema.
C. To prevent the need for dressing changes.
D.To visualize the wound at all times.
Rationale: Negative pressure therapy pulls out excess fluid and
increases blood flow to the wound bed to speed up healing.
4. A client is 2 hours post-cardiac catheterization.Which
finding requires immediate intervention?
A.A small bruise at the puncture site.
B. A large, firm hematoma at the groin.
C.Diminished pedal pulses that were previously strong.
D.The client reports being thirsty.
Rationale: A firm hematoma indicates active internal bleeding from
the femoral artery, a major complication of the procedure.
5. A client wwith Sickle Cell Anemia is in a Vaso-occlusive
Crisis.What is the priority?
,A.Administration of high-dose antibiotics.
B.Aggressive IV hydration and pain management.
C. Preparing for a bone marrow transplant.
D.Limiting all fluid intake.
Rationale:Hydration helps"un-clump" the sickled cells, and pain
management is critical for the intense pain caused by ischemia.
6. A nurse is teaching a client about a clear liquid diet.Which of
these is NOT allowed?
A.Gelatin.
B.Ice cream.
C.Ginger ale.
D.Beef bouillon.
Rationale:Ice cream contains dairy and is not transparent; it is
considered a full liquid, not a clear liquid.
7. A client is taking Lithium for Bipolar Disorder.Which electrolyte
level is most important to monitor to prevent toxicity?
A.Sodium.
B.Calcium.
C.Potassium.
D.Magnesium.
Rationale: Low sodium levels cause the kidneys to retain
lithium,leading to toxic levels in the blood.
8. A client has a chest tube that accidentally becomes disconnected
from the drainage system. What should the nurse do first?
A.Clamp the tube close to the chest.
B.Place the end of the tube in a bottle of sterile water.
C. Reconnect it to the drainage system immediately.
D.Call the healthcare provider.
Rationale: Placing the tube in sterile water creates a temporary water
seal, preventing air from being sucked into the pleural space.
9. A nurse is assessing a client with a history of Chronic Venous
Insufficiency.What skin change is common?
A.Shiny,hairless skin.
B. Brownish "leathery" discoloration.
C.Cool and pale skin.
D.Thickened yellow toenails.
, Rationale: Venous stasis causes blood to pool,leading to the
breakdown ofred blood cells and a brownish pigment called
hemosiderin.
10. A client is diagnosed with Glaucoma. What is the primary
pathophysiology?
A.Clouding of the lens.
B.Increased intraocular pressure.
C.Detachment of the retina.
D. Inflammation of the conjunctiva.
Rationale:Glaucoma involves the buildup ofaqueous humor,which
increases pressure and damages the optic nerve.
11. A client is experiencing "dumping syndrome" after a gastric
bypass.What should the nurse advise?
A.Drink plenty of water with meals.
B.Eat small,frequent meals low in carbohydrates.
C.Lay down immediately after eating.
D. Increase the intake of simple sugars.
Rationale: High-sugar meals pull water into the intestines rapidly. Low-
carb meals and lying down help slow the passage of food.
12. A nurse is caring for a client with a temporary
pacemaker.Which finding is the most concerning?
A. A heart rate of 72 bpm.
B. Pacer spikes followed by no QRS complex(Failure to Capture).
C.Redness at the insertion site.
D.The client is tired.
Rationale: "Failure to capture" means the pacer is firing but the heart
is not responding, which could lead to cardiac arrest.
13. A client is admitted with a diagnosis of Multiple Sclerosis
(MS). Which symptom is a classic early sign?
A.Visual disturbances (diplopia).
B.Severe dementia.
C.Total paralysis.
D.Loss of hearing.
Rationale:MS oftenfirst presents with optic neuritis or double vision
due to demyelination.
Detailed Answers 2026 Edition
1. A client with a Peptic Ulcer is prescribed Misoprostol.What is a
critical contraindication for this medication?
A.Hypertension.
B.Pregnancy.
C.Diabetes.
D.Asthma.
Rationale:Misoprostol is also used for medical abortions; it can cause
uterine contractions and miscarriage.
2. A nurse is assessing a client with a right-sided stroke. Which
symptom should the nurse expect?
A.Right-sided paralysis.
B. Impulsive behavior and poor judgment.
C.Difficulty with speech (aphasia).
D.Cautious and slow movements.
Rationale:Right-brain strokes often affect spatial-perceptual
orientation and cause impulsivity. Left-brain strokes typically cause
aphasia and cautious behavior.
3. A client with a large wound is scheduled for a VAC (Vacuum-
Assisted Closure) therapy. What is the goal?
A.To keep the wound dry.
B. To promote granulation tissue and reduce edema.
C. To prevent the need for dressing changes.
D.To visualize the wound at all times.
Rationale: Negative pressure therapy pulls out excess fluid and
increases blood flow to the wound bed to speed up healing.
4. A client is 2 hours post-cardiac catheterization.Which
finding requires immediate intervention?
A.A small bruise at the puncture site.
B. A large, firm hematoma at the groin.
C.Diminished pedal pulses that were previously strong.
D.The client reports being thirsty.
Rationale: A firm hematoma indicates active internal bleeding from
the femoral artery, a major complication of the procedure.
5. A client wwith Sickle Cell Anemia is in a Vaso-occlusive
Crisis.What is the priority?
,A.Administration of high-dose antibiotics.
B.Aggressive IV hydration and pain management.
C. Preparing for a bone marrow transplant.
D.Limiting all fluid intake.
Rationale:Hydration helps"un-clump" the sickled cells, and pain
management is critical for the intense pain caused by ischemia.
6. A nurse is teaching a client about a clear liquid diet.Which of
these is NOT allowed?
A.Gelatin.
B.Ice cream.
C.Ginger ale.
D.Beef bouillon.
Rationale:Ice cream contains dairy and is not transparent; it is
considered a full liquid, not a clear liquid.
7. A client is taking Lithium for Bipolar Disorder.Which electrolyte
level is most important to monitor to prevent toxicity?
A.Sodium.
B.Calcium.
C.Potassium.
D.Magnesium.
Rationale: Low sodium levels cause the kidneys to retain
lithium,leading to toxic levels in the blood.
8. A client has a chest tube that accidentally becomes disconnected
from the drainage system. What should the nurse do first?
A.Clamp the tube close to the chest.
B.Place the end of the tube in a bottle of sterile water.
C. Reconnect it to the drainage system immediately.
D.Call the healthcare provider.
Rationale: Placing the tube in sterile water creates a temporary water
seal, preventing air from being sucked into the pleural space.
9. A nurse is assessing a client with a history of Chronic Venous
Insufficiency.What skin change is common?
A.Shiny,hairless skin.
B. Brownish "leathery" discoloration.
C.Cool and pale skin.
D.Thickened yellow toenails.
, Rationale: Venous stasis causes blood to pool,leading to the
breakdown ofred blood cells and a brownish pigment called
hemosiderin.
10. A client is diagnosed with Glaucoma. What is the primary
pathophysiology?
A.Clouding of the lens.
B.Increased intraocular pressure.
C.Detachment of the retina.
D. Inflammation of the conjunctiva.
Rationale:Glaucoma involves the buildup ofaqueous humor,which
increases pressure and damages the optic nerve.
11. A client is experiencing "dumping syndrome" after a gastric
bypass.What should the nurse advise?
A.Drink plenty of water with meals.
B.Eat small,frequent meals low in carbohydrates.
C.Lay down immediately after eating.
D. Increase the intake of simple sugars.
Rationale: High-sugar meals pull water into the intestines rapidly. Low-
carb meals and lying down help slow the passage of food.
12. A nurse is caring for a client with a temporary
pacemaker.Which finding is the most concerning?
A. A heart rate of 72 bpm.
B. Pacer spikes followed by no QRS complex(Failure to Capture).
C.Redness at the insertion site.
D.The client is tired.
Rationale: "Failure to capture" means the pacer is firing but the heart
is not responding, which could lead to cardiac arrest.
13. A client is admitted with a diagnosis of Multiple Sclerosis
(MS). Which symptom is a classic early sign?
A.Visual disturbances (diplopia).
B.Severe dementia.
C.Total paralysis.
D.Loss of hearing.
Rationale:MS oftenfirst presents with optic neuritis or double vision
due to demyelination.
