HESI LPN-ADN HESI ENTRANCE EXAM (2026/2027)
OBJECTIVE ASSESSMENT - EXAM
HESI LPN-ADN
HESI ENTRANCE
EXAM (2026/2027)
Complete 150-Question Objective Assessment
A+ Verified 2026/2027 75%
Quality Assurance Edition Passing Score
COVER PAGE - 1
,SECTIONS COVERED
Section 1: Mathematics (Questions 1–25)
Section 2: Reading Comprehension (Questions 26–50)
Section 3: Vocabulary (Questions 51–75)
Section 4: Grammar (Questions 76–100)
Section 5: Biology (Questions 101–125)
Section 6: Anatomy & Physiology (Questions 126–150)
EXAM INSTRUCTIONS
This examination consists of 150 multiple-choice questions divided into six sections.
Each question has four answer choices (A, B, C, D). Select the best answer for each question.
Read each question carefully before selecting your answer.
The passing score for this examination is 75%.
Manage your time wisely. You should allocate approximately 1 minute per question.
Do not use any external resources during this examination.
The answer key is located at the end of this document.
SECTION 1: MATHEMATICS
QUESTION 1
Q1. A nurse is preparing to administer 0.75 grams of acetaminophen to a patient. The medication is
available in 250 mg tablets. The nurse must calculate how many tablets are needed to deliver the
prescribed dose accurately.
A. 1 tablet
B. 2 tablets
C. 3 tablets
D. 4 tablets
Correct Answer: C
Rationale:
0.75 grams equals 750 mg. Dividing 750 mg by 250 mg per tablet yields 3 tablets. Option A would only provide 250 mg, which
is one-third of the required dose.
, QUESTION 2
Q2. A pediatric patient weighs 44 pounds. The physician orders a medication dosage of 2 mg per
kilogram of body weight. The nurse needs to convert the patient's weight and calculate the appropriate
dose.
A. 20 mg
B. 30 mg
C. 40 mg
D. 50 mg
Correct Answer: C
Rationale:
44 pounds divided by 2.2 equals 20 kg. Multiplying 20 kg by 2 mg/kg gives 40 mg. Option A incorrectly uses pounds instead of
kilograms in the final calculation.
QUESTION 3
Q3. A hospital pharmacy receives an order for 500 mL of normal saline to be infused over 4 hours. The
infusion pump must be set to deliver the solution at a specific rate in milliliters per hour.
A. 100 mL/hr
B. 125 mL/hr
C. 150 mL/hr
D. 200 mL/hr
Correct Answer: B
Rationale:
Dividing 500 mL by 4 hours yields 125 mL per hour. Option A would result in under-infusion, while option D would deliver the
solution too rapidly and risk fluid overload.
QUESTION 4
Q4. A patient's temperature is recorded as 38.5 degrees Celsius. The nurse needs to document this
reading in Fahrenheit for a physician who prefers imperial units.
A. 97.8°F
B. 99.5°F
C. 101.3°F
D. 103.1°F
Correct Answer: C
Rationale:
Using the formula F = (C × 9/5) + 32, multiplying 38.5 by 1.8 gives 69.3, then adding 32 yields 101.3°F. Option B represents a
normal body temperature in Fahrenheit.
HESI LPN-ADN HESI ENTRANCE EXAM (2026/2027) - Page 3
, QUESTION 5
Q5. A nurse must administer 1.5 liters of intravenous fluid over 12 hours. The drip factor of the tubing is
15 gtt/mL. The nurse calculates the flow rate in drops per minute.
A. 31 gtt/min
B. 25 gtt/min
C. 19 gtt/min
D. 15 gtt/min
Correct Answer: A
Rationale:
1.5 liters equals 1500 mL. Total minutes equal 720. Using the formula (1500 mL × 15 gtt/mL) ÷ 720 min = 31.25, which rounds
to 31 gtt/min. Option B uses an incorrect time conversion.
QUESTION 6
Q6. A patient is prescribed 500 mg of amoxicillin orally every 8 hours. The available suspension contains
250 mg per 5 mL. The nurse calculates the volume to administer for each dose.
A. 5 mL
B. 10 mL
C. 15 mL
D. 20 mL
Correct Answer: B
Rationale:
Setting up a proportion: 250 mg/5 mL = 500 mg/X mL. Cross-multiplying gives 250X = 2500, so X = 10 mL. Option A provides
only half the prescribed dose.
QUESTION 7
Q7. A dietary aide prepares a meal plan requiring 3/4 cup of vegetables per serving for 24 patients. The
kitchen has vegetables measured in full cups only. The aide calculates the total cups needed.
A. 16 cups
B. 18 cups
C. 20 cups
D. 22 cups
Correct Answer: B
Rationale:
Multiplying 3/4 cup by 24 patients equals 18 cups total. Option A results from incorrectly multiplying 2/3 by 24, while option C
overestimates the requirement.
HESI LPN-ADN HESI ENTRANCE EXAM (2026/2027) - Page 4
OBJECTIVE ASSESSMENT - EXAM
HESI LPN-ADN
HESI ENTRANCE
EXAM (2026/2027)
Complete 150-Question Objective Assessment
A+ Verified 2026/2027 75%
Quality Assurance Edition Passing Score
COVER PAGE - 1
,SECTIONS COVERED
Section 1: Mathematics (Questions 1–25)
Section 2: Reading Comprehension (Questions 26–50)
Section 3: Vocabulary (Questions 51–75)
Section 4: Grammar (Questions 76–100)
Section 5: Biology (Questions 101–125)
Section 6: Anatomy & Physiology (Questions 126–150)
EXAM INSTRUCTIONS
This examination consists of 150 multiple-choice questions divided into six sections.
Each question has four answer choices (A, B, C, D). Select the best answer for each question.
Read each question carefully before selecting your answer.
The passing score for this examination is 75%.
Manage your time wisely. You should allocate approximately 1 minute per question.
Do not use any external resources during this examination.
The answer key is located at the end of this document.
SECTION 1: MATHEMATICS
QUESTION 1
Q1. A nurse is preparing to administer 0.75 grams of acetaminophen to a patient. The medication is
available in 250 mg tablets. The nurse must calculate how many tablets are needed to deliver the
prescribed dose accurately.
A. 1 tablet
B. 2 tablets
C. 3 tablets
D. 4 tablets
Correct Answer: C
Rationale:
0.75 grams equals 750 mg. Dividing 750 mg by 250 mg per tablet yields 3 tablets. Option A would only provide 250 mg, which
is one-third of the required dose.
, QUESTION 2
Q2. A pediatric patient weighs 44 pounds. The physician orders a medication dosage of 2 mg per
kilogram of body weight. The nurse needs to convert the patient's weight and calculate the appropriate
dose.
A. 20 mg
B. 30 mg
C. 40 mg
D. 50 mg
Correct Answer: C
Rationale:
44 pounds divided by 2.2 equals 20 kg. Multiplying 20 kg by 2 mg/kg gives 40 mg. Option A incorrectly uses pounds instead of
kilograms in the final calculation.
QUESTION 3
Q3. A hospital pharmacy receives an order for 500 mL of normal saline to be infused over 4 hours. The
infusion pump must be set to deliver the solution at a specific rate in milliliters per hour.
A. 100 mL/hr
B. 125 mL/hr
C. 150 mL/hr
D. 200 mL/hr
Correct Answer: B
Rationale:
Dividing 500 mL by 4 hours yields 125 mL per hour. Option A would result in under-infusion, while option D would deliver the
solution too rapidly and risk fluid overload.
QUESTION 4
Q4. A patient's temperature is recorded as 38.5 degrees Celsius. The nurse needs to document this
reading in Fahrenheit for a physician who prefers imperial units.
A. 97.8°F
B. 99.5°F
C. 101.3°F
D. 103.1°F
Correct Answer: C
Rationale:
Using the formula F = (C × 9/5) + 32, multiplying 38.5 by 1.8 gives 69.3, then adding 32 yields 101.3°F. Option B represents a
normal body temperature in Fahrenheit.
HESI LPN-ADN HESI ENTRANCE EXAM (2026/2027) - Page 3
, QUESTION 5
Q5. A nurse must administer 1.5 liters of intravenous fluid over 12 hours. The drip factor of the tubing is
15 gtt/mL. The nurse calculates the flow rate in drops per minute.
A. 31 gtt/min
B. 25 gtt/min
C. 19 gtt/min
D. 15 gtt/min
Correct Answer: A
Rationale:
1.5 liters equals 1500 mL. Total minutes equal 720. Using the formula (1500 mL × 15 gtt/mL) ÷ 720 min = 31.25, which rounds
to 31 gtt/min. Option B uses an incorrect time conversion.
QUESTION 6
Q6. A patient is prescribed 500 mg of amoxicillin orally every 8 hours. The available suspension contains
250 mg per 5 mL. The nurse calculates the volume to administer for each dose.
A. 5 mL
B. 10 mL
C. 15 mL
D. 20 mL
Correct Answer: B
Rationale:
Setting up a proportion: 250 mg/5 mL = 500 mg/X mL. Cross-multiplying gives 250X = 2500, so X = 10 mL. Option A provides
only half the prescribed dose.
QUESTION 7
Q7. A dietary aide prepares a meal plan requiring 3/4 cup of vegetables per serving for 24 patients. The
kitchen has vegetables measured in full cups only. The aide calculates the total cups needed.
A. 16 cups
B. 18 cups
C. 20 cups
D. 22 cups
Correct Answer: B
Rationale:
Multiplying 3/4 cup by 24 patients equals 18 cups total. Option A results from incorrectly multiplying 2/3 by 24, while option C
overestimates the requirement.
HESI LPN-ADN HESI ENTRANCE EXAM (2026/2027) - Page 4
