Page 1 of 89
HESI LPN-ADN ENTRANCE 2026 EXAM QUESTIONS LATEST
VERSION QUESTIONS AND ANSWERS
HESI LPN-ADN ENTRANCE EXAM: 250 PRACTICE QUESTIONS
SECTION 1: FUNDAMENTALS OF NURSING (Questions 1-45)
1. The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery.
The nurse plans to do which to enable the client to best tolerate the ambulation?
A) Provide the client with a walker for additional support during ambulation
B) Remove the telemetry equipment to allow for easier movement
C) Encourage the client to cough and deep breathe before ambulating
D) Premedicate the client with an analgesic before ambulating
Rationale: Premedicating the client with an analgesic before ambulation helps manage
postoperative pain, which enables the client to participate more fully in the activity and
tolerate the increased movement better . Providing a walker (A) may be appropriate but does
not address pain. Removing telemetry (B) is unsafe during cardiac recovery. Coughing and
deep breathing (C) is important for respiratory function but does not directly help with
ambulation tolerance.
2. The LPN/LVN is caring for a client who had a femoral artery stent placed 4 hours
ago. Which assessment finding requires immediate notification of the registered nurse?
A) Capillary refill of 2 seconds in the affected extremity
B) Complaints of mild groin discomfort at the insertion site
C) Absence of dorsalis pedis pulse on the affected side
D) Small amount of serosanguineous drainage at the insertion site
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Rationale: Absence of a distal pulse indicates possible arterial occlusion, thrombosis, or
hematoma formation compromising blood flow to the extremity. This is a critical finding that
requires immediate intervention to prevent limb ischemia or loss . Capillary refill of 2
seconds (A), mild groin discomfort (B), and small amounts of serosanguineous drainage (D)
are expected findings post-procedure.
3. The nurse is assessing a client with suspected deep vein thrombosis (DVT) in the left
lower extremity. Which clinical manifestation supports this diagnosis?
A) Coolness and pallor of the left foot
B) Unilateral leg swelling and warmth
C) Bilateral ankle edema with pitting
D) Diminished femoral pulse on the left side
Rationale: Classic signs of DVT include unilateral swelling, warmth, redness, and pain in the
affected extremity . Coolness and pallor (A) are more indicative of arterial insufficiency.
Bilateral edema (C) suggests a systemic issue such as heart failure rather than a localized
DVT. Diminished femoral pulse (D) indicates arterial compromise.
4. The LPN/LVN is collecting data from a client about medications being taken. The
client tells the nurse they are taking herbal supplements for the treatment of varicose
veins. The nurse understands that the client is most likely taking which herbal
supplement?
A) Bilberry
B) Ginseng
C) Feverfew
D) Evening primrose
Rationale: Bilberry is an herbal supplement commonly used to treat varicose veins and other
venous conditions due to its effects on capillary integrity and circulation . Ginseng (B) is used
for energy and immune support. Feverfew (C) is used for migraine prevention. Evening
primrose (D) is used for skin conditions and premenstrual syndrome.
, Page 3 of 89
5. The LPN/LVN is planning to reinforce instructions to a client with peripheral arterial
disease about measures to limit disease progression. Which items should the nurse
include on a list of suggestions?
A) Wear elastic stockings to improve circulation
B) Be careful not to injure the legs or feet
C) Use a heating pad on the legs to aid vasodilation
D) Walk each day to increase circulation to the legs
E) Cut down on the amount of fats consumed in the diet
Rationale: Clients with peripheral arterial disease should be careful not to injure the legs or
feet (B), walk each day to increase circulation (D), and cut down on fats in the diet (E) to
reduce atherosclerosis progression . Elastic stockings (A) are used for venous insufficiency,
not arterial disease. Heating pads (C) can cause burns in clients with decreased sensation and
impaired circulation.
6. A client with a history of angina pectoris is ambulating in the corridor. The client
suddenly complains of severe substernal chest pain. The LPN/LVN should take which
action first?
A) Check the client's vital signs to assess the severity of the situation
B) Assist the client to sit or lie down to reduce cardiac workload
C) Administer sublingual nitroglycerin as prescribed for pain relief
D) Apply nasal oxygen at a rate of 2 L/min to improve oxygenation
Rationale: The first action is to assist the client to sit or lie down to reduce cardiac workload
and oxygen demand . Checking vital signs (A) can be done after the client is positioned.
Nitroglycerin (C) should be administered after positioning. Oxygen (D) is appropriate but
positioning is the priority.
7. The LPN/LVN notes bilateral 2+ edema in the lower extremities of a client with
known coronary artery disease. The nurse should monitor which data to best evaluate
the client's fluid status?
A) Daily weights to assess for fluid retention
B) Intake and output records to evaluate fluid balance
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C) Serum electrolyte levels to assess for imbalances
D) Blood pressure readings to monitor for hypertension
Rationale: Monitoring intake and output records is the most direct way to evaluate fluid
balance in a client with edema, as it provides data on fluid intake versus output . Daily
weights (A) are also helpful but intake/output provides more immediate data. Serum
electrolytes (C) and blood pressure (D) are important but do not directly measure fluid status.
8. The LPN/LVN is caring for a client who is anxious about medical equipment. The
client asks, "What is all this stuff for?" Which response by the nurse is most
therapeutic?
A) "Don't worry, it's all standard equipment that we use for everyone here."
B) "Oh, don't worry, the weather is supposed to be sunny and clear today."
C) "Yes, this equipment is a little scary. Can we talk about how the cardiac monitor works?"
D) "I can appreciate your concerns. Your family can stay with you tonight if you want them
to."
Rationale: The nurse should validate the client's feelings and provide information to reduce
anxiety about the equipment . Telling the client not to worry (A) dismisses their concerns.
Changing the subject (B) avoids addressing the client's anxiety. Discussing family visitation
(D) does not address the equipment concern.
9. A client returns to the nursing unit after an above-knee amputation of the right leg.
In which position should the nurse place the client to prevent contractures?
A) Prone with the head on a pillow for comfort
B) With the foot of the bed elevated to promote venous return
C) Reverse Trendelenburg's position to reduce edema
D) With the residual limb flat on the bed
Rationale: The residual limb should be positioned flat on the bed to prevent hip flexion
contractures . Prone positioning (A) may be used later but not immediately. Elevating the foot
of the bed (B) or using reverse Trendelenburg (C) does not specifically address contracture
prevention.
HESI LPN-ADN ENTRANCE 2026 EXAM QUESTIONS LATEST
VERSION QUESTIONS AND ANSWERS
HESI LPN-ADN ENTRANCE EXAM: 250 PRACTICE QUESTIONS
SECTION 1: FUNDAMENTALS OF NURSING (Questions 1-45)
1. The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery.
The nurse plans to do which to enable the client to best tolerate the ambulation?
A) Provide the client with a walker for additional support during ambulation
B) Remove the telemetry equipment to allow for easier movement
C) Encourage the client to cough and deep breathe before ambulating
D) Premedicate the client with an analgesic before ambulating
Rationale: Premedicating the client with an analgesic before ambulation helps manage
postoperative pain, which enables the client to participate more fully in the activity and
tolerate the increased movement better . Providing a walker (A) may be appropriate but does
not address pain. Removing telemetry (B) is unsafe during cardiac recovery. Coughing and
deep breathing (C) is important for respiratory function but does not directly help with
ambulation tolerance.
2. The LPN/LVN is caring for a client who had a femoral artery stent placed 4 hours
ago. Which assessment finding requires immediate notification of the registered nurse?
A) Capillary refill of 2 seconds in the affected extremity
B) Complaints of mild groin discomfort at the insertion site
C) Absence of dorsalis pedis pulse on the affected side
D) Small amount of serosanguineous drainage at the insertion site
, Page 2 of 89
Rationale: Absence of a distal pulse indicates possible arterial occlusion, thrombosis, or
hematoma formation compromising blood flow to the extremity. This is a critical finding that
requires immediate intervention to prevent limb ischemia or loss . Capillary refill of 2
seconds (A), mild groin discomfort (B), and small amounts of serosanguineous drainage (D)
are expected findings post-procedure.
3. The nurse is assessing a client with suspected deep vein thrombosis (DVT) in the left
lower extremity. Which clinical manifestation supports this diagnosis?
A) Coolness and pallor of the left foot
B) Unilateral leg swelling and warmth
C) Bilateral ankle edema with pitting
D) Diminished femoral pulse on the left side
Rationale: Classic signs of DVT include unilateral swelling, warmth, redness, and pain in the
affected extremity . Coolness and pallor (A) are more indicative of arterial insufficiency.
Bilateral edema (C) suggests a systemic issue such as heart failure rather than a localized
DVT. Diminished femoral pulse (D) indicates arterial compromise.
4. The LPN/LVN is collecting data from a client about medications being taken. The
client tells the nurse they are taking herbal supplements for the treatment of varicose
veins. The nurse understands that the client is most likely taking which herbal
supplement?
A) Bilberry
B) Ginseng
C) Feverfew
D) Evening primrose
Rationale: Bilberry is an herbal supplement commonly used to treat varicose veins and other
venous conditions due to its effects on capillary integrity and circulation . Ginseng (B) is used
for energy and immune support. Feverfew (C) is used for migraine prevention. Evening
primrose (D) is used for skin conditions and premenstrual syndrome.
, Page 3 of 89
5. The LPN/LVN is planning to reinforce instructions to a client with peripheral arterial
disease about measures to limit disease progression. Which items should the nurse
include on a list of suggestions?
A) Wear elastic stockings to improve circulation
B) Be careful not to injure the legs or feet
C) Use a heating pad on the legs to aid vasodilation
D) Walk each day to increase circulation to the legs
E) Cut down on the amount of fats consumed in the diet
Rationale: Clients with peripheral arterial disease should be careful not to injure the legs or
feet (B), walk each day to increase circulation (D), and cut down on fats in the diet (E) to
reduce atherosclerosis progression . Elastic stockings (A) are used for venous insufficiency,
not arterial disease. Heating pads (C) can cause burns in clients with decreased sensation and
impaired circulation.
6. A client with a history of angina pectoris is ambulating in the corridor. The client
suddenly complains of severe substernal chest pain. The LPN/LVN should take which
action first?
A) Check the client's vital signs to assess the severity of the situation
B) Assist the client to sit or lie down to reduce cardiac workload
C) Administer sublingual nitroglycerin as prescribed for pain relief
D) Apply nasal oxygen at a rate of 2 L/min to improve oxygenation
Rationale: The first action is to assist the client to sit or lie down to reduce cardiac workload
and oxygen demand . Checking vital signs (A) can be done after the client is positioned.
Nitroglycerin (C) should be administered after positioning. Oxygen (D) is appropriate but
positioning is the priority.
7. The LPN/LVN notes bilateral 2+ edema in the lower extremities of a client with
known coronary artery disease. The nurse should monitor which data to best evaluate
the client's fluid status?
A) Daily weights to assess for fluid retention
B) Intake and output records to evaluate fluid balance
, Page 4 of 89
C) Serum electrolyte levels to assess for imbalances
D) Blood pressure readings to monitor for hypertension
Rationale: Monitoring intake and output records is the most direct way to evaluate fluid
balance in a client with edema, as it provides data on fluid intake versus output . Daily
weights (A) are also helpful but intake/output provides more immediate data. Serum
electrolytes (C) and blood pressure (D) are important but do not directly measure fluid status.
8. The LPN/LVN is caring for a client who is anxious about medical equipment. The
client asks, "What is all this stuff for?" Which response by the nurse is most
therapeutic?
A) "Don't worry, it's all standard equipment that we use for everyone here."
B) "Oh, don't worry, the weather is supposed to be sunny and clear today."
C) "Yes, this equipment is a little scary. Can we talk about how the cardiac monitor works?"
D) "I can appreciate your concerns. Your family can stay with you tonight if you want them
to."
Rationale: The nurse should validate the client's feelings and provide information to reduce
anxiety about the equipment . Telling the client not to worry (A) dismisses their concerns.
Changing the subject (B) avoids addressing the client's anxiety. Discussing family visitation
(D) does not address the equipment concern.
9. A client returns to the nursing unit after an above-knee amputation of the right leg.
In which position should the nurse place the client to prevent contractures?
A) Prone with the head on a pillow for comfort
B) With the foot of the bed elevated to promote venous return
C) Reverse Trendelenburg's position to reduce edema
D) With the residual limb flat on the bed
Rationale: The residual limb should be positioned flat on the bed to prevent hip flexion
contractures . Prone positioning (A) may be used later but not immediately. Elevating the foot
of the bed (B) or using reverse Trendelenburg (C) does not specifically address contracture
prevention.
