Elsevier | HESI LPN-to-ADN Bridge Program Admission
HESI LPN-to-ADN Entrance Examination
2026/2027 | Verified Questions
Elsevier | HESI Assessment | Professional Practical Nursing Candidates
100 Verified Questions | 5 Core Domains | Academic Year 2026/2027
Prepared by
Elsevier | HESI LPN-to-ADN Bridge Program Admission
LPN-to-ADN Entrance Examination Actual Exam | Academic Year 2026/2027
HESI LPN-to-ADN Entrance Examination 2026/2027 | Verified Questions
,INTRODUCTION
This document contains 100 verified questions that comprehensively cover the full HESI LPN-to-ADN
Entrance Examination. The questions are organized across five core domains: Medical-Surgical Nursing,
Pediatric Nursing, Maternity/Obstetric Nursing, Psychiatric/Mental Health Nursing, and Nursing
Fundamentals & Professional Issues. Each question is original and designed to reinforce the official
Elsevier HESI LPN-to-ADN Bridge Program Admission course objectives for actual exam readiness and
clinical judgment proficiency, aligned to the 2026/2027 academic year. The content emphasizes clinical
assessment, prioritization, and nursing intervention logic consistent with the NCSBN Clinical Judgment
Measurement Model and the NCLEX-PN Test Plan.
ACTUAL QUESTIONS
Domain 1: Medical-Surgical Nursing
Question 1. A client with chronic heart failure is prescribed digoxin 0.125 mg daily. Which
finding requires the nurse to withhold the medication and notify the primary care
provider?
A. Apical pulse of 58 beats per minute
B. Serum potassium of 4.2 mEq/L
C. Blood pressure of 118/72 mm Hg
D. Respiratory rate of 18 breaths per minute
Correct Answer: A
Rationale: Digoxin is a cardiac glycoside that slows the heart rate. An apical pulse below 60 beats per
minute in an adult indicates potential digoxin toxicity or excessive pharmacologic effect, requiring the
nurse to withhold the dose and notify the provider. Normal potassium, blood pressure, and respiratory
rate do not contraindicate administration.
Question 2. A client admitted with acute pancreatitis reports severe epigastric pain
radiating to the back. Which laboratory finding does the nurse expect?
A. Decreased serum amylase
B. Elevated serum lipase
C. Decreased blood glucose
D. Elevated serum calcium
Correct Answer: B
Rationale: Serum lipase is a more specific marker for pancreatic injury and remains elevated longer
than amylase. In acute pancreatitis, lipase and amylase rise; hypocalcemia and hyperglycemia may
also occur, not decreased values.
Question 3. The nurse is caring for a client with a newly placed central venous catheter.
Which action is the priority to prevent catheter-related bloodstream infection?
A. Change the dressing only when soiled
B. Flush the catheter with heparin every 24 hours
C. Use sterile technique during insertion and maintenance
D. Obtain blood cultures from the catheter weekly
Correct Answer: C
Rationale: Strict sterile technique during insertion and subsequent care is the foundational intervention
to prevent central line-associated bloodstream infection (CLABSI), consistent with evidence-based
infection prevention bundles.
HESI LPN-to-ADN Entrance Examination 2026/2027 | Verified Questions
, Question 4. A client with type 1 diabetes mellitus is found unresponsive with a blood
glucose of 42 mg/dL. After administering glucagon, which action should the nurse take
next?
A. Place the client in Trendelenburg position
B. Administer a rapid-acting insulin dose
C. Initiate continuous intravenous normal saline
D. Provide a complex carbohydrate when the client is able to swallow
Correct Answer: D
Rationale: After glucagon raises blood glucose, the client requires oral complex carbohydrates to
maintain glucose levels once consciousness returns and swallowing is safe, preventing recurrent
hypoglycemia.
Question 5. A client recovering from a right total hip arthroplasty is being taught to prevent
dislocation. Which instruction is correct?
A. Cross the legs at the ankles when sitting
B. Avoid flexing the hip beyond 90 degrees
C. Keep the operative leg adducted at all times
D. Sleep on the operative side for comfort
Correct Answer: B
Rationale: Hip flexion greater than 90 degrees increases the risk of posterior dislocation after total hip
arthroplasty. Clients are instructed to use elevated seats and avoid bending forward excessively.
Question 6. The nurse reviews arterial blood gas results for a client with COPD: pH 7.32,
PaCO2 58 mm Hg, HCO3 28 mEq/L, PaO2 68 mm Hg. Which interpretation is accurate?
A. Uncompensated metabolic acidosis
B. Fully compensated metabolic alkalosis
C. Partially compensated respiratory acidosis
D. Uncompensated respiratory alkalosis
Correct Answer: C
Rationale: Elevated PaCO2 indicates respiratory acidosis; the elevated HCO3 shows renal
compensation has begun but pH remains acidotic, confirming partial compensation typical in chronic
COPD exacerbation.
Question 7. A client receiving continuous intravenous heparin has an aPTT of 98 seconds
(control 30 seconds). Which action should the nurse take first?
A. Continue the infusion at the current rate
B. Increase the heparin infusion rate by 2 units/kg/hr
C. Administer vitamin K 10 mg intramuscularly
D. Stop the heparin infusion and notify the provider
Correct Answer: D
Rationale: An aPTT greater than 2.5 times control indicates excessive anticoagulation and bleeding risk.
The nurse must stop the infusion and notify the provider for further orders, such as protamine sulfate if
needed.
Question 8. A client with a history of chronic kidney disease has a serum potassium of 6.4
mEq/L. Which electrocardiogram change does the nurse anticipate?
A. Peaked T waves
B. Shortened PR interval
C. Absent P waves with narrow QRS
D. Prominent U waves
HESI LPN-to-ADN Entrance Examination 2026/2027 | Verified Questions
HESI LPN-to-ADN Entrance Examination
2026/2027 | Verified Questions
Elsevier | HESI Assessment | Professional Practical Nursing Candidates
100 Verified Questions | 5 Core Domains | Academic Year 2026/2027
Prepared by
Elsevier | HESI LPN-to-ADN Bridge Program Admission
LPN-to-ADN Entrance Examination Actual Exam | Academic Year 2026/2027
HESI LPN-to-ADN Entrance Examination 2026/2027 | Verified Questions
,INTRODUCTION
This document contains 100 verified questions that comprehensively cover the full HESI LPN-to-ADN
Entrance Examination. The questions are organized across five core domains: Medical-Surgical Nursing,
Pediatric Nursing, Maternity/Obstetric Nursing, Psychiatric/Mental Health Nursing, and Nursing
Fundamentals & Professional Issues. Each question is original and designed to reinforce the official
Elsevier HESI LPN-to-ADN Bridge Program Admission course objectives for actual exam readiness and
clinical judgment proficiency, aligned to the 2026/2027 academic year. The content emphasizes clinical
assessment, prioritization, and nursing intervention logic consistent with the NCSBN Clinical Judgment
Measurement Model and the NCLEX-PN Test Plan.
ACTUAL QUESTIONS
Domain 1: Medical-Surgical Nursing
Question 1. A client with chronic heart failure is prescribed digoxin 0.125 mg daily. Which
finding requires the nurse to withhold the medication and notify the primary care
provider?
A. Apical pulse of 58 beats per minute
B. Serum potassium of 4.2 mEq/L
C. Blood pressure of 118/72 mm Hg
D. Respiratory rate of 18 breaths per minute
Correct Answer: A
Rationale: Digoxin is a cardiac glycoside that slows the heart rate. An apical pulse below 60 beats per
minute in an adult indicates potential digoxin toxicity or excessive pharmacologic effect, requiring the
nurse to withhold the dose and notify the provider. Normal potassium, blood pressure, and respiratory
rate do not contraindicate administration.
Question 2. A client admitted with acute pancreatitis reports severe epigastric pain
radiating to the back. Which laboratory finding does the nurse expect?
A. Decreased serum amylase
B. Elevated serum lipase
C. Decreased blood glucose
D. Elevated serum calcium
Correct Answer: B
Rationale: Serum lipase is a more specific marker for pancreatic injury and remains elevated longer
than amylase. In acute pancreatitis, lipase and amylase rise; hypocalcemia and hyperglycemia may
also occur, not decreased values.
Question 3. The nurse is caring for a client with a newly placed central venous catheter.
Which action is the priority to prevent catheter-related bloodstream infection?
A. Change the dressing only when soiled
B. Flush the catheter with heparin every 24 hours
C. Use sterile technique during insertion and maintenance
D. Obtain blood cultures from the catheter weekly
Correct Answer: C
Rationale: Strict sterile technique during insertion and subsequent care is the foundational intervention
to prevent central line-associated bloodstream infection (CLABSI), consistent with evidence-based
infection prevention bundles.
HESI LPN-to-ADN Entrance Examination 2026/2027 | Verified Questions
, Question 4. A client with type 1 diabetes mellitus is found unresponsive with a blood
glucose of 42 mg/dL. After administering glucagon, which action should the nurse take
next?
A. Place the client in Trendelenburg position
B. Administer a rapid-acting insulin dose
C. Initiate continuous intravenous normal saline
D. Provide a complex carbohydrate when the client is able to swallow
Correct Answer: D
Rationale: After glucagon raises blood glucose, the client requires oral complex carbohydrates to
maintain glucose levels once consciousness returns and swallowing is safe, preventing recurrent
hypoglycemia.
Question 5. A client recovering from a right total hip arthroplasty is being taught to prevent
dislocation. Which instruction is correct?
A. Cross the legs at the ankles when sitting
B. Avoid flexing the hip beyond 90 degrees
C. Keep the operative leg adducted at all times
D. Sleep on the operative side for comfort
Correct Answer: B
Rationale: Hip flexion greater than 90 degrees increases the risk of posterior dislocation after total hip
arthroplasty. Clients are instructed to use elevated seats and avoid bending forward excessively.
Question 6. The nurse reviews arterial blood gas results for a client with COPD: pH 7.32,
PaCO2 58 mm Hg, HCO3 28 mEq/L, PaO2 68 mm Hg. Which interpretation is accurate?
A. Uncompensated metabolic acidosis
B. Fully compensated metabolic alkalosis
C. Partially compensated respiratory acidosis
D. Uncompensated respiratory alkalosis
Correct Answer: C
Rationale: Elevated PaCO2 indicates respiratory acidosis; the elevated HCO3 shows renal
compensation has begun but pH remains acidotic, confirming partial compensation typical in chronic
COPD exacerbation.
Question 7. A client receiving continuous intravenous heparin has an aPTT of 98 seconds
(control 30 seconds). Which action should the nurse take first?
A. Continue the infusion at the current rate
B. Increase the heparin infusion rate by 2 units/kg/hr
C. Administer vitamin K 10 mg intramuscularly
D. Stop the heparin infusion and notify the provider
Correct Answer: D
Rationale: An aPTT greater than 2.5 times control indicates excessive anticoagulation and bleeding risk.
The nurse must stop the infusion and notify the provider for further orders, such as protamine sulfate if
needed.
Question 8. A client with a history of chronic kidney disease has a serum potassium of 6.4
mEq/L. Which electrocardiogram change does the nurse anticipate?
A. Peaked T waves
B. Shortened PR interval
C. Absent P waves with narrow QRS
D. Prominent U waves
HESI LPN-to-ADN Entrance Examination 2026/2027 | Verified Questions
