HESI LPN-TO-ADN ENTRANCE EXAM
2026/2027: 100 COMPREHENSIVE PRACTICE
QUESTIONS WITH CORRECT ANSWERS AND
DETAILED RATIONALES | LPN-TO-RN BRIDGE
PROGRAM ADMISSION ASSESSMENT
REVIEW | GRADED A+ | LATEST!!
1. An LPN is preparing to transfer a weak client from the bed to a wheelchair. Which
action is most appropriate?
A. Keep the wheelchair several feet from the bed
B. Lock the wheelchair brakes before beginning the transfer
C. Ask the client to pull on the nurse's neck
D. Keep the client's knees straight during the transfer
Answer: B. Lock the wheelchair brakes before beginning the transfer.
Rationale: Locking the wheelchair prevents it from moving during the transfer and reduces
the risk of falls. The wheelchair should be positioned close to the bed, and the client should
never pull on the nurse's neck.
2. A client using crutches is learning to climb stairs. Which instruction should the nurse
provide?
A. "Move the affected leg first when going upstairs."
B. "Move both crutches to the next step before moving your legs."
C. "Move the stronger leg first when going upstairs."
D. "Keep both legs together and hop upward."
Answer: C. "Move the stronger leg first when going upstairs."
Rationale: The standard teaching is "up with the good, down with the bad." The stronger leg
moves first when ascending stairs, while the affected leg moves first when descending.
3. A postoperative client becomes dizzy while ambulating. What should the nurse do
first?
A. Encourage the client to continue walking
B. Have the client sit or lie down safely
,C. Increase the walking speed
D. Ask the client to stand still
Answer: B. Have the client sit or lie down safely.
Rationale: Safety is the immediate priority. The client should be supported and placed in a
safe position to prevent a fall. The nurse can then assess blood pressure, pulse, and other
possible causes.
4. Which finding is most consistent with orthostatic hypotension?
A. Increased blood pressure after standing
B. Dizziness after changing from lying to standing
C. Bradycardia while sleeping
D. Increased oxygen saturation while ambulating
Answer: B. Dizziness after changing from lying to standing.
Rationale: Orthostatic hypotension can cause dizziness, weakness, or syncope after position
changes because of an inadequate cardiovascular response to standing.
5. Which intervention is most appropriate for preventing pressure injuries in an
immobile client?
A. Massage reddened bony prominences
B. Reposition the client regularly
C. Keep the head of the bed at 90 degrees continuously
D. Limit protein intake
Answer: B. Reposition the client regularly.
Rationale: Regular repositioning relieves prolonged pressure and helps maintain tissue
perfusion. Reddened areas should not be vigorously massaged because this may damage
tissue.
6. A client with a new cast reports severe pain that is not relieved by prescribed
analgesics. Which finding requires immediate attention?
A. Mild itching beneath the cast
B. Warm toes with normal capillary refill
C. Increasing pain with numbness and decreased sensation
D. Slight swelling immediately after application
Answer: C. Increasing pain with numbness and decreased sensation.
, Rationale: Severe increasing pain accompanied by neurologic or vascular changes may
indicate neurovascular compromise or compartment syndrome and requires prompt
evaluation.
7. Which assessment finding is most concerning in a client receiving opioid analgesics?
A. Respiratory rate of 8/min
B. Pain rating of 4/10
C. Mild nausea
D. Drowsiness before bedtime
Answer: A. Respiratory rate of 8/min.
Rationale: Opioids can cause respiratory depression. A markedly decreased respiratory rate
requires immediate assessment and intervention.
8. A client with diabetes is diaphoretic, shaky, and confused. Which condition should
the nurse suspect first?
A. Hypercalcemia
B. Hypoglycemia
C. Hypernatremia
D. Hypertension
Answer: B. Hypoglycemia.
Rationale: Shakiness, sweating, confusion, weakness, and altered behavior are common
manifestations of low blood glucose.
9. Which instruction should the nurse provide to a client taking warfarin?
A. Avoid all foods containing vitamin K
B. Maintain a consistent intake of vitamin K
C. Take aspirin routinely for additional protection
D. Double the dose after a missed dose
Answer: B. Maintain a consistent intake of vitamin K.
Rationale: Vitamin K can affect warfarin therapy. Clients generally should maintain a
consistent dietary intake rather than eliminating vitamin K-containing foods entirely.
2026/2027: 100 COMPREHENSIVE PRACTICE
QUESTIONS WITH CORRECT ANSWERS AND
DETAILED RATIONALES | LPN-TO-RN BRIDGE
PROGRAM ADMISSION ASSESSMENT
REVIEW | GRADED A+ | LATEST!!
1. An LPN is preparing to transfer a weak client from the bed to a wheelchair. Which
action is most appropriate?
A. Keep the wheelchair several feet from the bed
B. Lock the wheelchair brakes before beginning the transfer
C. Ask the client to pull on the nurse's neck
D. Keep the client's knees straight during the transfer
Answer: B. Lock the wheelchair brakes before beginning the transfer.
Rationale: Locking the wheelchair prevents it from moving during the transfer and reduces
the risk of falls. The wheelchair should be positioned close to the bed, and the client should
never pull on the nurse's neck.
2. A client using crutches is learning to climb stairs. Which instruction should the nurse
provide?
A. "Move the affected leg first when going upstairs."
B. "Move both crutches to the next step before moving your legs."
C. "Move the stronger leg first when going upstairs."
D. "Keep both legs together and hop upward."
Answer: C. "Move the stronger leg first when going upstairs."
Rationale: The standard teaching is "up with the good, down with the bad." The stronger leg
moves first when ascending stairs, while the affected leg moves first when descending.
3. A postoperative client becomes dizzy while ambulating. What should the nurse do
first?
A. Encourage the client to continue walking
B. Have the client sit or lie down safely
,C. Increase the walking speed
D. Ask the client to stand still
Answer: B. Have the client sit or lie down safely.
Rationale: Safety is the immediate priority. The client should be supported and placed in a
safe position to prevent a fall. The nurse can then assess blood pressure, pulse, and other
possible causes.
4. Which finding is most consistent with orthostatic hypotension?
A. Increased blood pressure after standing
B. Dizziness after changing from lying to standing
C. Bradycardia while sleeping
D. Increased oxygen saturation while ambulating
Answer: B. Dizziness after changing from lying to standing.
Rationale: Orthostatic hypotension can cause dizziness, weakness, or syncope after position
changes because of an inadequate cardiovascular response to standing.
5. Which intervention is most appropriate for preventing pressure injuries in an
immobile client?
A. Massage reddened bony prominences
B. Reposition the client regularly
C. Keep the head of the bed at 90 degrees continuously
D. Limit protein intake
Answer: B. Reposition the client regularly.
Rationale: Regular repositioning relieves prolonged pressure and helps maintain tissue
perfusion. Reddened areas should not be vigorously massaged because this may damage
tissue.
6. A client with a new cast reports severe pain that is not relieved by prescribed
analgesics. Which finding requires immediate attention?
A. Mild itching beneath the cast
B. Warm toes with normal capillary refill
C. Increasing pain with numbness and decreased sensation
D. Slight swelling immediately after application
Answer: C. Increasing pain with numbness and decreased sensation.
, Rationale: Severe increasing pain accompanied by neurologic or vascular changes may
indicate neurovascular compromise or compartment syndrome and requires prompt
evaluation.
7. Which assessment finding is most concerning in a client receiving opioid analgesics?
A. Respiratory rate of 8/min
B. Pain rating of 4/10
C. Mild nausea
D. Drowsiness before bedtime
Answer: A. Respiratory rate of 8/min.
Rationale: Opioids can cause respiratory depression. A markedly decreased respiratory rate
requires immediate assessment and intervention.
8. A client with diabetes is diaphoretic, shaky, and confused. Which condition should
the nurse suspect first?
A. Hypercalcemia
B. Hypoglycemia
C. Hypernatremia
D. Hypertension
Answer: B. Hypoglycemia.
Rationale: Shakiness, sweating, confusion, weakness, and altered behavior are common
manifestations of low blood glucose.
9. Which instruction should the nurse provide to a client taking warfarin?
A. Avoid all foods containing vitamin K
B. Maintain a consistent intake of vitamin K
C. Take aspirin routinely for additional protection
D. Double the dose after a missed dose
Answer: B. Maintain a consistent intake of vitamin K.
Rationale: Vitamin K can affect warfarin therapy. Clients generally should maintain a
consistent dietary intake rather than eliminating vitamin K-containing foods entirely.
