2025 LPN Hesi Exam Prep Test Bank With
400 Complete Questions and Correct
Answers With Detailed Rationales/ LPN Hesi
Exam 2025 Latest Test Bank (Brand New!)
A licensed practical nurse (LPN) tells the registered nurse (RN) that she
administered acetaminophen (Tylenol) to a client by way of the rectal route rather
than the prescribed oral route because the client was extremely nauseated. The RN
most appropriately takes which action?
Asks the LPN to complete and file an incident report
Rationale: If a medication is prescribed to be administered by way of the oral
route, the nurse may not use an alternate route to administer the medication unless
the change is prescribed by the health care provider. The nurse would ask the LPN
to complete and file an incident report because the LPN, legally speaking, made a
medication error. Telling the LPN that she made a sound judgment in
administering the medication by way of the rectal route is incorrect. Although the
client must be reassessed and the LPN would document administration of the
medication by way of the rectal route in the client's record, the most appropriate
option given is having the LPN complete and file an incident report.
A nurse is preparing a continuous intravenous (IV) infusion at the medication cart.
As the nurse goes to attach the IV tubing port to the solution bag, the tubing drops,
hitting the top of the medication cart. Which action should the nurse take to
maintain asepsis?
Obtaining new IV tubing
Rationale: If IV tubing becomes contaminated as a result of coming into contact
with some nonsterile object, the nurse should obtain new IV tubing. Contaminated
tubing could cause systemic infection in the client. The IV solution bag has not
been contaminated and does not need replacement. Wiping the tubing port with
Betadine or scrubbing it with alcohol is insufficient and would be contraindicated
pg. 1
,regardless, because the tubing will be attached directly to a catheter in the client's
vein.
A home health nurse is visiting a client with tuberculosis (TB). Which action by
the client tells the nurse that the client understands the necessary infection control
precautions to be taken at home?
Disposing of contaminated tissues in a container with a leak-proof bag
Rationale: The client under infection control precautions at home does not need to
remain secluded; the client would not be at home if he or she were infectious.
However, proper respiratory precautions are necessary. The house should be
properly ventilated, and the windows should be opened as much as possible.
Wearing an oxygen mask at all times is not a respiratory precaution, and there is no
information in the question to indicate that oxygen is necessary. Contaminated
tissues should be discarded in container with a leak-proof bag and then placed in
an outdoor trash bin. Tissues should not be left lying around.
The licensed practical nurse (LPN), who is the unit charge nurse of a long-term
care facility, arrives at work to find the entire facility has about an inch of standing
water from a leak in the laundry room. Some residents have minor lacerations from
slipping in the water. In addition, several nursing assistants and another staff LPN
have called in due to illnesses. Several new residents are scheduled to be
transferred to the long-term care facility from the hospital today. The nurse should
initially manage the situation by taking which action?
Calling the nursing supervisor to discuss activation of the disaster plan
Rationale: Internal disasters occur within the facility and will affect the facility's
ability to provide care. In this situation, the nurse would initially call the nursing
supervisor to discuss the need for additional staffing and activation of the disaster
plan. The nurse would not ask EMS to take the victims to another facility or
temporarily close the facility to incoming clients; such decisions are made by
facility administrators. The nurse should ask, not demand, that nurses from the
night shift stay until all of the victims have been treated.
*A nurse responds to an external disaster that occurred in a large city when a
building collapsed. Numerous victims require treatment. Which victim should the
nurse attend to first?
pg. 2
,A victim with a partial amputation of a leg who is bleeding profusely
Rationale: The nurse determines which victim will be attended to first on the basis
of the severity of injury of each of the victims of the disaster. An injury that
threatens life, limb, or vision without immediate attention is categorized as
emergent and is the priority (in this case, the victim with a partial amputation who
is bleeding profusely). A victim who requires treatment but whose life, limbs, and
vision are not threatened if care can be provided within 1 to 2 hours is considered
to represent an urgent case and is the second priority (here, the hysterical victim
who has sustained a head injury). Local injuries that require evaluation and
possibly treatment but for which time is not critical are categorized as nonurgent
and represent the third priority (here, the victim with numerous bruises on the arms
and legs). Caring for a victim who is already dead is the final priority.
Which event would require a nurse to complete and file an incident report?
A) A client has a seizure.
B) The nurse determines that a client would benefit from the use of a walker to
ambulate.
C) The nurse, preparing an intravenous infusion, notes that the battery of an
intravenous infusion pump is not working.
D) When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor's
blood pressure and takes the visitor to the emergency department for treatment.
D) When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor's
blood pressure and takes the visitor to the emergency department for treatment.
Rationale:
An incident is any event that is not consistent with the routine operation of a health
care unit or routine care of a client. Examples of incidents include client falls,
needlestick injuries, a visitor having symptoms of illness, medication
administration errors, accidental omission of prescribed therapies, and
circumstances leading to injury or a risk for injury. An incident report does not
need to be filed if a client has a seizure unless the client sustains injury as a result
of the seizure. If the nurse determines that a client would benefit from the use of a
walker to ambulate, he or she should take the appropriate action to obtain one. If
the nurse notes that the battery of an intravenous infusion pump is not working, he
or she should obtain a functioning pump and send the nonfunctioning pump to the
appropriate department for repair.
pg. 3
, A nurse, charting the administration of medications to an assigned client at 9 p.m.,
notes that atenolol (Tenormin) was prescribed to be administered at 9 a.m. instead
of 9 p.m. The nurse checks the client's vital signs, completes an incident report,
and calls the health care provider to report the error. The health care provider tells
the nurse that an incident report is not needed but instructs her to monitor the client
during the night for hypotension. What action should the nurse take?
A) Notifying the nursing supervisor
B) Tearing up and discarding the incident report
C) Telling the HCP that the error warrants the completion of an incident report
D) Telling the nursing supervisor that the HCP did not want an incident report
completed and filed
C) Telling the HCP that the error warrants the completion of an incident report
Rationale: Incident reports are an important part of a health care agency's quality
improvement program. An incident is any event that is not consistent with the
routine operation of a health care unit or routine care of a client. An example of an
incident is administering a medication at a time at which it is not prescribed to be
given. Whenever an incident occurs, an incident report is completed and filed in
accordance with agency guidelines. The nursing supervisor would be notified of
the incident; however, on the basis of the data in the question, the nurse should tell
the health care provider that the error warrants completion and follow-through with
an incident report. Therefore, the other options are incorrect.
Contact precautions are initiated for a client with methicillin-resistant
Staphylococcus aureus (MRSA) infection. The nurse, providing instructions to a
nursing assistant about caring for the client, tells the assistant to take which action?
A)To transfer the client to a semiprivate room
B That gloves only are needed to care for the client
C) To wear gloves and a gown when changing the client's bed linen
D)To wear a gown when caring for the client and remove the gown immediately
after leaving the client s room
C) To wear gloves and a gown when changing the client's bed linen
Rationale: Contact precautions require the use of gloves, gown, and goggles if
direct client contact is anticipated. The client should be placed in a private room or,
if a private room is not available, in a semiprivate room with another client who
pg. 4
400 Complete Questions and Correct
Answers With Detailed Rationales/ LPN Hesi
Exam 2025 Latest Test Bank (Brand New!)
A licensed practical nurse (LPN) tells the registered nurse (RN) that she
administered acetaminophen (Tylenol) to a client by way of the rectal route rather
than the prescribed oral route because the client was extremely nauseated. The RN
most appropriately takes which action?
Asks the LPN to complete and file an incident report
Rationale: If a medication is prescribed to be administered by way of the oral
route, the nurse may not use an alternate route to administer the medication unless
the change is prescribed by the health care provider. The nurse would ask the LPN
to complete and file an incident report because the LPN, legally speaking, made a
medication error. Telling the LPN that she made a sound judgment in
administering the medication by way of the rectal route is incorrect. Although the
client must be reassessed and the LPN would document administration of the
medication by way of the rectal route in the client's record, the most appropriate
option given is having the LPN complete and file an incident report.
A nurse is preparing a continuous intravenous (IV) infusion at the medication cart.
As the nurse goes to attach the IV tubing port to the solution bag, the tubing drops,
hitting the top of the medication cart. Which action should the nurse take to
maintain asepsis?
Obtaining new IV tubing
Rationale: If IV tubing becomes contaminated as a result of coming into contact
with some nonsterile object, the nurse should obtain new IV tubing. Contaminated
tubing could cause systemic infection in the client. The IV solution bag has not
been contaminated and does not need replacement. Wiping the tubing port with
Betadine or scrubbing it with alcohol is insufficient and would be contraindicated
pg. 1
,regardless, because the tubing will be attached directly to a catheter in the client's
vein.
A home health nurse is visiting a client with tuberculosis (TB). Which action by
the client tells the nurse that the client understands the necessary infection control
precautions to be taken at home?
Disposing of contaminated tissues in a container with a leak-proof bag
Rationale: The client under infection control precautions at home does not need to
remain secluded; the client would not be at home if he or she were infectious.
However, proper respiratory precautions are necessary. The house should be
properly ventilated, and the windows should be opened as much as possible.
Wearing an oxygen mask at all times is not a respiratory precaution, and there is no
information in the question to indicate that oxygen is necessary. Contaminated
tissues should be discarded in container with a leak-proof bag and then placed in
an outdoor trash bin. Tissues should not be left lying around.
The licensed practical nurse (LPN), who is the unit charge nurse of a long-term
care facility, arrives at work to find the entire facility has about an inch of standing
water from a leak in the laundry room. Some residents have minor lacerations from
slipping in the water. In addition, several nursing assistants and another staff LPN
have called in due to illnesses. Several new residents are scheduled to be
transferred to the long-term care facility from the hospital today. The nurse should
initially manage the situation by taking which action?
Calling the nursing supervisor to discuss activation of the disaster plan
Rationale: Internal disasters occur within the facility and will affect the facility's
ability to provide care. In this situation, the nurse would initially call the nursing
supervisor to discuss the need for additional staffing and activation of the disaster
plan. The nurse would not ask EMS to take the victims to another facility or
temporarily close the facility to incoming clients; such decisions are made by
facility administrators. The nurse should ask, not demand, that nurses from the
night shift stay until all of the victims have been treated.
*A nurse responds to an external disaster that occurred in a large city when a
building collapsed. Numerous victims require treatment. Which victim should the
nurse attend to first?
pg. 2
,A victim with a partial amputation of a leg who is bleeding profusely
Rationale: The nurse determines which victim will be attended to first on the basis
of the severity of injury of each of the victims of the disaster. An injury that
threatens life, limb, or vision without immediate attention is categorized as
emergent and is the priority (in this case, the victim with a partial amputation who
is bleeding profusely). A victim who requires treatment but whose life, limbs, and
vision are not threatened if care can be provided within 1 to 2 hours is considered
to represent an urgent case and is the second priority (here, the hysterical victim
who has sustained a head injury). Local injuries that require evaluation and
possibly treatment but for which time is not critical are categorized as nonurgent
and represent the third priority (here, the victim with numerous bruises on the arms
and legs). Caring for a victim who is already dead is the final priority.
Which event would require a nurse to complete and file an incident report?
A) A client has a seizure.
B) The nurse determines that a client would benefit from the use of a walker to
ambulate.
C) The nurse, preparing an intravenous infusion, notes that the battery of an
intravenous infusion pump is not working.
D) When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor's
blood pressure and takes the visitor to the emergency department for treatment.
D) When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor's
blood pressure and takes the visitor to the emergency department for treatment.
Rationale:
An incident is any event that is not consistent with the routine operation of a health
care unit or routine care of a client. Examples of incidents include client falls,
needlestick injuries, a visitor having symptoms of illness, medication
administration errors, accidental omission of prescribed therapies, and
circumstances leading to injury or a risk for injury. An incident report does not
need to be filed if a client has a seizure unless the client sustains injury as a result
of the seizure. If the nurse determines that a client would benefit from the use of a
walker to ambulate, he or she should take the appropriate action to obtain one. If
the nurse notes that the battery of an intravenous infusion pump is not working, he
or she should obtain a functioning pump and send the nonfunctioning pump to the
appropriate department for repair.
pg. 3
, A nurse, charting the administration of medications to an assigned client at 9 p.m.,
notes that atenolol (Tenormin) was prescribed to be administered at 9 a.m. instead
of 9 p.m. The nurse checks the client's vital signs, completes an incident report,
and calls the health care provider to report the error. The health care provider tells
the nurse that an incident report is not needed but instructs her to monitor the client
during the night for hypotension. What action should the nurse take?
A) Notifying the nursing supervisor
B) Tearing up and discarding the incident report
C) Telling the HCP that the error warrants the completion of an incident report
D) Telling the nursing supervisor that the HCP did not want an incident report
completed and filed
C) Telling the HCP that the error warrants the completion of an incident report
Rationale: Incident reports are an important part of a health care agency's quality
improvement program. An incident is any event that is not consistent with the
routine operation of a health care unit or routine care of a client. An example of an
incident is administering a medication at a time at which it is not prescribed to be
given. Whenever an incident occurs, an incident report is completed and filed in
accordance with agency guidelines. The nursing supervisor would be notified of
the incident; however, on the basis of the data in the question, the nurse should tell
the health care provider that the error warrants completion and follow-through with
an incident report. Therefore, the other options are incorrect.
Contact precautions are initiated for a client with methicillin-resistant
Staphylococcus aureus (MRSA) infection. The nurse, providing instructions to a
nursing assistant about caring for the client, tells the assistant to take which action?
A)To transfer the client to a semiprivate room
B That gloves only are needed to care for the client
C) To wear gloves and a gown when changing the client's bed linen
D)To wear a gown when caring for the client and remove the gown immediately
after leaving the client s room
C) To wear gloves and a gown when changing the client's bed linen
Rationale: Contact precautions require the use of gloves, gown, and goggles if
direct client contact is anticipated. The client should be placed in a private room or,
if a private room is not available, in a semiprivate room with another client who
pg. 4
