HESI PN LPN FUNDAMENTALS EXIT EXAM LATEST
2025-2026 ACTUAL EXAM 100 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
Overview:
This exam prep material focuses on the core principles of LPN/LVN practice, including basic
patient care, safety, infection control, pharmacology, nutrition, and nursing procedures. Each
question comes with an in-depth rationale to explain not only the correct answer but also why
other options are incorrect, reinforcing critical thinking and test readiness.
Key Features:
100 realistic exam-style questions.
Verified correct answers with comprehensive rationales.
Covers essential LPN/LVN fundamentals of nursing.
Aligned with the latest HESI PN Exit Exam standards (2025–2026).
Includes safety, patient care, pharmacology, and clinical reasoning practice.
Purpose:
To prepare PN/LPN students for the HESI Fundamentals Exit Exam.
To strengthen understanding of nursing fundamentals through detailed rationales.
To provide realistic exam practice for improved test-taking strategies.
To support mastery of foundational nursing knowledge.
Recommended For:
PN/LPN students preparing for the HESI Fundamentals Exit Exam.
Learners seeking practice with verified questions and rationales.
Nursing students who want to improve their clinical reasoning skills.
Nurse educators using supplemental practice tools to support student outcomes.
1. A client with cancer who has been taking opioid analgesics for two years now requires increased
doses to obtain pain relief. The client expresses fear about becoming addicted to these drugs. What
information should the practical nurse (PN) provide? A. Opioid use with cancer does not cause
addiction.
B. Addiction is easily reversed if it occurs during pain management.
C. Prescribed opiates for cancer pain relief improve qualify of life.
,D. Opioid dosages can be tapered if a client fears addiction. - ANSWER-C. Prescribed opiates for cancer
pain relief improve qualify of life
The goal of pain management for clients with cancer using opiates is to minimize pain and maintain
quality of life
2. A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN) assesses the
client every two hours for the desire to void. Which documented assessment requires further
intervention by the PN?
A. 1:30 pm: unable to void.
B. 5:30 pm: unable to void.
C. 3:30 pm: unable to void.
D. 11:30 am: unable to void. - ANSWER-B. A client is due to void within 8 hours of catheter removal, so
at 5:30 PM. Longer than 8 hours after removal, catheter reinsertion may be necessary. If the bladder
is not distended, further action may not be needed
3. Which position is best for the practical nurse to place the client in during administration of a rectal
suppository for constipation?
A. Prone with pillows under the client's abdomen.
B. Supine with the client on a bed pan.
C. Left Sims' position with upper leg flexed.
D. Right-side lying knee-chest position. - ANSWER-C. Left side-lying Sims' position lessens the likelihood
that the suppository or feces will be expelled, exposes the anus for visualization during insertion, and
helps the client to relax the external anal sphincter
4. The practical nurse (PN) is adding tap water to several medications for administration via feeding
tube. Which preparation should the PN administer without delay? A. Reconstituted powder.
B. Timed release capsule.
C. Cherry flavored elixir.
D. Flavorless suspension. - ANSWER-B. Although the gelatin capsule can be opened to administer the
spansule's granules, the PN should not crush or allow the timed-released granules to dissolve before
administering this preparation via feeding tube since the timed-release function can be compromised.
, What action should the practical nurse (PN) take when drawing medication from an ampule? A.
Aspirate with a filter needle and syringe.
B. Tap the bottom of the ampule lightly.
C. Snap the neck of ampule towards nurse.
D. Use an alcohol swab to open ampule. - ANSWER-A. An ampule is made of glass with a constricted
neck that is snapped off to allow access to the medication. Medications are easily withdrawn from the
ampule by aspirating the fluid with a filter needle and syringe. Filter needles are used when
withdrawing medication from a glass ampule to prevent glass particles from being drawn into the
syringe with the medication. Tap the top, not the bottom (B), of the ampule lightly to allow all of the
medication to drop to the bottom. When opening the ampule, the top should be snapped away from
the nurse's face and body (C). An opened alcohol swab wrapped around the top of the ampule may
allow alcohol to leak into the ampule
The practical nurse (PN) is preparing to reconstitute a drug from powder form for IM administration.
Which step should the PN implement first?
A. Verify the drug with the medication administration record.
B. Mix the powder with the solution.
C. Attach the needle to the syringe.
D. Read the label to determine the amount of diluent to use. - ANSWER-A. The Five Rights of medication
administration include the right drug, right dose, right route, right time, and right client. The first
action should be verification of the right drug in the powder form for reconstitution.
Which action should the practical nurse (PN) implement when administering a subcutaneous injection to
a client who weighs 325 pounds?
A. Produce a bleb at the injection site.
B. Insert the needle at a 15-degree angle.
C. Select a needle with a longer shaft.
D. Rub vigorously for a faster response. - ANSWER-C. To ensure penetration into the deep layer of
subcutaneuos adipose for a client who is obese, the needle length should be longer than the usual
needle (preferably 3/8 to 5/8 inch in length) for subcutaneous injection.
Which finding indicates to the practical nurse (PN) that an older client who is receiving intravenous
therapy is experiencing fluid overload? A. Edema in lower extremities.
2025-2026 ACTUAL EXAM 100 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
Overview:
This exam prep material focuses on the core principles of LPN/LVN practice, including basic
patient care, safety, infection control, pharmacology, nutrition, and nursing procedures. Each
question comes with an in-depth rationale to explain not only the correct answer but also why
other options are incorrect, reinforcing critical thinking and test readiness.
Key Features:
100 realistic exam-style questions.
Verified correct answers with comprehensive rationales.
Covers essential LPN/LVN fundamentals of nursing.
Aligned with the latest HESI PN Exit Exam standards (2025–2026).
Includes safety, patient care, pharmacology, and clinical reasoning practice.
Purpose:
To prepare PN/LPN students for the HESI Fundamentals Exit Exam.
To strengthen understanding of nursing fundamentals through detailed rationales.
To provide realistic exam practice for improved test-taking strategies.
To support mastery of foundational nursing knowledge.
Recommended For:
PN/LPN students preparing for the HESI Fundamentals Exit Exam.
Learners seeking practice with verified questions and rationales.
Nursing students who want to improve their clinical reasoning skills.
Nurse educators using supplemental practice tools to support student outcomes.
1. A client with cancer who has been taking opioid analgesics for two years now requires increased
doses to obtain pain relief. The client expresses fear about becoming addicted to these drugs. What
information should the practical nurse (PN) provide? A. Opioid use with cancer does not cause
addiction.
B. Addiction is easily reversed if it occurs during pain management.
C. Prescribed opiates for cancer pain relief improve qualify of life.
,D. Opioid dosages can be tapered if a client fears addiction. - ANSWER-C. Prescribed opiates for cancer
pain relief improve qualify of life
The goal of pain management for clients with cancer using opiates is to minimize pain and maintain
quality of life
2. A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN) assesses the
client every two hours for the desire to void. Which documented assessment requires further
intervention by the PN?
A. 1:30 pm: unable to void.
B. 5:30 pm: unable to void.
C. 3:30 pm: unable to void.
D. 11:30 am: unable to void. - ANSWER-B. A client is due to void within 8 hours of catheter removal, so
at 5:30 PM. Longer than 8 hours after removal, catheter reinsertion may be necessary. If the bladder
is not distended, further action may not be needed
3. Which position is best for the practical nurse to place the client in during administration of a rectal
suppository for constipation?
A. Prone with pillows under the client's abdomen.
B. Supine with the client on a bed pan.
C. Left Sims' position with upper leg flexed.
D. Right-side lying knee-chest position. - ANSWER-C. Left side-lying Sims' position lessens the likelihood
that the suppository or feces will be expelled, exposes the anus for visualization during insertion, and
helps the client to relax the external anal sphincter
4. The practical nurse (PN) is adding tap water to several medications for administration via feeding
tube. Which preparation should the PN administer without delay? A. Reconstituted powder.
B. Timed release capsule.
C. Cherry flavored elixir.
D. Flavorless suspension. - ANSWER-B. Although the gelatin capsule can be opened to administer the
spansule's granules, the PN should not crush or allow the timed-released granules to dissolve before
administering this preparation via feeding tube since the timed-release function can be compromised.
, What action should the practical nurse (PN) take when drawing medication from an ampule? A.
Aspirate with a filter needle and syringe.
B. Tap the bottom of the ampule lightly.
C. Snap the neck of ampule towards nurse.
D. Use an alcohol swab to open ampule. - ANSWER-A. An ampule is made of glass with a constricted
neck that is snapped off to allow access to the medication. Medications are easily withdrawn from the
ampule by aspirating the fluid with a filter needle and syringe. Filter needles are used when
withdrawing medication from a glass ampule to prevent glass particles from being drawn into the
syringe with the medication. Tap the top, not the bottom (B), of the ampule lightly to allow all of the
medication to drop to the bottom. When opening the ampule, the top should be snapped away from
the nurse's face and body (C). An opened alcohol swab wrapped around the top of the ampule may
allow alcohol to leak into the ampule
The practical nurse (PN) is preparing to reconstitute a drug from powder form for IM administration.
Which step should the PN implement first?
A. Verify the drug with the medication administration record.
B. Mix the powder with the solution.
C. Attach the needle to the syringe.
D. Read the label to determine the amount of diluent to use. - ANSWER-A. The Five Rights of medication
administration include the right drug, right dose, right route, right time, and right client. The first
action should be verification of the right drug in the powder form for reconstitution.
Which action should the practical nurse (PN) implement when administering a subcutaneous injection to
a client who weighs 325 pounds?
A. Produce a bleb at the injection site.
B. Insert the needle at a 15-degree angle.
C. Select a needle with a longer shaft.
D. Rub vigorously for a faster response. - ANSWER-C. To ensure penetration into the deep layer of
subcutaneuos adipose for a client who is obese, the needle length should be longer than the usual
needle (preferably 3/8 to 5/8 inch in length) for subcutaneous injection.
Which finding indicates to the practical nurse (PN) that an older client who is receiving intravenous
therapy is experiencing fluid overload? A. Edema in lower extremities.
