HESI LPN EXAM
HESI LPN EXAM 2025/2026 COMPLETE
VERIFIED QUESTIONS AND CORRECT
ANSWERS WITH DETAILED
RATIONALES |ALREADY GRADED
A+||BRAND NEW!!!
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.
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
A+ TEST BANK 1
, HESI LPN EXAM
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 has active infection with the same microorganism but no
other infection. The nursing assistant would remove the protective gear before leaving the client's
room.
A nurse documents the following in a patient's medical record: "2/1/ , 1500. Patient appears weak and
faint. Patient's skin is moist and cool, vomited bright red blood with clots. Health care provider
notified and order received to give 2 u of packed red blood cells if stat Hgb is < 8.0. Pain medication
will be given." This documentation meets which documentation principle?
1. Document objectively.
2. Do not document procedures in advance.
3. Use approved abbreviations.
4. Document changes in patient condition
4
In general, employers as well as state, federal, and professional standards require documentation to
include initial and ongoing assessments, any change in the patient's condition, therapies given and
patient response, patient teaching, and relevant statements by the patient.
A+ TEST BANK 2
, HESI LPN EXAM
A nursing unit has changed its documentation system to documenting by exception. How will this
system save time?
1. It eliminates lengthy or repetitive documentation.
2. It allows flexibility and description in the documentation.
3. It allows the reader to easily locate information about a specific problem.
4. It allows for quick and easy retrieval of information.
1 Rationale 1: Documenting by exception eliminates lengthy or repetitive documentation. Rationale 2:
Flexible and descriptive documentation is an advantage of the narrative system. Rationale 3: PIE
charting allows easy location of information about a specific problem. Rationale 4: The electronic
health record allowsfor quick and easy retrieval of information.
A hospital is considering changing its documentation system to reduce the number of medication
errors. Which system should the hospital investigate?
1. Problem, intervention, evaluation (PIE)system
2. Electronic medical record
3. Problem-oriented medical record
4. Narrative system
2
The electronic medical record decreases errors and allows for the reconciliation of the patient's
medications on admission, daily, and on discharge.
Which nursing activities are examples of independent functions of the nursing role?
1. Teaching a soon-to-be-discharged patient about the medication regimen that the health care
provider has prescribed
2. Talking with the patient about his or her abilities to manage personal hygiene activities while in the
usual state of health at home
3. Incorporating adaptive techniques into nursing care as recommended by occupational therapy
4. Administering analgesic medication ordered by the health care provider
5. Introducing oneself to, and interviewing, the patient to collect data about physical health status
2,5 Rationale 1: Teaching the patient about medications prescribed by the health care provider is an
interdependent activity. Rationale 2: This activity is part of the assessment process, which is an
independent activity that nurses may perform, based on their education and skills. Rationale 3:
Working in coordination with another health team member is an interdependent activity. Rationale
4: Administering medication prescribed by the health care provider is an example of a dependent
activity. Rationale 5: These activities are included in assessment, which is an independent activity
that nurses may perform, based on their education and skills.
The nurse is caring for a 70-year-old patient who was just admitted to an inpatient rehabilitation
center. The patient had required total parenteral nutrition for several days, but recently resumed and
is tolerating a regular diet. She has another 4 days left in a course of intravenous antibiotics to
complete treatment of a positive central line culture. Which nursing action, required in the care of
this patient, is considered a dependent role function?
1. Requesting that the health care provider order a consult because the patient states that her
A+ TEST BANK 3
, HESI LPN EXAM
dentures no longer fit properly and she has trouble chewing
2. Asking the nursing assistant to demonstrate to the patient how to operate the call system
3. Interviewing the patient to assess whether she needs assistance with getting out of bed
4. Administering the antibiotics prescribed by the health care provider
4 Rationale 1: Assessing that the patient has a need that requires further assessment by other team
members and communicating that need to the appropriate team member is an example of an
interdependent activity. Rationale 2: This is an independent activity that nurses may perform or
delegate, based on their and the delegate's education and skills. Rationale 3: Assessment is an
independent activity that nurses may perform, based on their education and skills. Rationale 4:
Dependent activities are those prescribed by the health care provider and carried out by the nurse
When asking a patient if a pain medication provided a few hours ago has been effective, the nurse is
performing which step of the nursing process?
1. Planning
2. Implementation
3. Evaluation
4. Assessment
3 Rationale 1: Planning consists of prioritizing among the chosen nursing diagnoses and determining
interventions to move the patient to optimal health. Rationale 2: Implementation isthe actual
"doing" step of the nursing process. In this case, implementation occurred when the medication was
administered. Rationale 3: Evaluation focuses on a patient's behavioral changes and compares them
with the criteria stated in the objectives. It consists of both the patient's status and the effectiveness
of the nursing care. Both must be evaluated continuously, with the care plan modified as needed.
Rationale 4: Assessment comprises examining the patient and identifying cues, collecting and
analyzing data, and reaching conclusions. In this situation, assessment occurred when the nurse
identified that the patient was in pain
The nursing instructor knows that further education is needed when a student makes which
statement?
1. "Assessment precedes nursing diagnosis and outcome identification."
2. "Planning follows nursing diagnosis and outcome identification and precedes implementation."
3. "Evaluation follows implementation and precedes planning."
4. "Planning follows assessment and precedes evaluation."
3 Rationale 1: The correct order is assessment, diagnosis, planning, implementation, and evaluation.
Rationale 2: The correct order is assessment, diagnosis, planning, implementation, and evaluation.
Rationale 3: The correct order is assessment, diagnosis, planning, implementation, and evaluation.
Rationale 4: The correct order is assessment, diagnosis, planning, implementation, and evaluation.
A 16-year-old patient has been admitted for treatment of presumptive pelvic inflammatory disease.
The patient's hygiene is poor and she reports living "on the street" for a year. She is febrile and
tachycardic and reports pain as 10 on the 1-to-10 scale. The nurse identifies Acute Pain as the priority
nursing diagnosis. Which outcome statement is appropriate?
1. The patient's comfort will be achieved and maintained.
A+ TEST BANK 4
HESI LPN EXAM 2025/2026 COMPLETE
VERIFIED QUESTIONS AND CORRECT
ANSWERS WITH DETAILED
RATIONALES |ALREADY GRADED
A+||BRAND NEW!!!
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.
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
A+ TEST BANK 1
, HESI LPN EXAM
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 has active infection with the same microorganism but no
other infection. The nursing assistant would remove the protective gear before leaving the client's
room.
A nurse documents the following in a patient's medical record: "2/1/ , 1500. Patient appears weak and
faint. Patient's skin is moist and cool, vomited bright red blood with clots. Health care provider
notified and order received to give 2 u of packed red blood cells if stat Hgb is < 8.0. Pain medication
will be given." This documentation meets which documentation principle?
1. Document objectively.
2. Do not document procedures in advance.
3. Use approved abbreviations.
4. Document changes in patient condition
4
In general, employers as well as state, federal, and professional standards require documentation to
include initial and ongoing assessments, any change in the patient's condition, therapies given and
patient response, patient teaching, and relevant statements by the patient.
A+ TEST BANK 2
, HESI LPN EXAM
A nursing unit has changed its documentation system to documenting by exception. How will this
system save time?
1. It eliminates lengthy or repetitive documentation.
2. It allows flexibility and description in the documentation.
3. It allows the reader to easily locate information about a specific problem.
4. It allows for quick and easy retrieval of information.
1 Rationale 1: Documenting by exception eliminates lengthy or repetitive documentation. Rationale 2:
Flexible and descriptive documentation is an advantage of the narrative system. Rationale 3: PIE
charting allows easy location of information about a specific problem. Rationale 4: The electronic
health record allowsfor quick and easy retrieval of information.
A hospital is considering changing its documentation system to reduce the number of medication
errors. Which system should the hospital investigate?
1. Problem, intervention, evaluation (PIE)system
2. Electronic medical record
3. Problem-oriented medical record
4. Narrative system
2
The electronic medical record decreases errors and allows for the reconciliation of the patient's
medications on admission, daily, and on discharge.
Which nursing activities are examples of independent functions of the nursing role?
1. Teaching a soon-to-be-discharged patient about the medication regimen that the health care
provider has prescribed
2. Talking with the patient about his or her abilities to manage personal hygiene activities while in the
usual state of health at home
3. Incorporating adaptive techniques into nursing care as recommended by occupational therapy
4. Administering analgesic medication ordered by the health care provider
5. Introducing oneself to, and interviewing, the patient to collect data about physical health status
2,5 Rationale 1: Teaching the patient about medications prescribed by the health care provider is an
interdependent activity. Rationale 2: This activity is part of the assessment process, which is an
independent activity that nurses may perform, based on their education and skills. Rationale 3:
Working in coordination with another health team member is an interdependent activity. Rationale
4: Administering medication prescribed by the health care provider is an example of a dependent
activity. Rationale 5: These activities are included in assessment, which is an independent activity
that nurses may perform, based on their education and skills.
The nurse is caring for a 70-year-old patient who was just admitted to an inpatient rehabilitation
center. The patient had required total parenteral nutrition for several days, but recently resumed and
is tolerating a regular diet. She has another 4 days left in a course of intravenous antibiotics to
complete treatment of a positive central line culture. Which nursing action, required in the care of
this patient, is considered a dependent role function?
1. Requesting that the health care provider order a consult because the patient states that her
A+ TEST BANK 3
, HESI LPN EXAM
dentures no longer fit properly and she has trouble chewing
2. Asking the nursing assistant to demonstrate to the patient how to operate the call system
3. Interviewing the patient to assess whether she needs assistance with getting out of bed
4. Administering the antibiotics prescribed by the health care provider
4 Rationale 1: Assessing that the patient has a need that requires further assessment by other team
members and communicating that need to the appropriate team member is an example of an
interdependent activity. Rationale 2: This is an independent activity that nurses may perform or
delegate, based on their and the delegate's education and skills. Rationale 3: Assessment is an
independent activity that nurses may perform, based on their education and skills. Rationale 4:
Dependent activities are those prescribed by the health care provider and carried out by the nurse
When asking a patient if a pain medication provided a few hours ago has been effective, the nurse is
performing which step of the nursing process?
1. Planning
2. Implementation
3. Evaluation
4. Assessment
3 Rationale 1: Planning consists of prioritizing among the chosen nursing diagnoses and determining
interventions to move the patient to optimal health. Rationale 2: Implementation isthe actual
"doing" step of the nursing process. In this case, implementation occurred when the medication was
administered. Rationale 3: Evaluation focuses on a patient's behavioral changes and compares them
with the criteria stated in the objectives. It consists of both the patient's status and the effectiveness
of the nursing care. Both must be evaluated continuously, with the care plan modified as needed.
Rationale 4: Assessment comprises examining the patient and identifying cues, collecting and
analyzing data, and reaching conclusions. In this situation, assessment occurred when the nurse
identified that the patient was in pain
The nursing instructor knows that further education is needed when a student makes which
statement?
1. "Assessment precedes nursing diagnosis and outcome identification."
2. "Planning follows nursing diagnosis and outcome identification and precedes implementation."
3. "Evaluation follows implementation and precedes planning."
4. "Planning follows assessment and precedes evaluation."
3 Rationale 1: The correct order is assessment, diagnosis, planning, implementation, and evaluation.
Rationale 2: The correct order is assessment, diagnosis, planning, implementation, and evaluation.
Rationale 3: The correct order is assessment, diagnosis, planning, implementation, and evaluation.
Rationale 4: The correct order is assessment, diagnosis, planning, implementation, and evaluation.
A 16-year-old patient has been admitted for treatment of presumptive pelvic inflammatory disease.
The patient's hygiene is poor and she reports living "on the street" for a year. She is febrile and
tachycardic and reports pain as 10 on the 1-to-10 scale. The nurse identifies Acute Pain as the priority
nursing diagnosis. Which outcome statement is appropriate?
1. The patient's comfort will be achieved and maintained.
A+ TEST BANK 4
