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HESI LPN EXAM (NEW UPDATED VERSION) LATEST ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) | GUARANTEED
PASS A+ [2026-2027]
HESI LPN Practice Exam — Section 1 (Questions 1–100)
Topics Covered:
• Math / Dosage Calculations
• Medical Terminology
• Anatomy & Physiology
• Infection Control
• Patient Care & Nursing Procedures
1. A patient is prescribed 250 mg of a medication. The tablets available are 125 mg. How many
tablets should you give?
Answer: 2 tablets
Rationale: Divide the prescribed dose by the tablet strength: 250 ÷ 125 = 2. Ensures correct
dosing.
2. An IV is ordered at 1000 mL over 10 hours. What is the flow rate in mL/hr?
Answer: 100 mL/hr
Rationale: Flow rate = total volume ÷ time; 1000 ÷ 10 = 100 mL/hr. Accurate flow rate prevents
fluid overload or underhydration.
2026 2027 GRADED A+
,2|Page
3. The patient chart states “NPO after midnight.” What does NPO mean?
Answer: Nothing by mouth
Rationale: NPO is Latin “nil per os,” indicating no food or fluids to prevent complications
during surgery or procedures.
4. Which organ produces insulin?
Answer: Pancreas
Rationale: Beta cells in the pancreas secrete insulin to regulate blood glucose levels.
5. What is the normal adult heart rate range?
Answer: 60–100 bpm
Rationale: Heart rate within this range is considered normal; tachycardia >100 bpm, bradycardia
<60 bpm.
6. A patient has a blood pressure of 150/95 mmHg. How is this classified?
Answer: Hypertension Stage 2
Rationale: According to the American Heart Association: Stage 1 = 130–139/80–89, Stage 2 =
≥140/90 mmHg.
7. Which PPE should be used when caring for a patient with TB?
Answer: N95 mask, gloves, gown if contact expected
Rationale: TB is airborne; N95 respirator prevents inhalation of infectious droplets.
8. What is the proper sequence for donning PPE?
Answer: Gown → Mask/Respirator → Goggles/Face shield → Gloves
Rationale: Ensures maximum protection and prevents contamination of clothing or skin.
2026 2027 GRADED A+
,3|Page
9. A patient is confused and agitated. Which action is most important?
Answer: Ensure patient safety
Rationale: Safety takes priority; address confusion, prevent falls, assess underlying cause.
10. What is tachypnea?
Answer: Rapid breathing
Rationale: “Tachy-” = fast, “-pnea” = breathing; helps identify respiratory distress.
11. Calculate the dosage: Order = 0.5 g, Supply = 250 mg tablets. How many tablets?
Answer: 2 tablets
Rationale: Convert grams to mg: 0.5 g = 500 mg. Divide 500 ÷ 250 = 2.
12. Which is a sign of hypoglycemia?
Answer: Sweating, shakiness, confusion
Rationale: Low blood glucose triggers sympathetic response; early recognition prevents severe
complications.
13. What is the normal adult respiratory rate?
Answer: 12–20 breaths per minute
Rationale: Outside this range indicates respiratory distress or abnormality.
14. A patient has edema in the legs. Which nursing intervention is appropriate?
Answer: Elevate legs and monitor fluid status
Rationale: Elevation promotes venous return; monitoring prevents worsening fluid retention.
15. Which injection site is preferred for an adult intramuscular (IM) injection?
Answer: Deltoid or ventrogluteal
Rationale: Deltoid: 1 mL max; Ventrogluteal: larger volume, less risk of nerve injury.
2026 2027 GRADED A+
, 4|Page
16. What is the first action when a patient experiences anaphylaxis?
Answer: Call for help and administer epinephrine
Rationale: Anaphylaxis is life-threatening; immediate intervention is required to maintain
airway and circulation.
17. What is the normal oral temperature for an adult?
Answer: 98.6°F (37°C)
Rationale: Normal range is 97–99°F; deviations may indicate infection or hypothermia.
18. A patient’s oxygen saturation is 85%. What is the priority action?
Answer: Administer supplemental oxygen and assess airway
Rationale: Normal SpO₂ is 95–100%; 85% indicates hypoxemia requiring immediate
intervention.
19. Which lab test is used to monitor kidney function?
Answer: Creatinine and BUN
Rationale: Elevated levels indicate impaired renal function; important for medication dosing.
20. A patient is on contact precautions. Which items are required?
Answer: Gloves and gown
Rationale: Contact precautions prevent spread of pathogens via touch or contaminated surfaces.
21. A patient is prescribed 2 mg of a medication. Available tablet = 0.5 mg. How many tablets
should you give?
Answer: 4 tablets
Rationale: Divide prescribed dose by tablet strength: 2 ÷ 0.5 = 4. Ensures correct medication
administration.
2026 2027 GRADED A+
HESI LPN EXAM (NEW UPDATED VERSION) LATEST ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) | GUARANTEED
PASS A+ [2026-2027]
HESI LPN Practice Exam — Section 1 (Questions 1–100)
Topics Covered:
• Math / Dosage Calculations
• Medical Terminology
• Anatomy & Physiology
• Infection Control
• Patient Care & Nursing Procedures
1. A patient is prescribed 250 mg of a medication. The tablets available are 125 mg. How many
tablets should you give?
Answer: 2 tablets
Rationale: Divide the prescribed dose by the tablet strength: 250 ÷ 125 = 2. Ensures correct
dosing.
2. An IV is ordered at 1000 mL over 10 hours. What is the flow rate in mL/hr?
Answer: 100 mL/hr
Rationale: Flow rate = total volume ÷ time; 1000 ÷ 10 = 100 mL/hr. Accurate flow rate prevents
fluid overload or underhydration.
2026 2027 GRADED A+
,2|Page
3. The patient chart states “NPO after midnight.” What does NPO mean?
Answer: Nothing by mouth
Rationale: NPO is Latin “nil per os,” indicating no food or fluids to prevent complications
during surgery or procedures.
4. Which organ produces insulin?
Answer: Pancreas
Rationale: Beta cells in the pancreas secrete insulin to regulate blood glucose levels.
5. What is the normal adult heart rate range?
Answer: 60–100 bpm
Rationale: Heart rate within this range is considered normal; tachycardia >100 bpm, bradycardia
<60 bpm.
6. A patient has a blood pressure of 150/95 mmHg. How is this classified?
Answer: Hypertension Stage 2
Rationale: According to the American Heart Association: Stage 1 = 130–139/80–89, Stage 2 =
≥140/90 mmHg.
7. Which PPE should be used when caring for a patient with TB?
Answer: N95 mask, gloves, gown if contact expected
Rationale: TB is airborne; N95 respirator prevents inhalation of infectious droplets.
8. What is the proper sequence for donning PPE?
Answer: Gown → Mask/Respirator → Goggles/Face shield → Gloves
Rationale: Ensures maximum protection and prevents contamination of clothing or skin.
2026 2027 GRADED A+
,3|Page
9. A patient is confused and agitated. Which action is most important?
Answer: Ensure patient safety
Rationale: Safety takes priority; address confusion, prevent falls, assess underlying cause.
10. What is tachypnea?
Answer: Rapid breathing
Rationale: “Tachy-” = fast, “-pnea” = breathing; helps identify respiratory distress.
11. Calculate the dosage: Order = 0.5 g, Supply = 250 mg tablets. How many tablets?
Answer: 2 tablets
Rationale: Convert grams to mg: 0.5 g = 500 mg. Divide 500 ÷ 250 = 2.
12. Which is a sign of hypoglycemia?
Answer: Sweating, shakiness, confusion
Rationale: Low blood glucose triggers sympathetic response; early recognition prevents severe
complications.
13. What is the normal adult respiratory rate?
Answer: 12–20 breaths per minute
Rationale: Outside this range indicates respiratory distress or abnormality.
14. A patient has edema in the legs. Which nursing intervention is appropriate?
Answer: Elevate legs and monitor fluid status
Rationale: Elevation promotes venous return; monitoring prevents worsening fluid retention.
15. Which injection site is preferred for an adult intramuscular (IM) injection?
Answer: Deltoid or ventrogluteal
Rationale: Deltoid: 1 mL max; Ventrogluteal: larger volume, less risk of nerve injury.
2026 2027 GRADED A+
, 4|Page
16. What is the first action when a patient experiences anaphylaxis?
Answer: Call for help and administer epinephrine
Rationale: Anaphylaxis is life-threatening; immediate intervention is required to maintain
airway and circulation.
17. What is the normal oral temperature for an adult?
Answer: 98.6°F (37°C)
Rationale: Normal range is 97–99°F; deviations may indicate infection or hypothermia.
18. A patient’s oxygen saturation is 85%. What is the priority action?
Answer: Administer supplemental oxygen and assess airway
Rationale: Normal SpO₂ is 95–100%; 85% indicates hypoxemia requiring immediate
intervention.
19. Which lab test is used to monitor kidney function?
Answer: Creatinine and BUN
Rationale: Elevated levels indicate impaired renal function; important for medication dosing.
20. A patient is on contact precautions. Which items are required?
Answer: Gloves and gown
Rationale: Contact precautions prevent spread of pathogens via touch or contaminated surfaces.
21. A patient is prescribed 2 mg of a medication. Available tablet = 0.5 mg. How many tablets
should you give?
Answer: 4 tablets
Rationale: Divide prescribed dose by tablet strength: 2 ÷ 0.5 = 4. Ensures correct medication
administration.
2026 2027 GRADED A+
