High-Yield Study Guide for LPN Exit HESI Exam (NEW UPDATED VERSION)
LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS
AND ANSWERS) | GUARANTEED PASS A+ [2026-2027]
Myocardial Infarction (Heart Attack) - CORRECT ANSWER Chest pain (crushing, radiates to
jaw/left arm), SOB, sweating, nausea, EKG: ST elevation (STEMI), Elevated troponin & CK-MB.
QUESTION : Myocardial Infarction Interventions (MONA-B) - CORRECT ANSWER Morphine,
Oxygen, Nitroglycerin, Aspirin, Beta blockers.
QUESTION : Myocardial Infarction Patient Teaching - CORRECT ANSWER Lifestyle: low-fat,
low-sodium diet, Avoid smoking/alcohol, Gradual cardiac rehab.
QUESTION : Stroke (CVA) - CORRECT ANSWER Slurred speech, facial droop,
Weakness/numbness on one side, Sudden vision changes, LOC change.
QUESTION : Stroke Interventions - CORRECT ANSWER CT scan within 25 min, tPA within 3
hours (ischemic only), Swallow eval before oral intake, Fall precautions.
QUESTION : Stroke Patient Teaching - CORRECT ANSWER Rehab: PT/OT/speech, Control
BP, diabetes, Monitor swallowing.
QUESTION : Chronic Obstructive Pulmonary Disease (COPD) - CORRECT ANSWER Chronic
cough, sputum, Barrel chest, Clubbing, cyanosis, Tripod position, use of accessory muscles.
QUESTION : COPD Interventions - CORRECT ANSWER Low-flow O₂ (2L max), Pursed-lip
breathing, Small, frequent meals, Avoid respiratory depressants.
2026 2027 GRADED A+
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QUESTION : COPD Patient Teaching - CORRECT ANSWER No smoking, Get flu/pneumonia
vaccine, Increase fluid intake.
QUESTION : Diabetes Mellitus (Type 1 & 2) - CORRECT ANSWER Polyuria, polydipsia,
polyphagia, Fatigue, blurred vision, Poor wound healing.
QUESTION : Diabetes Interventions - CORRECT ANSWER Monitor glucose, administer
insulin, Foot care, Watch for hypo/hyperglycemia.
QUESTION : Diabetes Patient Teaching - CORRECT ANSWER Daily foot checks, Carry fast
carbs (juice, glucose tabs), Rotate insulin sites.
QUESTION : Preeclampsia - CORRECT ANSWER High BP (≥140/90), Proteinuria, Headache,
visual changes, Edema (face/hands).
QUESTION : Preeclampsia Interventions - CORRECT ANSWER Monitor BP, reflexes,
Administer magnesium sulfate, Seizure precautions, Fetal monitoring.
QUESTION : Preeclampsia Patient Teaching - CORRECT ANSWER Rest on left side, Report
signs of worsening (headache, vision loss), Monitor fetal movements.
QUESTION : Seizure Disorders - CORRECT ANSWER Aura, LOC change, Muscle rigidity,
jerking, Postictal confusion.
QUESTION : Seizure Interventions - CORRECT ANSWER Turn patient on side, Loosen
clothing, Do NOT restrain or put anything in mouth, Document time/duration.
QUESTION : Seizure Patient Teaching - CORRECT ANSWER Take meds regularly, Avoid
triggers (flashing lights, stress), Wear medical ID.
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QUESTION : Heart Failure (CHF) - CORRECT ANSWER Left-sided: Pulmonary (crackles,
dyspnea, orthopnea), Right-sided: Peripheral (edema, JVD, ascites).
QUESTION : Heart Failure Interventions - CORRECT ANSWER Diuretics (furosemide), Daily
weights, Low sodium diet, Fluid restriction.
QUESTION : Heart Failure Patient Teaching - CORRECT ANSWER Monitor weight gain (>2
lbs/day = report), Elevate legs, Adhere to meds and diet.
QUESTION : Neonatal Abstinence Syndrome (NAS) - CORRECT ANSWER High-pitched cry,
Tremors, hypertonia, Diarrhea, poor feeding, Irritability.
QUESTION : NAS Interventions - CORRECT ANSWER Swaddle, reduce stimuli, Use
morphine or methadone as prescribed, Monitor weight and I/O.
QUESTION : NAS Patient Teaching - CORRECT ANSWER Supportive care, Importance of
follow-ups, Referral to social services.
QUESTION : End-Stage Renal Disease (ESRD) - CORRECT ANSWER Decreased UOP,
Edema, HTN, Anemia, uremic frost, Electrolyte imbalances (↑K+, ↑Phos, ↓Ca).
QUESTION : ESRD Interventions - CORRECT ANSWER Dialysis prep, Monitor weight,
electrolytes, Renal diet (low Na, K, Phos, protein).
QUESTION : ESRD Patient Teaching - CORRECT ANSWER No salt substitutes (↑K+),
Monitor fluid intake, Adhere to dialysis schedule.
QUESTION : Earliest sign of acute kidney injury? - CORRECT ANSWER Oliguria - decreased
urine output.
2026 2027 GRADED A+
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QUESTION : Common electrolyte imbalance in AKI? - CORRECT ANSWER Hyperkalemia -
kidneys can't excrete potassium.
QUESTION : Priority intervention for urinary retention? - CORRECT ANSWER
Catheterization - relieve bladder distension.
QUESTION : Cloudy, foul-smelling urine indicates? - CORRECT ANSWER UTI - infection
causes turbidity and odor.
QUESTION : Teaching to prevent UTI? - CORRECT ANSWER Wipe front to back - prevent
bacterial entry.
QUESTION : Cause of nephrotic syndrome? - CORRECT ANSWER Glomerular damage -
proteinuria and edema.
QUESTION : Lab test monitoring dialysis? - CORRECT ANSWER Creatinine and BUN -
waste clearance.
QUESTION : Diet for chronic kidney disease? - CORRECT ANSWER Low sodium,
potassium, phosphorus, and protein.
QUESTION : Interventions for Myocardial Infarction - CORRECT ANSWER Morphine,
Oxygen, Nitroglycerin, Aspirin, Beta blockers.
QUESTION : Patient Teaching for Stroke - CORRECT ANSWER Rehab: PT/OT/speech,
Control BP, diabetes, Monitor swallowing.
QUESTION : Patient Teaching for COPD - CORRECT ANSWER No smoking, Get
flu/pneumonia vaccine, Increase fluid intake.
2026 2027 GRADED A+