# ✅ **HESI
LPN COMPREHENSIVE SET OF
QUESTIONS AND ANSWERS WITH VERIFIED
SOLUTIONS GRADE A+.
---
### **1.** A client with heart failure is prescribed furosemide. Which finding should
the LPN report **immediately** to the RN?
A. Increased urine output
B. Weak, irregular pulse
C. Mild dizziness on standing
D. Weight loss of 1 lb in 24 hours
**Correct Answer: B**
**Rationale:** A weak, irregular pulse may indicate **hypokalemia**, a serious
adverse effect of loop diuretics requiring urgent intervention.
---
### **2.** The LPN is reinforcing teaching on a low-sodium diet. Which food should
the client avoid?
A. Fresh apples
B. Canned soup
C. Brown rice
D. Fresh chicken breast
**Correct Answer: B**
**Rationale:** Canned and processed foods contain **high sodium** and should be
avoided.
---
,### **3.** A postoperative client reports increasing pain at the incision site 2 hours
after receiving analgesics. What is the LPN's best action?
A. Notify the RN
B. Reposition the client
C. Document the pain level
D. Apply cold packs to the incision
**Correct Answer: A**
**Rationale:** Increasing pain **despite medication** may indicate complications
(hemorrhage, infection). Requires RN/provider evaluation.
---
### **4.** Which vital sign change is most concerning for a client receiving a blood
transfusion?
A. BP 136/88 → 140/90
B. Temp 98.6°F → 100.9°F
C. Pulse 88 → 92
D. RR 16 → 18
**Correct Answer: B**
**Rationale:** A temperature rise during transfusion may indicate a **transfusion
reaction**.
---
### **5.** The LPN notes crackles in the lungs of a client receiving IV fluids. What
should the nurse do first?
,A. Increase oxygen
B. Slow the IV rate
C. Notify the RN
D. Place the client supine
**Correct Answer: B**
**Rationale:** Crackles suggest **fluid overload**. Slowing the IV prevents
worsening while awaiting further orders.
---
### **6.** A client with COPD is receiving oxygen at 4 L/min by nasal cannula. What is
the priority concern?
A. Oxygen toxicity
B. Skin breakdown
C. Decreased respiratory drive
D. Nasal dryness
**Correct Answer: C**
**Rationale:** High oxygen flow can suppress **hypoxic drive** in COPD clients.
---
### **7.** The LPN is reinforcing diabetes teaching. Which statement indicates
understanding?
A. “I should skip meals when my glucose is low.”
B. “I will rotate my insulin injection sites.”
C. “I will store insulin in the freezer.”
D. “I can stop insulin if I feel well.”
, **Correct Answer: B**
**Rationale:** Rotating sites prevents **lipodystrophy** and ensures proper insulin
absorption.
---
### **8.** Which finding requires the LPN to report during digoxin therapy?
A. Heart rate 58 bpm
B. Nausea
C. Blurred vision
D. All of the above
**Correct Answer: D**
**Rationale:** All listed symptoms indicate **possible digoxin toxicity**.
---
### **9.** A client is ordered a PRN medication for pain rated “8/10.” What is the
LPN’s priority?
A. Document the pain score
B. Ask the RN to verify the order
C. Administer the medication
D. Reassess pain in 4 hours
**Correct Answer: C**
**Rationale:** Pain rated 8/10 is **severe** and requires timely intervention.
LPN COMPREHENSIVE SET OF
QUESTIONS AND ANSWERS WITH VERIFIED
SOLUTIONS GRADE A+.
---
### **1.** A client with heart failure is prescribed furosemide. Which finding should
the LPN report **immediately** to the RN?
A. Increased urine output
B. Weak, irregular pulse
C. Mild dizziness on standing
D. Weight loss of 1 lb in 24 hours
**Correct Answer: B**
**Rationale:** A weak, irregular pulse may indicate **hypokalemia**, a serious
adverse effect of loop diuretics requiring urgent intervention.
---
### **2.** The LPN is reinforcing teaching on a low-sodium diet. Which food should
the client avoid?
A. Fresh apples
B. Canned soup
C. Brown rice
D. Fresh chicken breast
**Correct Answer: B**
**Rationale:** Canned and processed foods contain **high sodium** and should be
avoided.
---
,### **3.** A postoperative client reports increasing pain at the incision site 2 hours
after receiving analgesics. What is the LPN's best action?
A. Notify the RN
B. Reposition the client
C. Document the pain level
D. Apply cold packs to the incision
**Correct Answer: A**
**Rationale:** Increasing pain **despite medication** may indicate complications
(hemorrhage, infection). Requires RN/provider evaluation.
---
### **4.** Which vital sign change is most concerning for a client receiving a blood
transfusion?
A. BP 136/88 → 140/90
B. Temp 98.6°F → 100.9°F
C. Pulse 88 → 92
D. RR 16 → 18
**Correct Answer: B**
**Rationale:** A temperature rise during transfusion may indicate a **transfusion
reaction**.
---
### **5.** The LPN notes crackles in the lungs of a client receiving IV fluids. What
should the nurse do first?
,A. Increase oxygen
B. Slow the IV rate
C. Notify the RN
D. Place the client supine
**Correct Answer: B**
**Rationale:** Crackles suggest **fluid overload**. Slowing the IV prevents
worsening while awaiting further orders.
---
### **6.** A client with COPD is receiving oxygen at 4 L/min by nasal cannula. What is
the priority concern?
A. Oxygen toxicity
B. Skin breakdown
C. Decreased respiratory drive
D. Nasal dryness
**Correct Answer: C**
**Rationale:** High oxygen flow can suppress **hypoxic drive** in COPD clients.
---
### **7.** The LPN is reinforcing diabetes teaching. Which statement indicates
understanding?
A. “I should skip meals when my glucose is low.”
B. “I will rotate my insulin injection sites.”
C. “I will store insulin in the freezer.”
D. “I can stop insulin if I feel well.”
, **Correct Answer: B**
**Rationale:** Rotating sites prevents **lipodystrophy** and ensures proper insulin
absorption.
---
### **8.** Which finding requires the LPN to report during digoxin therapy?
A. Heart rate 58 bpm
B. Nausea
C. Blurred vision
D. All of the above
**Correct Answer: D**
**Rationale:** All listed symptoms indicate **possible digoxin toxicity**.
---
### **9.** A client is ordered a PRN medication for pain rated “8/10.” What is the
LPN’s priority?
A. Document the pain score
B. Ask the RN to verify the order
C. Administer the medication
D. Reassess pain in 4 hours
**Correct Answer: C**
**Rationale:** Pain rated 8/10 is **severe** and requires timely intervention.
