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HESI LPN Entrance Exam (2026) | Actual
Exam Questions & Verified Answers |
Grade A | Guaranteed Pass
Exam Structure:
Subject: HESI LPN Entrance Exam Practice Questions (Multi-Specialty)
Source: HESI LPN Entrance Exam Questions and Answers 2026
Format: Multiple-Choice Questions with Direct Answers
1. 2 days after an abdominal hysterectomy, an elderly client with
diabetes Mellitus Type II has a syncopal episode. Her vital signs are
within normal limits and her sugar is 325 mg/dL325 mg/dL . what
intervention should the nurse implement first?
Correct Answer: administer regular insulin per sliding scale
Rationale:
1. The client's blood glucose is critically high (325 mg/dL), which can
cause osmotic diuresis, dehydration, and electrolyte imbalances
leading to syncope.
2. The immediate intervention is to lower the blood glucose with insulin
as prescribed by the sliding scale protocol.
3. While assessing vital signs is important, the abnormal lab value
(hyperglycemia) is the clear cause of the syncopal episode and must
be treated first.
2. A 3- week- old infant is admitted for surgical repair of Pyloric
Stenosis. What interventions should the nurse expect to implement to
, 2|Page
establish hydration in the immediate postoperative period?
Correct Answer: nipple feedings with glucose water
Rationale:
1. After pyloromyotomy, the stomach and intestines need time to heal
and resume normal peristalsis.
2. Small, frequent feedings of clear glucose water are initiated first to
assess tolerance and prevent vomiting.
3. This gradual approach minimizes stress on the surgical site and
prevents dehydration while advancing to formula or breast milk as
tolerated.
3. a 3 year- old admitted with fever of unknown (FUO) has begun
vomiting in the past half hour. The child's temp. is 101.8F, and the last
does of antipyretic medication was given 5 hours ago. the child has
prescriptions of acetaminophen
(Tylenol) 160 mg160 mg per 5 mL5 mL elixir
or 16mg16mg suppositories PRN fever or pain. what action should the
nurse take at this time?
Correct Answer: make the child NPO and hold all mediations until the
vomiting has stopped.
Rationale:
1. Administering oral medication to a actively vomiting child risks
aspiration and will likely not be retained.
2. Making the child NPO (nothing by mouth) allows the gastrointestinal
tract to rest.
3. Antipyretics can be given rectally if needed once vomiting subsides,
but the priority is to prevent aspiration and assess for the cause of
vomiting.
4. 4 hours after administration of 20U of regular insulin, the client
becomes shaky and diaphoretic. what action should the nurse take?
Correct Answer: give the client crackers and milk
Rationale:
1. Shakiness and diaphoresis are classic signs of hypoglycemia, which
can occur 2-4 hours after regular insulin peaks.
2. The immediate treatment for a conscious client with hypoglycemia is
to administer 15-20 grams of fast-acting carbohydrates.
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3. Crackers and milk provide both simple and complex carbohydrates to
raise blood sugar quickly and sustain it.
5. a 6- month child with bronchiolitis is admitted to the hospital. In
monitoring the respiratory status of this child, which symptom
indicates the nurse that he is experiencing respiratory distress?
Correct Answer: A high pitched cry.
Rationale:
1. A high-pitched or shrill cry can indicate increased intracranial
pressure or, in respiratory contexts, severe respiratory distress and
hypoxia.
2. In bronchiolitis, respiratory distress signs include nasal flaring,
retractions, grunting, and changes in cry due to air hunger and effort.
3. This symptom warrants immediate assessment of oxygen saturation
and respiratory effort.
6. An 8- year- old recovering from a Celiac Crisis requests a bowl of
cereal for breakfast. Which cereal should the nurse provide?
Correct Answer: rice
Rationale:
1. Celiac disease requires a strict gluten-free diet. A celiac crisis is a
severe exacerbation triggered by gluten ingestion.
2. Rice cereal is naturally gluten-free and is a safe, easily digestible
carbohydrate source during recovery.
3. Most commercial cereals contain wheat, barley, or rye (gluten
sources) and must be avoided.
7. total number of confirmed pregnancies regardless of the outcome
Correct Answer: Gravida
Rationale:
1. In obstetrical history, Gravida refers to the total number of times a
woman has been pregnant, including current pregnancy,
miscarriages, abortions, and live births.
8. number of births after 20 weeks
Correct Answer: Para
Rationale:
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1. Para indicates the number of pregnancies that have reached viable
gestational age (20+ weeks), regardless of whether the baby was
born alive or stillborn.
9. pregnant for the first time
Correct Answer: primigravida
Rationale:
1. A primigravida is a woman who is pregnant for the first time.
10. 26 year old gravida- 4, para- 0 had a spontaneous abortion at 9
weeks gestation. at one house post dilation and curettage (D&C) the
nurse assess the vital signs and vaginal bleeding. the client begins to
cry softly. how should the nurse intervene?
Correct Answer: express sorrow for the clients grief and offer to sit with
her.
Rationale:
1. The client is experiencing a significant loss (spontaneous abortion)
and emotional grief.
2. Therapeutic nursing care involves acknowledging the loss, expressing
empathy, and providing silent, supportive presence.
3. This intervention addresses the client's psychosocial needs
immediately after a physically and emotionally traumatic event.
11. A 26 year- old primigravida who delivered a 7- pound male infant
26 hours ago tells the nurse that she is confused about when she and
her husband can return to having sexual intercourse. What info
should the nurse reinforce with this client?
Correct Answer: they can have intercourse when the episiotomy is healed
and the lochial flow has stopped
Rationale:
1. Postpartum patients need clear guidance to prevent infection and
discomfort.
2. Resuming intercourse before lochia ceases and the episiotomy heals
increases the risk of infection and pain.
3. This teaching promotes healing, comfort, and safe family planning.
HESI LPN Entrance Exam (2026) | Actual
Exam Questions & Verified Answers |
Grade A | Guaranteed Pass
Exam Structure:
Subject: HESI LPN Entrance Exam Practice Questions (Multi-Specialty)
Source: HESI LPN Entrance Exam Questions and Answers 2026
Format: Multiple-Choice Questions with Direct Answers
1. 2 days after an abdominal hysterectomy, an elderly client with
diabetes Mellitus Type II has a syncopal episode. Her vital signs are
within normal limits and her sugar is 325 mg/dL325 mg/dL . what
intervention should the nurse implement first?
Correct Answer: administer regular insulin per sliding scale
Rationale:
1. The client's blood glucose is critically high (325 mg/dL), which can
cause osmotic diuresis, dehydration, and electrolyte imbalances
leading to syncope.
2. The immediate intervention is to lower the blood glucose with insulin
as prescribed by the sliding scale protocol.
3. While assessing vital signs is important, the abnormal lab value
(hyperglycemia) is the clear cause of the syncopal episode and must
be treated first.
2. A 3- week- old infant is admitted for surgical repair of Pyloric
Stenosis. What interventions should the nurse expect to implement to
, 2|Page
establish hydration in the immediate postoperative period?
Correct Answer: nipple feedings with glucose water
Rationale:
1. After pyloromyotomy, the stomach and intestines need time to heal
and resume normal peristalsis.
2. Small, frequent feedings of clear glucose water are initiated first to
assess tolerance and prevent vomiting.
3. This gradual approach minimizes stress on the surgical site and
prevents dehydration while advancing to formula or breast milk as
tolerated.
3. a 3 year- old admitted with fever of unknown (FUO) has begun
vomiting in the past half hour. The child's temp. is 101.8F, and the last
does of antipyretic medication was given 5 hours ago. the child has
prescriptions of acetaminophen
(Tylenol) 160 mg160 mg per 5 mL5 mL elixir
or 16mg16mg suppositories PRN fever or pain. what action should the
nurse take at this time?
Correct Answer: make the child NPO and hold all mediations until the
vomiting has stopped.
Rationale:
1. Administering oral medication to a actively vomiting child risks
aspiration and will likely not be retained.
2. Making the child NPO (nothing by mouth) allows the gastrointestinal
tract to rest.
3. Antipyretics can be given rectally if needed once vomiting subsides,
but the priority is to prevent aspiration and assess for the cause of
vomiting.
4. 4 hours after administration of 20U of regular insulin, the client
becomes shaky and diaphoretic. what action should the nurse take?
Correct Answer: give the client crackers and milk
Rationale:
1. Shakiness and diaphoresis are classic signs of hypoglycemia, which
can occur 2-4 hours after regular insulin peaks.
2. The immediate treatment for a conscious client with hypoglycemia is
to administer 15-20 grams of fast-acting carbohydrates.
, 3|Page
3. Crackers and milk provide both simple and complex carbohydrates to
raise blood sugar quickly and sustain it.
5. a 6- month child with bronchiolitis is admitted to the hospital. In
monitoring the respiratory status of this child, which symptom
indicates the nurse that he is experiencing respiratory distress?
Correct Answer: A high pitched cry.
Rationale:
1. A high-pitched or shrill cry can indicate increased intracranial
pressure or, in respiratory contexts, severe respiratory distress and
hypoxia.
2. In bronchiolitis, respiratory distress signs include nasal flaring,
retractions, grunting, and changes in cry due to air hunger and effort.
3. This symptom warrants immediate assessment of oxygen saturation
and respiratory effort.
6. An 8- year- old recovering from a Celiac Crisis requests a bowl of
cereal for breakfast. Which cereal should the nurse provide?
Correct Answer: rice
Rationale:
1. Celiac disease requires a strict gluten-free diet. A celiac crisis is a
severe exacerbation triggered by gluten ingestion.
2. Rice cereal is naturally gluten-free and is a safe, easily digestible
carbohydrate source during recovery.
3. Most commercial cereals contain wheat, barley, or rye (gluten
sources) and must be avoided.
7. total number of confirmed pregnancies regardless of the outcome
Correct Answer: Gravida
Rationale:
1. In obstetrical history, Gravida refers to the total number of times a
woman has been pregnant, including current pregnancy,
miscarriages, abortions, and live births.
8. number of births after 20 weeks
Correct Answer: Para
Rationale:
, 4|Page
1. Para indicates the number of pregnancies that have reached viable
gestational age (20+ weeks), regardless of whether the baby was
born alive or stillborn.
9. pregnant for the first time
Correct Answer: primigravida
Rationale:
1. A primigravida is a woman who is pregnant for the first time.
10. 26 year old gravida- 4, para- 0 had a spontaneous abortion at 9
weeks gestation. at one house post dilation and curettage (D&C) the
nurse assess the vital signs and vaginal bleeding. the client begins to
cry softly. how should the nurse intervene?
Correct Answer: express sorrow for the clients grief and offer to sit with
her.
Rationale:
1. The client is experiencing a significant loss (spontaneous abortion)
and emotional grief.
2. Therapeutic nursing care involves acknowledging the loss, expressing
empathy, and providing silent, supportive presence.
3. This intervention addresses the client's psychosocial needs
immediately after a physically and emotionally traumatic event.
11. A 26 year- old primigravida who delivered a 7- pound male infant
26 hours ago tells the nurse that she is confused about when she and
her husband can return to having sexual intercourse. What info
should the nurse reinforce with this client?
Correct Answer: they can have intercourse when the episiotomy is healed
and the lochial flow has stopped
Rationale:
1. Postpartum patients need clear guidance to prevent infection and
discomfort.
2. Resuming intercourse before lochia ceases and the episiotomy heals
increases the risk of infection and pain.
3. This teaching promotes healing, comfort, and safe family planning.
