FUNDAMENTALS HESI (LPN) 2026 EXAM QUESTIONS AND
ANSWERS 100% CORRECT(LATEST 2026 UPDATE)
,A male client has right-sided hemiplegia following a left cerebrovascular accident (CVA).
His sitting balance has improved, and he is now able to sit in a wheelchair. To assist the
client in transferring from the bed to a wheelchair, which action should the nurse take? -
ANSWER Place the wheelchair on the client's left side.
A 19-year-old client is admitted to the hospital with severe right lower quadrant
abdominal pain. The father is requesting to know his son's laboratory test results. Which
is the best response for the nurse to provide? - ANSWER "I can only give medical
information to your son because he is an adult."
A 75-year-old male presents to the emergency department (ED) with poorly controlled
diabetes. He had been experiencing polyuria, nausea and vomiting, confusion, and
unstable blood sugars. The client was stabilized in the ED and transferred to the
medical unit for continued stabilization and management. The client has a history of
smoking and has smoked one pack per day for the past 40 years. There is a history of
moderate obesity, insulin dependent diabetes, and mobility issues. He requires the use
of a walker for mobility. - ANSWER Actions to Take Choices:
- Offload coccyx and other bony prominences
- Cleanse and dress wound
Potential Conditions Choices:
- Pressure injury
Parameters to Monitor Choices:
- Wound status
- Documentation of skin prevention measures
An older adult woman comes to the clinic because of vaginal bleeding. The healthcare
provider finds a vaginal tear, which the client reports is likely to have occurred during
unprotected sexual intercourse. Which content is most important for the nurse to include
in this client's teaching plan? - ANSWER The importance of using vaginal lubricants.
The nurse uses a sterile syringe to obtain a urine specimen from a client's indwelling
urinary catheter. After placing the specimen in a biohazard bag, the nurse transports the
specimen to the laboratory. During which part of this procedure should the nurse wear
gloves? - ANSWER Using the syringe to remove the specimen from the catheter.
While measuring vital signs, the nurse observes that a client is using accessory neck
muscles during respirations. Which follow- up action should the nurse take first? -
ANSWER Measure oxygen saturation.
, The nurse is obtaining a systolic blood pressure by palpation. While inflating the cuff,
the radial pulse is no longer palpable at 90 mm Hg. Which action should the nurse take?
- ANSWER Inflate blood pressure cuff to 120 mm Hg.
A client who had emergency gallbladder surgery yesterday is getting ready for
discharge. The client speaks very little English. When teaching wound care, which
method should the nurse use to evaluate the client's understanding of self care at
home? - ANSWER Have the client demonstrate prescribed wound care.
The client is a 2-year-old female with diarrhea and dehydration. She was born at 32
weeks vaginally and was in the neonatal intensive care unit (NICU) for several weeks
before being discharged home. She is developmentally appropriate.
Patient Data
The nurse pulled a bottle of potassium from the automated medication administration
system. They went to the medication room to pull up the medication, and immediately
went to the client's room to administer the dose. The nurse did not realize that they
needed to calculate and pull the appropriate dose from the bottle and gave the entire
volume for a total of 40 mEq.
Which medication error prevention techniques would have helped to avoid this error?
Select all that apply - ANSWER - Question unusually large or small doses
- Do not allow other activity to interrupt medication administration
- Double check the dosage of high risk medications with another nurse
A client's spouse has just learned of the client's terminal illness. The spouse is sitting in
the corner of the client's room crying, and says to the nurse, "I feel as if I'm already so
alone." Which action should the nurse take first? - ANSWER Encourage the spouse to
share their feelings.
A client is being discharged postsurgery. Which information provided by the client
requires additional instruction by the nurse? - ANSWER Call the pharmacy to see which
medications should be taken.
While changing the dressing of a client who is immobile, the nurse notices the boundary
of the wound has increased. Given there is a positive methicillin-resistant
Staphylococcus aureus (MRSA) laboratory result, which action is the most important for
the nurse to take? - ANSWER Initiate contact precautions.
ANSWERS 100% CORRECT(LATEST 2026 UPDATE)
,A male client has right-sided hemiplegia following a left cerebrovascular accident (CVA).
His sitting balance has improved, and he is now able to sit in a wheelchair. To assist the
client in transferring from the bed to a wheelchair, which action should the nurse take? -
ANSWER Place the wheelchair on the client's left side.
A 19-year-old client is admitted to the hospital with severe right lower quadrant
abdominal pain. The father is requesting to know his son's laboratory test results. Which
is the best response for the nurse to provide? - ANSWER "I can only give medical
information to your son because he is an adult."
A 75-year-old male presents to the emergency department (ED) with poorly controlled
diabetes. He had been experiencing polyuria, nausea and vomiting, confusion, and
unstable blood sugars. The client was stabilized in the ED and transferred to the
medical unit for continued stabilization and management. The client has a history of
smoking and has smoked one pack per day for the past 40 years. There is a history of
moderate obesity, insulin dependent diabetes, and mobility issues. He requires the use
of a walker for mobility. - ANSWER Actions to Take Choices:
- Offload coccyx and other bony prominences
- Cleanse and dress wound
Potential Conditions Choices:
- Pressure injury
Parameters to Monitor Choices:
- Wound status
- Documentation of skin prevention measures
An older adult woman comes to the clinic because of vaginal bleeding. The healthcare
provider finds a vaginal tear, which the client reports is likely to have occurred during
unprotected sexual intercourse. Which content is most important for the nurse to include
in this client's teaching plan? - ANSWER The importance of using vaginal lubricants.
The nurse uses a sterile syringe to obtain a urine specimen from a client's indwelling
urinary catheter. After placing the specimen in a biohazard bag, the nurse transports the
specimen to the laboratory. During which part of this procedure should the nurse wear
gloves? - ANSWER Using the syringe to remove the specimen from the catheter.
While measuring vital signs, the nurse observes that a client is using accessory neck
muscles during respirations. Which follow- up action should the nurse take first? -
ANSWER Measure oxygen saturation.
, The nurse is obtaining a systolic blood pressure by palpation. While inflating the cuff,
the radial pulse is no longer palpable at 90 mm Hg. Which action should the nurse take?
- ANSWER Inflate blood pressure cuff to 120 mm Hg.
A client who had emergency gallbladder surgery yesterday is getting ready for
discharge. The client speaks very little English. When teaching wound care, which
method should the nurse use to evaluate the client's understanding of self care at
home? - ANSWER Have the client demonstrate prescribed wound care.
The client is a 2-year-old female with diarrhea and dehydration. She was born at 32
weeks vaginally and was in the neonatal intensive care unit (NICU) for several weeks
before being discharged home. She is developmentally appropriate.
Patient Data
The nurse pulled a bottle of potassium from the automated medication administration
system. They went to the medication room to pull up the medication, and immediately
went to the client's room to administer the dose. The nurse did not realize that they
needed to calculate and pull the appropriate dose from the bottle and gave the entire
volume for a total of 40 mEq.
Which medication error prevention techniques would have helped to avoid this error?
Select all that apply - ANSWER - Question unusually large or small doses
- Do not allow other activity to interrupt medication administration
- Double check the dosage of high risk medications with another nurse
A client's spouse has just learned of the client's terminal illness. The spouse is sitting in
the corner of the client's room crying, and says to the nurse, "I feel as if I'm already so
alone." Which action should the nurse take first? - ANSWER Encourage the spouse to
share their feelings.
A client is being discharged postsurgery. Which information provided by the client
requires additional instruction by the nurse? - ANSWER Call the pharmacy to see which
medications should be taken.
While changing the dressing of a client who is immobile, the nurse notices the boundary
of the wound has increased. Given there is a positive methicillin-resistant
Staphylococcus aureus (MRSA) laboratory result, which action is the most important for
the nurse to take? - ANSWER Initiate contact precautions.
