HESI LPN EXAM
HESI LPN Exam Questions with 100%
Correct Detailed Answers Correct Answers
with Detailed Rationales Top Rated A+
Latest Updates 2025
A client is receiving a continuous tube feeding. While checking the gastric residual volume, the
practical nurse (PN) aspirates 150 ml of gastric contents. What action should the PN take?
A. Rinse the feeding tube after throwing the aspirated gastric contents away and restart the feeding.
B. Replace half of the aspirated gastric contents and slow the rate of the feeding.
C. Throw the aspirated gastric contents away and stop the continuous feeding.
D. Return all the aspirated contents to the stomach followed with water and consult the agency
policy.
D. The residual volume should be replaced in order to prevent loss of electrolytes, and the agency
policy should be followed to determine the routine actions regarding the volume of the next
feeding, the rate of the feeding, or the duration to withhold the continuous feeding. Throwing the
aspirate away or only replacing a portion places the client at risk for electrolyte imbalance
The practical nurse (PN) is assisting a client plan a balanced vegetarian diet that provides the highest
in protein quality. Which selection should the PN recommend to the client?
A. Soybeans.
B. Peanuts.
C. Whole wheat.
D. Sesame seeds.
A. Soybeans are the highest in protein quality and contain the most nutritive value. (B and D) are
sources of protein but provide less nutritive value. Although whole wheat (C), a complex
carbohydrate, it is not as a protein source
,The practical nurse (PN) is caring for a client who is admitted with influenza and vomiting for 3 days.
The client's skin turgor is poor and oral mucous membranes are dry. Which finding is most important
for the practical nurse (PN) to report to the charge nurse?
A+ TEST BANK 3
, HESI LPN EXAM
A. Weight loss of 4 pounds in last 3 days.
B. Hypotension and tachycardia.
C. Nausea and anorexia.
D. Dark amber urine output at 30 ml/hour.
B. The client's fluid loss from protracted vomiting causes a shift in intravascular fluids causing
dehydration, hypotension, and tachycardia, which should be reported to the charge nurse. (A, B, and
C) are signs consistent with dehydration, but the priority is the client's fluid depletion that is causing
a hypotensive state.
The practical nurse (PN) contacts the healthcare provider about an older client who is agitated and
aggressive with the staff. Which reason should the PN use to request a prescription for wrist
restraints?
A. To decrease the client's agitation and acting-out behaviors.
B. To provide an effective way to prevent falls when the client is alone.
C. To protect the client and reduce the likelihood of lawsuits.
D. To ensure the client's safety when the benefits outweigh the risks.
D. Restraints should be used when the benefits outweigh the risks in providing a safe environment
for the client, and ensuring the safety of others. Restraints can increase agitation (A) and are not the
most effective way to prevent falls (B). Restraints may provide protection, but must be diligently
monitored to prevent negligent injury
Which action should the practical nurse (PN) implement when supporting an older client who is
afraid of dying?
A. Ask the client about his belief of a spiritual life after death.
B. Provide basic comfort measures to alleviate pain and breathlessness.
C. Use open-ended questions to encourage the client to share feelings.
D. Talk about common beliefs that others have expressed about death.
C. Using open-ended questions gives a client the opportunity to share feelings, fears, and concerns
about the process of dying. Although (A and D) provide topics of discussion about death, the client is
often self-centered and is best supported by encouragement to express personal feelings about
death. (B) provides palliative physical measures, but the client should be supported and allowed to
verbally express emotional distress and anxiety.
A+ TEST BANK 4
, HESI LPN EXAM
A family member of a dying client asks the practical nurse (PN) if the client knows the family is at the
bedside. The PN explains that which of the five senses persists the longest during the dying process?
A. Smell.
B. Touch.
C. Vision.
D. Hearing.
D. As death approaches, hearing (D) is the sense that persists even when the client is unable to
respond. (A, B, and C) decline before the sense of hearing.
Which action should the practical nurse (PN) implement to help a male client cope with his fear as he
approaches death?
A. Tell the client that he will soon find peace and comfort.
B. Encourage family members to cry at the client's bedside.
C. Hold the client's hand and tell him he is not alone.
D. Explain the signs of impending death to the family.
D. Therapeutic touch, such as holding the hand of a client who is dying, communicates the presence
of others (C) and helps reduce feelings of aloneness, expresses genuine care and concern, and
supports a fearful client who is dying or is unable to respond. Telling a client that he is going to find
peace and comfort (A) in death may increase a sense of anxiety. Because family dynamics vary
considerably, encouraging outward expression of family grief (B) may contribute to the client's
anxiety and fears.
An older client is receiving nasogastric tube (NGT) feedings for several days. Which finding should
the practical nurse (PN) report to the healthcare provider?
A. Soft, formed stools.
B. Urine output of 2000 ml per day.
C. Abdominal distention and nausea.
D. Dried mucus around the nasal tube.
C. Nausea and abdominal distention indicate a decrease in the rate of stomach emptying or an
excessive rate of intake, which requires notification of the healthcare provider for further
prescriptions. Soft, formed stools (A), urine output of 2000 ml per day (B), and dried mucus around
the nasal tube are normal findings.
The practical nurse (PN) is caring for an older client who is NPO after surgery. The client complains
that his mouth and mucous membranes are dry. Which intervention should the PN implement to
increase the client's comfort?
A. Increase oral fluid intake.
B. Perform oral hygiene frequently.
A+ TEST BANK 5
HESI LPN Exam Questions with 100%
Correct Detailed Answers Correct Answers
with Detailed Rationales Top Rated A+
Latest Updates 2025
A client is receiving a continuous tube feeding. While checking the gastric residual volume, the
practical nurse (PN) aspirates 150 ml of gastric contents. What action should the PN take?
A. Rinse the feeding tube after throwing the aspirated gastric contents away and restart the feeding.
B. Replace half of the aspirated gastric contents and slow the rate of the feeding.
C. Throw the aspirated gastric contents away and stop the continuous feeding.
D. Return all the aspirated contents to the stomach followed with water and consult the agency
policy.
D. The residual volume should be replaced in order to prevent loss of electrolytes, and the agency
policy should be followed to determine the routine actions regarding the volume of the next
feeding, the rate of the feeding, or the duration to withhold the continuous feeding. Throwing the
aspirate away or only replacing a portion places the client at risk for electrolyte imbalance
The practical nurse (PN) is assisting a client plan a balanced vegetarian diet that provides the highest
in protein quality. Which selection should the PN recommend to the client?
A. Soybeans.
B. Peanuts.
C. Whole wheat.
D. Sesame seeds.
A. Soybeans are the highest in protein quality and contain the most nutritive value. (B and D) are
sources of protein but provide less nutritive value. Although whole wheat (C), a complex
carbohydrate, it is not as a protein source
,The practical nurse (PN) is caring for a client who is admitted with influenza and vomiting for 3 days.
The client's skin turgor is poor and oral mucous membranes are dry. Which finding is most important
for the practical nurse (PN) to report to the charge nurse?
A+ TEST BANK 3
, HESI LPN EXAM
A. Weight loss of 4 pounds in last 3 days.
B. Hypotension and tachycardia.
C. Nausea and anorexia.
D. Dark amber urine output at 30 ml/hour.
B. The client's fluid loss from protracted vomiting causes a shift in intravascular fluids causing
dehydration, hypotension, and tachycardia, which should be reported to the charge nurse. (A, B, and
C) are signs consistent with dehydration, but the priority is the client's fluid depletion that is causing
a hypotensive state.
The practical nurse (PN) contacts the healthcare provider about an older client who is agitated and
aggressive with the staff. Which reason should the PN use to request a prescription for wrist
restraints?
A. To decrease the client's agitation and acting-out behaviors.
B. To provide an effective way to prevent falls when the client is alone.
C. To protect the client and reduce the likelihood of lawsuits.
D. To ensure the client's safety when the benefits outweigh the risks.
D. Restraints should be used when the benefits outweigh the risks in providing a safe environment
for the client, and ensuring the safety of others. Restraints can increase agitation (A) and are not the
most effective way to prevent falls (B). Restraints may provide protection, but must be diligently
monitored to prevent negligent injury
Which action should the practical nurse (PN) implement when supporting an older client who is
afraid of dying?
A. Ask the client about his belief of a spiritual life after death.
B. Provide basic comfort measures to alleviate pain and breathlessness.
C. Use open-ended questions to encourage the client to share feelings.
D. Talk about common beliefs that others have expressed about death.
C. Using open-ended questions gives a client the opportunity to share feelings, fears, and concerns
about the process of dying. Although (A and D) provide topics of discussion about death, the client is
often self-centered and is best supported by encouragement to express personal feelings about
death. (B) provides palliative physical measures, but the client should be supported and allowed to
verbally express emotional distress and anxiety.
A+ TEST BANK 4
, HESI LPN EXAM
A family member of a dying client asks the practical nurse (PN) if the client knows the family is at the
bedside. The PN explains that which of the five senses persists the longest during the dying process?
A. Smell.
B. Touch.
C. Vision.
D. Hearing.
D. As death approaches, hearing (D) is the sense that persists even when the client is unable to
respond. (A, B, and C) decline before the sense of hearing.
Which action should the practical nurse (PN) implement to help a male client cope with his fear as he
approaches death?
A. Tell the client that he will soon find peace and comfort.
B. Encourage family members to cry at the client's bedside.
C. Hold the client's hand and tell him he is not alone.
D. Explain the signs of impending death to the family.
D. Therapeutic touch, such as holding the hand of a client who is dying, communicates the presence
of others (C) and helps reduce feelings of aloneness, expresses genuine care and concern, and
supports a fearful client who is dying or is unable to respond. Telling a client that he is going to find
peace and comfort (A) in death may increase a sense of anxiety. Because family dynamics vary
considerably, encouraging outward expression of family grief (B) may contribute to the client's
anxiety and fears.
An older client is receiving nasogastric tube (NGT) feedings for several days. Which finding should
the practical nurse (PN) report to the healthcare provider?
A. Soft, formed stools.
B. Urine output of 2000 ml per day.
C. Abdominal distention and nausea.
D. Dried mucus around the nasal tube.
C. Nausea and abdominal distention indicate a decrease in the rate of stomach emptying or an
excessive rate of intake, which requires notification of the healthcare provider for further
prescriptions. Soft, formed stools (A), urine output of 2000 ml per day (B), and dried mucus around
the nasal tube are normal findings.
The practical nurse (PN) is caring for an older client who is NPO after surgery. The client complains
that his mouth and mucous membranes are dry. Which intervention should the PN implement to
increase the client's comfort?
A. Increase oral fluid intake.
B. Perform oral hygiene frequently.
A+ TEST BANK 5
