HESI LPN to ADN Entrance Exam 2026 | 200 Practice Questions| HESI iNET for LPN to RN Bridge Programs

HESI LPN to ADN Entrance Exam 2026




HESI LPN to ADN
Entrance Exam 2026
Practice Questions on HESI iNet

This study guide contains 200 practice questions designed to help LPNs preparing for the HESI
LPN to ADN entrance exam. The questions span core nursing content commonly tested on the
exam, including cardiovascular and peripheral vascular care, pharmacology, medication safety,
fluids and electrolytes, perioperative nursing, maternal-newborn and pediatric care, older adult
care, and fundamental skills.

How to use this guide: Work through the questions in order or at random. For each item, choose
the best answer before reviewing the answer key at the end of this guide. Aim to understand why
the correct option is best, not only which letter is correct. The answers are listed in a separate
section so you can practice without seeing the key.

Disclaimer: This material is personal practice questions for educational study purposes only and
is not affiliated with any organizations. DO NOT RESELL OR RECOPY.




Portage Master HESI LPN to ADN Entrance Exam Practice Questions 2026 Page 1

, HESI LPN to ADN Entrance Exam 2026




Practice Questions
Question 1
A client is admitted with suspected Guillain-Barré syndrome. Which finding supports this
diagnosis?
A) Ascending symmetric muscle weakness
B) Sudden one-sided facial droop
C) Severe headache with stiff neck
D) Resting tremor of one hand
Answer: A

Question 2
A client with rapid atrial fibrillation asks why the provider is performing carotid sinus massage. The
nurse explains the maneuver is intended to activate which physiologic response?
A) Vagus nerve stimulation to decrease heart rate
B) Vagus nerve stimulation to increase heart rate
C) Phrenic nerve stimulation to decrease heart rate
D) Phrenic nerve stimulation to increase heart rate
Answer: A

Question 3
On the second hospital day for a client with coronary artery disease (CAD), the nurse observes
bilateral 2+ edema in the lower extremities. Which intervention is most appropriate?
A) Document the finding and report it to the registered nurse
B) Encourage the client to ambulate more frequently
C) Apply ice packs to the affected extremities
D) Provide additional pillows under the legs for elevation
Answer: A

Question 4
An older client joining a senior vacation group fears developing constipation during the flight.
Which recommendation by the nurse is most helpful?
A) Take an oral laxative before boarding
B) Restrict fiber while traveling
C) Drink additional fluids to stay well-hydrated
D) Avoid moving from the seat throughout the flight
Answer: C




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, HESI LPN to ADN Entrance Exam 2026




Question 5
A client with myocardial infarction is having intense chest pain that does not respond to
nitroglycerin. The provider orders which medication next?
A) Acetaminophen tablets
B) Aspirin enteric-coated
C) Intravenous morphine sulfate
D) Oral nitroglycerin extended-release
Answer: C

Question 6
A nurse teaches a client with coronary artery disease (CAD) about diet modifications. Which client
statement reflects accurate understanding?
A) "I will eat fried foods only twice each week."
B) "I will reduce salt by using salt substitutes liberally."
C) "I will choose baked or grilled fish, vegetables, and whole grains."
D) "I will replace red meat with full-fat cheese."
Answer: C

Question 7
An older adult with left-sided hemiplegia from a stroke points to the left leg and states, "There is a
leg in my bed and I don't know whose it is." Which response by the nurse is most therapeutic?
A) "That is clearly your own leg."
B) "It will go away soon."
C) "So you believe that this leg is not yours?"
D) "You should ignore it and try to sleep."
Answer: C

Question 8
Four hours after an aortoiliac bypass graft procedure, the nurse observes that the affected leg is
warm, slightly reddened, and mildly swollen with a pedal pulse identical to baseline. How should
the nurse interpret this assessment?
A) Alert the surgeon that moderate impairment is present
B) Determine that these findings represent expected recovery
C) Identify possible deterioration and reassess within one hour
D) Recognize sufficient arterial perfusion with developing venous congestion
Answer: B




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, HESI LPN to ADN Entrance Exam 2026




Question 9
A client at risk for coronary artery disease has a fasting blood glucose of 200 mg/dL. How should
the nurse interpret this finding?
A) Within the normal range for adults
B) Indicative of hypoglycemia
C) Consistent with diabetes mellitus and an additional CAD risk factor
D) Of no clinical significance
Answer: C

Question 10
A client with deep vein thrombosis (DVT) has been receiving therapy to relieve pain and swelling.
Which finding suggests the condition is not improving as expected?
A) Bilateral pedal edema rated +3
B) Decreased calf tenderness
C) Decreased calf circumference
D) Improved color and warmth of the affected leg
Answer: A

Question 11
A client suspected of having rheumatic heart disease is being assessed. Which finding in the
client's recent history would be most significant?
A) Recent surgical procedure
B) Recent skin abrasion
C) Recent untreated streptococcal sore throat
D) Recent immunization
Answer: C

Question 12
Immediately following a cardioversion procedure, which assessment is the most critical priority for
the nurse to perform?
A) Measure the blood pressure
B) Confirm a patent airway
C) Verify the oxygen flow rate setting
D) Evaluate the level of consciousness
Answer: B




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