HESI Exit LPN Exam
Question 1:
The practical nurse (PN) is observing a newly hired PN who is preparing to administer a
liquid medication via a client's feeding tube system as seen in the picture. What action
should the PN take?
A. Demonstrate how to administer medication via a feeding tube.
B. Confirm that the medication is only administered once daily
C. Determine if the medication is compatible with the solution.
D. Offer to assist in calculating the rate of flow for the mixture.
Answer and Explanation
Choice A:
1|Page
,HESI Exit LPN Exam
The picture shows that the newly hired PN is about to make a serious error by adding the
medication directly to the feeding bag, which can cause clogging, contamination, or inaccurate
dosing of the medication. The PN should demonstrate how to administer medication via a
feeding tube correctly, which involves stopping the feeding, flushing the tube with water,
instilling the medication, flushing again, and resuming the feeding.
Choice B:
Confirming that the medication is only administered once daily is not relevant or helpful, as it
does not address the error or teach the correct technique of administering medication via a
feeding tube.
Choice C:
Determining if the medication is compatible with the solution is not necessary or appropriate, as
the medication should not be mixed with the solution in the first place, but given separately
through the feeding tube.
Choice D:
Offering to assist in calculating the rate of flow for the mixture is not relevant or helpful, as there
should be no mixture of medication and solution in the feeding bag, but separate administration
of each through the feeding tube.
Question 2:
2|Page
,HESI Exit LPN Exam
A client with obsessive-compulsive disorder (OCD) reports, "Thoughts stick in my mind
and the rituals I use are stupid, but I cannot control them. People laugh at me, but they do
not understand how awful it is. I am a burden to my family because I cannot hold a job. I
do not know how much longer I can live this way." Which information is most important
for the practical nurse (PN) to ask in response to the client's statements?
A. Question about which rituals are most often used to reduce anxiety.
B. Ask if the obsessions and compulsions interfere with sleep.
C. Inquire if the distress could lead to considering suicide as an option.
D. Determine what makes the client think people are laughing.
Answer and Explanation
Choice A:
Questioning about which rituals are most often used to reduce anxiety is not a priority and may
reinforce the client's compulsive behavior.
Choice B:
Asking if the obsessions and compulsions interfere with sleep is not a priority and may not
address the client's emotional distress.
Choice C:
This is the most important information for the PN to ask because it assesses the client's risk for
self-harm and suicidal ideation. The client's statements indicate hopelessness, low self-esteem,
3|Page
, HESI Exit LPN Exam
and impaired functioning, which are potential warning signs of suicide. The PN should ask the
client
4|Page
Question 1:
The practical nurse (PN) is observing a newly hired PN who is preparing to administer a
liquid medication via a client's feeding tube system as seen in the picture. What action
should the PN take?
A. Demonstrate how to administer medication via a feeding tube.
B. Confirm that the medication is only administered once daily
C. Determine if the medication is compatible with the solution.
D. Offer to assist in calculating the rate of flow for the mixture.
Answer and Explanation
Choice A:
1|Page
,HESI Exit LPN Exam
The picture shows that the newly hired PN is about to make a serious error by adding the
medication directly to the feeding bag, which can cause clogging, contamination, or inaccurate
dosing of the medication. The PN should demonstrate how to administer medication via a
feeding tube correctly, which involves stopping the feeding, flushing the tube with water,
instilling the medication, flushing again, and resuming the feeding.
Choice B:
Confirming that the medication is only administered once daily is not relevant or helpful, as it
does not address the error or teach the correct technique of administering medication via a
feeding tube.
Choice C:
Determining if the medication is compatible with the solution is not necessary or appropriate, as
the medication should not be mixed with the solution in the first place, but given separately
through the feeding tube.
Choice D:
Offering to assist in calculating the rate of flow for the mixture is not relevant or helpful, as there
should be no mixture of medication and solution in the feeding bag, but separate administration
of each through the feeding tube.
Question 2:
2|Page
,HESI Exit LPN Exam
A client with obsessive-compulsive disorder (OCD) reports, "Thoughts stick in my mind
and the rituals I use are stupid, but I cannot control them. People laugh at me, but they do
not understand how awful it is. I am a burden to my family because I cannot hold a job. I
do not know how much longer I can live this way." Which information is most important
for the practical nurse (PN) to ask in response to the client's statements?
A. Question about which rituals are most often used to reduce anxiety.
B. Ask if the obsessions and compulsions interfere with sleep.
C. Inquire if the distress could lead to considering suicide as an option.
D. Determine what makes the client think people are laughing.
Answer and Explanation
Choice A:
Questioning about which rituals are most often used to reduce anxiety is not a priority and may
reinforce the client's compulsive behavior.
Choice B:
Asking if the obsessions and compulsions interfere with sleep is not a priority and may not
address the client's emotional distress.
Choice C:
This is the most important information for the PN to ask because it assesses the client's risk for
self-harm and suicidal ideation. The client's statements indicate hopelessness, low self-esteem,
3|Page
, HESI Exit LPN Exam
and impaired functioning, which are potential warning signs of suicide. The PN should ask the
client
4|Page
