HESI PN LPN Fundamentals ACTUAL
EXAM 2026/2027: 100% Verified
Questions & Correct Answers
Question 1: An LPN is assisting a client with hygiene care. The client states, "I can usually bathe
myself, but today I'm just too tired." What is the LPN's most appropriate response?
A. "Don't worry, I'll do everything for you today."
B. "Let's work together so you can do as much as you're able."
C. "You need to try harder to maintain your independence."
D. "I'll get the CNA to help you with everything."
Correct Answer: B
Rationale: The LPN should promote client independence while providing necessary assistance.
Working together allows the client to participate within their current capabilities while maintaining
dignity and preventing total dependence. This approach supports the client's self-care deficit
theory and rehabilitation principles.
Question 2: While obtaining vital signs, an LPN notices a client's blood pressure is 180/96 mmHg.
The client's baseline BP is typically 140/80. What should the LPN do first?
A. Recheck the blood pressure in 15 minutes
B. Immediately notify the RN or healthcare provider
C. Recheck using the other arm with appropriate cuff size
D. Document the finding and continue with routine care
Correct Answer: C
,Rationale: The LPN should first verify an abnormal vital sign using proper technique before
reporting. This includes using the correct cuff size (bladder should encircle 80% of the arm) and
checking both arms. Accurate assessment prevents false alarms and ensures appropriate clinical
decisions are made based on reliable data.
Question 3: An LPN is preparing to administer oral medications to a client who states, "I don't
recognize that blue pill." What is the LPN's best action?
A. Give the medication anyway since it was in the client's medication drawer
B. Check the medication against the MAR and explain what it is
C. Skip the medication and document the client refused
D. Call the pharmacy to verify the medication
Correct Answer: B
Rationale: The LPN should follow the rights of medication administration, including the right
medication and right patient education. Checking against the Medication Administration Record
(MAR) and explaining the medication ensures safety and addresses the client's concern. This
prevents medication errors and promotes client understanding and cooperation.
Question 4: An LPN notices a colleague documenting vital signs before actually taking them. What
should the LPN do?
A. Report the incident to the nurse manager immediately
B. Confront the colleague about the unsafe practice
C. Document the observation in the colleague's file
D. Inform the colleague that this practice is unsafe and must stop
Correct Answer: D
Rationale: The LPN has an ethical responsibility to address unsafe practices directly with
colleagues first, following the principles of collegial intervention. This approach maintains
professional relationships while ensuring patient safety. If the behavior continues after direct
communication, then escalation to management would be appropriate following the chain of
command.
Question 5: An LPN is caring for a client with diabetes who asks, "Why do you check my feet every
day?" What is the LPN's best response?
A. "It's just routine care for all diabetic patients."
, B. "Foot problems are common in diabetes, so we check for injuries or changes."
C. "The doctor ordered daily foot assessments."
D. "We want to make sure your circulation is good."
Correct Answer: B
Rationale: Client education is a crucial LPN responsibility. Explaining that diabetes can cause
neuropathy and vascular changes that increase foot injury risk helps the client understand the
importance of daily foot checks. This education empowers the client to participate in their own care
and understand the rationale behind nursing interventions.
Question 6: An LPN is positioning a client who had a right hip replacement. Which position is most
appropriate?
A. Left side-lying with pillow between knees
B. Right side-lying with right hip flexed
C. Supine with right hip externally rotated
D. Semi-Fowler's with right hip adducted
Correct Answer: A
Rationale: After hip replacement, the affected extremity should be kept in abduction and neutral
rotation to prevent dislocation. Left side-lying with pillow support maintains proper alignment and
prevents crossing the legs, which could cause dislocation. The operative hip should not be flexed
>90 degrees, internally rotated, or adducted across midline.
Question 7: An LPN notes a client's oxygen saturation dropping from 94% to 88% while eating.
What should the LPN do first?
A. Stop the meal and apply oxygen
B. Encourage slow, small bites
C. Raise the head of bed higher
D. Check pulse oximeter placement
Correct Answer: D
Rationale: Before intervening for a low oxygen saturation reading, the LPN should verify the
accuracy of the measurement. Checking pulse oximeter placement ensures the reading is valid and
EXAM 2026/2027: 100% Verified
Questions & Correct Answers
Question 1: An LPN is assisting a client with hygiene care. The client states, "I can usually bathe
myself, but today I'm just too tired." What is the LPN's most appropriate response?
A. "Don't worry, I'll do everything for you today."
B. "Let's work together so you can do as much as you're able."
C. "You need to try harder to maintain your independence."
D. "I'll get the CNA to help you with everything."
Correct Answer: B
Rationale: The LPN should promote client independence while providing necessary assistance.
Working together allows the client to participate within their current capabilities while maintaining
dignity and preventing total dependence. This approach supports the client's self-care deficit
theory and rehabilitation principles.
Question 2: While obtaining vital signs, an LPN notices a client's blood pressure is 180/96 mmHg.
The client's baseline BP is typically 140/80. What should the LPN do first?
A. Recheck the blood pressure in 15 minutes
B. Immediately notify the RN or healthcare provider
C. Recheck using the other arm with appropriate cuff size
D. Document the finding and continue with routine care
Correct Answer: C
,Rationale: The LPN should first verify an abnormal vital sign using proper technique before
reporting. This includes using the correct cuff size (bladder should encircle 80% of the arm) and
checking both arms. Accurate assessment prevents false alarms and ensures appropriate clinical
decisions are made based on reliable data.
Question 3: An LPN is preparing to administer oral medications to a client who states, "I don't
recognize that blue pill." What is the LPN's best action?
A. Give the medication anyway since it was in the client's medication drawer
B. Check the medication against the MAR and explain what it is
C. Skip the medication and document the client refused
D. Call the pharmacy to verify the medication
Correct Answer: B
Rationale: The LPN should follow the rights of medication administration, including the right
medication and right patient education. Checking against the Medication Administration Record
(MAR) and explaining the medication ensures safety and addresses the client's concern. This
prevents medication errors and promotes client understanding and cooperation.
Question 4: An LPN notices a colleague documenting vital signs before actually taking them. What
should the LPN do?
A. Report the incident to the nurse manager immediately
B. Confront the colleague about the unsafe practice
C. Document the observation in the colleague's file
D. Inform the colleague that this practice is unsafe and must stop
Correct Answer: D
Rationale: The LPN has an ethical responsibility to address unsafe practices directly with
colleagues first, following the principles of collegial intervention. This approach maintains
professional relationships while ensuring patient safety. If the behavior continues after direct
communication, then escalation to management would be appropriate following the chain of
command.
Question 5: An LPN is caring for a client with diabetes who asks, "Why do you check my feet every
day?" What is the LPN's best response?
A. "It's just routine care for all diabetic patients."
, B. "Foot problems are common in diabetes, so we check for injuries or changes."
C. "The doctor ordered daily foot assessments."
D. "We want to make sure your circulation is good."
Correct Answer: B
Rationale: Client education is a crucial LPN responsibility. Explaining that diabetes can cause
neuropathy and vascular changes that increase foot injury risk helps the client understand the
importance of daily foot checks. This education empowers the client to participate in their own care
and understand the rationale behind nursing interventions.
Question 6: An LPN is positioning a client who had a right hip replacement. Which position is most
appropriate?
A. Left side-lying with pillow between knees
B. Right side-lying with right hip flexed
C. Supine with right hip externally rotated
D. Semi-Fowler's with right hip adducted
Correct Answer: A
Rationale: After hip replacement, the affected extremity should be kept in abduction and neutral
rotation to prevent dislocation. Left side-lying with pillow support maintains proper alignment and
prevents crossing the legs, which could cause dislocation. The operative hip should not be flexed
>90 degrees, internally rotated, or adducted across midline.
Question 7: An LPN notes a client's oxygen saturation dropping from 94% to 88% while eating.
What should the LPN do first?
A. Stop the meal and apply oxygen
B. Encourage slow, small bites
C. Raise the head of bed higher
D. Check pulse oximeter placement
Correct Answer: D
Rationale: Before intervening for a low oxygen saturation reading, the LPN should verify the
accuracy of the measurement. Checking pulse oximeter placement ensures the reading is valid and
