HESI LPN COMPREHENSIVE EXIT
EXAM 2026 COMPLETE QUESTIONS
WITH ANSWERS ALREADY GRADED
A+
A newborn with apnea is being discharged from the hospital with home
monitoring. What information concerning the infant's care should the practical
nurse review with the parents?
A. Cardiopulmonary resuscitation (CPR).
B. Administration of intravenous antibiotics.
C. Reassurance that the infant cannot be electrocuted during monitoring.
D. Advise that the infant not be left with caretakers, such as babysitters.
A. Cardiopulmonary resuscitation (CPR).
Rationale: Apnea of infancy (AOI) engenders great anxiety in parents, and the
initiation of home monitoring presents additional emotional stress. When home
monitoring is required the parents should receive instructions that include
cardiopulmonary resuscitation(A). (B) does not indicate Apnea
Which protocol regarding standard policies about prescriptions should the practical
nurse (PN) question?
A. All drug prescriptions should have the date, time, and prescriber's signature.
B.Verbal orders are accepted from prescribers and should include signatures.
C. Prescribers may write specific times at which the medications are to be given.
D. Preoperative prescriptions should be resumed after a client returns from surgery
D. Preoperative prescriptions should be resumed after a client returns from surgery.
1
,Rationale: A standard policy about preoperative medications that preoperative
prescriptions are automatically canceled for surgery and should be rewritten, if
indicated , in the postoperatively so the (PN) should question (D). (A,B,C) are
correct statements.
2
,When reviewing the safety precautions regarding newborns, what information
should the practical nurse communicate to the parents?
A. Position the infant to sleep on the baby's back.
B. Use a crib with slats no more than 4 inches apart.
C. Propping a bottle can be done when the infant gets older.
D. Place the infant a front-facing car seat in the automobile.
A. Position the infant to sleep on the baby's back.
Rationale: The incident of sudden infant death syndrome (SIDS) decline when
infants are positioned on their backs (A), instead of prone for sleeping. Crib slats
(B) 2.375 inches apart to prevent the baby from slipping. (C) Never prop a babies
bottle. (D)Infant who weighs less than 30lbs should be placed in a rear facing car
seat.
Which measurement should the PN implement as the most effective measure to
help decrease client care cost?
A. Use filtered tap water instead of sterile water for jejunostomy tube feeding.
B. Wait to dispose of sharp containers when they are completely full.
C. Store open irrigation bottles of normal saline in refrigerator for up to 48 hours.
D. Return unused dressing supplies from bedside to supply cart.
Answer: A
Rationale:
The GI system is not a sterile system, so filtered tap water (A) can used instead of
sterile water for use via a jejunostomy tube. Sharp containers should be emptied
when approximately one-half to two-thirds full, not (A), to prevent uncapped
3
, needles from sticking up and causing injury. Open bottles of normal saline for
irrigation do not contain a preservative, so opened bottles of irrigation fluids
should be discarded after 24 hours, not (B). Returning supplies that originated from
a client's bedside unit to a unit's general supply storage area is a source of
nosocomial transmission (D).
A number of clients have arrived for care in a crowded emergent care center.
Which assignment should the PN accept?
A. Obtain the history of an adult who attempted suicide.
B. Insert nasogastric tube for a an older adult with abdominal distention.
C. Flush a client's eyes who was exposed to a facial chemical splash.
D. Accept an incoming trauma victim of a vehicle collision.
Answer: B
Rationale:
Insertion of a nasogastric tube (B) is within the scope of the PN. Clients who have
experienced caustic eye trauma (C), a suicide attempt (A), and admission of a
trauma victim (D) require the knowledge and skill of an experienced nurse.
A male client with diabetes mellitus (DM) and renal failure decides to refuse
hemodialysis. Which action by the PN supports the client's right for self-
determination?
A. Provide additional information for future options.
B. Defect the client's decision to other nurses.
C. Reaffirm that the decision was a good option.
D. Encourage the client to seek his family's opinions.
Answer: A
Rationale:
The client should be given information regarding lifestyle and end-of-life choices
(A), such as hospice or the right to change his mind. An opinion or value
judgement (B and C) about the client's choice should be avoided. The family's
opinion is not necessary (D), and the client's decision should be supported.
4
EXAM 2026 COMPLETE QUESTIONS
WITH ANSWERS ALREADY GRADED
A+
A newborn with apnea is being discharged from the hospital with home
monitoring. What information concerning the infant's care should the practical
nurse review with the parents?
A. Cardiopulmonary resuscitation (CPR).
B. Administration of intravenous antibiotics.
C. Reassurance that the infant cannot be electrocuted during monitoring.
D. Advise that the infant not be left with caretakers, such as babysitters.
A. Cardiopulmonary resuscitation (CPR).
Rationale: Apnea of infancy (AOI) engenders great anxiety in parents, and the
initiation of home monitoring presents additional emotional stress. When home
monitoring is required the parents should receive instructions that include
cardiopulmonary resuscitation(A). (B) does not indicate Apnea
Which protocol regarding standard policies about prescriptions should the practical
nurse (PN) question?
A. All drug prescriptions should have the date, time, and prescriber's signature.
B.Verbal orders are accepted from prescribers and should include signatures.
C. Prescribers may write specific times at which the medications are to be given.
D. Preoperative prescriptions should be resumed after a client returns from surgery
D. Preoperative prescriptions should be resumed after a client returns from surgery.
1
,Rationale: A standard policy about preoperative medications that preoperative
prescriptions are automatically canceled for surgery and should be rewritten, if
indicated , in the postoperatively so the (PN) should question (D). (A,B,C) are
correct statements.
2
,When reviewing the safety precautions regarding newborns, what information
should the practical nurse communicate to the parents?
A. Position the infant to sleep on the baby's back.
B. Use a crib with slats no more than 4 inches apart.
C. Propping a bottle can be done when the infant gets older.
D. Place the infant a front-facing car seat in the automobile.
A. Position the infant to sleep on the baby's back.
Rationale: The incident of sudden infant death syndrome (SIDS) decline when
infants are positioned on their backs (A), instead of prone for sleeping. Crib slats
(B) 2.375 inches apart to prevent the baby from slipping. (C) Never prop a babies
bottle. (D)Infant who weighs less than 30lbs should be placed in a rear facing car
seat.
Which measurement should the PN implement as the most effective measure to
help decrease client care cost?
A. Use filtered tap water instead of sterile water for jejunostomy tube feeding.
B. Wait to dispose of sharp containers when they are completely full.
C. Store open irrigation bottles of normal saline in refrigerator for up to 48 hours.
D. Return unused dressing supplies from bedside to supply cart.
Answer: A
Rationale:
The GI system is not a sterile system, so filtered tap water (A) can used instead of
sterile water for use via a jejunostomy tube. Sharp containers should be emptied
when approximately one-half to two-thirds full, not (A), to prevent uncapped
3
, needles from sticking up and causing injury. Open bottles of normal saline for
irrigation do not contain a preservative, so opened bottles of irrigation fluids
should be discarded after 24 hours, not (B). Returning supplies that originated from
a client's bedside unit to a unit's general supply storage area is a source of
nosocomial transmission (D).
A number of clients have arrived for care in a crowded emergent care center.
Which assignment should the PN accept?
A. Obtain the history of an adult who attempted suicide.
B. Insert nasogastric tube for a an older adult with abdominal distention.
C. Flush a client's eyes who was exposed to a facial chemical splash.
D. Accept an incoming trauma victim of a vehicle collision.
Answer: B
Rationale:
Insertion of a nasogastric tube (B) is within the scope of the PN. Clients who have
experienced caustic eye trauma (C), a suicide attempt (A), and admission of a
trauma victim (D) require the knowledge and skill of an experienced nurse.
A male client with diabetes mellitus (DM) and renal failure decides to refuse
hemodialysis. Which action by the PN supports the client's right for self-
determination?
A. Provide additional information for future options.
B. Defect the client's decision to other nurses.
C. Reaffirm that the decision was a good option.
D. Encourage the client to seek his family's opinions.
Answer: A
Rationale:
The client should be given information regarding lifestyle and end-of-life choices
(A), such as hospice or the right to change his mind. An opinion or value
judgement (B and C) about the client's choice should be avoided. The family's
opinion is not necessary (D), and the client's decision should be supported.
4
