HESI LPN- Entrance exam
HESI LPN- ENTRANCE EXAM NEWEST ACTUAL EXAM WITH
COMPLETE 120 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Thirty-six hours after delivery, the nurse notes the client’s fundus is just above the
umbilicus and displaced to the right of midline. What action should the nurse take
first?
a) Massage the fundus
b) Notify the healthcare provider
c) Assess lochia amount
d) Palpate the bladder for distention
e) Place the client in supine position
Correct answer: d) Palpate the bladder for distention
A 60-year-old client with liver cancer is in a hepatic coma and unresponsive. What
should the nurse say to family members who inquire about the client’s condition?
a) “There is still hope for recovery.”
b) “The client is resting comfortably.”
c) “Your loved one’s condition is very critical, and there has been no response in
the last 24 hours.”
d) “The healthcare provider will explain everything later.”
e) “You should prepare for discharge planning.”
Correct answer: c) “Your loved one’s condition is very critical, and there has been
no response in the last 24 hours.”
Which predisposing factor contributes most to hip fractures in elderly women?
a) Decreased muscle tone
b) Poor vision
c) Sedentary lifestyle
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, HESI LPN- Entrance exam
d) Osteoporosis resulting from hormonal changes
e) Vitamin deficiency
Correct answer: d) Osteoporosis resulting from hormonal changes
A 75-year-old male with Alzheimer disease is admitted to an extended care facility.
Which intervention should the nurse include in the nursing care plan?
a) Change staff assignments frequently
b) Encourage independent decision-making
c) Provide a stimulating environment
d) Use restraints as needed
e) Plan to have the same nursing staff provide care whenever possible
Correct answer: e) Plan to have the same nursing staff provide care whenever
possible
An 82-year-old client is admitted with a fractured right hip. After surgical repair, a
footboard is placed at the foot of the bed. What is the purpose of the footboard?
a) Prevent pressure ulcers
b) Promote circulation
c) Maintain proper body alignment
d) Prevent foot drop
e) Reduce pain
Correct answer: d) Prevent foot drop
An adult female client with major depression shows increased energy and begins
giving away personal belongings after 2 weeks of antidepressant therapy. What
intervention should the nurse implement?
a) Praise the client’s improvement
b) Reduce environmental stimulation
c) Ask the client if she has had thoughts of harming herself
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, HESI LPN- Entrance exam
d) Encourage group therapy
e) Request discharge planning
Correct answer: c) Ask the client if she has had thoughts of harming herself
An adult male client believes someone is trying to obtain his personal computer
records and insists on installing an elaborate alarm system. Which symptom is the
client exhibiting?
a) Hallucinations
b) Obsessions
c) Ideas of reference
d) Delusions of grandeur
e) Delusions of persecution
Correct answer: e) Delusions of persecution
After a change-of-shift report, the nurse makes rounds on a postoperative unit.
Which client finding necessitates the immediate attention of the nurse?
a) A client who is having bright red drainage from the rectum following a
colonoscopy with polyp removal
b) A client with mild incisional pain controlled with acetaminophen
c) A client with a low-grade fever of 100.2°F
d) A client who has a small hematoma at the IV site
e) A client who reports mild nausea after surgery
Correct answer: a) A client who is having bright red drainage from the rectum
following a colonoscopy with polyp removal
After a client returns from hemodialysis, the nurse notes a 3-pound weight loss
from pre-dialysis weight and the client reports feeling weak and fatigued. What
action should the nurse take next?
a) Reassess the client’s urine output
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, HESI LPN- Entrance exam
b) Measure the client’s blood pressure
c) Administer a high-protein snack
d) Encourage ambulation
e) Notify the healthcare provider
Correct answer: b) Measure the client’s blood pressure
After morning dressing changes, a male client with paraplegia contaminates his
ischial decubiti dressing with diarrheal stool. Which activity is best for the nurse to
assign to unlicensed assistive personnel (UAP)?
a) Change the client’s IV tubing
b) Provide perianal care and collect clean linens for the dressing change
c) Administer prescribed analgesics
d) Assess the dressing site for signs of infection
e) Monitor the client’s vital signs
Correct answer: b) Provide perianal care and collect clean linens for the dressing
change
After report, the nurse receives laboratory values for 4 clients. Which client
requires immediate intervention?
a) A client with a potassium level of 4.5 mEq/L
b) A client with a hemoglobin of 12 g/dL
c) A client with a sodium level of 140 mEq/L
d) A client who is trembling and has a glucose level of 50 mg/dL
e) A client with a WBC of 8,000/mm³
Correct answer: d) A client who is trembling and has a glucose level of 50 mg/dL
Two days after an abdominal hysterectomy, an elderly client with type II diabetes
mellitus experiences a syncopal episode. Vital signs are within normal limits, and
the blood glucose level is 325 mg/dL. Which intervention should the nurse
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HESI LPN- ENTRANCE EXAM NEWEST ACTUAL EXAM WITH
COMPLETE 120 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Thirty-six hours after delivery, the nurse notes the client’s fundus is just above the
umbilicus and displaced to the right of midline. What action should the nurse take
first?
a) Massage the fundus
b) Notify the healthcare provider
c) Assess lochia amount
d) Palpate the bladder for distention
e) Place the client in supine position
Correct answer: d) Palpate the bladder for distention
A 60-year-old client with liver cancer is in a hepatic coma and unresponsive. What
should the nurse say to family members who inquire about the client’s condition?
a) “There is still hope for recovery.”
b) “The client is resting comfortably.”
c) “Your loved one’s condition is very critical, and there has been no response in
the last 24 hours.”
d) “The healthcare provider will explain everything later.”
e) “You should prepare for discharge planning.”
Correct answer: c) “Your loved one’s condition is very critical, and there has been
no response in the last 24 hours.”
Which predisposing factor contributes most to hip fractures in elderly women?
a) Decreased muscle tone
b) Poor vision
c) Sedentary lifestyle
1|Page
, HESI LPN- Entrance exam
d) Osteoporosis resulting from hormonal changes
e) Vitamin deficiency
Correct answer: d) Osteoporosis resulting from hormonal changes
A 75-year-old male with Alzheimer disease is admitted to an extended care facility.
Which intervention should the nurse include in the nursing care plan?
a) Change staff assignments frequently
b) Encourage independent decision-making
c) Provide a stimulating environment
d) Use restraints as needed
e) Plan to have the same nursing staff provide care whenever possible
Correct answer: e) Plan to have the same nursing staff provide care whenever
possible
An 82-year-old client is admitted with a fractured right hip. After surgical repair, a
footboard is placed at the foot of the bed. What is the purpose of the footboard?
a) Prevent pressure ulcers
b) Promote circulation
c) Maintain proper body alignment
d) Prevent foot drop
e) Reduce pain
Correct answer: d) Prevent foot drop
An adult female client with major depression shows increased energy and begins
giving away personal belongings after 2 weeks of antidepressant therapy. What
intervention should the nurse implement?
a) Praise the client’s improvement
b) Reduce environmental stimulation
c) Ask the client if she has had thoughts of harming herself
2|Page
, HESI LPN- Entrance exam
d) Encourage group therapy
e) Request discharge planning
Correct answer: c) Ask the client if she has had thoughts of harming herself
An adult male client believes someone is trying to obtain his personal computer
records and insists on installing an elaborate alarm system. Which symptom is the
client exhibiting?
a) Hallucinations
b) Obsessions
c) Ideas of reference
d) Delusions of grandeur
e) Delusions of persecution
Correct answer: e) Delusions of persecution
After a change-of-shift report, the nurse makes rounds on a postoperative unit.
Which client finding necessitates the immediate attention of the nurse?
a) A client who is having bright red drainage from the rectum following a
colonoscopy with polyp removal
b) A client with mild incisional pain controlled with acetaminophen
c) A client with a low-grade fever of 100.2°F
d) A client who has a small hematoma at the IV site
e) A client who reports mild nausea after surgery
Correct answer: a) A client who is having bright red drainage from the rectum
following a colonoscopy with polyp removal
After a client returns from hemodialysis, the nurse notes a 3-pound weight loss
from pre-dialysis weight and the client reports feeling weak and fatigued. What
action should the nurse take next?
a) Reassess the client’s urine output
3|Page
, HESI LPN- Entrance exam
b) Measure the client’s blood pressure
c) Administer a high-protein snack
d) Encourage ambulation
e) Notify the healthcare provider
Correct answer: b) Measure the client’s blood pressure
After morning dressing changes, a male client with paraplegia contaminates his
ischial decubiti dressing with diarrheal stool. Which activity is best for the nurse to
assign to unlicensed assistive personnel (UAP)?
a) Change the client’s IV tubing
b) Provide perianal care and collect clean linens for the dressing change
c) Administer prescribed analgesics
d) Assess the dressing site for signs of infection
e) Monitor the client’s vital signs
Correct answer: b) Provide perianal care and collect clean linens for the dressing
change
After report, the nurse receives laboratory values for 4 clients. Which client
requires immediate intervention?
a) A client with a potassium level of 4.5 mEq/L
b) A client with a hemoglobin of 12 g/dL
c) A client with a sodium level of 140 mEq/L
d) A client who is trembling and has a glucose level of 50 mg/dL
e) A client with a WBC of 8,000/mm³
Correct answer: d) A client who is trembling and has a glucose level of 50 mg/dL
Two days after an abdominal hysterectomy, an elderly client with type II diabetes
mellitus experiences a syncopal episode. Vital signs are within normal limits, and
the blood glucose level is 325 mg/dL. Which intervention should the nurse
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