HESI LPN COMPREHENSIVE EXIT FINAL
PAPER 2026 MULTIPLE CHOICES
COMPLETE QUESTIONS CORRECT
ANSWERS
⩥ Blood pressure recording. Answer: Record hourly blood pressures for
the next 4 hours.
⩥ Client temperature monitoring. Answer: Monitor oral temperature
daily.
⩥ Medication administration timing. Answer: Plan to administer the next
dose at an alternate injection site.
⩥ Client reassurance. Answer: Reassure the client that neutropenia often
causes bone pain.
⩥ Medication dilution. Answer: Dilute the liquid medication with fruit
juice to mask the flavor.
⩥ Medication administration with food. Answer: Give the medication on
an empty stomach.
,⩥ Cholecystectomy recovery. Answer: Cholecystectomy 24 hours ago.
⩥ Intravenous fluid rate. Answer: Intravenous fluids infusing at 75
mL/hr.
⩥ Blood pressure reading. Answer: Blood pressure is 80/48 mmHg.
⩥ Client identification. Answer: A 26-year-old client.
⩥ Medication administration technique. Answer: Draw up the
medication in a needle-less syringe which the infant can suck.
⩥ Tourniquet application. Answer: Apply a tourniquet above the
antecubital fossa.
⩥ Rationale for site selection. Answer: Using another site than a
previously accessed finger pad reduces repeated trauma to the tissue and
capillary supply in the distal finger where the blood sample is taken.
⩥ Effective coughing position. Answer: The PN should assist the client
to assume a sitting position on the side of the bed with feet flat on the
floor.
,⩥ Rationale for sitting position. Answer: Sitting upright facilitates
diaphragm excursion and enhances thoracic and abdominal expansion.
⩥ Client confusion action. Answer: The PN should remind the client
what day of the week it is when she forgets or becomes confused.
⩥ Rationale for client confusion. Answer: Relocation often results in
confusion among elderly clients during times of adjustment to new
surroundings.
⩥ Stomatitis assessment focus. Answer: The PN should gather
information related to the client's ability to swallow.
⩥ Rationale for swallowing assessment. Answer: Stomatitis or
inflammation of the oral mucosa can cause pain and result in difficulty
in swallowing.
⩥ Priority action post-endoscopic procedure. Answer: Assess the gag
reflex.
⩥ Ondansetron effectiveness evaluation. Answer: Monitor the client for
nausea and vomiting following the treatment.
, ⩥ Rationale for ondansetron use. Answer: Ondansetron is an antiemetic
administered prior to chemotherapy to prevent post-treatment nausea
and vomiting.
⩥ Skin assessment in dark-skinned clients. Answer: Observe the sclera
and mucous membranes.
⩥ Complication after colon resection. Answer: Sudden spillage of
serosanguinous drainage from the client's wound followed by
appearance of bowel on the skin indicates a complication.
⩥ Evisceration. Answer: The complete separation of a wound with
protrusion of the viscera, which usually occurs 7-10 days
postoperatively.
⩥ Dehiscence. Answer: Not explicitly defined in the notes.
⩥ Hemorrhage. Answer: Not explicitly defined in the notes.
⩥ Infection. Answer: Not explicitly defined in the notes.
⩥ Low serum sodium level. Answer: A serum sodium level of 125
mEq/L, which may be the result of water intoxication.
PAPER 2026 MULTIPLE CHOICES
COMPLETE QUESTIONS CORRECT
ANSWERS
⩥ Blood pressure recording. Answer: Record hourly blood pressures for
the next 4 hours.
⩥ Client temperature monitoring. Answer: Monitor oral temperature
daily.
⩥ Medication administration timing. Answer: Plan to administer the next
dose at an alternate injection site.
⩥ Client reassurance. Answer: Reassure the client that neutropenia often
causes bone pain.
⩥ Medication dilution. Answer: Dilute the liquid medication with fruit
juice to mask the flavor.
⩥ Medication administration with food. Answer: Give the medication on
an empty stomach.
,⩥ Cholecystectomy recovery. Answer: Cholecystectomy 24 hours ago.
⩥ Intravenous fluid rate. Answer: Intravenous fluids infusing at 75
mL/hr.
⩥ Blood pressure reading. Answer: Blood pressure is 80/48 mmHg.
⩥ Client identification. Answer: A 26-year-old client.
⩥ Medication administration technique. Answer: Draw up the
medication in a needle-less syringe which the infant can suck.
⩥ Tourniquet application. Answer: Apply a tourniquet above the
antecubital fossa.
⩥ Rationale for site selection. Answer: Using another site than a
previously accessed finger pad reduces repeated trauma to the tissue and
capillary supply in the distal finger where the blood sample is taken.
⩥ Effective coughing position. Answer: The PN should assist the client
to assume a sitting position on the side of the bed with feet flat on the
floor.
,⩥ Rationale for sitting position. Answer: Sitting upright facilitates
diaphragm excursion and enhances thoracic and abdominal expansion.
⩥ Client confusion action. Answer: The PN should remind the client
what day of the week it is when she forgets or becomes confused.
⩥ Rationale for client confusion. Answer: Relocation often results in
confusion among elderly clients during times of adjustment to new
surroundings.
⩥ Stomatitis assessment focus. Answer: The PN should gather
information related to the client's ability to swallow.
⩥ Rationale for swallowing assessment. Answer: Stomatitis or
inflammation of the oral mucosa can cause pain and result in difficulty
in swallowing.
⩥ Priority action post-endoscopic procedure. Answer: Assess the gag
reflex.
⩥ Ondansetron effectiveness evaluation. Answer: Monitor the client for
nausea and vomiting following the treatment.
, ⩥ Rationale for ondansetron use. Answer: Ondansetron is an antiemetic
administered prior to chemotherapy to prevent post-treatment nausea
and vomiting.
⩥ Skin assessment in dark-skinned clients. Answer: Observe the sclera
and mucous membranes.
⩥ Complication after colon resection. Answer: Sudden spillage of
serosanguinous drainage from the client's wound followed by
appearance of bowel on the skin indicates a complication.
⩥ Evisceration. Answer: The complete separation of a wound with
protrusion of the viscera, which usually occurs 7-10 days
postoperatively.
⩥ Dehiscence. Answer: Not explicitly defined in the notes.
⩥ Hemorrhage. Answer: Not explicitly defined in the notes.
⩥ Infection. Answer: Not explicitly defined in the notes.
⩥ Low serum sodium level. Answer: A serum sodium level of 125
mEq/L, which may be the result of water intoxication.
