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HESI LPN/PN FUNDAMENTALS EXAM LATEST 2026-2027 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
An older client who has been on bed rest is not eating well and is
exhibiting abdominal distention, cramping, and is passing small
amounts of liquid stool. Which prescribed action is most important
for the practical nurse to implement?
A. Place incontinent pads in the bed
B. give a PRN dose of a stool softener
C. digitally remove a fecal impaction
D. Administer a soap suds enema - ANSWER-C. Digitally remove
fecal impaction
Rationale: abdominal distention, cramping, and passage of
small amounts of liquid stools are s/s of fecal impaction,
which is relieved by digital removal.
the healthcare provider prescribes a cleansing edema for an adult
prior to bowel surgery. which interventions should the practical
nurse implement to ensure adequate bowel cleansing? (SATA)
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A. place the client on left side in Sims' position
B. use enema fluid that is near 105 F
C. repeat enemas until expelled fluid is clear
D. instill 500ml to 1,000ml fluids slowly
E. raise the enema container 20 inches above the anus
F. encourage the client to retain fluid 10 to 15 mins - ANSWER-A,
D
Rationale: placing the client in Sims' position, using
sufficient fluid temperature and volume that stimulates
peristalsis for an adequate retention time ensures maximal
bowel evacuation and cleansing. fluid instilled at the height
of 20 inches can causes excessive pressure and pain, which
compromise the client's ability to retain the fluid for proper
bowel cleansing.
The practical nurse obtains an elevated blood pressure reading
for an older male client who is alert. when the PN offers the client
his morning blood pressure medication, he refused to take it. what
action should the PN take?
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A. mixed the crushed medication on his breakfast oatmeal
B. explain the importance of routine use of antihypertensives
C. tell the client that he should not refuse his prescriptions
D. document that the client refused to take the medication -
ANSWER-B. explain the importance of routine use of
antihypertensives
Rationale: a client has the right to refuse any medication but
should be informed of the therapeutic value of routine
compliance with taking antihypertensive medications. Giving
medication subversively to an alert client is a violation of his
autonomy and is unacceptable. If the client continues to
refuse medication after being informed of its value and risks
associated with noncompliance, the refusal and the reasons
should be documented.
the practical nurse identifies several findings in an older client
who is on prolonged bed rest. Which finding requires prompt
action by the PN?
A. heart rate increase of 10 beats per min
B. bowel movements decrease to one every third day
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C. urinary output decrease of 250ml in the last 24 hours
D. systolic blood pressure decreased by 10 mmHg - ANSWER-B.
Rationale: immobility reduces venous return, appetite, fluid
intake, and peristalsis, which reduces the frequency of bowel
movements and increases the risk for constipation and
impaction, which requires prompt intervention
Which technique should the practical nurse use to give a z-track
IM injection?
A. ensure that no air is present in the syringe
B. inject the medication into the dorsal gluteal site
C. select a 22-gauge, 1 inch needle for injection
D. massage the site for 2 mins after the injection - ANSWER-B.
Rationale: The Z-track IM injection technique is used to
administer irritating or cutaneous-staining medications into a
large muscle, such as the dorsal gluteal site, and is given by
moving the surface skin to one side before puncturing the
skin. The retracted tissue off-sets the needle track, creating
the Z-track after the needle is withdrawn, and traps the
HESI LPN/PN FUNDAMENTALS EXAM LATEST 2026-2027 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
An older client who has been on bed rest is not eating well and is
exhibiting abdominal distention, cramping, and is passing small
amounts of liquid stool. Which prescribed action is most important
for the practical nurse to implement?
A. Place incontinent pads in the bed
B. give a PRN dose of a stool softener
C. digitally remove a fecal impaction
D. Administer a soap suds enema - ANSWER-C. Digitally remove
fecal impaction
Rationale: abdominal distention, cramping, and passage of
small amounts of liquid stools are s/s of fecal impaction,
which is relieved by digital removal.
the healthcare provider prescribes a cleansing edema for an adult
prior to bowel surgery. which interventions should the practical
nurse implement to ensure adequate bowel cleansing? (SATA)
,2|Page
A. place the client on left side in Sims' position
B. use enema fluid that is near 105 F
C. repeat enemas until expelled fluid is clear
D. instill 500ml to 1,000ml fluids slowly
E. raise the enema container 20 inches above the anus
F. encourage the client to retain fluid 10 to 15 mins - ANSWER-A,
D
Rationale: placing the client in Sims' position, using
sufficient fluid temperature and volume that stimulates
peristalsis for an adequate retention time ensures maximal
bowel evacuation and cleansing. fluid instilled at the height
of 20 inches can causes excessive pressure and pain, which
compromise the client's ability to retain the fluid for proper
bowel cleansing.
The practical nurse obtains an elevated blood pressure reading
for an older male client who is alert. when the PN offers the client
his morning blood pressure medication, he refused to take it. what
action should the PN take?
,3|Page
A. mixed the crushed medication on his breakfast oatmeal
B. explain the importance of routine use of antihypertensives
C. tell the client that he should not refuse his prescriptions
D. document that the client refused to take the medication -
ANSWER-B. explain the importance of routine use of
antihypertensives
Rationale: a client has the right to refuse any medication but
should be informed of the therapeutic value of routine
compliance with taking antihypertensive medications. Giving
medication subversively to an alert client is a violation of his
autonomy and is unacceptable. If the client continues to
refuse medication after being informed of its value and risks
associated with noncompliance, the refusal and the reasons
should be documented.
the practical nurse identifies several findings in an older client
who is on prolonged bed rest. Which finding requires prompt
action by the PN?
A. heart rate increase of 10 beats per min
B. bowel movements decrease to one every third day
, 4|Page
C. urinary output decrease of 250ml in the last 24 hours
D. systolic blood pressure decreased by 10 mmHg - ANSWER-B.
Rationale: immobility reduces venous return, appetite, fluid
intake, and peristalsis, which reduces the frequency of bowel
movements and increases the risk for constipation and
impaction, which requires prompt intervention
Which technique should the practical nurse use to give a z-track
IM injection?
A. ensure that no air is present in the syringe
B. inject the medication into the dorsal gluteal site
C. select a 22-gauge, 1 inch needle for injection
D. massage the site for 2 mins after the injection - ANSWER-B.
Rationale: The Z-track IM injection technique is used to
administer irritating or cutaneous-staining medications into a
large muscle, such as the dorsal gluteal site, and is given by
moving the surface skin to one side before puncturing the
skin. The retracted tissue off-sets the needle track, creating
the Z-track after the needle is withdrawn, and traps the
