HESI** Bold indicates the question as well as the answer that goes with the question** LPN
PRACTICE EXAM AND QUESTIONS
The nurse in the question is you as a practical nurse
01. The nurse is planning care for a client who has fourth degree midline laceration that occurred
during vaginal delivery of an 8 pound 10 ounce infant. What intervention has the highest priority for
this client?
A. Administer prescribed stool softener
B. Administer prescribed PRN sleep medications
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays
02. The nurse is palpating the right upper hypochondriac region of the abdomen of a client. What
organ lies underneath this area?
A . D u o d e n u m
B.Gastric pylorus
C . L i v e r
D . S p l e e n
03. A client comes to the antepartal clinic and tells the nurse that she is 6 weeks pregnant. Which sign
is she most likely to report?
A.Decreased sexual libido
B.Amenorrhea(abnormal absence of mensturia)
C . Q u i c k e ni n g
D . N o c t u r i a
04. A client's daughter phones the charge nurse to report that the night nurse did not provide good
care for her mother. What response should the nurse make?
A.Ask for a description of what happened during the night
B.Tell the daughter to talk to the unit's nurse manager
C.Reassure the daughter that the mother will get better care
D. Explain that all the staff are doing the best they can
05. A hospitalized toddler who is recovering from a sickle cell crisis holds a toy and say's "Mine".
According to Erikson's theory of psychosocial development, this child's behavior is a demonstration of
which developmental stage?
A.Autonomy vs. Shame and Doubt (18 months to 3 years)
B.Industry vs. Inferiority
C.Initiative vs. Guilt
D.Trust vs. Mistrust
06. Which action should the nurse implement in caring for a client following an electroencephalogram
(EEG) (electrodes pasted onto scalp)?
A.Monitor the client's vital signs q4h
B.Assess for sensation in the client's lower extremities
C.Instruct the client to maintain bed rest for eight hours
D.Wash any paste from the client's hair and scalp
07. The nurse is caring for a 75-year-old male client who is beginning to form a decubitus ulcer at the
coccyx. Which intervention will be most helpful in preventing further development of the decubitus?
A.Encourage the client to eat foods high in protein
B.Assess the client with daily range of motion exercises
C.Teach the family how to perform sterile wound care
D.Ensure the IV fluids are administered as prescribed
,HESI** Bold indicates the question as well as the answer that goes with the question** LPN
PRACTICE EXAM AND QUESTIONS
The nurse in the question is you as a practical nurse
08. What is the homeostatic cellular transport mechanism that moves water from a hypotonic to a
hypertonic fluid space?
A.Filtration
B . D i f f u s i o n
C . O s m o s i s
D.Active transport
09. The nurse is taking blood pressure of a client admitted with a possible myocardial infarction. When
taking the client's BP at the brachial artery, the nurse should place the client's arm in which position?
A.Slightly above the level of the heart
B.At the level of the heart
C.At a level of comfort for the client
D.Below the level of the heart
10. What are the final parameters that produce blood pressure? (Select all that apply)
A . H e ar t r a t e
B.Stroke volume
C.Peripheral resistance
D.Neuroendocrine hormones
E . M u s c l e t o n e
11. A client begins taking an antidepressant drug during the second day of hospitalization. Which
assessment is most important for the nurse to include in this client's plan of care while the client is
taking the antidepressant?
A.Appetite
B . M o o d
C.Withdrawal
D.Energy level
12. Based on the documentation in the medical record, which action should the nurse implement
next? (Click on each chart tab for additional information. Please be sure to scroll to the bottom right
corner of each tab to view all information contained in the client's medical record.)
A.Give the rubella vaccine subcutaneously
B.Observe the mother breastfeeding her infant
C.Call the nursery for the infant's blood type result
D.Administer Vicodin one tablet for pain
13. A client is admitted to the hospital with a diagnosis of Pneumonia. Which intervention should the
nurse implement to prevent complications associated with Pneumonia?
A.Encourage mobilization and ambulation
B.Encourage energy conservation with complete bed rest
C.Provide humidified oxygen per nasal cannula
D.Restrict PO and intravenous fluids
14. The practical nurse is preparing to administer a prescription for cefazolin (Kefzol) 600 mg IM
every six hours. The available vial is labeled, "Cefazolin (Kefzol) 1gram," and the instructions for
reconstitution state, "For IM use add 2ml sterile water for injection. Total volume after reconstitution
= 2.5 ml." When reconstituted, how many milligrams are in each mil of solution? (Enter numeric
value only) 400
,HESI** Bold indicates the question as well as the answer that goes with the question** LPN
PRACTICE EXAM AND QUESTIONS
The nurse in the question is you as a practical nurse
15. Which Nursing activity is within the scope of practice for the practical nurse?
A.Complete an admission assessment in the normal newborn nursery
B.Discontinue a central venous catheter that has become dislodged
C.Observe a client rotate the subcutaneous site for an insulin pump
D.Monitor a continuous narcotic epidural for a postoperative client
16. After morning dressing changes are completed, a male client who has paraplegia contaminates his
ischial decubiti dressing with a diarrheal stool. What activity is best for the nurse to assign to the
unlicensed assistive personnel?
A.Identify the need for additional supplies to provide an extra dressing change
B.Provide perianal care and collect clean linens for the dressing change
C.Document the diarrhea that necessitates an additional dressing change
D.Position the client for access to the decubiti sites and remove dressings
17. The nurse is planning to evaluate the effectiveness of several drugs administered by different
routes. Arrange the routes of administration in the order from fastest to slowest rate of absorption.
Intravenous, sublingual, intramuscular, subcutaneous, oral
18. A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9 weeks gestation. At one-hour post
dilation and curettage (D&C), the nurse assesses vital signs and vaginal bleeding. The client begins to
cry softly. How should the nurse intervene?
A.Offer to call the social worker to discuss the possibility of adoption
B.Reassure the client that the infertility specialist can help
C.Express sorrow for the client's grief and offer to sit with her
D.Chart the vital signs and amount of vaginal bleeding
19. A terminally ill male client and his family are requesting hospice care after discharge from the
hospital and ask the nurse to explain what kind of care they should expect. The nurse should indicate
that hospice philosophy focuses on what aspect of health care?
A.Enhance symptom management to improve end of life quality
B.Facilitates assisted suicide with the client's consent
C.Offers ways to postpone the death experience at home
D.Provide training for family members to care for the client
, HESI** Bold indicates the question as well as the answer that goes with the question** LPN
PRACTICE EXAM AND QUESTIONS
The nurse in the question is you as a practical nurse
20. The nurse observes a wife shaving her husband’s beard with a safety razor by holding the skin taut
and shaving in the direction of the hair growth. What action should the nurse take?
A.Advise the wife to shave against the hair growth
B.Teach the wife to keep the skin loose to avoid cuts
C.Encourage the wife to continue shaving her husband
D.Demonstrate the correct procedure to the wife
21. To assess pedal pulse, what arterial sites should the nurse palpate? (Select all that apply)
A.Posterior tibialis artery
B.Popliteal artery
C.External femoral artery
D.Dorsalis pedis artery
E.Radial artery
22. The nurse is admitting a client who is diagnosed with Angina Pectoris. Which precipitating factor
in this client's history is likely to be related to the anginal pain?
A.Smokes one pack of cigarettes daily
B.Drinks two beers daily
C.Works in a job that requires exposure to the sun
D.Eats while lying in bed
23. The nurse is assessing an older resident of a long-term care facility who has a history of Benign
Prostatic Hypertrophy and identifies that the client's bladder is distended. The healthcare provider
prescribes post-voided residual catheterization over the next 24 hours and placement of an indwelling
catheter if the residual volume exceeds 100 mL. The client's PO intake is 600 mL, and fifteen minutes
ago, the client voided 90 mL. What action should the nurse take?
A.Stand the client to void and run tap water within hearing distance before catheterizing
the client
B.Straight catheterize and if the residual urine volume is greater than 100 mL, clamp
catheter
C.Catheterize q2h and place in an indwelling catheter at the end of the prescribed 24hr
period
D.Catheterize with an indwelling catheter and if the residual volume is greater than 100 mL. inflate
the balloon
24. A client is receiving dexamethasone (Hexadrol, Decadron). What symptoms should the nurse
recognize as Cushinoid side effects?
A.Moon face, slow wound healing, muscle wasting sodium and water retention
B.Tachycardia hypertension, weight loss, heat intolerance, nervousness, restlessness,
tremor
C.Bradycardia, weight gain, cold intolerance, myxedema facies and periorbital edema
D.Hyperpigmentation, hyponatremia, hyperkalemia, dehydration, hypotension
25. The cervix is the opening into the uterine cavity. What is its function in reproduction?
A.Accepts and interprets signals of sexual stimuli
B.Secretes mucus to facilitate sperm transport
C.Serves as the site for union of ovum and sperm
D.Receives the penis during intercourse
26. The nurse is working in a community health setting and assisting the charge nurse in performing
health screenings. Which individual is at highest risk for contracting an HIV infection?
PRACTICE EXAM AND QUESTIONS
The nurse in the question is you as a practical nurse
01. The nurse is planning care for a client who has fourth degree midline laceration that occurred
during vaginal delivery of an 8 pound 10 ounce infant. What intervention has the highest priority for
this client?
A. Administer prescribed stool softener
B. Administer prescribed PRN sleep medications
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays
02. The nurse is palpating the right upper hypochondriac region of the abdomen of a client. What
organ lies underneath this area?
A . D u o d e n u m
B.Gastric pylorus
C . L i v e r
D . S p l e e n
03. A client comes to the antepartal clinic and tells the nurse that she is 6 weeks pregnant. Which sign
is she most likely to report?
A.Decreased sexual libido
B.Amenorrhea(abnormal absence of mensturia)
C . Q u i c k e ni n g
D . N o c t u r i a
04. A client's daughter phones the charge nurse to report that the night nurse did not provide good
care for her mother. What response should the nurse make?
A.Ask for a description of what happened during the night
B.Tell the daughter to talk to the unit's nurse manager
C.Reassure the daughter that the mother will get better care
D. Explain that all the staff are doing the best they can
05. A hospitalized toddler who is recovering from a sickle cell crisis holds a toy and say's "Mine".
According to Erikson's theory of psychosocial development, this child's behavior is a demonstration of
which developmental stage?
A.Autonomy vs. Shame and Doubt (18 months to 3 years)
B.Industry vs. Inferiority
C.Initiative vs. Guilt
D.Trust vs. Mistrust
06. Which action should the nurse implement in caring for a client following an electroencephalogram
(EEG) (electrodes pasted onto scalp)?
A.Monitor the client's vital signs q4h
B.Assess for sensation in the client's lower extremities
C.Instruct the client to maintain bed rest for eight hours
D.Wash any paste from the client's hair and scalp
07. The nurse is caring for a 75-year-old male client who is beginning to form a decubitus ulcer at the
coccyx. Which intervention will be most helpful in preventing further development of the decubitus?
A.Encourage the client to eat foods high in protein
B.Assess the client with daily range of motion exercises
C.Teach the family how to perform sterile wound care
D.Ensure the IV fluids are administered as prescribed
,HESI** Bold indicates the question as well as the answer that goes with the question** LPN
PRACTICE EXAM AND QUESTIONS
The nurse in the question is you as a practical nurse
08. What is the homeostatic cellular transport mechanism that moves water from a hypotonic to a
hypertonic fluid space?
A.Filtration
B . D i f f u s i o n
C . O s m o s i s
D.Active transport
09. The nurse is taking blood pressure of a client admitted with a possible myocardial infarction. When
taking the client's BP at the brachial artery, the nurse should place the client's arm in which position?
A.Slightly above the level of the heart
B.At the level of the heart
C.At a level of comfort for the client
D.Below the level of the heart
10. What are the final parameters that produce blood pressure? (Select all that apply)
A . H e ar t r a t e
B.Stroke volume
C.Peripheral resistance
D.Neuroendocrine hormones
E . M u s c l e t o n e
11. A client begins taking an antidepressant drug during the second day of hospitalization. Which
assessment is most important for the nurse to include in this client's plan of care while the client is
taking the antidepressant?
A.Appetite
B . M o o d
C.Withdrawal
D.Energy level
12. Based on the documentation in the medical record, which action should the nurse implement
next? (Click on each chart tab for additional information. Please be sure to scroll to the bottom right
corner of each tab to view all information contained in the client's medical record.)
A.Give the rubella vaccine subcutaneously
B.Observe the mother breastfeeding her infant
C.Call the nursery for the infant's blood type result
D.Administer Vicodin one tablet for pain
13. A client is admitted to the hospital with a diagnosis of Pneumonia. Which intervention should the
nurse implement to prevent complications associated with Pneumonia?
A.Encourage mobilization and ambulation
B.Encourage energy conservation with complete bed rest
C.Provide humidified oxygen per nasal cannula
D.Restrict PO and intravenous fluids
14. The practical nurse is preparing to administer a prescription for cefazolin (Kefzol) 600 mg IM
every six hours. The available vial is labeled, "Cefazolin (Kefzol) 1gram," and the instructions for
reconstitution state, "For IM use add 2ml sterile water for injection. Total volume after reconstitution
= 2.5 ml." When reconstituted, how many milligrams are in each mil of solution? (Enter numeric
value only) 400
,HESI** Bold indicates the question as well as the answer that goes with the question** LPN
PRACTICE EXAM AND QUESTIONS
The nurse in the question is you as a practical nurse
15. Which Nursing activity is within the scope of practice for the practical nurse?
A.Complete an admission assessment in the normal newborn nursery
B.Discontinue a central venous catheter that has become dislodged
C.Observe a client rotate the subcutaneous site for an insulin pump
D.Monitor a continuous narcotic epidural for a postoperative client
16. After morning dressing changes are completed, a male client who has paraplegia contaminates his
ischial decubiti dressing with a diarrheal stool. What activity is best for the nurse to assign to the
unlicensed assistive personnel?
A.Identify the need for additional supplies to provide an extra dressing change
B.Provide perianal care and collect clean linens for the dressing change
C.Document the diarrhea that necessitates an additional dressing change
D.Position the client for access to the decubiti sites and remove dressings
17. The nurse is planning to evaluate the effectiveness of several drugs administered by different
routes. Arrange the routes of administration in the order from fastest to slowest rate of absorption.
Intravenous, sublingual, intramuscular, subcutaneous, oral
18. A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9 weeks gestation. At one-hour post
dilation and curettage (D&C), the nurse assesses vital signs and vaginal bleeding. The client begins to
cry softly. How should the nurse intervene?
A.Offer to call the social worker to discuss the possibility of adoption
B.Reassure the client that the infertility specialist can help
C.Express sorrow for the client's grief and offer to sit with her
D.Chart the vital signs and amount of vaginal bleeding
19. A terminally ill male client and his family are requesting hospice care after discharge from the
hospital and ask the nurse to explain what kind of care they should expect. The nurse should indicate
that hospice philosophy focuses on what aspect of health care?
A.Enhance symptom management to improve end of life quality
B.Facilitates assisted suicide with the client's consent
C.Offers ways to postpone the death experience at home
D.Provide training for family members to care for the client
, HESI** Bold indicates the question as well as the answer that goes with the question** LPN
PRACTICE EXAM AND QUESTIONS
The nurse in the question is you as a practical nurse
20. The nurse observes a wife shaving her husband’s beard with a safety razor by holding the skin taut
and shaving in the direction of the hair growth. What action should the nurse take?
A.Advise the wife to shave against the hair growth
B.Teach the wife to keep the skin loose to avoid cuts
C.Encourage the wife to continue shaving her husband
D.Demonstrate the correct procedure to the wife
21. To assess pedal pulse, what arterial sites should the nurse palpate? (Select all that apply)
A.Posterior tibialis artery
B.Popliteal artery
C.External femoral artery
D.Dorsalis pedis artery
E.Radial artery
22. The nurse is admitting a client who is diagnosed with Angina Pectoris. Which precipitating factor
in this client's history is likely to be related to the anginal pain?
A.Smokes one pack of cigarettes daily
B.Drinks two beers daily
C.Works in a job that requires exposure to the sun
D.Eats while lying in bed
23. The nurse is assessing an older resident of a long-term care facility who has a history of Benign
Prostatic Hypertrophy and identifies that the client's bladder is distended. The healthcare provider
prescribes post-voided residual catheterization over the next 24 hours and placement of an indwelling
catheter if the residual volume exceeds 100 mL. The client's PO intake is 600 mL, and fifteen minutes
ago, the client voided 90 mL. What action should the nurse take?
A.Stand the client to void and run tap water within hearing distance before catheterizing
the client
B.Straight catheterize and if the residual urine volume is greater than 100 mL, clamp
catheter
C.Catheterize q2h and place in an indwelling catheter at the end of the prescribed 24hr
period
D.Catheterize with an indwelling catheter and if the residual volume is greater than 100 mL. inflate
the balloon
24. A client is receiving dexamethasone (Hexadrol, Decadron). What symptoms should the nurse
recognize as Cushinoid side effects?
A.Moon face, slow wound healing, muscle wasting sodium and water retention
B.Tachycardia hypertension, weight loss, heat intolerance, nervousness, restlessness,
tremor
C.Bradycardia, weight gain, cold intolerance, myxedema facies and periorbital edema
D.Hyperpigmentation, hyponatremia, hyperkalemia, dehydration, hypotension
25. The cervix is the opening into the uterine cavity. What is its function in reproduction?
A.Accepts and interprets signals of sexual stimuli
B.Secretes mucus to facilitate sperm transport
C.Serves as the site for union of ovum and sperm
D.Receives the penis during intercourse
26. The nurse is working in a community health setting and assisting the charge nurse in performing
health screenings. Which individual is at highest risk for contracting an HIV infection?
