LPN FUNDAMENTALS HESI PRACTICE
EXAM 2024-2025 WITH VERIFIED
QUESTIONS AND CORRECT ANSWERS
GRADED A+
1. A client with cancer who has been taking opioid analgesics for two years now requires increased
doses to obtain pain relief. The client expresses fear about becoming addicted to these drugs. What
information should the practical nurse (PN) provide?
A. Opioid use with cancer does not cause addiction.
B. Addiction is easily reversed if it occurs during pain management.
C. Prescribed opiates for cancer pain relief improve qualify of life.
D. Opioid dosages can be tapered if a client fears addiction. - ANS-C. Prescribed opiates for cancer pain
relief improve qualify of life
The goal of pain management for clients with cancer using opiates is to minimize pain and maintain
quality of life
A client with gastroenteritis, nausea, and vomiting is currently on Nothing by mouth (NPO) status. The
healthcare provider prescribes oral intake to be advanced as tolerated. Which fluid should the practical
nurse offer first?
A. Tea.
B. Broth.
C. Water.
,D. Soda. - ANS-C. Water or ice chips are the first choices of clear fluids for rehydration by mouth.
Although tea (A), broth (B), and soda (D) are commonly used for a client with nausea and vomiting,
liquids that are high in sodium should be introduced once the client's tolerance to oral intake is
evaluated.
Which technique should the practical nurse (PN) use to most accurately assess a client's baseline blood
pressure during a routine health examination?
A. Measure the pressure in each arm while the client sits with the arm supported at heart level.
B. Calculate the average blood pressure using readings obtained in both arms.
C. Obtain the blood pressure first with the client lying supine and then while standing.
D. Take additional measurements for readings with a 10 mm Hg difference. - ANS-A. The blood pressure
should be taken initially in both arms while the client is seated or supine with the arm bared, supported,
and positioned at the level of the heart. (B and C) are inaccurate in establishing a baseline blood
pressure reading. Accurate assessment of baseline blood pressure is best obtained with sequential
readings at 2 minute intervals when there is a difference of 5 mm Hg, instead of 10 mm Hg
2. A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN) assesses the
client every two hours for the desire to void. Which documented assessment requires further
intervention by the PN?
A. 1:30 pm: unable to void.
B. 5:30 pm: unable to void.
C. 3:30 pm: unable to void.
D. 11:30 am: unable to void. - ANS-B. A client is due to void within 8 hours of catheter removal, so at
5:30 PM. Longer than 8 hours after removal, catheter reinsertion may be necessary. If the bladder is not
distended, further action may not be needed
3. Which position is best for the practical nurse to place the client in during administration of a rectal
suppository for constipation?
A. Prone with pillows under the client's abdomen.
B. Supine with the client on a bed pan.
C. Left Sims' position with upper leg flexed.
D. Right-side lying knee-chest position. - ANS-C. Left side-lying Sims' position lessens the likelihood that
the suppository or feces will be expelled, exposes the anus for visualization during insertion, and helps
the client to relax the external anal sphincter
, 4. The practical nurse (PN) is adding tap water to several medications for administration via feeding
tube. Which preparation should the PN administer without delay?
A. Reconstituted powder.
B. Timed release capsule.
C. Cherry flavored elixir.
D. Flavorless suspension. - ANS-B. Although the gelatin capsule can be opened to administer the
spansule's granules, the PN should not crush or allow the timed-released granules to dissolve before
administering this preparation via feeding tube since the timed-release function can be compromised.
What action should the practical nurse (PN) take when drawing medication from an ampule?
A. Aspirate with a filter needle and syringe.
B. Tap the bottom of the ampule lightly.
C. Snap the neck of ampule towards nurse.
D. Use an alcohol swab to open ampule. - ANS-A. An ampule is made of glass with a constricted neck
that is snapped off to allow access to the medication. Medications are easily withdrawn from the
ampule by aspirating the fluid with a filter needle and syringe. Filter needles are used when withdrawing
medication from a glass ampule to prevent glass particles from being drawn into the syringe with the
medication. Tap the top, not the bottom (B), of the ampule lightly to allow all of the medication to drop
to the bottom. When opening the ampule, the top should be snapped away from the nurse's face and
body (C). An opened alcohol swab wrapped around the top of the ampule may allow alcohol to leak into
the ampule
The practical nurse (PN) is preparing to reconstitute a drug from powder form for IM administration.
Which step should the PN implement first?
A. Verify the drug with the medication administration record.
B. Mix the powder with the solution.
C. Attach the needle to the syringe.
D. Read the label to determine the amount of diluent to use. - ANS-A. The Five Rights of medication
administration include the right drug, right dose, right route, right time, and right client. The first action
should be verification of the right drug in the powder form for reconstitution.
Which action should the practical nurse (PN) implement when administering a subcutaneous injection to
a client who weighs 325 pounds?
A. Produce a bleb at the injection site.
EXAM 2024-2025 WITH VERIFIED
QUESTIONS AND CORRECT ANSWERS
GRADED A+
1. A client with cancer who has been taking opioid analgesics for two years now requires increased
doses to obtain pain relief. The client expresses fear about becoming addicted to these drugs. What
information should the practical nurse (PN) provide?
A. Opioid use with cancer does not cause addiction.
B. Addiction is easily reversed if it occurs during pain management.
C. Prescribed opiates for cancer pain relief improve qualify of life.
D. Opioid dosages can be tapered if a client fears addiction. - ANS-C. Prescribed opiates for cancer pain
relief improve qualify of life
The goal of pain management for clients with cancer using opiates is to minimize pain and maintain
quality of life
A client with gastroenteritis, nausea, and vomiting is currently on Nothing by mouth (NPO) status. The
healthcare provider prescribes oral intake to be advanced as tolerated. Which fluid should the practical
nurse offer first?
A. Tea.
B. Broth.
C. Water.
,D. Soda. - ANS-C. Water or ice chips are the first choices of clear fluids for rehydration by mouth.
Although tea (A), broth (B), and soda (D) are commonly used for a client with nausea and vomiting,
liquids that are high in sodium should be introduced once the client's tolerance to oral intake is
evaluated.
Which technique should the practical nurse (PN) use to most accurately assess a client's baseline blood
pressure during a routine health examination?
A. Measure the pressure in each arm while the client sits with the arm supported at heart level.
B. Calculate the average blood pressure using readings obtained in both arms.
C. Obtain the blood pressure first with the client lying supine and then while standing.
D. Take additional measurements for readings with a 10 mm Hg difference. - ANS-A. The blood pressure
should be taken initially in both arms while the client is seated or supine with the arm bared, supported,
and positioned at the level of the heart. (B and C) are inaccurate in establishing a baseline blood
pressure reading. Accurate assessment of baseline blood pressure is best obtained with sequential
readings at 2 minute intervals when there is a difference of 5 mm Hg, instead of 10 mm Hg
2. A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN) assesses the
client every two hours for the desire to void. Which documented assessment requires further
intervention by the PN?
A. 1:30 pm: unable to void.
B. 5:30 pm: unable to void.
C. 3:30 pm: unable to void.
D. 11:30 am: unable to void. - ANS-B. A client is due to void within 8 hours of catheter removal, so at
5:30 PM. Longer than 8 hours after removal, catheter reinsertion may be necessary. If the bladder is not
distended, further action may not be needed
3. Which position is best for the practical nurse to place the client in during administration of a rectal
suppository for constipation?
A. Prone with pillows under the client's abdomen.
B. Supine with the client on a bed pan.
C. Left Sims' position with upper leg flexed.
D. Right-side lying knee-chest position. - ANS-C. Left side-lying Sims' position lessens the likelihood that
the suppository or feces will be expelled, exposes the anus for visualization during insertion, and helps
the client to relax the external anal sphincter
, 4. The practical nurse (PN) is adding tap water to several medications for administration via feeding
tube. Which preparation should the PN administer without delay?
A. Reconstituted powder.
B. Timed release capsule.
C. Cherry flavored elixir.
D. Flavorless suspension. - ANS-B. Although the gelatin capsule can be opened to administer the
spansule's granules, the PN should not crush or allow the timed-released granules to dissolve before
administering this preparation via feeding tube since the timed-release function can be compromised.
What action should the practical nurse (PN) take when drawing medication from an ampule?
A. Aspirate with a filter needle and syringe.
B. Tap the bottom of the ampule lightly.
C. Snap the neck of ampule towards nurse.
D. Use an alcohol swab to open ampule. - ANS-A. An ampule is made of glass with a constricted neck
that is snapped off to allow access to the medication. Medications are easily withdrawn from the
ampule by aspirating the fluid with a filter needle and syringe. Filter needles are used when withdrawing
medication from a glass ampule to prevent glass particles from being drawn into the syringe with the
medication. Tap the top, not the bottom (B), of the ampule lightly to allow all of the medication to drop
to the bottom. When opening the ampule, the top should be snapped away from the nurse's face and
body (C). An opened alcohol swab wrapped around the top of the ampule may allow alcohol to leak into
the ampule
The practical nurse (PN) is preparing to reconstitute a drug from powder form for IM administration.
Which step should the PN implement first?
A. Verify the drug with the medication administration record.
B. Mix the powder with the solution.
C. Attach the needle to the syringe.
D. Read the label to determine the amount of diluent to use. - ANS-A. The Five Rights of medication
administration include the right drug, right dose, right route, right time, and right client. The first action
should be verification of the right drug in the powder form for reconstitution.
Which action should the practical nurse (PN) implement when administering a subcutaneous injection to
a client who weighs 325 pounds?
A. Produce a bleb at the injection site.
