HESI LPN FUNDAMENTALS EXAM 2024/2025 NEWEST!! ACTUAL
COMPLETE 160 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS )
ALREADY 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. -
ANSWER -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
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. - ANSWER -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. - ANSWER -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. - ANSWER -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. - ANSWER -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. -
ANSWER -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.
B. Insert the needle at a 15-degree angle.
C. Select a needle with a longer shaft.
D. Rub vigorously for a faster response. - ANSWER -C. To ensure
penetration into the deep layer of subcutaneuos adipose for a
client who is obese, the needle length should be longer than the
usual needle (preferably 3/8 to 5/8 inch in length) for subcutaneous
injection.
Which finding indicates to the practical nurse (PN) that an older
client who is receiving intravenous therapy is experiencing fluid
overload?
A. Edema in lower extremities.
B. Crackles in the lung fields.
COMPLETE 160 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS )
ALREADY 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. -
ANSWER -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
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. - ANSWER -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. - ANSWER -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. - ANSWER -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. - ANSWER -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. -
ANSWER -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.
B. Insert the needle at a 15-degree angle.
C. Select a needle with a longer shaft.
D. Rub vigorously for a faster response. - ANSWER -C. To ensure
penetration into the deep layer of subcutaneuos adipose for a
client who is obese, the needle length should be longer than the
usual needle (preferably 3/8 to 5/8 inch in length) for subcutaneous
injection.
Which finding indicates to the practical nurse (PN) that an older
client who is receiving intravenous therapy is experiencing fluid
overload?
A. Edema in lower extremities.
B. Crackles in the lung fields.
