LPN FUNDAMENTALS HESI PRACTICE EXAM (2025/2026) – VERIFIED
QUESTIONS AND CORRECT ANSWERS | LATEST ACTUAL EXAM |
UPDATED EDITION | GRADED A+
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. - CORRECT ANSWERS-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withdrawn from the ampule by aspirating the fluid with a filter needle and syringe.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. - CORRECT ANSWERS-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. - CORRECT ANSWERS-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.
C. Pulse rate of 64 beats/min.
D. Respirations of 16 breaths/min. - CORRECT ANSWERS-B. IV fluid overload in an older client
is likely to cause an increase in the workload of the heart causing a decrease in cardiac output
The practical nurse (PN) is checking the surgical dressing for a client who arrived on the postoperative
unit an hour ago. The dressing has an increase in the accumulation of serosanguinous drainage. What
nursing action should the PN take?
A. Reinforce the dressing with clean gauze sponges and tape.
B. Change the surgical dressing immediately to prevent infection.
C. Mark the outlined area of drainage with date, time and initials.
D. Collect a sample of the drainage for a culture and sensitivity - CORRECT ANSWERS-C. The
area of bleeding on the dressing should be outlined, dated, timed and initialed for furture comparison
and evaluation
A male client who is 2 days postoperative for exploratory abdominal surgery is ambulating in the hall
with the practical nurse (PN). The client tells the PN, "I think something in my incision just let go." Which
action should the PN implement first?
A. Notify the healthcare provider.
B. Assist the client to a supine position.
C. Instruct the client to avoid deep breathing.
D. Request an abdominal binder from a coworker. - CORRECT ANSWERS-B. The sensation of
the surgical site letting go is characteristic of wound dehiscence in the early postoperative period. The
client should be placed into a supine position
, The practical nurse (PN) is applying a dry, sterile dressing to a client's abdominal wound. Which allergy
should the PN verify with the client?
A. Tape.
B. Antibiotic ointment.
C. Povidone-iodine.
D. Hydrogen peroxide. - CORRECT ANSWERS-A. a dry, sterile dressing includes the use of
gauze and tape . Although a client may be allergic to the other substances used in wound care, (B, C, and
D) are not used for a dry, sterile dressing.
The practical nurse (PN) is changing a postoperative dressing for a client with a horizontal lower
abdominal incision. What method should the PN use to remove the tape from the dressing?
A. Pull from the left to right across the abdomen.
B. Peel across the abdomen from the right to the left.
C. Start from the top of the incision moving to the bottom.
D. Remove all four sides by moving to the center of the incision. - CORRECT ANSWERS-D. The
tape should be removed by starting all four sides and moving towards the center of the incision to
prevent disruption of the wound.
Which action should the practical nurse (PN) follow when applying an elasticized bandage to a client's
leg?
A. Secure the end with metal clips.
B. Overlap turns of the bandage equally.
C. Adjust the tension as needed.
D. Wrap from the proximal to distal end. - CORRECT ANSWERS-B. The overlapping turns of
the elasticized bandage should be evenly wrapped. Metal clips (A) may release and cause injury to the
client. The bandage should be applied from the distal end to the proximal end of an extremity
An older client who has been on bed rest is not eating well and is exhibiting abdominal distension,
cramping, and is passing small amounts of liquid stool. Which prescribed action is most important for the
practical nurse (PN) to implement?
A. Place incontinent pads on the bed.
B. Give a PRN dose of a stool softener.
C. Digitally remove a fecal impaction.
QUESTIONS AND CORRECT ANSWERS | LATEST ACTUAL EXAM |
UPDATED EDITION | GRADED A+
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. - CORRECT ANSWERS-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. - CORRECT ANSWERS-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. - CORRECT ANSWERS-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.
C. Pulse rate of 64 beats/min.
D. Respirations of 16 breaths/min. - CORRECT ANSWERS-B. IV fluid overload in an older client
is likely to cause an increase in the workload of the heart causing a decrease in cardiac output
The practical nurse (PN) is checking the surgical dressing for a client who arrived on the postoperative
unit an hour ago. The dressing has an increase in the accumulation of serosanguinous drainage. What
nursing action should the PN take?
A. Reinforce the dressing with clean gauze sponges and tape.
B. Change the surgical dressing immediately to prevent infection.
C. Mark the outlined area of drainage with date, time and initials.
D. Collect a sample of the drainage for a culture and sensitivity - CORRECT ANSWERS-C. The
area of bleeding on the dressing should be outlined, dated, timed and initialed for furture comparison
and evaluation
A male client who is 2 days postoperative for exploratory abdominal surgery is ambulating in the hall
with the practical nurse (PN). The client tells the PN, "I think something in my incision just let go." Which
action should the PN implement first?
A. Notify the healthcare provider.
B. Assist the client to a supine position.
C. Instruct the client to avoid deep breathing.
D. Request an abdominal binder from a coworker. - CORRECT ANSWERS-B. The sensation of
the surgical site letting go is characteristic of wound dehiscence in the early postoperative period. The
client should be placed into a supine position
, The practical nurse (PN) is applying a dry, sterile dressing to a client's abdominal wound. Which allergy
should the PN verify with the client?
A. Tape.
B. Antibiotic ointment.
C. Povidone-iodine.
D. Hydrogen peroxide. - CORRECT ANSWERS-A. a dry, sterile dressing includes the use of
gauze and tape . Although a client may be allergic to the other substances used in wound care, (B, C, and
D) are not used for a dry, sterile dressing.
The practical nurse (PN) is changing a postoperative dressing for a client with a horizontal lower
abdominal incision. What method should the PN use to remove the tape from the dressing?
A. Pull from the left to right across the abdomen.
B. Peel across the abdomen from the right to the left.
C. Start from the top of the incision moving to the bottom.
D. Remove all four sides by moving to the center of the incision. - CORRECT ANSWERS-D. The
tape should be removed by starting all four sides and moving towards the center of the incision to
prevent disruption of the wound.
Which action should the practical nurse (PN) follow when applying an elasticized bandage to a client's
leg?
A. Secure the end with metal clips.
B. Overlap turns of the bandage equally.
C. Adjust the tension as needed.
D. Wrap from the proximal to distal end. - CORRECT ANSWERS-B. The overlapping turns of
the elasticized bandage should be evenly wrapped. Metal clips (A) may release and cause injury to the
client. The bandage should be applied from the distal end to the proximal end of an extremity
An older client who has been on bed rest is not eating well and is exhibiting abdominal distension,
cramping, and is passing small amounts of liquid stool. Which prescribed action is most important for the
practical nurse (PN) to implement?
A. Place incontinent pads on the bed.
B. Give a PRN dose of a stool softener.
C. Digitally remove a fecal impaction.
