HESI LPN EXAM/HESI LPN EXIT EXAM TEST BANK
HESI LPN EXAM/HESI LPN EXIT EXAM TEST BANK 2025/2026
COMPLETE VERIFIED 450 QUESTIONS AND CORRECT ANSWERS WITH
DETAILED RATIONALES |ALREADY GRADED A+||BRAND NEW!!!
A client receiving blood transfusion develops chills and fever. What is the priority
action?
a) Slow the transfusion
b) Stop the transfusion immediately
c) Administer acetaminophen
d) Flush with normal saline
Correct answer: b)
Rationale: Fever and chills indicate possible transfusion reaction. Stopping is the
immediate, life-saving action.
A client in traction reports pain unrelieved by medication. What should the LPN
do?
a) Reposition weights
b) Assess alignment and traction setup
c) Remove the traction
d) Offer warm blankets
Correct answer: b)
Rationale: Pain in traction may indicate misalignment; assessment is the correct
first step.
A client with cirrhosis has confusion and a musty breath odor. What should the
LPN anticipate?
a) Administer lactulose as prescribed
b) Restrict carbohydrates
c) Discontinue all medications
d) Increase protein intake
1|Page
, HESI LPN EXAM/HESI LPN EXIT EXAM TEST BANK
Correct answer: a)
Rationale: Confusion + musty odor suggest hepatic encephalopathy; lactulose
reduces ammonia levels.
A client with a newly created colostomy is upset and refuses care. What is the best
response?
a) "You need to learn this now."
b) "Tell me what concerns you the most."
c) "The RN will teach you later."
d) "It gets easier over time."
Correct answer: b)
Rationale: Therapeutic communication requires exploring feelings, not giving
advice.
A client with a potassium level of 6.0 mEq/L is scheduled to receive
spironolactone. What should the LPN do?
a) Administer the dose
b) Hold the medication and notify the RN
c) Give an extra dose of potassium
d) Encourage potassium-rich foods
Correct answer: b)
Rationale: Spironolactone increases potassium; hyperkalemia makes it unsafe.
A client on oxygen via nasal cannula complains of dry nasal passages. What action
is appropriate?
a) Increase the oxygen flow
b) Add a humidifier to the oxygen delivery system
c) Discontinue oxygen
d) Switch to a non-rebreather mask
2|Page
, HESI LPN EXAM/HESI LPN EXIT EXAM TEST BANK
Correct answer: b)
Rationale: Humidification helps prevent mucosal dryness with oxygen therapy.
A client with a cast on the leg reports numbness and tingling. What should the
LPN do first?
a) Elevate the leg on pillows
b) Assess circulation, motion, and sensation
c) Apply ice over the cast
d) Document the finding
Correct answer: b)
Rationale: Numbness can indicate compartment syndrome; immediate
neurovascular assessment is required.
A client receiving heparin for a DVT has bleeding gums. What should the LPN do
first?
a) Check the most recent aPTT value
b) Increase the heparin dose
c) Give an anticoagulant antidote immediately
d) Encourage more oral fluids
Correct answer: a)
Rationale: Assessment is the priority. Checking the lab value (aPTT) helps
determine if the client is over-anticoagulated before taking further action.
A client with chronic kidney disease reports severe fatigue. Which food should the
LPN recommend limiting?
a) Apples
b) Chicken
c) Bananas
d) White rice
Correct answer: c)
3|Page
, HESI LPN EXAM/HESI LPN EXIT EXAM TEST BANK
Rationale: CKD clients must avoid high-potassium foods; bananas contain
significant potassium and may worsen fatigue from hyperkalemia.
A client receiving IV potassium reports burning at the IV site. What should the LPN
do?
a) Stop the infusion immediately
b) Dilute the potassium further and slow the rate (per protocol)
c) Apply warm compresses
d) Increase the infusion rate
Correct answer: b)
Rationale: Potassium can irritate veins; slowing the rate and ensuring proper
dilution is appropriate. Stopping is not required unless infiltration occurs.
A client with emphysema has an oxygen saturation of 90%. What should the LPN
do?
a) Increase O₂ to 6 L/min
b) Document the finding as expected
c) Place the client in a supine position
d) Request a STAT chest x-ray
Correct answer: b)
Rationale: COPD clients often maintain O₂ sats between 88–92%. This value is
acceptable.
A diabetic client scheduled for surgery is NPO and due for morning insulin. What
should the LPN do?
a) Hold insulin and notify the RN
b) Administer the full dose
c) Offer juice with the insulin
d) Give half the prescribed dose
Correct answer: a)
4|Page
HESI LPN EXAM/HESI LPN EXIT EXAM TEST BANK 2025/2026
COMPLETE VERIFIED 450 QUESTIONS AND CORRECT ANSWERS WITH
DETAILED RATIONALES |ALREADY GRADED A+||BRAND NEW!!!
A client receiving blood transfusion develops chills and fever. What is the priority
action?
a) Slow the transfusion
b) Stop the transfusion immediately
c) Administer acetaminophen
d) Flush with normal saline
Correct answer: b)
Rationale: Fever and chills indicate possible transfusion reaction. Stopping is the
immediate, life-saving action.
A client in traction reports pain unrelieved by medication. What should the LPN
do?
a) Reposition weights
b) Assess alignment and traction setup
c) Remove the traction
d) Offer warm blankets
Correct answer: b)
Rationale: Pain in traction may indicate misalignment; assessment is the correct
first step.
A client with cirrhosis has confusion and a musty breath odor. What should the
LPN anticipate?
a) Administer lactulose as prescribed
b) Restrict carbohydrates
c) Discontinue all medications
d) Increase protein intake
1|Page
, HESI LPN EXAM/HESI LPN EXIT EXAM TEST BANK
Correct answer: a)
Rationale: Confusion + musty odor suggest hepatic encephalopathy; lactulose
reduces ammonia levels.
A client with a newly created colostomy is upset and refuses care. What is the best
response?
a) "You need to learn this now."
b) "Tell me what concerns you the most."
c) "The RN will teach you later."
d) "It gets easier over time."
Correct answer: b)
Rationale: Therapeutic communication requires exploring feelings, not giving
advice.
A client with a potassium level of 6.0 mEq/L is scheduled to receive
spironolactone. What should the LPN do?
a) Administer the dose
b) Hold the medication and notify the RN
c) Give an extra dose of potassium
d) Encourage potassium-rich foods
Correct answer: b)
Rationale: Spironolactone increases potassium; hyperkalemia makes it unsafe.
A client on oxygen via nasal cannula complains of dry nasal passages. What action
is appropriate?
a) Increase the oxygen flow
b) Add a humidifier to the oxygen delivery system
c) Discontinue oxygen
d) Switch to a non-rebreather mask
2|Page
, HESI LPN EXAM/HESI LPN EXIT EXAM TEST BANK
Correct answer: b)
Rationale: Humidification helps prevent mucosal dryness with oxygen therapy.
A client with a cast on the leg reports numbness and tingling. What should the
LPN do first?
a) Elevate the leg on pillows
b) Assess circulation, motion, and sensation
c) Apply ice over the cast
d) Document the finding
Correct answer: b)
Rationale: Numbness can indicate compartment syndrome; immediate
neurovascular assessment is required.
A client receiving heparin for a DVT has bleeding gums. What should the LPN do
first?
a) Check the most recent aPTT value
b) Increase the heparin dose
c) Give an anticoagulant antidote immediately
d) Encourage more oral fluids
Correct answer: a)
Rationale: Assessment is the priority. Checking the lab value (aPTT) helps
determine if the client is over-anticoagulated before taking further action.
A client with chronic kidney disease reports severe fatigue. Which food should the
LPN recommend limiting?
a) Apples
b) Chicken
c) Bananas
d) White rice
Correct answer: c)
3|Page
, HESI LPN EXAM/HESI LPN EXIT EXAM TEST BANK
Rationale: CKD clients must avoid high-potassium foods; bananas contain
significant potassium and may worsen fatigue from hyperkalemia.
A client receiving IV potassium reports burning at the IV site. What should the LPN
do?
a) Stop the infusion immediately
b) Dilute the potassium further and slow the rate (per protocol)
c) Apply warm compresses
d) Increase the infusion rate
Correct answer: b)
Rationale: Potassium can irritate veins; slowing the rate and ensuring proper
dilution is appropriate. Stopping is not required unless infiltration occurs.
A client with emphysema has an oxygen saturation of 90%. What should the LPN
do?
a) Increase O₂ to 6 L/min
b) Document the finding as expected
c) Place the client in a supine position
d) Request a STAT chest x-ray
Correct answer: b)
Rationale: COPD clients often maintain O₂ sats between 88–92%. This value is
acceptable.
A diabetic client scheduled for surgery is NPO and due for morning insulin. What
should the LPN do?
a) Hold insulin and notify the RN
b) Administer the full dose
c) Offer juice with the insulin
d) Give half the prescribed dose
Correct answer: a)
4|Page
