HESI PN LPN FUNDAMENTALS EXAM UPDATED AND
REVISED IN 2025-2026 DECEMBER
A male client being discharged with a prescription for the
bronchodilator theophylline tells the nurse that he understands he is to
take three doses of the medication each day. Since, at the time of
discharge, timed-release capsules are not available, which dosing
schedule should the LPN advise the client to follow? - ANSWER ->8
a.m., 4 p.m., and midnight.
A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline
over 4 hours. At what rate should the LPN/LVN set the client's
intravenous infusion pump? - ANSWER ->63 ml/hour.
An obese male client discusses with the LPN/LVN his plans to begin a
long-term weight loss regimen. In addition to dietary changes, he plans
to begin an intensive aerobic exercise program 3 to 4 times a week and
to take stress management classes. After praising the client for his
decision, which instruction is most important for the nurse to provide? -
ANSWER ->Be sure to have a complete physical examination before
beginning your planned exercise program.
The LPN is teaching a client proper use of an inhaler. When should the
client administer the inhaler-delivered medication to demonstrate
correct use of the inhaler? - ANSWER ->during inhalation
The healthcare provider prescribes the diuretic metolazone (Zaroxolyn)
7.5 mg PO. Zaroxolyn is available in 5 mg tablets.
,How much should the LPN/LVN plan to administer? - - ANSWER >1½
tablets
The healthcare provider prescribes furosemide (Lasix) 15 mg IV stat. On
hand is Lasix 20 mg/2 ml. How many milliliters should the LPN/LVN
administer? - ANSWER ->1.5 ml
Heparin 20,000 units in 500 ml D5W at 50 ml/hour has been infusing for
51⁄2 hours. How much heparin has the client received? - ANSWER -
>11,000 units
The healthcare provider prescribes morphine sulfate 4mg IM STAT.
Morphine comes in 8 mg per ml. How many ml should the LPN/LVN
administer? - ANSWER ->0.5 mL
The LPN prepares a 1,000 ml IV of 5% dextrose and water to be infused
over 8 hours. The infusion set delivers 10 drops per milliliter. The nurse
should regulate the IV to administer approximately how many drops
per minute? - ANSWER ->21
Which action is most important for the LPN/LVN to implement when
donning sterile gloves? - ANSWER ->Keep gloved hands above the
elbows.
A client's infusion of normal saline infiltrated earlier today, and
approximately 500 ml of saline infused into the subcutaneous tissue.
The client is now complaining of excruciating arm pain and demanding
"stronger pain medications." What initial action is most important for
the LPN/LVN to take? - - ANSWER >Measure the pulse volume and
capillary refill distal to the infiltration.
, An elderly male client who is unresponsive following a cerebral vascular
accident (CVA) is receiving bolus enteral feedings though a gastrostomy
tube. What is the best client position for administration of the bolus
tube feedings? - ANSWER -
>Fowler's
A 73-year-old female client had a hemiarthroplasty of the left hip
yesterday due to a fracture resulting from a fall. In reviewing hip
precautions with the client, which instruction should the LPN/LVN
include in this client's teaching plan? - ANSWER ->Place a pillow
between your knees while lying in bed to prevent hip dislocation.
A client with pneumonia has a decrease in oxygen saturation from 94%
to 88% while ambulating. Based on these findings, which intervention
should the LPN/LVN implement first? - ANSWER ->Assist the ambulating
client back to the bed.
A client with chronic renal failure selects a scrambled egg for his
breakfast. What action should the LPN/LVN take? - ANSWER -
>Commend the client for selecting a high biologic value protein.
A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery
the next day. What question is most important for the LPN to include
during the preoperative assessment? - ANSWER ->What vitamin and
mineral supplements do you take?
During the initial morning assessment, a male client denies dysuria but
reports that his urine appears dark amber. Which intervention should
REVISED IN 2025-2026 DECEMBER
A male client being discharged with a prescription for the
bronchodilator theophylline tells the nurse that he understands he is to
take three doses of the medication each day. Since, at the time of
discharge, timed-release capsules are not available, which dosing
schedule should the LPN advise the client to follow? - ANSWER ->8
a.m., 4 p.m., and midnight.
A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline
over 4 hours. At what rate should the LPN/LVN set the client's
intravenous infusion pump? - ANSWER ->63 ml/hour.
An obese male client discusses with the LPN/LVN his plans to begin a
long-term weight loss regimen. In addition to dietary changes, he plans
to begin an intensive aerobic exercise program 3 to 4 times a week and
to take stress management classes. After praising the client for his
decision, which instruction is most important for the nurse to provide? -
ANSWER ->Be sure to have a complete physical examination before
beginning your planned exercise program.
The LPN is teaching a client proper use of an inhaler. When should the
client administer the inhaler-delivered medication to demonstrate
correct use of the inhaler? - ANSWER ->during inhalation
The healthcare provider prescribes the diuretic metolazone (Zaroxolyn)
7.5 mg PO. Zaroxolyn is available in 5 mg tablets.
,How much should the LPN/LVN plan to administer? - - ANSWER >1½
tablets
The healthcare provider prescribes furosemide (Lasix) 15 mg IV stat. On
hand is Lasix 20 mg/2 ml. How many milliliters should the LPN/LVN
administer? - ANSWER ->1.5 ml
Heparin 20,000 units in 500 ml D5W at 50 ml/hour has been infusing for
51⁄2 hours. How much heparin has the client received? - ANSWER -
>11,000 units
The healthcare provider prescribes morphine sulfate 4mg IM STAT.
Morphine comes in 8 mg per ml. How many ml should the LPN/LVN
administer? - ANSWER ->0.5 mL
The LPN prepares a 1,000 ml IV of 5% dextrose and water to be infused
over 8 hours. The infusion set delivers 10 drops per milliliter. The nurse
should regulate the IV to administer approximately how many drops
per minute? - ANSWER ->21
Which action is most important for the LPN/LVN to implement when
donning sterile gloves? - ANSWER ->Keep gloved hands above the
elbows.
A client's infusion of normal saline infiltrated earlier today, and
approximately 500 ml of saline infused into the subcutaneous tissue.
The client is now complaining of excruciating arm pain and demanding
"stronger pain medications." What initial action is most important for
the LPN/LVN to take? - - ANSWER >Measure the pulse volume and
capillary refill distal to the infiltration.
, An elderly male client who is unresponsive following a cerebral vascular
accident (CVA) is receiving bolus enteral feedings though a gastrostomy
tube. What is the best client position for administration of the bolus
tube feedings? - ANSWER -
>Fowler's
A 73-year-old female client had a hemiarthroplasty of the left hip
yesterday due to a fracture resulting from a fall. In reviewing hip
precautions with the client, which instruction should the LPN/LVN
include in this client's teaching plan? - ANSWER ->Place a pillow
between your knees while lying in bed to prevent hip dislocation.
A client with pneumonia has a decrease in oxygen saturation from 94%
to 88% while ambulating. Based on these findings, which intervention
should the LPN/LVN implement first? - ANSWER ->Assist the ambulating
client back to the bed.
A client with chronic renal failure selects a scrambled egg for his
breakfast. What action should the LPN/LVN take? - ANSWER -
>Commend the client for selecting a high biologic value protein.
A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery
the next day. What question is most important for the LPN to include
during the preoperative assessment? - ANSWER ->What vitamin and
mineral supplements do you take?
During the initial morning assessment, a male client denies dysuria but
reports that his urine appears dark amber. Which intervention should
