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HESI LPN/PN FUNDAMENTALS EXAM NEWEST 2026 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
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. -
ANSWER-C.
Rationale
The area of bleeding on the dressing should be outlined, dated,
timed and initialed for future comparison and evaluation.
The practical nurse (PN) contacts the healthcare provider about
an older client who is agitated and aggressive with the staff.
Which reason should the PN use to request a prescription for
wrist restraints?
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A. To decrease the client's agitation and acting-out behaviors.
B. To provide an effective way to prevent falls when the client is
alone.
C. To protect the client and reduce the likelihood of lawsuits.
D. To ensure the client's safety when the benefits outweigh the
risks. - ANSWER-D.
Rationale
Restraints should be used when the benefits outweigh the risks in
providing a safe environment for the client and ensuring the safety
of others. Restraints can increase agitation and are not the most
effective way to prevent falls. Restraints may provide protection,
but must be diligently monitored to prevent negligent injury.
While taking an adult's vital signs, the practical nurse (PN) notes
an irregular radial pulse. What action should the PN implement to
obtain the most accurate assessment?
A. Use a Doppler for the radial pulse while monitoring the apical.
B. Obtain the radial pulse again for one minute followed by the
apical.
C. Perform an apical-radial pulse assessment with another nurse.
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D. Verify the finding by counting the apical pulse using a
stethoscope. - ANSWER-C.
Rationale
An apical-radial pulse provides the most objective comparison
when one nurse obtains the radial pulse and another nurse
simultaneously auscultates the apical pulse. When one nurse
collects both rates, either at the same or separate times, the data
obtained is less accurate.
Acetaminophen is prescribed for an unconscious client with a
temperature of 104oF (40oC). Which route should the practical
nurse (PN) plan to administer this medication?
A. Oral.
B. Rectal.
C. Buccal.
D. Topical. - ANSWER-B.
Rationale
The rectal route ensures absorption and safety for an
unconscious client who is at risk for aspiration. Oral and buccal
routes are contraindicated for an unconscious client who may
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have a compromised gag reflex and who is unable to swallow.
Topical is not a common route of administration for
acetaminophen.
The practical nurse 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. Timed release capsule
Rationale: although the gelatin capsule can be opened to
administer the capsule's granules, the PN should not be crushed
or allowed the time-released granules to dissolve before
administering this preparation via feeding tube since the timed-
release function can be compromised. Medications that can be
dissolved and diluted when given through a feeding tube include
liquids made from powder for reconstitution, an elixir, and a
suspension.
HESI LPN/PN FUNDAMENTALS EXAM NEWEST 2026 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
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. -
ANSWER-C.
Rationale
The area of bleeding on the dressing should be outlined, dated,
timed and initialed for future comparison and evaluation.
The practical nurse (PN) contacts the healthcare provider about
an older client who is agitated and aggressive with the staff.
Which reason should the PN use to request a prescription for
wrist restraints?
,2|Page
A. To decrease the client's agitation and acting-out behaviors.
B. To provide an effective way to prevent falls when the client is
alone.
C. To protect the client and reduce the likelihood of lawsuits.
D. To ensure the client's safety when the benefits outweigh the
risks. - ANSWER-D.
Rationale
Restraints should be used when the benefits outweigh the risks in
providing a safe environment for the client and ensuring the safety
of others. Restraints can increase agitation and are not the most
effective way to prevent falls. Restraints may provide protection,
but must be diligently monitored to prevent negligent injury.
While taking an adult's vital signs, the practical nurse (PN) notes
an irregular radial pulse. What action should the PN implement to
obtain the most accurate assessment?
A. Use a Doppler for the radial pulse while monitoring the apical.
B. Obtain the radial pulse again for one minute followed by the
apical.
C. Perform an apical-radial pulse assessment with another nurse.
,3|Page
D. Verify the finding by counting the apical pulse using a
stethoscope. - ANSWER-C.
Rationale
An apical-radial pulse provides the most objective comparison
when one nurse obtains the radial pulse and another nurse
simultaneously auscultates the apical pulse. When one nurse
collects both rates, either at the same or separate times, the data
obtained is less accurate.
Acetaminophen is prescribed for an unconscious client with a
temperature of 104oF (40oC). Which route should the practical
nurse (PN) plan to administer this medication?
A. Oral.
B. Rectal.
C. Buccal.
D. Topical. - ANSWER-B.
Rationale
The rectal route ensures absorption and safety for an
unconscious client who is at risk for aspiration. Oral and buccal
routes are contraindicated for an unconscious client who may
, 4|Page
have a compromised gag reflex and who is unable to swallow.
Topical is not a common route of administration for
acetaminophen.
The practical nurse 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. Timed release capsule
Rationale: although the gelatin capsule can be opened to
administer the capsule's granules, the PN should not be crushed
or allowed the time-released granules to dissolve before
administering this preparation via feeding tube since the timed-
release function can be compromised. Medications that can be
dissolved and diluted when given through a feeding tube include
liquids made from powder for reconstitution, an elixir, and a
suspension.
