HESI LPN FUNDAMENTALS LATEST
EXAM 2024-2025 WITH QUESTIONS AND
WELL VERIFIED ANSWERS [GRADED
A+] //LPN HESI REAL 2024
During insertion of a nasogastric tube (NGT) into the right nares, the client starts
to cough. Which action should the practical nurse (PN) implement?
A. Notify the healthcare provider and report the inability to insert the NGT.
B. Flush the nasogastric tube with 30 ml of tap water to check for patency.
C. Withdraw the NGT to the oral pharynx, reposition client's head and reinsert.
D. Continue inserting the NGT because coughing is an expected response. -
ANSWER-C. Difficulty entering the esophagus during insertion of a NGT may
cause the client to cough if the tube enters the larynx, which requires stopping the
insertion of the NGT. To reintroduce the NGT, it should be withdrawn until its tip
is visualized in the oral pharynx, and the client's head repositioned with the chin
closer to the chest to prevent the NGT from entering the trachea
,A client is receiving a continuous tube feeding. While checking the gastric residual
volume, the practical nurse (PN) aspirates 150 ml of gastric contents. What action
should the PN take?
A. Rinse the feeding tube after throwing the aspirated gastric contents away and
restart the feeding.
B. Replace half of the aspirated gastric contents and slow the rate of the feeding.
C. Throw the aspirated gastric contents away and stop the continuous feeding.
D. Return all the aspirated contents to the stomach followed with water and consult
the agency policy. - ANSWER-D. The residual volume should be replaced in order
to prevent loss of electrolytes, and the agency policy should be followed to
determine the routine actions regarding the volume of the next feeding, the rate of
the feeding, or the duration to withhold the continuous feeding. Throwing the
aspirate away or only replacing a portion places the client at risk for electrolyte
imbalance
The practical nurse (PN) is assisting a client plan a balanced vegetarian diet that
provides the highest in protein quality. Which selection should the PN recommend
to the client?
A. Soybeans.
B. Peanuts.
C. Whole wheat.
D. Sesame seeds. - ANSWER-A. Soybeans are the highest in protein quality and
contain the most nutritive value. (B and D) are sources of protein but provide less
nutritive value. Although whole wheat (C), a complex carbohydrate, it is not as a
protein source
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
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
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
, 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.
EXAM 2024-2025 WITH QUESTIONS AND
WELL VERIFIED ANSWERS [GRADED
A+] //LPN HESI REAL 2024
During insertion of a nasogastric tube (NGT) into the right nares, the client starts
to cough. Which action should the practical nurse (PN) implement?
A. Notify the healthcare provider and report the inability to insert the NGT.
B. Flush the nasogastric tube with 30 ml of tap water to check for patency.
C. Withdraw the NGT to the oral pharynx, reposition client's head and reinsert.
D. Continue inserting the NGT because coughing is an expected response. -
ANSWER-C. Difficulty entering the esophagus during insertion of a NGT may
cause the client to cough if the tube enters the larynx, which requires stopping the
insertion of the NGT. To reintroduce the NGT, it should be withdrawn until its tip
is visualized in the oral pharynx, and the client's head repositioned with the chin
closer to the chest to prevent the NGT from entering the trachea
,A client is receiving a continuous tube feeding. While checking the gastric residual
volume, the practical nurse (PN) aspirates 150 ml of gastric contents. What action
should the PN take?
A. Rinse the feeding tube after throwing the aspirated gastric contents away and
restart the feeding.
B. Replace half of the aspirated gastric contents and slow the rate of the feeding.
C. Throw the aspirated gastric contents away and stop the continuous feeding.
D. Return all the aspirated contents to the stomach followed with water and consult
the agency policy. - ANSWER-D. The residual volume should be replaced in order
to prevent loss of electrolytes, and the agency policy should be followed to
determine the routine actions regarding the volume of the next feeding, the rate of
the feeding, or the duration to withhold the continuous feeding. Throwing the
aspirate away or only replacing a portion places the client at risk for electrolyte
imbalance
The practical nurse (PN) is assisting a client plan a balanced vegetarian diet that
provides the highest in protein quality. Which selection should the PN recommend
to the client?
A. Soybeans.
B. Peanuts.
C. Whole wheat.
D. Sesame seeds. - ANSWER-A. Soybeans are the highest in protein quality and
contain the most nutritive value. (B and D) are sources of protein but provide less
nutritive value. Although whole wheat (C), a complex carbohydrate, it is not as a
protein source
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
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
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
, 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.
