HESI LPN ENTRANCE EXAM NEWEST
ACTUAL EXAM 2025 QUESTIONS AND
DETAILED CORRECT ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |
GUARANTEED PASS
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.
D. Administer a soap suds enema. Correct Answer C.
Abdominal distension, cramping, and passage of small
amounts of liquid stool are signs and symptoms of fecal
impaction, which is relieved by digital removal.
Acetaminophen is prescribed for an unconscious client
with a temperature of 104° F. Which route should the
practical nurse (PN) plan to administer this medication?
A. Oral.
B. Rectal.
C. Buccal.
D. Topical. Correct Answer B. The rectal route, ensures
absorption and safety for an unconscious client who is at
risk for aspiration. (A and C) are contraindicated for an
,unconscious client who may have a compromised gag
reflex and is unable to swallow
Which intervention should the practical nurse (PN)
implement to help a client cope effectively with chronic
pain?
A. Administer around-the-clock opiate drugs.
B. Give scheduled doses of benzodiazepines.
C. Recommend avoiding painful activities.
D. Encourage using relaxation techniques. Correct Answer
D. Relaxation techniques can be an effective long-term
strategy to help a client control tension, anxiety, and cope
with chronic pain. (A and B) are not useful for long term
management of chronic pain. (C) may not be feasible if
activities of daily living are painful.
A young woman, who is the primary caregiver for her
mother who has Alzheimer's disease, tells the practical
nurse (PN), "Sometimes I hate my mother for living this
long and my Dad for dying and not caring for her." What
response should the PN offer?
A. What you do to cope with these feelings?
B. Have you told your family how you feel?
C. It's normal feel these emotions when you are stressed.
D. Don't worry, at least you can talk about your angry.
Correct Answer A. a response that invites the client to
share feelings and perceptions is the most therapeutic
communication (B and C) do not provide the client the
options to freely share her distress
,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. Correct 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. Correct
, 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. Correct 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
The practical nurse (PN) is caring for a client who is
admitted with influenza and vomiting for 3 days. The
client's skin turgor is poor and oral mucous membranes
are dry. Which finding is most important for the practical
nurse (PN) to report to the charge nurse?
A. Weight loss of 4 pounds in last 3 days.
B. Hypotension and tachycardia.
C. Nausea and anorexia.
D. Dark amber urine output at 30 ml/hour. Correct Answer
B. The client's fluid loss from protracted vomiting causes a
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