LPN HESI FUNDAMENTALS TEST 2024-2025
COMPLETE ACTUAL TEST WITH REAL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (CORRECT VERIFIED SOLUTIONS)
LATEST UPDATED VERSION |ALREADY GRADED A+
(BRAND NEW!!)
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withdrawn from the ampule by aspirating the fluid with a filter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.
B. Mix the powder with the solution.
C. Attach the needle to the syringe.
D. Read the label to determine the amount of diluent to use. -
Answer-A. The Five Rights of medication administration include
the right drug, right dose, right route, right time, and right
client. The first action should be verification of the right drug in
the powder form for reconstitution.
Which action should the practical nurse (PN) implement when
administering a subcutaneous injection to a client who weighs
325 pounds?
A. Produce a bleb at the injection site.
B. Insert the needle at a 15-degree angle.
C. Select a needle with a longer shaft.
D. Rub vigorously for a faster response. - Answer-C. To ensure
penetration into the deep layer of subcutaneuos adipose for a
client who is obese, the needle length should be longer than
the usual needle (preferably 3/8 to 5/8 inch in length) for
subcutaneous injection.
,Which finding indicates to the practical nurse (PN) that an older
client who is receiving intravenous therapy is experiencing fluid
overload?
A. Edema in lower extremities.
B. Crackles in the lung fields.
C. Pulse rate of 64 beats/min.
D. Respirations of 16 breaths/min. - Answer-B. IV fluid overload
in an older client is likely to cause an increase in the workload
of the heart causing a decrease in cardiac output
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
RATIONALE: 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.
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