HESI Exit V2 (Nurse Hero Review)
1. The LPN/LVN is preparing to ambulate a postoperative client after
cardiac surgery. The nurse plans to do which to enable the client to
best tolerate the ambulation?
1. Provide the client with a walker.
2. Remove the telemetry equipment.
3. Encourage the client to cough and deep breathe.
4. Premedicate the client with an analgesic before ambulating.
2. A client is wearing a continuous cardiac monitor, which begins to alarm
at the nurse's station. The nurse sees no electrocardiographic
complexes on the screen. The nurse should do which first?
a. Call a code blue.
b. Call the health care provider.
c. Check the client status and lead placement.
d. Press the recorder button on the ECG console.
3. 3) The LPN/LVN in a medical unit is caring for a client with heart
failure. The client suddenly develops extreme dyspnea, tachycardia,
and lung crackles, and the nurse suspects pulmonary edema. The
nurse immediately notifies the registered nurse and expects which
interventions to be prescribed? Select all that apply.
a. Administering oxygen
b. Inserting a Foley catheter
c. Administering furosemide (Lasix)
d. Administering morphine sulfate intravenously
e. Transporting the client to the coronary care unit
f. Placing the client in a low-Fowler's side-lying position
4. The nurse is monitoring a client following cardioversion.
Which observations should be of highest priority to the nurse?
a. Blood pressure
b. Status of airway
c. Oxygen flow rate
d. Level of consciousness
5. The nurse is assisting in caring for the client immediately
after insertion of a permanent demand pacemaker via the right
, subclavian vein. The nurse prevents dislodgement of the pacing
catheter by implementing which intervention?
a. Limiting movement and abduction of the left arm
b. Limiting movement and abduction of the right arm
c. Assisting the client to get out of bed and ambulate with a
walker 4. Having the physical therapist do active range of
motion to the right arm
6. A client diagnosed with thrombophlebitis 1 day ago suddenly
complains of chest pain and shortness of breath, and the client is
visibly anxious. The LPN/LVN understands that a life-threatening
complication of this condition is which?
a. Pneumonia
b. Pulmonary edema
c. Pulmonary embolism
d. Myocardial infarction
7. A 24-year-old man seeks medical attention for complaints of
claudication in the arch of the foot. The nurse also notes superficial
thrombophlebitis of the lower leg. The nurse should check the client
for which next?
a. Smoking history
b. Recent exposure to allergens
c. History of recent insect bites
d. Familial tendency toward peripheral vascular disease
8. The nurse has reinforced instructions to the client with
Raynaud's disease about self-management of the disease
process. The nurse determines that the client needs further
teaching if the client states which?
a. "Smoking cessation is very important."
b. "Moving to a warmer climate should help."
c. "Sources of caffeine should be eliminated from the diet."
4. "Taking nifedipine (Procardia) as prescribed will
decrease vessel spasm."
9. A client with myocardial infarction suddenly becomes tachycardic,
shows signs of air hunger, and begins coughing frothy, pink-
tinged sputum. The nurse listens to breath sounds, expecting to
hear which breath sounds bilaterally?
a. Rhonchi
b. Crackles
c. Wheezes
, d. Diminished breath sounds
10. The LPN/LVN is collecting data on a client with a diagnosis ofright
sided heart failure. The nurse should expect to note which specific
characteristic of this condition?
a. Dyspnea
b. Hacking cough
c. Dependent edema
d. Crackles on lung auscultation
11. The LPN/LVN is checking the neurovascular status of a client who
returned to the surgical nursing unit 4 hours ago after undergoing
an aortoiliac bypass graft. The affected leg is warm, and the nurse
notes redness and edema. The pedal pulse is palpable and
unchanged from admission. The nurse interprets that the
neurovascular status is which?
a. Moderately impaired, and the surgeon should be called
b. Normal, caused by increased blood flow through the leg
c. Slightly deteriorating, and should be monitored for another
hour
d. Adequate from an arterial approach, but venous
complications are arising
12. A client with a diagnosis of rapid rate atrial fibrillation asks the nurse
why the health care provider is going to perform carotid massage.
The LPN/LVN responds that this procedure may stimulate which?
a. Vagus nerve to slow the heart rate
b. Vagus nerve to increase the heart rate
c. Diaphragmatic nerve to slow the heart rate
d. Diaphragmatic nerve to increase the heart rate
13. A client is admitted to the hospital with possible rheumatic
endocarditis. The LPN/LVN should check for a history of which type
of infection?
a. Viral infection
b. Yeast infection
c. Streptococcal infection
d. Staphylococcal infection
14. A client has an Unna boot applied for treatment of a venous stasis
leg ulcer. The LPN/LVN notes that the client's toes are mottled,
, and cool and the client verbalizes some numbness and tingling of the
foot. Which interpretation should the nurse make of these findings?
a. The boot has not yet dried.
b. The boot is controlling leg edema.
c. The boot is impairing venous return.
d. The boot has been applied too tightly.
15. A client with angina complains that the anginal pain is prolonged and
severe and occurs at the same time each day, most often in the
morning. On further data collection, the nurse notes that the pain
occurs in the absence of precipitating factors. How should the
LPN/LVN best describe this type of anginal pain?
a. Stable angina
b. Variant angina
c. Unstable angina
d. Nonanginal pain
16. The LPN/LVN is monitoring a client with an abdominal aortic
aneurysm (AAA). Which finding is probably unrelated tothe
AAA?
a. Pulsatile abdominal mass
b. Hyperactive bowel sounds in the area
c. Systolic bruit over the area of the mass
d. Subjective sensation of "heart beating" in the abdomen
17. An emergency department client who complains of slightly
improved but unrelieved chest pain for 2 days is reluctant to take a
nitroglycerin sublingual tablet offered by the nurse. The client
states, "I don't need that—my dad takes that for his heart. There's
nothing wrong with my heart." Which description best describes the
client's response?
a. Angry
b. Denial
c. Phobic
d. Obsessive-compulsive
18. A client is scheduled for a cardiac catheterization using a radiopaque
dye. The LPN/LVN checks which most critical item before the
procedure?
a. Intake and output
b. Height and weight
c. Peripheral pulse rates
d. Prior reaction to contrast media
1. The LPN/LVN is preparing to ambulate a postoperative client after
cardiac surgery. The nurse plans to do which to enable the client to
best tolerate the ambulation?
1. Provide the client with a walker.
2. Remove the telemetry equipment.
3. Encourage the client to cough and deep breathe.
4. Premedicate the client with an analgesic before ambulating.
2. A client is wearing a continuous cardiac monitor, which begins to alarm
at the nurse's station. The nurse sees no electrocardiographic
complexes on the screen. The nurse should do which first?
a. Call a code blue.
b. Call the health care provider.
c. Check the client status and lead placement.
d. Press the recorder button on the ECG console.
3. 3) The LPN/LVN in a medical unit is caring for a client with heart
failure. The client suddenly develops extreme dyspnea, tachycardia,
and lung crackles, and the nurse suspects pulmonary edema. The
nurse immediately notifies the registered nurse and expects which
interventions to be prescribed? Select all that apply.
a. Administering oxygen
b. Inserting a Foley catheter
c. Administering furosemide (Lasix)
d. Administering morphine sulfate intravenously
e. Transporting the client to the coronary care unit
f. Placing the client in a low-Fowler's side-lying position
4. The nurse is monitoring a client following cardioversion.
Which observations should be of highest priority to the nurse?
a. Blood pressure
b. Status of airway
c. Oxygen flow rate
d. Level of consciousness
5. The nurse is assisting in caring for the client immediately
after insertion of a permanent demand pacemaker via the right
, subclavian vein. The nurse prevents dislodgement of the pacing
catheter by implementing which intervention?
a. Limiting movement and abduction of the left arm
b. Limiting movement and abduction of the right arm
c. Assisting the client to get out of bed and ambulate with a
walker 4. Having the physical therapist do active range of
motion to the right arm
6. A client diagnosed with thrombophlebitis 1 day ago suddenly
complains of chest pain and shortness of breath, and the client is
visibly anxious. The LPN/LVN understands that a life-threatening
complication of this condition is which?
a. Pneumonia
b. Pulmonary edema
c. Pulmonary embolism
d. Myocardial infarction
7. A 24-year-old man seeks medical attention for complaints of
claudication in the arch of the foot. The nurse also notes superficial
thrombophlebitis of the lower leg. The nurse should check the client
for which next?
a. Smoking history
b. Recent exposure to allergens
c. History of recent insect bites
d. Familial tendency toward peripheral vascular disease
8. The nurse has reinforced instructions to the client with
Raynaud's disease about self-management of the disease
process. The nurse determines that the client needs further
teaching if the client states which?
a. "Smoking cessation is very important."
b. "Moving to a warmer climate should help."
c. "Sources of caffeine should be eliminated from the diet."
4. "Taking nifedipine (Procardia) as prescribed will
decrease vessel spasm."
9. A client with myocardial infarction suddenly becomes tachycardic,
shows signs of air hunger, and begins coughing frothy, pink-
tinged sputum. The nurse listens to breath sounds, expecting to
hear which breath sounds bilaterally?
a. Rhonchi
b. Crackles
c. Wheezes
, d. Diminished breath sounds
10. The LPN/LVN is collecting data on a client with a diagnosis ofright
sided heart failure. The nurse should expect to note which specific
characteristic of this condition?
a. Dyspnea
b. Hacking cough
c. Dependent edema
d. Crackles on lung auscultation
11. The LPN/LVN is checking the neurovascular status of a client who
returned to the surgical nursing unit 4 hours ago after undergoing
an aortoiliac bypass graft. The affected leg is warm, and the nurse
notes redness and edema. The pedal pulse is palpable and
unchanged from admission. The nurse interprets that the
neurovascular status is which?
a. Moderately impaired, and the surgeon should be called
b. Normal, caused by increased blood flow through the leg
c. Slightly deteriorating, and should be monitored for another
hour
d. Adequate from an arterial approach, but venous
complications are arising
12. A client with a diagnosis of rapid rate atrial fibrillation asks the nurse
why the health care provider is going to perform carotid massage.
The LPN/LVN responds that this procedure may stimulate which?
a. Vagus nerve to slow the heart rate
b. Vagus nerve to increase the heart rate
c. Diaphragmatic nerve to slow the heart rate
d. Diaphragmatic nerve to increase the heart rate
13. A client is admitted to the hospital with possible rheumatic
endocarditis. The LPN/LVN should check for a history of which type
of infection?
a. Viral infection
b. Yeast infection
c. Streptococcal infection
d. Staphylococcal infection
14. A client has an Unna boot applied for treatment of a venous stasis
leg ulcer. The LPN/LVN notes that the client's toes are mottled,
, and cool and the client verbalizes some numbness and tingling of the
foot. Which interpretation should the nurse make of these findings?
a. The boot has not yet dried.
b. The boot is controlling leg edema.
c. The boot is impairing venous return.
d. The boot has been applied too tightly.
15. A client with angina complains that the anginal pain is prolonged and
severe and occurs at the same time each day, most often in the
morning. On further data collection, the nurse notes that the pain
occurs in the absence of precipitating factors. How should the
LPN/LVN best describe this type of anginal pain?
a. Stable angina
b. Variant angina
c. Unstable angina
d. Nonanginal pain
16. The LPN/LVN is monitoring a client with an abdominal aortic
aneurysm (AAA). Which finding is probably unrelated tothe
AAA?
a. Pulsatile abdominal mass
b. Hyperactive bowel sounds in the area
c. Systolic bruit over the area of the mass
d. Subjective sensation of "heart beating" in the abdomen
17. An emergency department client who complains of slightly
improved but unrelieved chest pain for 2 days is reluctant to take a
nitroglycerin sublingual tablet offered by the nurse. The client
states, "I don't need that—my dad takes that for his heart. There's
nothing wrong with my heart." Which description best describes the
client's response?
a. Angry
b. Denial
c. Phobic
d. Obsessive-compulsive
18. A client is scheduled for a cardiac catheterization using a radiopaque
dye. The LPN/LVN checks which most critical item before the
procedure?
a. Intake and output
b. Height and weight
c. Peripheral pulse rates
d. Prior reaction to contrast media
