HESI Exit V2 GUARANTEED A+ 2022
HESI Exit V2 GUARANTEED A+ 2022
HESI Exit V2 GUARANTEED A+ 2022
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.
Premedicate the client with an analgesic before ambulating.
3. Encourage the client to cough and deep breathe. 4.
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
pg. 1
, 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."
pg. 2
HESI Exit V2 GUARANTEED A+ 2022
HESI Exit V2 GUARANTEED A+ 2022
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.
Premedicate the client with an analgesic before ambulating.
3. Encourage the client to cough and deep breathe. 4.
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
pg. 1
, 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."
pg. 2
