PN HESI Exit V2 H H H
EXAM DETAILED
H H
QUESTIONS
H
AND ANSWERS
H H
ALREADY
H
GRADED A+.
H H
1) The LPN/LVN is preparing to ambulate a postoperative client
H H H H H H H H
Hafter cardiac surgery. The nurse plans to do which to enable the
H H H H H H H H H H H
Hclient to best tolerate the ambulation?
H H H H H
1. Provide the client with a walker.
H H H H H
2. Remove the telemetry equipment.
H H H
3. Encourage the client to cough and deep breathe.
H H H H H H H
4. Premedicate the client with an analgesic before ambulating.
H H H H H H H
Correct Answer: 4. Premedicate the client with an analgesic before
H H H H H H H H H
ambulating.
H
2) A client is wearing a continuous cardiac monitor, which
H H H H H H H H
Hbegins to alarm at the nurse's station. The nurse sees no
H H H H H H H H H H
Helectrocardiographic complexes on the screen. The nurse should H H H H H H H
Hdo which first?
H H
1. Call a code blue.
H H H
2. Call the health care provider.
H H H H
3. Check the client status and lead placement.
H H H H H H
4. Press the recorder button on the ECG console.
H H H H H H H
Correct Answer: 3. Check the client status and lead placement.
H H H H H H H H H
,3) The LPN/LVN in a medical unit is caring for a client with heart
H H H H H H H H H H H H
Hfailure. The client suddenly develops extreme dyspnea, tachycardia,
H H H H H H H
Hand lung crackles, and the nurse suspects pulmonary edema. The
H H H H H H H H H
Hnurse immediately notifies the registered nurse and expects which
H H H H H H H H
Hinterventions to be prescribed? Select all that apply.
H H H H H H H
1. Administering oxygen H
2. Inserting a Foley catheter
H H H
3. Administering furosemide (Lasix) H H
4. Administering morphine sulfate intravenously
H H H
5. Transporting the client to the coronary care unit
H H H H H H H
,6. Placing the client in a low-Fowler's side-lying
H H H H H H
Hposition Correct Answer:
H H
1. Administering oxygen H
2. Inserting a Foley catheter
H H H
3. Administering furosemide (Lasix) H H
4) The nurse is monitoring a client following cardioversion.
H H H H H H H H
HWhich observations should be of highest priority to the nurse?
H H H H H H H H H
1. Blood pressure H
2. Status of airway H H
3. Oxygen flow rate H H
4. Level of consciousness
H H
Correct Answer: 2. Status of
H H H H
airway
5) The nurse is assisting in caring for the client immediately
H H H H H H H H H H
Hafter insertion of a permanent demand pacemaker via the right
H H H H H H H H H
Hsubclavian vein. The nurse prevents dislodgement of the pacing
H H H H H H H H
Hcatheter by implementing which intervention?
H H H H
1. Limiting movement and abduction of the left arm
H H H H H H H
2. Limiting movement and abduction of the right arm
H H H H H H H
3. Assisting the client to get out of bed and ambulate with a
H H H H H H H H H H H
walker
H
4. Having the physical therapist do active range of motion to the
H H H H H H H H H H
Hright arm H
Correct Answer: 2. Limiting movement and abduction of the right
6) A client diagnosed with thrombophlebitis 1 day ago suddenly
H H H H H H H H
Hcomplains of chest pain and shortness of breath, and the client is
H H H H H H H H H H H
Hvisibly anxious. The LPN/LVN understands that a life-threatening
H H H H H H H
Hcomplication of this condition is which?
H H H H H
1. Pneumonia
, 2. Pulmonary edema H
3. Pulmonary embolism H
4. Myocardial infarction H
Correct Answer: 3. Pulmonary embolism
H H H H
7) A 24-year-old man seeks medical attention for complaints of
H H H H H H H H
claudication in the arch of the foot. The nurse also notes
H H H H H H H H H H
Hsuperficial thrombophlebitis of the lower leg. The nurse should
H H H H H H H H
Hcheck the client for which next?
H H H H H
1. Smoking history H
2. Recent exposure to allergens
H H H
3. History of recent insect bites
H H H H
4. Familial tendency toward peripheral vascular
H H H H
disease
H
Correct Answer: 1. Smoking history
8) The nurse has reinforced instructions to the client with
H H H H H H H H H
HRaynaud's disease about self-management of the disease
H H H H H H
Hprocess. The nurse determines that the client needs further
H H H H H H H H
Hteaching if the client states which?
H H H H H
1. "Smoking cessation is very important."
H H H H
2. "Moving to a warmer climate should help."
H H H H H H
3. "Sources of caffeine should be eliminated from the diet."
H H H H H H H H
4. "Taking nifedipine (Procardia) as prescribed will decrease
H H H H H H
Hvessel spasm."
H
Correct Answer: 2. "Moving to a warmer climate should help."
H H H H H H H H H
9) A client with myocardial infarction suddenly becomes tachycardic,
H H H H H H H H
Hshows signs of air hunger, and begins coughing frothy, pink-tinged
H H H H H H H H H
Hsputum. The nurse listens to breath sounds, expecting to hear which
H H H H H H H H H H
Hbreath sounds bilaterally?
H H
EXAM DETAILED
H H
QUESTIONS
H
AND ANSWERS
H H
ALREADY
H
GRADED A+.
H H
1) The LPN/LVN is preparing to ambulate a postoperative client
H H H H H H H H
Hafter cardiac surgery. The nurse plans to do which to enable the
H H H H H H H H H H H
Hclient to best tolerate the ambulation?
H H H H H
1. Provide the client with a walker.
H H H H H
2. Remove the telemetry equipment.
H H H
3. Encourage the client to cough and deep breathe.
H H H H H H H
4. Premedicate the client with an analgesic before ambulating.
H H H H H H H
Correct Answer: 4. Premedicate the client with an analgesic before
H H H H H H H H H
ambulating.
H
2) A client is wearing a continuous cardiac monitor, which
H H H H H H H H
Hbegins to alarm at the nurse's station. The nurse sees no
H H H H H H H H H H
Helectrocardiographic complexes on the screen. The nurse should H H H H H H H
Hdo which first?
H H
1. Call a code blue.
H H H
2. Call the health care provider.
H H H H
3. Check the client status and lead placement.
H H H H H H
4. Press the recorder button on the ECG console.
H H H H H H H
Correct Answer: 3. Check the client status and lead placement.
H H H H H H H H H
,3) The LPN/LVN in a medical unit is caring for a client with heart
H H H H H H H H H H H H
Hfailure. The client suddenly develops extreme dyspnea, tachycardia,
H H H H H H H
Hand lung crackles, and the nurse suspects pulmonary edema. The
H H H H H H H H H
Hnurse immediately notifies the registered nurse and expects which
H H H H H H H H
Hinterventions to be prescribed? Select all that apply.
H H H H H H H
1. Administering oxygen H
2. Inserting a Foley catheter
H H H
3. Administering furosemide (Lasix) H H
4. Administering morphine sulfate intravenously
H H H
5. Transporting the client to the coronary care unit
H H H H H H H
,6. Placing the client in a low-Fowler's side-lying
H H H H H H
Hposition Correct Answer:
H H
1. Administering oxygen H
2. Inserting a Foley catheter
H H H
3. Administering furosemide (Lasix) H H
4) The nurse is monitoring a client following cardioversion.
H H H H H H H H
HWhich observations should be of highest priority to the nurse?
H H H H H H H H H
1. Blood pressure H
2. Status of airway H H
3. Oxygen flow rate H H
4. Level of consciousness
H H
Correct Answer: 2. Status of
H H H H
airway
5) The nurse is assisting in caring for the client immediately
H H H H H H H H H H
Hafter insertion of a permanent demand pacemaker via the right
H H H H H H H H H
Hsubclavian vein. The nurse prevents dislodgement of the pacing
H H H H H H H H
Hcatheter by implementing which intervention?
H H H H
1. Limiting movement and abduction of the left arm
H H H H H H H
2. Limiting movement and abduction of the right arm
H H H H H H H
3. Assisting the client to get out of bed and ambulate with a
H H H H H H H H H H H
walker
H
4. Having the physical therapist do active range of motion to the
H H H H H H H H H H
Hright arm H
Correct Answer: 2. Limiting movement and abduction of the right
6) A client diagnosed with thrombophlebitis 1 day ago suddenly
H H H H H H H H
Hcomplains of chest pain and shortness of breath, and the client is
H H H H H H H H H H H
Hvisibly anxious. The LPN/LVN understands that a life-threatening
H H H H H H H
Hcomplication of this condition is which?
H H H H H
1. Pneumonia
, 2. Pulmonary edema H
3. Pulmonary embolism H
4. Myocardial infarction H
Correct Answer: 3. Pulmonary embolism
H H H H
7) A 24-year-old man seeks medical attention for complaints of
H H H H H H H H
claudication in the arch of the foot. The nurse also notes
H H H H H H H H H H
Hsuperficial thrombophlebitis of the lower leg. The nurse should
H H H H H H H H
Hcheck the client for which next?
H H H H H
1. Smoking history H
2. Recent exposure to allergens
H H H
3. History of recent insect bites
H H H H
4. Familial tendency toward peripheral vascular
H H H H
disease
H
Correct Answer: 1. Smoking history
8) The nurse has reinforced instructions to the client with
H H H H H H H H H
HRaynaud's disease about self-management of the disease
H H H H H H
Hprocess. The nurse determines that the client needs further
H H H H H H H H
Hteaching if the client states which?
H H H H H
1. "Smoking cessation is very important."
H H H H
2. "Moving to a warmer climate should help."
H H H H H H
3. "Sources of caffeine should be eliminated from the diet."
H H H H H H H H
4. "Taking nifedipine (Procardia) as prescribed will decrease
H H H H H H
Hvessel spasm."
H
Correct Answer: 2. "Moving to a warmer climate should help."
H H H H H H H H H
9) A client with myocardial infarction suddenly becomes tachycardic,
H H H H H H H H
Hshows signs of air hunger, and begins coughing frothy, pink-tinged
H H H H H H H H H
Hsputum. The nurse listens to breath sounds, expecting to hear which
H H H H H H H H H H
Hbreath sounds bilaterally?
H H
