lOMoARcPSD|26582732
L
PN Hesi exit
exam with
answers 2025
medical surgery 2 (florida state college at
jacksonville)
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.
Correct answer: 4. Premedicate the client with an analgesic before
ambulating.
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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?
1. Call a code blue.
2. Call the health care provider.
3. Check the client status and lead placement.
4. Press the recorder button on the ecg console.
Correct answer: 3. Check the client status and lead placement.
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.
1. Administering oxygen
2. Inserting a foley catheter
3. Administering furosemide (lasix)
4. Administering morphine sulfate intravenously
5. Transporting the client to the coronary care unit
6. Placing the client in a low-fowler's side-lying position
Correct answer:
1. Administering oxygen
2. Inserting a foley catheter
3. Administering furosemide (lasix)
4) the nurse is monitoring a client following cardioversion. Which
observations should be of highest priority to the nurse?
1. Blood pressure
2. Status of airway
3. Oxygen flow rate
4. Level of consciousness
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Correct answer: 2. Status of airway
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?
1. Limiting movement and abduction of the left arm
2. Limiting movement and abduction of the right arm
3. 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
Correct answer: 2. Limiting movement and abduction of 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?
1. Pneumonia
2. Pulmonary edema
3. Pulmonary embolism
4. Myocardial infarction
Correct answer: 3. Pulmonary embolism
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?
1. Smoking history
2. Recent exposure to allergens
3. History of recent insect bites
4. Familial tendency toward peripheral vascular disease
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Correct answer: 1. Smoking history
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?
1. "smoking cessation is very important."
2. "moving to a warmer climate should help."
3. "sources of caffeine should be eliminated from the diet."
4. "taking nifedipine (procardia) as prescribed will decrease vessel spasm."
Correct answer: 2. "moving to a warmer climate should help."
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?
1. Rhonchi
2. Crackles
3. Wheezes
4. Diminished breath sounds
Correct answer: 2. Crackles
10) the lpn/lvn is collecting data on a client with a diagnosis of right-
sided heart failure. The nurse should expect to note which specific
characteristic of this condition?
1. Dyspnea
2. Hacking cough
3. Dependent edema
4. Crackles on lung auscultation
Correct answer: 3. Dependent edema
Downloaded by NELSON KIIRU ()
L
PN Hesi exit
exam with
answers 2025
medical surgery 2 (florida state college at
jacksonville)
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.
Correct answer: 4. Premedicate the client with an analgesic before
ambulating.
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
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?
1. Call a code blue.
2. Call the health care provider.
3. Check the client status and lead placement.
4. Press the recorder button on the ecg console.
Correct answer: 3. Check the client status and lead placement.
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.
1. Administering oxygen
2. Inserting a foley catheter
3. Administering furosemide (lasix)
4. Administering morphine sulfate intravenously
5. Transporting the client to the coronary care unit
6. Placing the client in a low-fowler's side-lying position
Correct answer:
1. Administering oxygen
2. Inserting a foley catheter
3. Administering furosemide (lasix)
4) the nurse is monitoring a client following cardioversion. Which
observations should be of highest priority to the nurse?
1. Blood pressure
2. Status of airway
3. Oxygen flow rate
4. Level of consciousness
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
Correct answer: 2. Status of airway
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?
1. Limiting movement and abduction of the left arm
2. Limiting movement and abduction of the right arm
3. 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
Correct answer: 2. Limiting movement and abduction of 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?
1. Pneumonia
2. Pulmonary edema
3. Pulmonary embolism
4. Myocardial infarction
Correct answer: 3. Pulmonary embolism
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?
1. Smoking history
2. Recent exposure to allergens
3. History of recent insect bites
4. Familial tendency toward peripheral vascular disease
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
Correct answer: 1. Smoking history
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?
1. "smoking cessation is very important."
2. "moving to a warmer climate should help."
3. "sources of caffeine should be eliminated from the diet."
4. "taking nifedipine (procardia) as prescribed will decrease vessel spasm."
Correct answer: 2. "moving to a warmer climate should help."
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?
1. Rhonchi
2. Crackles
3. Wheezes
4. Diminished breath sounds
Correct answer: 2. Crackles
10) the lpn/lvn is collecting data on a client with a diagnosis of right-
sided heart failure. The nurse should expect to note which specific
characteristic of this condition?
1. Dyspnea
2. Hacking cough
3. Dependent edema
4. Crackles on lung auscultation
Correct answer: 3. Dependent edema
Downloaded by NELSON KIIRU ()
