PN HESI Exit V2 EXAM, 160 100% VERIFIED QUESTIONS
AND ANSWERS LATESTS Updated . DOWNLOAD TO SCORE
A+ GUARANTEED SUCCESS TOP RANKED
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.
1. 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.
2. 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
3. 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
pg. 1
,d. Level of consciousness
pg. 2
,4. 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
5. 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
6. 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
7. 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."
8. 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
pg. 3
, c. Wheezes
d. Diminished breath sounds
9. 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?
a. Dyspnea
b. Hacking cough
c. Dependent edema
d. Crackles on lung auscultation
10. 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
11. 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
12. 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
13. 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,
pg. 4
AND ANSWERS LATESTS Updated . DOWNLOAD TO SCORE
A+ GUARANTEED SUCCESS TOP RANKED
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.
1. 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.
2. 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
3. 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
pg. 1
,d. Level of consciousness
pg. 2
,4. 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
5. 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
6. 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
7. 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."
8. 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
pg. 3
, c. Wheezes
d. Diminished breath sounds
9. 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?
a. Dyspnea
b. Hacking cough
c. Dependent edema
d. Crackles on lung auscultation
10. 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
11. 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
12. 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
13. 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,
pg. 4
