HESI EXIT V2
ACTUAL QUESTIONS WITH CORRECT VERIFIED ANSWERS PLUS EXPLANATION
LATEST 2025 UPDATE
THIS EXAM CONTAINS:
➢ NIGHTINGALE COLLEGE HESI EXIT V2
➢ ACTUAL QUESTIONS WITH CORRECT VERIFIED ANSWERS
➢ COMPLETE A GUIDE
➢ 100% GUARANTEED PASS
➢ 140 Q’S AND A’S
,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?
Correct Answers >> 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?
Correct Answers >> 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.
Correct Answers >> 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?
Correct Answers >> 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
inter- vention?
, Correct Answers >> 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?
Correct Answers >> 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?
Correct Answers >> 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?
Correct Answers >> "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?
Correct Answers >> -
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 characteris-
tic of this condition?
Correct Answers >> Dependent edema
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?
Correct Answers >> Normal, caused by increased blood flow through the leg
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?
Correct Answers >> Vagus nerve to slow 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?
Correct Answers >> Staphylococcal infection
14. client has an Unna boot applied for treatment of a venous stasis leg ulcer. The
ACTUAL QUESTIONS WITH CORRECT VERIFIED ANSWERS PLUS EXPLANATION
LATEST 2025 UPDATE
THIS EXAM CONTAINS:
➢ NIGHTINGALE COLLEGE HESI EXIT V2
➢ ACTUAL QUESTIONS WITH CORRECT VERIFIED ANSWERS
➢ COMPLETE A GUIDE
➢ 100% GUARANTEED PASS
➢ 140 Q’S AND A’S
,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?
Correct Answers >> 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?
Correct Answers >> 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.
Correct Answers >> 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?
Correct Answers >> 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
inter- vention?
, Correct Answers >> 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?
Correct Answers >> 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?
Correct Answers >> 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?
Correct Answers >> "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?
Correct Answers >> -
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 characteris-
tic of this condition?
Correct Answers >> Dependent edema
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?
Correct Answers >> Normal, caused by increased blood flow through the leg
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?
Correct Answers >> Vagus nerve to slow 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?
Correct Answers >> Staphylococcal infection
14. client has an Unna boot applied for treatment of a venous stasis leg ulcer. The
