HESI PN
HESI PN Exit V2 - Comprehensive Cardiac Nursing
Exam with Accurate Questions & Answers (Verified
Answers) and Deep Expert Rationales | Latest
(2026/2027) Updated Version
THIS DOCUMENT CONTAINS:
❖HESI PN Exit V2
❖Comprehensive Cardiac Nursing Exam
❖Accurate Questions & Answers (Verified Answers)
❖Deep Expert Rationales
❖Latest (2026/2027) Updated Version
❖100% Guaranteed Pass
,Question 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?
A. Provide the client with a walker.
B. Remove the telemetry equipment.
C. Encourage the client to cough and deep breathe.
D. Premedicate the client with an analgesic before ambulating.
• Correct Answer: D. Premedicate the client with an analgesic before ambulating.
• Expert Rationale: Postoperative incisional pain from cardiac surgery
significantly increases cardiac workload, oxygen demand, and discomfort during
movement, which often causes clients to guard or refuse mobility. Premedicating
the client with an analgesic prior to planned physical activity alleviates pain,
allowing the client to deep breathe, move, and tolerate ambulation much more
effectively while reducing physiological stress on the cardiovascular system.
Question 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.
• Correct Answer: C. Check the client status and lead placement.
• Expert Rationale: The immediate initial action in any clinical alarming event is
always to assess the client first before initiating emergency protocols or
, interventions. A flatline (asystole) or absence of complexes on a monitor screen is
frequently caused by non-emergent equipment issues, such as a disconnected
telemetry lead or loose electrode patch. Assessing the client establishes whether
the individual is in cardiac arrest or simply experienced electrode displacement.
Question 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
A. 1, 2, 3
B. 1, 3, 4
C. 1, 2, 3, 4
D. 3, 4, 6
• Correct Answer: A. 1, 2, 3
• Expert Rationale: Acute pulmonary edema is a medical emergency where fluid
backs up into the alveolar spaces. Administering oxygen directly addresses
profound arterial hypoxemia. Administering furosemide (Lasix) is a loop
diuretic that rapidly promotes diuresis, reducing intravascular blood volume,
preload, and pulmonary congestion. Inserting a Foley catheter is essential to
, closely monitor rapid, high-volume urine output following intravenous loop
diuretic therapy to evaluate treatment effectiveness.
Question 4
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
D. Level of consciousness
• Correct Answer: B. Status of airway
• Expert Rationale: Priority assessment always follows the "ABC" (Airway,
Breathing, Circulation) framework. Clients undergoing elective cardioversion
often receive intravenous conscious sedation or short-acting anesthetics.
Maintaining airway patency is the primary physiological priority to prevent
respiratory depression, airway obstruction, and hypoxia in the immediate post-
procedure recovery phase.
Question 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
D. Having the physical therapist do active range of motion to the right arm
• Correct Answer: B. Limiting movement and abduction of the right arm
HESI PN Exit V2 - Comprehensive Cardiac Nursing
Exam with Accurate Questions & Answers (Verified
Answers) and Deep Expert Rationales | Latest
(2026/2027) Updated Version
THIS DOCUMENT CONTAINS:
❖HESI PN Exit V2
❖Comprehensive Cardiac Nursing Exam
❖Accurate Questions & Answers (Verified Answers)
❖Deep Expert Rationales
❖Latest (2026/2027) Updated Version
❖100% Guaranteed Pass
,Question 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?
A. Provide the client with a walker.
B. Remove the telemetry equipment.
C. Encourage the client to cough and deep breathe.
D. Premedicate the client with an analgesic before ambulating.
• Correct Answer: D. Premedicate the client with an analgesic before ambulating.
• Expert Rationale: Postoperative incisional pain from cardiac surgery
significantly increases cardiac workload, oxygen demand, and discomfort during
movement, which often causes clients to guard or refuse mobility. Premedicating
the client with an analgesic prior to planned physical activity alleviates pain,
allowing the client to deep breathe, move, and tolerate ambulation much more
effectively while reducing physiological stress on the cardiovascular system.
Question 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.
• Correct Answer: C. Check the client status and lead placement.
• Expert Rationale: The immediate initial action in any clinical alarming event is
always to assess the client first before initiating emergency protocols or
, interventions. A flatline (asystole) or absence of complexes on a monitor screen is
frequently caused by non-emergent equipment issues, such as a disconnected
telemetry lead or loose electrode patch. Assessing the client establishes whether
the individual is in cardiac arrest or simply experienced electrode displacement.
Question 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
A. 1, 2, 3
B. 1, 3, 4
C. 1, 2, 3, 4
D. 3, 4, 6
• Correct Answer: A. 1, 2, 3
• Expert Rationale: Acute pulmonary edema is a medical emergency where fluid
backs up into the alveolar spaces. Administering oxygen directly addresses
profound arterial hypoxemia. Administering furosemide (Lasix) is a loop
diuretic that rapidly promotes diuresis, reducing intravascular blood volume,
preload, and pulmonary congestion. Inserting a Foley catheter is essential to
, closely monitor rapid, high-volume urine output following intravenous loop
diuretic therapy to evaluate treatment effectiveness.
Question 4
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
D. Level of consciousness
• Correct Answer: B. Status of airway
• Expert Rationale: Priority assessment always follows the "ABC" (Airway,
Breathing, Circulation) framework. Clients undergoing elective cardioversion
often receive intravenous conscious sedation or short-acting anesthetics.
Maintaining airway patency is the primary physiological priority to prevent
respiratory depression, airway obstruction, and hypoxia in the immediate post-
procedure recovery phase.
Question 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
D. Having the physical therapist do active range of motion to the right arm
• Correct Answer: B. Limiting movement and abduction of the right arm
