HESI Exit V2 Exam Latest Updated 2024 With Satisfied Solutions
The LPN/LVN is preparing to care for a client who will be arriving from the
recovery room after an above-the-knee amputation. The nurse ensures that which
priority item is available for emergency use? - answers-Surgical tourniquet
A client is diagnosed with thrombophlebitis. The nurse should tell the client that
which prescription is indicated? - answers-Bed rest, with elevation of the affected
extremity
A client returns to the nursing unit after an above knee amputation of the right
leg. In which position should the nurse place the client? - answers-With the foot of
the bed elevated
The LPN/LVN is collecting data from a client about medications being taken, and
the client tells the nurse that he is taking herbal supplements for the treatment of
varicose veins. The nurse understands that the client is most likely taking which? -
answers-Bilberry
The LPN/LVN is planning to reinforce instructions to a client with peripheral
arterial disease about measures to limit disease progression. The nurse should
include which items on a list of suggestions to be given to the client? Select all
that apply. - answers-2. Be careful not to injure the legs or feet.
,4. Walk each day to increase circulation to the legs.
5. Cut down on the amount of fats consumed in the diet.
A client is at risk for developing disseminated intravascular coagulopathy (DIC).
The LPN/LVN should become concerned with which fibrinogen level? - answers-90
mg/dL
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? - answers-Premedicate the client with an analgesic before
ambulating.
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? - answers-Check the client status and lead
placement.
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. -
answers-1. Administering oxygen
,2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
The nurse is monitoring a client following cardioversion. Which observations
should be of highest priority to the nurse? - answers-Status of airway
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? -
answers-Limiting movement and abduction of the right arm
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? -
answers-Pulmonary embolism
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? - answers-Smoking history
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? - answers-"Moving to a warmer
climate should help."
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? - answers-
Crackles
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? - answers-Dependent edema
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? - answers-Normal, caused by increased blood flow
through the leg
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
The LPN/LVN is preparing to care for a client who will be arriving from the
recovery room after an above-the-knee amputation. The nurse ensures that which
priority item is available for emergency use? - answers-Surgical tourniquet
A client is diagnosed with thrombophlebitis. The nurse should tell the client that
which prescription is indicated? - answers-Bed rest, with elevation of the affected
extremity
A client returns to the nursing unit after an above knee amputation of the right
leg. In which position should the nurse place the client? - answers-With the foot of
the bed elevated
The LPN/LVN is collecting data from a client about medications being taken, and
the client tells the nurse that he is taking herbal supplements for the treatment of
varicose veins. The nurse understands that the client is most likely taking which? -
answers-Bilberry
The LPN/LVN is planning to reinforce instructions to a client with peripheral
arterial disease about measures to limit disease progression. The nurse should
include which items on a list of suggestions to be given to the client? Select all
that apply. - answers-2. Be careful not to injure the legs or feet.
,4. Walk each day to increase circulation to the legs.
5. Cut down on the amount of fats consumed in the diet.
A client is at risk for developing disseminated intravascular coagulopathy (DIC).
The LPN/LVN should become concerned with which fibrinogen level? - answers-90
mg/dL
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? - answers-Premedicate the client with an analgesic before
ambulating.
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? - answers-Check the client status and lead
placement.
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. -
answers-1. Administering oxygen
,2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
The nurse is monitoring a client following cardioversion. Which observations
should be of highest priority to the nurse? - answers-Status of airway
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? -
answers-Limiting movement and abduction of the right arm
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? -
answers-Pulmonary embolism
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? - answers-Smoking history
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? - answers-"Moving to a warmer
climate should help."
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? - answers-
Crackles
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? - answers-Dependent edema
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? - answers-Normal, caused by increased blood flow
through the leg
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
