RN HESI EXIT EXAM VERSION 1 (V1) ALL 160
EXAM PREP 2026 PRACTICE SOLUTION STUDY
GUIDE
◉ 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? Answer:
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. Answer: 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? Answer:
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? Answer: 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? Answer: 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? Answer: 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? Answer: "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? Answer: 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? Answer: 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? Answer: 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 that this procedure may stimulate
which? Answer: Vagus nerve to slow the heart rate
◉ A client is admitted to the hospital with possible rheumatic
endocarditis. The LPN/LVN should check for a history of which type
of infection? Answer: Staphylococcal infection
◉ 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, and
cool and the client verbalizes some numbness and tingling of the
, foot. Which interpretation should the nurse make of these findings?
Answer: The boot has been applied too tightly
◉ A client with angina complains that the anginal pain is prolonged
and severe and occurs at the same time each day, most often in the
morning. On further data collection, the nurse notes that the pain
occurs in the absence of precipitating factors. How should the
LPN/LVN best describe this type of anginal pain? Answer: Variant
angina
◉ The LPN/LVN is monitoring a client with an abdominal aortic
aneurysm (AAA). Which finding is probably unrelated to the AAA?
Answer: Hyperactive bowel sounds in the area
◉ An emergency department client who complains of slightly
improved but unrelieved chest pain for 2 days is reluctant to take a
nitroglycerin sublingual tablet offered by the nurse. The client states,
"I don't need that—my dad takes that for his heart. There's nothing
wrong with my heart." Which description best describes the client's
response? Answer: Denial
◉ A client is scheduled for a cardiac catheterization using a
radiopaque dye. The LPN/LVN checks which most critical item
before the procedure? Answer: Prior reaction to contrast media
EXAM PREP 2026 PRACTICE SOLUTION STUDY
GUIDE
◉ 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? Answer:
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. Answer: 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? Answer:
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? Answer: 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? Answer: 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? Answer: 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? Answer: "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? Answer: 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? Answer: 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? Answer: 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 that this procedure may stimulate
which? Answer: Vagus nerve to slow the heart rate
◉ A client is admitted to the hospital with possible rheumatic
endocarditis. The LPN/LVN should check for a history of which type
of infection? Answer: Staphylococcal infection
◉ 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, and
cool and the client verbalizes some numbness and tingling of the
, foot. Which interpretation should the nurse make of these findings?
Answer: The boot has been applied too tightly
◉ A client with angina complains that the anginal pain is prolonged
and severe and occurs at the same time each day, most often in the
morning. On further data collection, the nurse notes that the pain
occurs in the absence of precipitating factors. How should the
LPN/LVN best describe this type of anginal pain? Answer: Variant
angina
◉ The LPN/LVN is monitoring a client with an abdominal aortic
aneurysm (AAA). Which finding is probably unrelated to the AAA?
Answer: Hyperactive bowel sounds in the area
◉ An emergency department client who complains of slightly
improved but unrelieved chest pain for 2 days is reluctant to take a
nitroglycerin sublingual tablet offered by the nurse. The client states,
"I don't need that—my dad takes that for his heart. There's nothing
wrong with my heart." Which description best describes the client's
response? Answer: Denial
◉ A client is scheduled for a cardiac catheterization using a
radiopaque dye. The LPN/LVN checks which most critical item
before the procedure? Answer: Prior reaction to contrast media
