HESI LPN-RN ENTRANCE EXAM (MOBILITY EXAMS) A+
GRADED 100% VERIFIED 2026
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.
ANSWER: D. Premedicate the client with an analgesic before ambulating.
Rationale: Premedicating with an analgesic before ambulation helps reduce pain, which allows the client
to participate more effectively in activity and tolerate ambulation better.
A. Providing a walker may assist with stability but does not address pain management, which is the
primary factor limiting tolerance to activity postoperatively.
B. Removing telemetry equipment is unsafe and unnecessary; continuous monitoring is essential during
activity for cardiac patients.
C. Coughing and deep breathing are important respiratory interventions but do not directly improve
tolerance to ambulation.
,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.
ANSWER: C. Check the client status and lead placement.
Rationale: The first action is to assess the client and verify lead placement, as the absence of complexes
may indicate loose leads or equipment malfunction rather than cardiac arrest.
A. Calling a code blue is premature without first assessing the client; this could cause unnecessary panic
and resource utilization.
B. Contacting the healthcare provider should occur after assessment and confirmation of a genuine
problem.
D. Pressing the recorder button does not address the immediate need to assess the client's status.
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
ANSWER: A, B, C, D, E
Rationale: Pulmonary edema requires immediate interventions to reduce fluid overload and improve
oxygenation.
A. Administering oxygen is a priority intervention to improve oxygenation and reduce respiratory
distress.
B. Inserting a Foley catheter allows for accurate monitoring of urinary output and administration of
diuretics.
C. Furosemide is a loop diuretic that reduces fluid volume and decreases pulmonary congestion.
D. Morphine sulfate reduces preload, decreases anxiety, and helps alleviate respiratory distress.
E. Transporting to CCU provides specialized monitoring and treatment for this life-threatening condition.
F. The client should be placed in high-Fowler's position, not low-Fowler's, to facilitate breathing and
reduce venous return.
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
, ANSWER: B. Status of airway
Rationale: Airway patency is always the highest priority in any emergency or post-procedure situation,
following the ABCs (Airway, Breathing, Circulation).
A. Blood pressure is important but secondary to ensuring a patent airway.
C. Oxygen flow rate is important but only after airway patency is confirmed.
D. Level of consciousness is a later assessment after airway and breathing are established.
5. A client with angina pectoris is prescribed sublingual nitroglycerin. The nurse instructs the client to
take the medication at which time?
A. When chest pain begins
B. 30 minutes before meals
C. At bedtime to prevent nighttime attacks
D. When the pain becomes severe
ANSWER: A. When chest pain begins
Rationale: Sublingual nitroglycerin should be taken at the first sign of chest pain to maximize its
vasodilating effect and relieve ischemia.
B. Taking nitroglycerin before meals is not indicated; it should be taken for acute chest pain.
C. Nitroglycerin is not a prophylactic medication; long-acting forms are used for prevention.
D. Waiting until pain becomes severe delays treatment and may reduce medication effectiveness.
GRADED 100% VERIFIED 2026
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.
ANSWER: D. Premedicate the client with an analgesic before ambulating.
Rationale: Premedicating with an analgesic before ambulation helps reduce pain, which allows the client
to participate more effectively in activity and tolerate ambulation better.
A. Providing a walker may assist with stability but does not address pain management, which is the
primary factor limiting tolerance to activity postoperatively.
B. Removing telemetry equipment is unsafe and unnecessary; continuous monitoring is essential during
activity for cardiac patients.
C. Coughing and deep breathing are important respiratory interventions but do not directly improve
tolerance to ambulation.
,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.
ANSWER: C. Check the client status and lead placement.
Rationale: The first action is to assess the client and verify lead placement, as the absence of complexes
may indicate loose leads or equipment malfunction rather than cardiac arrest.
A. Calling a code blue is premature without first assessing the client; this could cause unnecessary panic
and resource utilization.
B. Contacting the healthcare provider should occur after assessment and confirmation of a genuine
problem.
D. Pressing the recorder button does not address the immediate need to assess the client's status.
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
ANSWER: A, B, C, D, E
Rationale: Pulmonary edema requires immediate interventions to reduce fluid overload and improve
oxygenation.
A. Administering oxygen is a priority intervention to improve oxygenation and reduce respiratory
distress.
B. Inserting a Foley catheter allows for accurate monitoring of urinary output and administration of
diuretics.
C. Furosemide is a loop diuretic that reduces fluid volume and decreases pulmonary congestion.
D. Morphine sulfate reduces preload, decreases anxiety, and helps alleviate respiratory distress.
E. Transporting to CCU provides specialized monitoring and treatment for this life-threatening condition.
F. The client should be placed in high-Fowler's position, not low-Fowler's, to facilitate breathing and
reduce venous return.
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
, ANSWER: B. Status of airway
Rationale: Airway patency is always the highest priority in any emergency or post-procedure situation,
following the ABCs (Airway, Breathing, Circulation).
A. Blood pressure is important but secondary to ensuring a patent airway.
C. Oxygen flow rate is important but only after airway patency is confirmed.
D. Level of consciousness is a later assessment after airway and breathing are established.
5. A client with angina pectoris is prescribed sublingual nitroglycerin. The nurse instructs the client to
take the medication at which time?
A. When chest pain begins
B. 30 minutes before meals
C. At bedtime to prevent nighttime attacks
D. When the pain becomes severe
ANSWER: A. When chest pain begins
Rationale: Sublingual nitroglycerin should be taken at the first sign of chest pain to maximize its
vasodilating effect and relieve ischemia.
B. Taking nitroglycerin before meals is not indicated; it should be taken for acute chest pain.
C. Nitroglycerin is not a prophylactic medication; long-acting forms are used for prevention.
D. Waiting until pain becomes severe delays treatment and may reduce medication effectiveness.
