PN HESI EXIT V2 EXAMS WITH CORRECT QUESTIONS AND VERIFIED DETAILED RATIONALES ANSWERS LATEST UPDATE 2024 ALREADY GRADED A+

1. The LPN/LVN is preparing to ambulate a postoperative patient after cardiac surgery. The medic plans to do which to enable the patient to best tolerate the ambulation? 1. Provide the patient with a walker. 2. Remove the telemetry equipment. 3. Encourage the patient to cough and deep breathe. 4. Premedicate the patient with an analgesic before ambulating. 2. A patient is wearing a continuous cardiac monitor, which begins to alarm at the medic's station. The medic sees no electrocardiographic complexes on the screen. The medic should do which first? a. Call a code blue. b. Call the health care provider. c. Check the patient status and lead placement. >>>ANSWER d. Press the recorder button on the ECG console. 3. 3) The LPN/LVN in a medical unit is caring for a patient with heart failure. The patient suddenly develops extreme dyspnea, tachycardia, and lung crackles, and the medic suspects pulmonary edema. The medic immediately notifies the registered medic and expects which interventions to be prescribed? Select all that apply. a. Administering oxygen b. c. Administering furosemide (Lasix) d. Administering morphine sulfate intravenously e. Transporting the patient to the coronary care unit f. Placing the patient in a low-Fowler's side-lying position 4. The medic is monitoring a patient following cardioversion. Which observations should be of highest priority to the medic? a. Blood pressure b. Status of airway c. Oxygen flow rate d. Level of consciousness 5. The medic is assisting in caring for the patient immediately after insertion of a permanent demand pacemaker via the right subclavian vein. The medic 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 patient to get out of bed and ambulate with a walker 4. Having the physical therapist do active range of motion to the right arm 6. A patient diagnosed with thrombophlebitis 1 day ago suddenly complains of chest pain and shortness of breath, and the patient is visibly anxious. The LPN/LVN understands that a life-threatening complication of this condition is which? a. Pneumonia b. Pulmonary edema c. Pulmonary embolism d. Myocardial infarction 7. A 24-year-old man seeks medical attention for complaints of claudication in the arch of the foot. The medic also notes superficial thrombophlebitis of the lower leg. The medic should check the patient for which next? a. Smoking history b. Recent exposure to allergens c. History of recent insect bites d. Familial tendency toward peripheral vascular disease 8. The medic has reinforced instructions to the patient with Raynaud's disease about self-management of the disease process. The medic determines that the patient needs further teaching if the patient states which? a. "Smoking cessation is very important." b. "Moving to a warmer climate should help." c. "Sources of caffeine should be eliminated from the diet." 4. "Taking nifedipine (Procardia) as prescribed will decrease vessel spasm." 9. A patient with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger, and begins coughing frothy, pink- tinged sputum. The medic listens to breath sounds, expecting to hear which breath sounds bilaterally? a. Rhonchi b. Crackles c. Wheezes d. Diminished breath sounds 10. The LPN/LVN is collecting data on a patient with a diagnosis ofright sided heart failure. The medic should expect to note which specific characteristic of this condition? a. Dyspnea b. Hacking cough c. Dependent edema d. Crackles on lung auscultation 11. The LPN/LVN is checking the neurovascular status of a patient who returned to the surgical nursing unit 4 hours ago after undergoing an aortoiliac bypass graft. The affected leg is warm, andthe medic notes redness and edema. The pedal pulse is palpable and unchanged from admission. The medic interprets that the neurovascular status is which? a. Moderately impaired, and the surgeon should be called b. Normal, caused by increased blood flow through the leg c. Slightly deteriorating, and should be monitored for another hour d. Adequate from an arterial approach, but venous complications are arising 12. A patient with a diagnosis of rapid rate atrial fibrillation asks themedic why the health care provider is going to perform carotid massage. The LPN/LVN responds that this procedure may stimulate which? a. Vagus nerve to slow the heart rate b. Vagus nerve to increase the heart rate c. Diaphragmatic nerve to slow the heart rate d. Diaphragmatic nerve to increase the heart rate 13. A patient is admitted to the hospital with possible rheumatic endocarditis. The LPN/LVN should check for a history of which type of infection? a. Viral infection b. Yeast infection c. Streptococcal infection d. Staphylococcal infection 14. A patient has an Unna boot applied for treatment of a venous stasis leg ulcer. The LPN/LVN notes that the patient's toes are mottled, and cool and the patient verbalizes some numbness and tingling of the foot. Which interpretation should the medic make of these findings? a. The boot has not yet dried. b. The boot is controlling leg edema. c. The boot is impairing venous return. d. The boot has been applied too tightly. 15. A patient 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 medic notes thatthe pain occurs in the absence of precipitating factors. How should the LPN/LVN best describe this type of anginal pain? a. Stable angina b. Variant angina c. Unstable angina d. Nonanginal pain 16. The LPN/LVN is monitoring a patient with an abdominal aortic aneurysm (AAA). Which finding is probably unrelated tothe AAA? a. Pulsatile abdominal mass b. Hyperactive bowel sounds in the area c. Systolic bruit over the area of the mass d. Subjective sensation of "heart beating" in the abdomen 17. An emergency department patient who complains of slightly improved but unrelieved chest pain for 2 days is reluctant to take a nitroglycerin sublingual tablet offered by the medic. The patient 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 patient's response? a. Angry b. Denial c. Phobic d. Obsessive-compulsive 18. A patient is scheduled for a cardiac catheterization using a radiopaque dye. The LPN/LVN checks which most critical item beforethe procedure? a. Intake and output b. Height and weight c. Peripheral pulse rates d. Prior reaction to contrast media 19. A patient is scheduled for a dipyridamole thallium scan. TheLPN/ LVN should check to make sure that the patient has not consumed which substance before the procedure? a. Caffeine b. Fatty meal c. Excess sugar d. Milk products