HESI Exit V2
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 Ans: Premedicate the client with an analgesic before ambulating.
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 Ans: Check the client status and lead placement.
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 Ans: 1.
Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4. The nurse is monitoring a client following cardioversion. Which observa- tions
should be of highest priority to the nurse Ans: Status of airway
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 inter- vention Ans:
Limiting movement and abduction of the right arm
6. 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 Ans:
Pulmonary embolism
7. 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 Ans: Smoking history
8. 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 Ans: "Moving to a warmer climate should
help."
9. 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 bilat- erally Ans: Crackles
10. 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 character- istic of this
condition Ans: Dependent edema
,11. 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 Ans: Normal, caused by increased blood flow through the leg
12. 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 Ans: Vagus nerve to slow the heart rate
13. A client is admitted to the hospital with possible rheumatic endocarditis. The
LPN/LVN should check for a history of which type of infection Ans: Staphylo- coccal
infection
14. 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 Ans: The boot has been applied too tightly
15. 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 Ans: Variant
, angina
16. The LPN/LVN is monitoring a client with an abdominal aortic aneurysm
(AAA). Which finding is probably unrelated to the AAA Ans: Hyperactive bowel
sounds in the area
17. 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 Ans: Denial
18. A client is scheduled for a cardiac catheterization using a radiopaque dye. The
LPN/LVN checks which most critical item before the procedure Ans: Prior reaction to
contrast media
19. A client is scheduled for a dipyridamole thallium scan. The LPN/ LVN should
check to make sure that the client has not consumed which substance before the
procedure Ans: Caffeine
20. An ambulatory clinic nurse is interviewing a client who is complaining of flulike
symptoms. The client suddenly develops chest pain. Which 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 Ans: Premedicate the client with an analgesic before ambulating.
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 Ans: Check the client status and lead placement.
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 Ans: 1.
Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4. The nurse is monitoring a client following cardioversion. Which observa- tions
should be of highest priority to the nurse Ans: Status of airway
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 inter- vention Ans:
Limiting movement and abduction of the right arm
6. 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 Ans:
Pulmonary embolism
7. 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 Ans: Smoking history
8. 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 Ans: "Moving to a warmer climate should
help."
9. 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 bilat- erally Ans: Crackles
10. 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 character- istic of this
condition Ans: Dependent edema
,11. 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 Ans: Normal, caused by increased blood flow through the leg
12. 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 Ans: Vagus nerve to slow the heart rate
13. A client is admitted to the hospital with possible rheumatic endocarditis. The
LPN/LVN should check for a history of which type of infection Ans: Staphylo- coccal
infection
14. 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 Ans: The boot has been applied too tightly
15. 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 Ans: Variant
, angina
16. The LPN/LVN is monitoring a client with an abdominal aortic aneurysm
(AAA). Which finding is probably unrelated to the AAA Ans: Hyperactive bowel
sounds in the area
17. 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 Ans: Denial
18. A client is scheduled for a cardiac catheterization using a radiopaque dye. The
LPN/LVN checks which most critical item before the procedure Ans: Prior reaction to
contrast media
19. A client is scheduled for a dipyridamole thallium scan. The LPN/ LVN should
check to make sure that the client has not consumed which substance before the
procedure Ans: Caffeine
20. An ambulatory clinic nurse is interviewing a client who is complaining of flulike
symptoms. The client suddenly develops chest pain. Which question
