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PN HESI Exit V2 COMPLIANCE EXAM QUESTIONS
AND ANSWERS
(VERIFIED AND WELL DETAILED ANSWERS) LATEST 1. Administering oxygen
2. Inserting a Foley catheter
UPDATE
3. Administering furosemide (Lasix)
2025/2026 4. Administering morphine sulfate intravenously
5. Transporting the client to the coronary care unit
1) The LPN/LVN is preparing to ambulate a postoperative client after 6. Placing the client in a low-Fowler's side-lying position
cardiac surgery. The nurse plans to do which to enable the client to best
tolerate the ambulation? Correct Answer:
1. Administering oxygen
1. Provide the client with a walker.
2. Inserting a Foley catheter
2. Remove the telemetry equipment.
3. Administering furosemide (Lasix)
3. Encourage the client to cough and deep breathe.
4. Premedicate the client with an analgesic before ambulating.
Correct Answer: 4. Premedicate the client with an analgesic before
ambulating. 4) The nurse is monitoring a client following cardioversion. Which
observations should be of highest priority to the nurse?
2) A client is wearing a continuous cardiac monitor, which begins to
alarm at the nurse's station. The nurse sees no electrocardiographic 1. Blood pressure
complexes on the screen. The nurse should do which first? 2. Status of airway
3. Oxygen flow rate
4. Level of consciousness
1. Call a code blue.
2. Call the health care provider. Correct Answer: 2. Status of airway
3. Check the client status and lead placement.
4. Press the recorder button on the ECG console.
5) The nurse is assisting in caring for the client immediately after
insertion of a permanent demand pacemaker via the right subclavian vein.
Correct Answer: 3. Check the client status and lead placement. The nurse prevents dislodgement of the pacing catheter by implementing
which intervention?
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 1. Limiting movement and abduction of the left arm
crackles, and the nurse suspects pulmonary edema. The nurse 2. Limiting movement and abduction of the right arm
immediately notifies the registered nurse and expects which interventions 3. Assisting the client to get out of bed and ambulate with a walker 4.
to be prescribed? Select all that apply. Having the physical therapist do active range of motion to the right arm
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Correct Answer: 2. Limiting movement and abduction of the right arm
3. "Sources of caffeine should be eliminated from the diet."
4. "Taking nifedipine (Procardia) as prescribed will decrease vessel
6) A client diagnosed with thrombophlebitis 1 day ago suddenly spasm."
complains of chest pain and shortness of breath, and the client is visibly
anxious. The LPN/LVN understands that a life-threatening complication
Correct Answer: 2. "Moving to a warmer climate should help."
of this condition is which?
1. Pneumonia 9) A client with myocardial infarction suddenly becomes tachycardic,
2. Pulmonary edema shows signs of air hunger, and begins coughing frothy, pink-tinged
3. Pulmonary embolism sputum. The nurse listens to breath sounds, expecting to hear which
4. Myocardial infarction breath sounds bilaterally?
1. Rhonchi
Correct Answer: 3. Pulmonary embolism 2. Crackles
3. Wheezes
4. Diminished breath sounds
Correct Answer: 2. Crackles
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 10) The LPN/LVN is collecting data on a client with a diagnosis of right-
which next? sided heart failure. The nurse should expect to note which specific
characteristic of this condition?
1. Smoking history
2. Recent exposure to allergens 1. Dyspnea
3. History of recent insect bites 2. Hacking cough
4. Familial tendency toward peripheral vascular disease 3. Dependent edema
4. Crackles on lung auscultation
Correct Answer: 1. Smoking history
Correct Answer: 3. Dependent edema
8) The nurse has reinforced instructions to the client with Raynaud's
disease about self-management of the disease process. The nurse 11) The LPN/LVN is checking the neurovascular status of a client who
determines that the client needs further teaching if the client states returned to the surgical nursing unit 4 hours ago after undergoing an
which? 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?
1. "Smoking cessation is very important."
2. "Moving to a warmer climate should help."
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1. Moderately impaired, and the surgeon should be called
2. Normal, caused by increased blood flow through the leg 1. The boot has not yet dried.
3. Slightly deteriorating, and should be monitored for another hour 4. 2. The boot is controlling leg edema.
Adequate from an arterial approach, but venous complications are
3. The boot is impairing venous return.
arising
4. The boot has been applied too tightly.
Correct Answer: 2. Normal, caused by increased blood flow through the leg
Correct Answer: 4. The boot has been applied too tightly.
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 15) A client with angina complains that the anginal pain is prolonged and
LPN/LVN responds that this procedure may stimulate which? 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?
1. Vagus nerve to slow the heart rate
2. Vagus nerve to increase the heart rate
3. Diaphragmatic nerve to slow the heart rate 1. Stable angina
4. Diaphragmatic nerve to increase the heart rate 2. Variant angina
3. Unstable angina
Correct Answer: 1. Vagus nerve to slow the heart rate 4. Nonanginal pain
Correct Answer: 2. Variant angina
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?
16) The LPN/LVN is monitoring a client with an abdominal aortic
1. Viral infection aneurysm (AAA). Which finding is probably unrelated to the AAA?
2. Yeast infection
3. Streptococcal infection
4. Staphylococcal infection 1. Pulsatile abdominal mass
2. Hyperactive bowel sounds in the area
3. Systolic bruit over the area of the mass
Correct Answer: 3. Streptococcal infection
4. Subjective sensation of "heart beating" in the abdomen
2. Hyperactive bowel sounds in the area
14) A 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 17) An emergency department client who complains of slightly improved
interpretation should the nurse make of these findings? 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
PN HESI Exit V2 COMPLIANCE EXAM QUESTIONS
AND ANSWERS
(VERIFIED AND WELL DETAILED ANSWERS) LATEST 1. Administering oxygen
2. Inserting a Foley catheter
UPDATE
3. Administering furosemide (Lasix)
2025/2026 4. Administering morphine sulfate intravenously
5. Transporting the client to the coronary care unit
1) The LPN/LVN is preparing to ambulate a postoperative client after 6. Placing the client in a low-Fowler's side-lying position
cardiac surgery. The nurse plans to do which to enable the client to best
tolerate the ambulation? Correct Answer:
1. Administering oxygen
1. Provide the client with a walker.
2. Inserting a Foley catheter
2. Remove the telemetry equipment.
3. Administering furosemide (Lasix)
3. Encourage the client to cough and deep breathe.
4. Premedicate the client with an analgesic before ambulating.
Correct Answer: 4. Premedicate the client with an analgesic before
ambulating. 4) The nurse is monitoring a client following cardioversion. Which
observations should be of highest priority to the nurse?
2) A client is wearing a continuous cardiac monitor, which begins to
alarm at the nurse's station. The nurse sees no electrocardiographic 1. Blood pressure
complexes on the screen. The nurse should do which first? 2. Status of airway
3. Oxygen flow rate
4. Level of consciousness
1. Call a code blue.
2. Call the health care provider. Correct Answer: 2. Status of airway
3. Check the client status and lead placement.
4. Press the recorder button on the ECG console.
5) The nurse is assisting in caring for the client immediately after
insertion of a permanent demand pacemaker via the right subclavian vein.
Correct Answer: 3. Check the client status and lead placement. The nurse prevents dislodgement of the pacing catheter by implementing
which intervention?
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 1. Limiting movement and abduction of the left arm
crackles, and the nurse suspects pulmonary edema. The nurse 2. Limiting movement and abduction of the right arm
immediately notifies the registered nurse and expects which interventions 3. Assisting the client to get out of bed and ambulate with a walker 4.
to be prescribed? Select all that apply. Having the physical therapist do active range of motion to the right arm
, https://studentmagic.indiemade.com/ https://studentmagic.indiemade.com/
Correct Answer: 2. Limiting movement and abduction of the right arm
3. "Sources of caffeine should be eliminated from the diet."
4. "Taking nifedipine (Procardia) as prescribed will decrease vessel
6) A client diagnosed with thrombophlebitis 1 day ago suddenly spasm."
complains of chest pain and shortness of breath, and the client is visibly
anxious. The LPN/LVN understands that a life-threatening complication
Correct Answer: 2. "Moving to a warmer climate should help."
of this condition is which?
1. Pneumonia 9) A client with myocardial infarction suddenly becomes tachycardic,
2. Pulmonary edema shows signs of air hunger, and begins coughing frothy, pink-tinged
3. Pulmonary embolism sputum. The nurse listens to breath sounds, expecting to hear which
4. Myocardial infarction breath sounds bilaterally?
1. Rhonchi
Correct Answer: 3. Pulmonary embolism 2. Crackles
3. Wheezes
4. Diminished breath sounds
Correct Answer: 2. Crackles
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 10) The LPN/LVN is collecting data on a client with a diagnosis of right-
which next? sided heart failure. The nurse should expect to note which specific
characteristic of this condition?
1. Smoking history
2. Recent exposure to allergens 1. Dyspnea
3. History of recent insect bites 2. Hacking cough
4. Familial tendency toward peripheral vascular disease 3. Dependent edema
4. Crackles on lung auscultation
Correct Answer: 1. Smoking history
Correct Answer: 3. Dependent edema
8) The nurse has reinforced instructions to the client with Raynaud's
disease about self-management of the disease process. The nurse 11) The LPN/LVN is checking the neurovascular status of a client who
determines that the client needs further teaching if the client states returned to the surgical nursing unit 4 hours ago after undergoing an
which? 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?
1. "Smoking cessation is very important."
2. "Moving to a warmer climate should help."
, https://studentmagic.indiemade.com/ https://studentmagic.indiemade.com/
1. Moderately impaired, and the surgeon should be called
2. Normal, caused by increased blood flow through the leg 1. The boot has not yet dried.
3. Slightly deteriorating, and should be monitored for another hour 4. 2. The boot is controlling leg edema.
Adequate from an arterial approach, but venous complications are
3. The boot is impairing venous return.
arising
4. The boot has been applied too tightly.
Correct Answer: 2. Normal, caused by increased blood flow through the leg
Correct Answer: 4. The boot has been applied too tightly.
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 15) A client with angina complains that the anginal pain is prolonged and
LPN/LVN responds that this procedure may stimulate which? 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?
1. Vagus nerve to slow the heart rate
2. Vagus nerve to increase the heart rate
3. Diaphragmatic nerve to slow the heart rate 1. Stable angina
4. Diaphragmatic nerve to increase the heart rate 2. Variant angina
3. Unstable angina
Correct Answer: 1. Vagus nerve to slow the heart rate 4. Nonanginal pain
Correct Answer: 2. Variant angina
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?
16) The LPN/LVN is monitoring a client with an abdominal aortic
1. Viral infection aneurysm (AAA). Which finding is probably unrelated to the AAA?
2. Yeast infection
3. Streptococcal infection
4. Staphylococcal infection 1. Pulsatile abdominal mass
2. Hyperactive bowel sounds in the area
3. Systolic bruit over the area of the mass
Correct Answer: 3. Streptococcal infection
4. Subjective sensation of "heart beating" in the abdomen
2. Hyperactive bowel sounds in the area
14) A 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 17) An emergency department client who complains of slightly improved
interpretation should the nurse make of these findings? 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
