HESI Exit V2 questions and answers
2024\2025 A+ Grade
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?
- correct answer Premedicate the client with an analgesic before ambulating.
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?
- correct 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.
- correct 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?
- correct 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?
- correct 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?
- correct 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?
- correct 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?
- correct 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?
- correct 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?
- correct 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?
- correct 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?
- correct 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?
- correct 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?
- correct 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?
- correct answer Variant angina
The LPN/LVN is monitoring a client with an abdominal aortic aneurysm (AAA). Which finding is probably
unrelated to the AAA?
- correct 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?
- correct 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?
- correct answer Prior reaction to contrast media
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?
- correct answer Caffeine
An ambulatory clinic nurse is interviewing a client who is complaining of flulike symptoms. The client
suddenly develops chest pain. Which question best assists the nurse to discriminate pain caused by a
non cardiac problem?
- correct answer "Does the pain get worse when you breathe in?"
A client with myocardial infarction (MI) has been transferred from the coronary care unit (CCU) to the
general medical unit with cardiac monitoring via telemetry. The nurse assisting in caring for the client
expects to note which type of activity prescribed?
- correct answer Bathroom privileges and self-care activities
2024\2025 A+ Grade
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?
- correct answer Premedicate the client with an analgesic before ambulating.
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?
- correct 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.
- correct 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?
- correct 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?
- correct 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?
- correct 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?
- correct 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?
- correct 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?
- correct 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?
- correct 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?
- correct 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?
- correct 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?
- correct 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?
- correct 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?
- correct answer Variant angina
The LPN/LVN is monitoring a client with an abdominal aortic aneurysm (AAA). Which finding is probably
unrelated to the AAA?
- correct 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?
- correct 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?
- correct answer Prior reaction to contrast media
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?
- correct answer Caffeine
An ambulatory clinic nurse is interviewing a client who is complaining of flulike symptoms. The client
suddenly develops chest pain. Which question best assists the nurse to discriminate pain caused by a
non cardiac problem?
- correct answer "Does the pain get worse when you breathe in?"
A client with myocardial infarction (MI) has been transferred from the coronary care unit (CCU) to the
general medical unit with cardiac monitoring via telemetry. The nurse assisting in caring for the client
expects to note which type of activity prescribed?
- correct answer Bathroom privileges and self-care activities
