HESI Exit V2 2025\\2026 graded A+
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? -
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? - 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. - 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? - 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? - 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? - 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? - 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? - 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? - 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? - 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? - 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? - 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? - 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? - 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? - answer✔✔✨-
Variant angina
The LPN/LVN is monitoring a client with an abdominal aortic aneurysm (AAA). Which
finding is probably unrelated to the AAA? - 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? -
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? - 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? -
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? - 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? -
answer✔✔✨-Bathroom privileges and self-care activities
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? -
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? - 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. - 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? - 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? - 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? - 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? - 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? - 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? - 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? - 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? - 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? - 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? - 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? - 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? - answer✔✔✨-
Variant angina
The LPN/LVN is monitoring a client with an abdominal aortic aneurysm (AAA). Which
finding is probably unrelated to the AAA? - 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? -
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? - 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? -
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? - 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? -
answer✔✔✨-Bathroom privileges and self-care activities
