HESI Exit V2
Study online at https://quizlet.com/_963rcl
1. The LPN/LVN is preparing to ambulate a postopera- Premedicate the client
tive client after cardiac surgery. The nurse plans to do with an analgesic before
which to enable the client to best tolerate the ambu- ambulating.
lation?
2. A client is wearing a continuous cardiac monitor, Check the client status and
which begins to alarm at the nurse's station. The lead placement.
nurse sees no electrocardiographic complexes on the
screen. The nurse should do which first?
3. The LPN/LVN in a medical unit is caring for a client 1. Administering oxygen
with heart failure. The client suddenly develops ex- 2. Inserting a Foley
treme dyspnea, tachycardia, and lung crackles, and catheter
the nurse suspects pulmonary edema. The nurse im- 3. Administering
mediately notifies the registered nurse and expects furosemide (Lasix)
which interventions to be prescribed? Select all that
apply.
4. The nurse is monitoring a client following cardiover- Status of airway
sion. Which observations should be of highest priority
to the nurse?
5. The nurse is assisting in caring for the client imme- Limiting movement and
diately after insertion of a permanent demand pace- abduction of the right arm
maker via the right subclavian vein. The nurse pre-
vents dislodgement of the pacing catheter by imple-
menting which intervention?
6. A client diagnosed with thrombophlebitis 1 day ago Pulmonary embolism
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?
, HESI Exit V2
Study online at https://quizlet.com/_963rcl
7. A 24-year-old man seeks medical attention for com- Smoking history
plaints 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?
8. The nurse has reinforced instructions to the client "Moving to a warmer cli-
with Raynaud's disease about self-management of the mate should help."
disease process. The nurse determines that the client
needs further teaching if the client states which?
9. A client with myocardial infarction suddenly becomes Crackles
tachycardic, shows signs of air hunger, and begins
coughing frothy, pink-tinged sputum. The nurse lis-
tens to breath sounds, expecting to hear which breath
sounds bilaterally?
10. The LPN/LVN is collecting data on a client with a diag- Dependent edema
nosis of right-
sided heart failure. The nurse should expect to note
which specific characteristic of this condition?
11. The LPN/LVN is checking the neurovascular status of Normal, caused by in-
a client who returned to the surgical nursing unit creased blood flow
4 hours ago after undergoing an aortoiliac bypass through the leg
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?
12. A client with a diagnosis of rapid rate atrial fibrillation Vagus nerve to slow the
asks the nurse why the health care provider is going heart rate
, HESI Exit V2
Study online at https://quizlet.com/_963rcl
to perform carotid massage. The LPN/LVN responds
that this procedure may stimulate which?
13. A client is admitted to the hospital with possible Staphylococcal infection
rheumatic endocarditis. The LPN/LVN should check
for a history of which type of infection?
14. client has an Unna boot applied for treatment of The boot has been applied
a venous stasis leg ulcer. The LPN/LVN notes that too tightly
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?
15. A client with angina complains that the anginal pain Variant angina
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?
16. The LPN/LVN is monitoring a client with an abdominal Hyperactive bowel sounds
aortic aneurysm (AAA). Which finding is probably un- in the area
related to the AAA?
17. An emergency department client who complains of Denial
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 noth-
ing wrong with my heart." Which description best de-
scribes the client's response?
Study online at https://quizlet.com/_963rcl
1. The LPN/LVN is preparing to ambulate a postopera- Premedicate the client
tive client after cardiac surgery. The nurse plans to do with an analgesic before
which to enable the client to best tolerate the ambu- ambulating.
lation?
2. A client is wearing a continuous cardiac monitor, Check the client status and
which begins to alarm at the nurse's station. The lead placement.
nurse sees no electrocardiographic complexes on the
screen. The nurse should do which first?
3. The LPN/LVN in a medical unit is caring for a client 1. Administering oxygen
with heart failure. The client suddenly develops ex- 2. Inserting a Foley
treme dyspnea, tachycardia, and lung crackles, and catheter
the nurse suspects pulmonary edema. The nurse im- 3. Administering
mediately notifies the registered nurse and expects furosemide (Lasix)
which interventions to be prescribed? Select all that
apply.
4. The nurse is monitoring a client following cardiover- Status of airway
sion. Which observations should be of highest priority
to the nurse?
5. The nurse is assisting in caring for the client imme- Limiting movement and
diately after insertion of a permanent demand pace- abduction of the right arm
maker via the right subclavian vein. The nurse pre-
vents dislodgement of the pacing catheter by imple-
menting which intervention?
6. A client diagnosed with thrombophlebitis 1 day ago Pulmonary embolism
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?
, HESI Exit V2
Study online at https://quizlet.com/_963rcl
7. A 24-year-old man seeks medical attention for com- Smoking history
plaints 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?
8. The nurse has reinforced instructions to the client "Moving to a warmer cli-
with Raynaud's disease about self-management of the mate should help."
disease process. The nurse determines that the client
needs further teaching if the client states which?
9. A client with myocardial infarction suddenly becomes Crackles
tachycardic, shows signs of air hunger, and begins
coughing frothy, pink-tinged sputum. The nurse lis-
tens to breath sounds, expecting to hear which breath
sounds bilaterally?
10. The LPN/LVN is collecting data on a client with a diag- Dependent edema
nosis of right-
sided heart failure. The nurse should expect to note
which specific characteristic of this condition?
11. The LPN/LVN is checking the neurovascular status of Normal, caused by in-
a client who returned to the surgical nursing unit creased blood flow
4 hours ago after undergoing an aortoiliac bypass through the leg
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?
12. A client with a diagnosis of rapid rate atrial fibrillation Vagus nerve to slow the
asks the nurse why the health care provider is going heart rate
, HESI Exit V2
Study online at https://quizlet.com/_963rcl
to perform carotid massage. The LPN/LVN responds
that this procedure may stimulate which?
13. A client is admitted to the hospital with possible Staphylococcal infection
rheumatic endocarditis. The LPN/LVN should check
for a history of which type of infection?
14. client has an Unna boot applied for treatment of The boot has been applied
a venous stasis leg ulcer. The LPN/LVN notes that too tightly
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?
15. A client with angina complains that the anginal pain Variant angina
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?
16. The LPN/LVN is monitoring a client with an abdominal Hyperactive bowel sounds
aortic aneurysm (AAA). Which finding is probably un- in the area
related to the AAA?
17. An emergency department client who complains of Denial
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 noth-
ing wrong with my heart." Which description best de-
scribes the client's response?
