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?: 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?: 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.: 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?: 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?: 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?: 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?: 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?: "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 bilaterally?: 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
charac- teristic of this condition?: Dependent edema
11.The LPN/LVN is checking the neurovascular status of a client who re-
turned 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?:
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?: 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?: Staphy- lococcal 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?: 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?: Variant angina
16.The LPN/LVN is monitoring a client with an abdominal aortic
aneurysm (AAA). Which finding is probably unrelated to the AAA?:
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?: 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?:
Prior reaction to contrast media
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?: 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?: 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.: 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?: 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?: 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?: 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?: 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?: "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 bilaterally?: 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
charac- teristic of this condition?: Dependent edema
11.The LPN/LVN is checking the neurovascular status of a client who re-
turned 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?:
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?: 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?: Staphy- lococcal 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?: 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?: Variant angina
16.The LPN/LVN is monitoring a client with an abdominal aortic
aneurysm (AAA). Which finding is probably unrelated to the AAA?:
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?: 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?:
Prior reaction to contrast media
