HESI Exit V2 Questions and Answers
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 observations
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
, HESI Exit V2 Questions and Answers
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 characteris-
tic of this condition?: Dependent edema
11. 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?: 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?: Staphylococcal 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 ver-
balizes 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 pre-
cipitating 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
, HESI Exit V2 Questions and Answers
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
19. 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?: Catteine
20. 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?: "Does
the pain get worse when you breathe in?"
21. A client with myocardial infarction (MI) has been transferred from the coro-
nary 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?: Bathroom privileges and self-care activities
22. The LPN/LVN is preparing to care for a client who will be arriving from the
recovery room after an above-the-knee amputation. The nurse ensures that
which priority item is available for emergency use?: Surgical tourniquet
23. A client is diagnosed with thrombophlebitis. The nurse should tell the client
that which prescription is indicated?: Bed rest, with elevation of the attected extremity
24. A client returns to the nursing unit after an above knee amputation of the
right leg. In which position should the nurse place the client?: With the foot of the bed
elevated
25. The LPN/LVN is collecting data from a client about medications being taken,
and the client tells the nurse that he is taking herbal supplements for the
treatment of varicose veins. The nurse understands that the client is most likely
taking which?: Bilberry
26. The LPN/LVN is planning to reinforce instructions to a client with peripheral
arterial disease about measures to limit disease progression. The nurse should
include which items on a list of suggestions to be given to the client? Select all
that apply.: 2. Be careful not to injure the legs or feet.
4. Walk each day to increase circulation to the legs.
5. Cut down on the amount of fats consumed in the diet.
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 observations
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
, HESI Exit V2 Questions and Answers
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 characteris-
tic of this condition?: Dependent edema
11. 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?: 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?: Staphylococcal 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 ver-
balizes 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 pre-
cipitating 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
, HESI Exit V2 Questions and Answers
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
19. 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?: Catteine
20. 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?: "Does
the pain get worse when you breathe in?"
21. A client with myocardial infarction (MI) has been transferred from the coro-
nary 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?: Bathroom privileges and self-care activities
22. The LPN/LVN is preparing to care for a client who will be arriving from the
recovery room after an above-the-knee amputation. The nurse ensures that
which priority item is available for emergency use?: Surgical tourniquet
23. A client is diagnosed with thrombophlebitis. The nurse should tell the client
that which prescription is indicated?: Bed rest, with elevation of the attected extremity
24. A client returns to the nursing unit after an above knee amputation of the
right leg. In which position should the nurse place the client?: With the foot of the bed
elevated
25. The LPN/LVN is collecting data from a client about medications being taken,
and the client tells the nurse that he is taking herbal supplements for the
treatment of varicose veins. The nurse understands that the client is most likely
taking which?: Bilberry
26. The LPN/LVN is planning to reinforce instructions to a client with peripheral
arterial disease about measures to limit disease progression. The nurse should
include which items on a list of suggestions to be given to the client? Select all
that apply.: 2. Be careful not to injure the legs or feet.
4. Walk each day to increase circulation to the legs.
5. Cut down on the amount of fats consumed in the diet.
