PN HESI Exit V2 EXAM 2022 100% solved: VERIFIED
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? –
Premediate 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? –
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. –
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? –
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? –
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? –
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? –
"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? –
, 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? –
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? –
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? –
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? –
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? –
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? –
Variant angina
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
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
, 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
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? –
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? –
"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? –
Bathroom privileges and self-care activities
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
A client is diagnosed with thrombophlebitis. The nurse should tell the client that which
prescription is indicated? –
Bed rest, with elevation of the affected extremity
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
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
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. –
Be careful not to injure the legs or feet.
Walk each day to increase circulation to the legs.
Cut down on the amount of fats consumed in the diet.
A client is at risk for developing disseminated intravascular coagulopathy (DIC). The
LPN/LVN should become concerned with which fibrinogen level? –
90 mg/dL
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? –
Premediate 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? –
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. –
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? –
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? –
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? –
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? –
"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? –
, 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? –
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? –
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? –
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? –
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? –
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? –
Variant angina
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
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
, 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
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? –
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? –
"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? –
Bathroom privileges and self-care activities
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
A client is diagnosed with thrombophlebitis. The nurse should tell the client that which
prescription is indicated? –
Bed rest, with elevation of the affected extremity
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
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
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. –
Be careful not to injure the legs or feet.
Walk each day to increase circulation to the legs.
Cut down on the amount of fats consumed in the diet.
A client is at risk for developing disseminated intravascular coagulopathy (DIC). The
LPN/LVN should become concerned with which fibrinogen level? –
90 mg/dL
