2023 PN HESI EXIT EXAM REAL ACTUAL QUESTION AND ANSWERS LATEST RATED A GRADE.

lOMoAR cPSD|24815199 2023 PN HESI EX IT EXAM REAL ACTUAL QUESTION AND ANSWERS LATEST 2023 -2024 RATED A GRADE . . The nurse is monitoring a client following cardioversion. Which observations should be of highest priority to the nurse? 1. Blood pressure 2. Status of airway 3. Oxygen flow rate 4. Level of consciousness Correct Answer: 2. 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? 1. Limiting movement and abdu ction of the left arm 2. Limiting movement and abduction of the right arm 3. Assisting the client to get out of bed and ambulate with a walker4. Having the physical therapist do active range of motion to the right arm Correct Answer: 2. Limiting movement and abd uction 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 whic h? 1. Pneumonia 2. Pulmonary edema 3. Pulmonary embolism 4. Myocardial infarction Correct Answer: 3. Pulmonary embolism lOMoAR cPSD|24815199 A 24 -year-old man seeks medical attention for complaints of claudication in the arch of the foot. The nurse also notes superficial thrombophlebiti s of the lower leg. The nurse should check the client for which next? 1. Smoking history 2. Recent exposure to allergens 3. History of recent insect bites 4. Familial tendency toward peripheral vascular disease Correct Answer: 1. 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? 1. "Smoking c essation is very important." 2. "Moving to a warmer climate should help." 3. "Sources of caffeine should be eliminated from the diet." 4. "Taking nifedipine (Procardia) as prescribed will decrease vesselspasm." Correct Answer: 2. "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? 1. Rhonchi 2. Crackles 3. Wheezes 4. Diminished breath sounds Correct Answer: 2. Crackles The LPN/LVN is collecting data on a client with a diagnosis of rightsided heart failure. The nurse should expect to note which specific characteristic of this condition? 1. Dyspnea 2. Hacking cough 3. Dependent edema 4. Crackles on lung auscultation Correct Answer: 3 . 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 p ulse is palpable and unchanged from admission. The nurse interprets that the neurovascular status is which? 1. Moderately impaired, and the surgeon should be called 2. Normal, caused by increased blood flow through the leg 3. Slightly deteriorating, and should be m onitored for another hour4. Adequate from an arterial approach, but venous complications are arising Correct Answer: 2. 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? 1. Vagus nerve to slow the heart rate 2. Vagus nerve to increase the heart rate 3. Diaphragmatic nerve to slow the heart rate 4. Diaphragmatic nerve to increase the heart rate Correct Answer: 1. Vagus nerve to slow the heart rate