PN NGN HESI EXIT EXAM LATEST VERSION QUESTIONS AND
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ANSWERS GRADED A+ GUARANTEED SUCCESS
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1) The LPN/LVN is preparing to ambulate a postoperative client after
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cardiac surgery. The nurse plans to do which to enable the client to
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besttolerate the ambulation?
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1. Provide the client with a walker. !| !| !| !| !|
2. Remove the telemetry equipment. !| !| !|
3. Encourage the client to cough and deep breathe. !| !| !| !| !| !| !|
4. Premedicate the client with an analgesic before ambulating. !| !| !| !| !| !| !|
Correct Answer: 4. Premedicate the client with an analgesic before
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ambulating.
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2) A client is wearing a continuous cardiac monitor, which begins
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toalarm at the nurse's station. The nurse sees no
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electrocardiographic complexes on the screen. The nurse should do
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which first?
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1. Call a code blue. !| !| !|
2. Call the health care provider.
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3. Check the client status and lead placement.
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4. Press the recorder button on the ECG console.
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Correct Answer: 3. Check the client status and lead placement.
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3) The LPN/LVN in a medical unit is caring for a client with heart
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failure. The client suddenly develops extreme dyspnea, tachycardia,
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andlung crackles, and the nurse suspects pulmonary edema. The nurse
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immediately notifies the registered nurse and expects which
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interventions to be prescribed? Select all that apply.
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1. Administering oxygen !|
,2. Inserting a Foley catheter
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3. Administering furosemide (Lasix)
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4. Administering morphine sulfate intravenously
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5. Transporting the client to the coronary care unit
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,6. Placing the client in a low-Fowler's side-lying position
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Correct Answer: !|
1. Administering oxygen !|
2. Inserting a Foley catheter !| !| !|
3. Administering furosemide (Lasix) !| !|
4) The nurse is monitoring a client following cardioversion.
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Whichobservations should be of highest priority to the nurse?
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1. Blood pressure !|
2. Status of airway !| !|
3. Oxygen flow rate !| !|
4. Level of consciousness
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Correct Answer: 2. Status of airway
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5) The nurse is assisting in caring for the client immediately after
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insertion of a permanent demand pacemaker via the right
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subclavianvein. The nurse prevents dislodgement of the pacing
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catheter by implementing which intervention?
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1. Limiting movement and abduction of the left arm
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2. Limiting movement and abduction of the right arm
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3. Assisting the client to get out of bed and ambulate with a walker
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4. Having the physical therapist do active range of motion to the
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rightarm
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Correct Answer: 2. Limiting movement and abduction of the right arm
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6) A client diagnosed with thrombophlebitis 1 day ago suddenly
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complains of chest pain and shortness of breath, and the client is
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visibly anxious. The LPN/LVN understands that a life-threatening
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complicationof this condition is which?
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, 1. Pneumonia
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ANSWERS GRADED A+ GUARANTEED SUCCESS
!| !| !| !| !| !| !|
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
!| !| !| !| !| !| !| !| !| !| !| !| !|
besttolerate the ambulation?
!| |! !| !|
1. Provide the client with a walker. !| !| !| !| !|
2. Remove the telemetry equipment. !| !| !|
3. Encourage the client to cough and deep breathe. !| !| !| !| !| !| !|
4. Premedicate the client with an analgesic before ambulating. !| !| !| !| !| !| !|
Correct Answer: 4. Premedicate the client with an analgesic before
!| !| !| !| !| !| !| !| !|
ambulating.
|!
2) A client is wearing a continuous cardiac monitor, which begins
!| !| !| !| !| !| !| !| !|
toalarm at the nurse's station. The nurse sees no
!| |! !| !| !| !| !| !| !| !|
electrocardiographic complexes on the screen. The nurse should do
!| !| !| !| !| !| !| !| !|
which first?
!| !|
1. Call a code blue. !| !| !|
2. Call the health care provider.
!| !| !| !|
3. Check the client status and lead placement.
!| !| !| !| !| !|
4. Press the recorder button on the ECG console.
!| !| !| !| !| !| !|
Correct Answer: 3. 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,
!| !| !| !| !| !| !| !|
andlung 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. Administering morphine sulfate intravenously
!| !| !|
5. Transporting the client to the coronary care unit
!| !| !| !| !| !| !|
,6. Placing the client in a low-Fowler's side-lying position
!| !| !| !| !| !| !|
Correct Answer: !|
1. Administering oxygen !|
2. Inserting a Foley catheter !| !| !|
3. Administering furosemide (Lasix) !| !|
4) The nurse is monitoring a client following cardioversion.
!| !| !| !| !| !| !|
Whichobservations 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
!| !| !| !| !|
5) The nurse is assisting in caring for the client immediately after
!| !| !| !| !| !| !| !| !| !|
insertion of a permanent demand pacemaker via the right
!| !| !| !| !| !| !| !| !|
subclavianvein. The nurse prevents dislodgement of the pacing
!| |! !| !| !| !| !| !| !|
catheter by implementing which intervention?
!| !| !| !| !|
1. Limiting movement and abduction 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 walker
!| !| !| !| !| !| !| !| !| !| !| !|
4. Having the physical therapist do active range of motion to the
!| !| !| !| !| !| !| !| !| !|
rightarm
!| |!
Correct Answer: 2. 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
!| !| !| !| !| !| !| !|
complicationof this condition is which?
!| |! !| !| !| !|
, 1. Pneumonia