HESI LPN EXIT EXAM MERGED F
u u u u uu
ROM 2019/2020&2021 BEST FOR 20
u u u uu
22/2023 ACTUAL EXAM PREP
u u u
• TheLPN/LVNispreparingtoambulateapostoperativeclientaftercardi u
acsurgery.Thenurseplanstodowhichtoenabletheclienttobesttoleratethe u
ambulation?
1. Provide theclientwithawalker.
u
2. Removethetelemetryequipment.
3. Encouragetheclienttocoughanddeepbreathe.
4. Premedicatetheclientwithananalgesicbeforeambulating.
CorrectAnswer:4.Premedicatetheclientwithananalgesicbeforeambulating
.
• Aclientiswearingacontinuouscardiacmonitor,whichbeginstoalar u
matthenurse'sstation.Thenurseseesnoelectrocardiographiccomplex u
esonthescreen.Thenurseshoulddo whichfirst?
u
1. Callacodeblue.
2. Callthehealthcareprovider.
3. Checktheclientstatusandleadplacement.
,4. PresstherecorderbuttonontheECGconsole.
u
CorrectAnswer:3.Checktheclientstatusandleadplacement.
• Aclientisadmittedtothehospitalwithadiagnosisofpericarditis.The u
nurse reviewsthe client'srecordforwhichsignorsymptomthatdifferenti
u u
atespericarditisfr omothercardiopulmonaryproblems?
u
1. Anteriorchestpain
2. Pericardialfrictionrub
3. Weaknessandirritability
4. ChestpainthatworsensoninspirationCor u
rectAnswer:2.Pericardialfrictionrub
• The nurse is beginning to ambulate a client with activity intolerance
u u u u u u u u u u
caused by bacterial endocarditis. The nurse determines that the client is
u u u u u u u u u u
best toleratingambulationifwhichparameterisnoted?
u
1. Milddyspneaafterwalking10feet
2. Minimalchestpainrated1ona1-to-10painscale
3. Pulse ratethatincreasesfrom68to94beatsperminute
u
,4. Bloodpressurethatincreasesfrom114/82to118/86mmHg
u
CorrectAnswer:4.Bloodpressurethatincreasesfrom114/82to118/86mm H u
g
• Thenurseisassistingahospitalizedclientwhoisnewlydiagnosedwithc
u
oronaryarterydisease(CAD)tomakeappropriateselectionsfromthedietar u
ymenu.Thenurseencouragestheclienttoselectwhichmeal?
1. Sausage,pancakes,andtoast
2. Broccoli,butteredrice,andgrilledchicken
3. Hamburger,bakedapples,andavocadosalad
4. Freshstrawberries,steamedvegetables,andbakedfish
CorrectAnswer:4.Freshstrawberries,steamedvegetables,andbakedfish
• A clientwithknowncoronaryarterydisease (CAD)beginstoexperi
u u
encechestpainwhilegettingoutofbed.Thenurse shouldtakewhich acti
u u
on?
1. Getaprescriptionforpainmedication.
2. Havetheclientstopandliebackdowninbed.
3. Reportthecomplainttothehealthcareprovider.
4. Have theclientcontinuetogetoutofbedandintoachair.
u
, CorrectAnswer:2.Have theclientstopandliebackdowninbed.
u
• The nurseissettingupthebedsideunitforaclientbeingadmittedtothe n
u u
ursingunitfromtheemergencydepartmentwithadiagnosisofcoronaryart e u
rydisease(CAD).The nurseshouldplacehighestpriorityon makingsure t
u u u
hatwhich isavailableat thebedside?
u u
1. Bedsidecommode
2. Rollingshowerchair
3. Oxygentubingandflowmeter
4. Twelve-leadelectrocardiogram(ECG)machine
CorrectAnswer:3.Oxygentubingandflowmeter
• The LPN/LVNinamedicalunitiscaringforaclientwith heartfailure.Th
u u
eclientsuddenlydevelopsextremedyspnea,tachycardia,a ndlung crackle
u u
s,andthenurse suspectspulmonaryedema.The nurseimmediatelynotifie
u u
sthe registerednurse andexpectswhichinterventionsto beprescribed?Se
u u u
lectall thatapply.
u
1. Administeringoxygen
2. InsertingaFoleycatheter
3. Administeringfurosemide(Lasix)
4. Administeringmorphinesulfateintravenously
5. Transportingtheclienttothecoronarycareunit
u u u u uu
ROM 2019/2020&2021 BEST FOR 20
u u u uu
22/2023 ACTUAL EXAM PREP
u u u
• TheLPN/LVNispreparingtoambulateapostoperativeclientaftercardi u
acsurgery.Thenurseplanstodowhichtoenabletheclienttobesttoleratethe u
ambulation?
1. Provide theclientwithawalker.
u
2. Removethetelemetryequipment.
3. Encouragetheclienttocoughanddeepbreathe.
4. Premedicatetheclientwithananalgesicbeforeambulating.
CorrectAnswer:4.Premedicatetheclientwithananalgesicbeforeambulating
.
• Aclientiswearingacontinuouscardiacmonitor,whichbeginstoalar u
matthenurse'sstation.Thenurseseesnoelectrocardiographiccomplex u
esonthescreen.Thenurseshoulddo whichfirst?
u
1. Callacodeblue.
2. Callthehealthcareprovider.
3. Checktheclientstatusandleadplacement.
,4. PresstherecorderbuttonontheECGconsole.
u
CorrectAnswer:3.Checktheclientstatusandleadplacement.
• Aclientisadmittedtothehospitalwithadiagnosisofpericarditis.The u
nurse reviewsthe client'srecordforwhichsignorsymptomthatdifferenti
u u
atespericarditisfr omothercardiopulmonaryproblems?
u
1. Anteriorchestpain
2. Pericardialfrictionrub
3. Weaknessandirritability
4. ChestpainthatworsensoninspirationCor u
rectAnswer:2.Pericardialfrictionrub
• The nurse is beginning to ambulate a client with activity intolerance
u u u u u u u u u u
caused by bacterial endocarditis. The nurse determines that the client is
u u u u u u u u u u
best toleratingambulationifwhichparameterisnoted?
u
1. Milddyspneaafterwalking10feet
2. Minimalchestpainrated1ona1-to-10painscale
3. Pulse ratethatincreasesfrom68to94beatsperminute
u
,4. Bloodpressurethatincreasesfrom114/82to118/86mmHg
u
CorrectAnswer:4.Bloodpressurethatincreasesfrom114/82to118/86mm H u
g
• Thenurseisassistingahospitalizedclientwhoisnewlydiagnosedwithc
u
oronaryarterydisease(CAD)tomakeappropriateselectionsfromthedietar u
ymenu.Thenurseencouragestheclienttoselectwhichmeal?
1. Sausage,pancakes,andtoast
2. Broccoli,butteredrice,andgrilledchicken
3. Hamburger,bakedapples,andavocadosalad
4. Freshstrawberries,steamedvegetables,andbakedfish
CorrectAnswer:4.Freshstrawberries,steamedvegetables,andbakedfish
• A clientwithknowncoronaryarterydisease (CAD)beginstoexperi
u u
encechestpainwhilegettingoutofbed.Thenurse shouldtakewhich acti
u u
on?
1. Getaprescriptionforpainmedication.
2. Havetheclientstopandliebackdowninbed.
3. Reportthecomplainttothehealthcareprovider.
4. Have theclientcontinuetogetoutofbedandintoachair.
u
, CorrectAnswer:2.Have theclientstopandliebackdowninbed.
u
• The nurseissettingupthebedsideunitforaclientbeingadmittedtothe n
u u
ursingunitfromtheemergencydepartmentwithadiagnosisofcoronaryart e u
rydisease(CAD).The nurseshouldplacehighestpriorityon makingsure t
u u u
hatwhich isavailableat thebedside?
u u
1. Bedsidecommode
2. Rollingshowerchair
3. Oxygentubingandflowmeter
4. Twelve-leadelectrocardiogram(ECG)machine
CorrectAnswer:3.Oxygentubingandflowmeter
• The LPN/LVNinamedicalunitiscaringforaclientwith heartfailure.Th
u u
eclientsuddenlydevelopsextremedyspnea,tachycardia,a ndlung crackle
u u
s,andthenurse suspectspulmonaryedema.The nurseimmediatelynotifie
u u
sthe registerednurse andexpectswhichinterventionsto beprescribed?Se
u u u
lectall thatapply.
u
1. Administeringoxygen
2. InsertingaFoleycatheter
3. Administeringfurosemide(Lasix)
4. Administeringmorphinesulfateintravenously
5. Transportingtheclienttothecoronarycareunit
