HESI EXIT V2 TEST BANK QUESTIONS WITH
COMPLETE MARKING SCHEME
The LPN/LVN in a medical unit is caring for a 1. Administering oxygen
client with heart failure. The client suddenly 2. Inserting a Foley catheter
develops extreme dyspnea, tachycardia, and 3. Administering furosemide (Lasix)
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.
The nurse is monitoring a client following Status of airway
cardioversion. Which observations should be of
highest priority to the nurse?
The nurse is assisting in caring for the client Limiting movement and abduction of the right arm
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?
A client diagnosed with thrombophlebitis 1 day Pulmonary embolism
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?
A 24-year-old man seeks medical attention for Smoking history
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?
,The nurse has reinforced instructions to the "Moving to a warmer climate should help."
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?
A client with myocardial infarction suddenly Crackles
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?
, A client with angina complains that the anginal Variant angina
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?
We have an expert-written solution to this problem!
The LPN/LVN is monitoring a client with an Hyperactive bowel sounds in the area
abdominal aortic aneurysm (AAA). Which
finding is probably unrelated to the AAA?
An emergency department client who Denial
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?
We have an expert-written solution to this problem!
A client is scheduled for a cardiac Prior reaction to contrast media
catheterization using a radiopaque dye. The
LPN/LVN checks which most critical item
before the procedure?
A client is scheduled for a dipyridamole Caffeine
thallium scan. The LPN/ LVN should check to
make sure that the client has not consumed
which substance before the procedure?
We have an expert-written solution to this problem!
COMPLETE MARKING SCHEME
The LPN/LVN in a medical unit is caring for a 1. Administering oxygen
client with heart failure. The client suddenly 2. Inserting a Foley catheter
develops extreme dyspnea, tachycardia, and 3. Administering furosemide (Lasix)
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.
The nurse is monitoring a client following Status of airway
cardioversion. Which observations should be of
highest priority to the nurse?
The nurse is assisting in caring for the client Limiting movement and abduction of the right arm
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?
A client diagnosed with thrombophlebitis 1 day Pulmonary embolism
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?
A 24-year-old man seeks medical attention for Smoking history
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?
,The nurse has reinforced instructions to the "Moving to a warmer climate should help."
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?
A client with myocardial infarction suddenly Crackles
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?
, A client with angina complains that the anginal Variant angina
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?
We have an expert-written solution to this problem!
The LPN/LVN is monitoring a client with an Hyperactive bowel sounds in the area
abdominal aortic aneurysm (AAA). Which
finding is probably unrelated to the AAA?
An emergency department client who Denial
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?
We have an expert-written solution to this problem!
A client is scheduled for a cardiac Prior reaction to contrast media
catheterization using a radiopaque dye. The
LPN/LVN checks which most critical item
before the procedure?
A client is scheduled for a dipyridamole Caffeine
thallium scan. The LPN/ LVN should check to
make sure that the client has not consumed
which substance before the procedure?
We have an expert-written solution to this problem!
