lOMoAR cPSD| 22830792
NCLEX PN EXAM HESI QUESTIONS WITH ANSWERS 2023
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UPDATED/ GRADED A+/PN FINAL EXAM TEST BANK
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.
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1) The nurse is monitoring a client following cardioversion. Which
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observations should be of highest priority to the nurse?
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1. Blood pressure
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2. Status of airway
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3. Oxygen flow rate
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4. Level of consciousness
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Correct Answer: 2. Status of airway
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2) The LPN/LVN in a medical unit is caring for a client with heart failure. The
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client suddenly develops extreme dyspnea, tachycardia, and lung crackles, and
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the nurse suspects pulmonary edema. The nurse immediately notifies the
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registered nurse and expects which interventions to be prescribed? Select all that
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apply.
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1. Administering oxygen
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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:
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1. Administering oxygen
2. Inserting a Foley catheter
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, lOMoAR cPSD| 22830792
NCLEX PN EXAM HESI QUESTIONS WITH ANSWERS 2023
ne
UPDATED/ GRADED A+/PN FINAL EXAM TEST BANK
sh
3. Administering furosemide (Lasix)
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3) The LPN/LVN is preparing to ambulate a postoperative client after cardiac
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surgery. The nurse plans to do which to enable the client to best tolerate the
ambulation?
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la
sh
1. Provide the client with a walker.
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2. Remove the telemetry equipment.
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3. Encourage the client to cough and deep breathe.
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4. Premedicate the client with an analgesic before ambulating.
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Correct Answer: 4. Premedicate the client with an analgesic before ambulating
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4) The nurse is assisting in caring for the client immediately after insertion
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of a permanent demand pacemaker via the right subclavian vein. The nurse
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prevents dislodgement of the pacing catheter by implementing which
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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 right arm
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Correct Answer: 2. Limiting movement and abduction of the right arm
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5) A client is wearing a continuous cardiac monitor, which begins to alarm
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at the nurse's station. The nurse sees no electrocardiographic complexes on
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the screen. The nurse should do which first?
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1. Call a code blue.
2. Call the health care provider.
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, lOMoAR cPSD| 22830792
NCLEX PN EXAM HESI QUESTIONS WITH ANSWERS 2023
ne
UPDATED/ GRADED A+/PN FINAL EXAM TEST BANK
sh
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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Sp
Correct Answer: 3. Check the client status and lead placement.
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6) A client diagnosed with thrombophlebitis 1 day ago suddenly complains of
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chest pain and shortness of breath, and the client is visibly anxious. The
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LPN/LVN understands that a life-threatening complication of this condition is
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which?
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1. Pneumonia
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2. Pulmonary edema
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3. Pulmonary embolism
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4. Myocardial infarction
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Correct Answer: 3. Pulmonary embolism
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7) A 24-year-old man seeks medical attention for complaints of claudication in
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the arch of the foot. The nurse also notes superficial thrombophlebitis of the sh
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lower leg. The nurse should check the client for which next?
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1. Smoking history
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2. Recent exposure to allergens
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3. History of recent insect bites
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4. Familial tendency toward peripheral vascular disease
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Correct Answer: 1. Smoking history
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8) The nurse has reinforced instructions to the client with Raynaud's disease
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about self-management of the disease process. The nurse determines that the
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client needs further teaching if the client states which?
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, lOMoAR cPSD| 22830792
NCLEX PN EXAM HESI QUESTIONS WITH ANSWERS 2023
ne
UPDATED/ GRADED A+/PN FINAL EXAM TEST BANK
sh
ne
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1. "Smoking cessation is very important."
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2. "Moving to a warmer climate should help."
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3. "Sources of caffeine should be eliminated from the diet."
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4. "Taking nifedipine (Procardia) as prescribed will decrease vessel
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spasm."
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la
Correct Answer: 2. "Moving to a warmer climate should help."
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sh
Sp
ne
la
9) A client with myocardial infarction suddenly becomes tachycardic, shows
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signs of air hunger, and begins coughing frothy, pink-tinged sputum. The
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nurse listens to breath sounds, expecting to hear which breath sounds
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bilaterally?
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1. Rhonchi
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2. Crackles
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3. Wheezes
4. Diminished breath sounds
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Correct Answer: 2. Crackles
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10) The LPN/LVN is collecting data on a client with a diagnosis of right- sided sh
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heart failure. The nurse should expect to note which specific characteristic of this
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condition?
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1. Dyspnea
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2. Hacking cough
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sh
Sp
3. Dependent edema
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4. Crackles on lung auscultation Correct
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Answer: 3. Dependent edema
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11) The LPN/LVN is checking the neurovascular status of a client who
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returned to the surgical nursing unit 4 hours ago after undergoing an aortoiliac
Downloaded by charity nimo ()
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NCLEX PN EXAM HESI QUESTIONS WITH ANSWERS 2023
ne
UPDATED/ GRADED A+/PN FINAL EXAM TEST BANK
sh
ne
.
la
tz
1) The nurse is monitoring a client following cardioversion. Which
sh
Sp
observations should be of highest priority to the nurse?
ne
la
sh
Sp
1. Blood pressure
ne
2. Status of airway
la
tz
3. Oxygen flow rate
sh
Sp
4. Level of consciousness
ne
la
Correct Answer: 2. Status of airway
sh
Sp
ne
la
tz
sh
Sp
ne
2) The LPN/LVN in a medical unit is caring for a client with heart failure. The
la
client suddenly develops extreme dyspnea, tachycardia, and lung crackles, and
sh
the nurse suspects pulmonary edema. The nurse immediately notifies the
Sp
ne
registered nurse and expects which interventions to be prescribed? Select all that
la
apply.
tz
sh
Sp
ne
la
1. Administering oxygen
sh
2. Inserting a Foley catheter
Sp
ne
3. Administering furosemide (Lasix)
a
4. Administering morphine sulfate intravenously
tz
5. Transporting the client to the coronary care unit
l
sh
Sp
ne
6. Placing the client in a low-Fowler's side-lying position
la
Correct Answer:
sh
Sp
1. Administering oxygen
2. Inserting a Foley catheter
la
Downloaded by charity nimo ()
Sp
, lOMoAR cPSD| 22830792
NCLEX PN EXAM HESI QUESTIONS WITH ANSWERS 2023
ne
UPDATED/ GRADED A+/PN FINAL EXAM TEST BANK
sh
3. Administering furosemide (Lasix)
ne
la
3) The LPN/LVN is preparing to ambulate a postoperative client after cardiac
tz
sh
Sp
surgery. The nurse plans to do which to enable the client to best tolerate the
ambulation?
ne
la
sh
1. Provide the client with a walker.
Sp
ne
2. Remove the telemetry equipment.
la
3. Encourage the client to cough and deep breathe.
tz
sh
4. Premedicate the client with an analgesic before ambulating.
Sp
ne
Correct Answer: 4. Premedicate the client with an analgesic before ambulating
la
sh
Sp
4) The nurse is assisting in caring for the client immediately after insertion
ne
of a permanent demand pacemaker via the right subclavian vein. The nurse
la
tz
prevents dislodgement of the pacing catheter by implementing which
sh
Sp
intervention?
ne
la
sh
1. Limiting movement and abduction of the left arm
Sp
ne
2. Limiting movement and abduction of the right arm
la
3. Assisting the client to get out of bed and ambulate with a walker
tz
4. Having the physical therapist do active range of motion to the right arm
sh
Sp
ne
la
Correct Answer: 2. Limiting movement and abduction of the right arm
sh
Sp
ne
a
5) A client is wearing a continuous cardiac monitor, which begins to alarm
tz
l
sh
at the nurse's station. The nurse sees no electrocardiographic complexes on
Sp
ne
the screen. The nurse should do which first?
la
sh
Sp
1. Call a code blue.
2. Call the health care provider.
la
Downloaded by charity nimo ()
Sp
, lOMoAR cPSD| 22830792
NCLEX PN EXAM HESI QUESTIONS WITH ANSWERS 2023
ne
UPDATED/ GRADED A+/PN FINAL EXAM TEST BANK
sh
3. Check the client status and lead placement.
ne
4. Press the recorder button on the ECG console.
la
tz
sh
Sp
Correct Answer: 3. Check the client status and lead placement.
ne
la
sh
Sp
6) A client diagnosed with thrombophlebitis 1 day ago suddenly complains of
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chest pain and shortness of breath, and the client is visibly anxious. The
la
LPN/LVN understands that a life-threatening complication of this condition is
tz
sh
which?
Sp
ne
la
sh
1. Pneumonia
Sp
ne
2. Pulmonary edema
la
3. Pulmonary embolism
tz
sh
4. Myocardial infarction
Sp
ne
la
Correct Answer: 3. Pulmonary embolism
sh
Sp
ne
7) A 24-year-old man seeks medical attention for complaints of claudication in
la
tz
the arch of the foot. The nurse also notes superficial thrombophlebitis of the sh
Sp
lower leg. The nurse should check the client for which next?
ne
la
sh
Sp
1. Smoking history
ne
2. Recent exposure to allergens
a
tz
3. History of recent insect bites
l
sh
Sp
4. Familial tendency toward peripheral vascular disease
ne
Correct Answer: 1. Smoking history
la
sh
8) The nurse has reinforced instructions to the client with Raynaud's disease
Sp
about self-management of the disease process. The nurse determines that the
la
client needs further teaching if the client states which?
Downloaded by charity nimo ()
Sp
, lOMoAR cPSD| 22830792
NCLEX PN EXAM HESI QUESTIONS WITH ANSWERS 2023
ne
UPDATED/ GRADED A+/PN FINAL EXAM TEST BANK
sh
ne
la
tz
1. "Smoking cessation is very important."
sh
Sp
2. "Moving to a warmer climate should help."
ne
3. "Sources of caffeine should be eliminated from the diet."
la
4. "Taking nifedipine (Procardia) as prescribed will decrease vessel
sh
Sp
spasm."
ne
la
Correct Answer: 2. "Moving to a warmer climate should help."
tz
sh
Sp
ne
la
9) A client with myocardial infarction suddenly becomes tachycardic, shows
sh
signs of air hunger, and begins coughing frothy, pink-tinged sputum. The
Sp
ne
nurse listens to breath sounds, expecting to hear which breath sounds
la
bilaterally?
tz
sh
1. Rhonchi
Sp
ne
2. Crackles
la
3. Wheezes
4. Diminished breath sounds
sh
Sp
Correct Answer: 2. Crackles
ne
la
tz
10) The LPN/LVN is collecting data on a client with a diagnosis of right- sided sh
Sp
heart failure. The nurse should expect to note which specific characteristic of this
ne
condition?
la
sh
Sp
ne
1. Dyspnea
a
2. Hacking cough
tz
l
sh
Sp
3. Dependent edema
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4. Crackles on lung auscultation Correct
la
Answer: 3. Dependent edema
sh
Sp
11) The LPN/LVN is checking the neurovascular status of a client who
la
returned to the surgical nursing unit 4 hours ago after undergoing an aortoiliac
Downloaded by charity nimo ()
Sp
