PN HESI EXIT /HESI EXIT PN EXAM LATEST 2
j j j j j j j j
026-2027 FORM A,B & C j j j j
EACH FORM CONTAINS 140 QUESTIONS AN
j j j j j
D CORRECT ANSWERS
j j
A+ GRADE (COMPLETE VERSIONS)
j j j
1. ThejLPN/LVNjisjpreparingjtojambulatejajpostoperativejclientjafterjcardiacjsur
gery.jThejnursejplansjtojdojwhichjtojenablejthejclientjtobestjtoleratejthejambula
tion?
1. Providejthejclientjwithjajwalker.
2. Removejthejtelemetryjequipment.
3. Encouragejthejclientj tojcoughjandjdeepj breathe.
4. Premedicatejthejclientjwithjanjanalgesicjbeforejambulating.
2. Ajclientjisjwearingjajcontinuousjcardiacjmonitor,jwhichjbeginsjtojalarmatjthejnurse'
sjstation.jThejnursejseesjnojelectrocardiographicjcomplexesjonjthejscreen.jThejnurs
ejshouldjdojwhichjfirst?
a. Calljajcodejblue.
b. Calljthejhealthjcarejprovider.
c. Checkjthejclientjstatusjandjleadjplacement.
d. PressjthejrecorderjbuttonjonjthejECGjconsole.
3. ThejLPN/LVNjinjajmedicaljunitjisjcaringjforjajclientjwithjheartjfailure.jThejclien
tjsuddenlyjdevelopsjextremejdyspnea,jtachycardia,andjlungjcrackles,jandjthejnu
rsejsuspectsjpulmonaryjedema.jThejnursejimmediatelyjnotifiesj thejregisteredjn
ursejandjexpectsjwhichjinterventionsjtojbejprescribed?jSelectjalljthatjapply.
a. Administeringjoxygen
b. InsertingjajFoleyjcatheter
c. Administeringj furosemidej (Lasix)
d. Administeringj morphinej sulfatej intravenously
, e. Transportingjthejclientjtojthejcoronaryjcarejunit
f. Placingjthejclientjinjajlow-Fowler'sjside-lyingjposition
4. Thejnursejisjmonitoringjajclientjfollowingjcardioversion.jWhichjob
servationsjshouldjbejofjhighestjpriorityjtojthejnurse?
a. Bloodjpressure
b. Statusj ofj airway
c. Oxygenj flowj rate
d. Leveljofjconsciousness
5. Thejnursejisjassistingjinjcaringjforjthejclientjimmediatelyj afterjin
sertionjofjajpermanentjdemandjpacemakerjviajthejright
, subclavianjvein.jThejnursejpreventsjdislodgementjofjthejpacingjcatheterjbyji
mplementingjwhichjintervention?
a. Limitingjmovementjandjabductionjofjthejleftjarm
b. Limitingjmovementj andj abductionj ofjthejrightj arm
c. Assistingjthej clientj toj getj outj ofj bedj andj ambulatej withj aj walker
4.jHavingjthejphysicaljtherapistjdojactivejrangejofjmotionjtojthejrightj
arm
6. Ajclientjdiagnosedjwithjthrombophlebitisj1jdayjagojsuddenlyjcomplainsjofjch
estjpainjandjshortnessjofjbreath,jandjthejclientjisvisiblyjanxious.jThejLPN/LV
Njunderstandsjthatjajlife-threateningjcomplicationjofjthisjconditionjisjwhich?
a. Pneumonia
b. Pulmonaryjedema
c. Pulmonaryj embolism
d. Myocardialjinfarction
7. Aj24-year-
oldjmanjseeksjmedicaljattentionjforjcomplaintsjofjclaudicationjinjthejarchjofjthej
foot.jThejnursejalsojnotesjsuperficialjthrombophlebitisjofjthejlowerjleg.jThejnur
sejshouldjcheckjthejclientforjwhichjnext?
a. Smokingjhistory
b. Recentj exposurej toj allergens
c. Historyjofjrecentjinsectjbites
d. Familialjtendencyjtowardjperipheraljvascularjdisease
8. ThejnursejhasjreinforcedjinstructionsjtojthejclientjwithjRaynaud'sjdis
easejaboutjself-
managementjofjthejdiseasejprocess.jThejnursejdeterminesjthatjthejcli
entjneedsjfurtherteachingjifjthejclientjstatesjwhich?
a. "Smokingj cessationj isj veryj important."
b. "Movingj toj aj warmerj climatej shouldj help."
, c. "Sourcesjofjcaffeinejshouldjbejeliminatedjfromjthejdiet."
4.j"Takingjnifedipinej(Procardia)jasjprescribedjwilldecreasejves
seljspasm."
9. Ajclientjwithjmyocardialjinfarctionjsuddenlyjbecomesjtachycardic,showsjsig
nsjofjairjhunger,jandjbeginsjcoughingjfrothy,jpink-
tingedjsputum.jThejnursejlistensjtojbreathjsounds,jexpectingjtojhearjwhichjbre
j
athjsoundsjbilaterally?
a. Rhonchi
b. Crackles
c. Wheezes
j j j j j j j j
026-2027 FORM A,B & C j j j j
EACH FORM CONTAINS 140 QUESTIONS AN
j j j j j
D CORRECT ANSWERS
j j
A+ GRADE (COMPLETE VERSIONS)
j j j
1. ThejLPN/LVNjisjpreparingjtojambulatejajpostoperativejclientjafterjcardiacjsur
gery.jThejnursejplansjtojdojwhichjtojenablejthejclientjtobestjtoleratejthejambula
tion?
1. Providejthejclientjwithjajwalker.
2. Removejthejtelemetryjequipment.
3. Encouragejthejclientj tojcoughjandjdeepj breathe.
4. Premedicatejthejclientjwithjanjanalgesicjbeforejambulating.
2. Ajclientjisjwearingjajcontinuousjcardiacjmonitor,jwhichjbeginsjtojalarmatjthejnurse'
sjstation.jThejnursejseesjnojelectrocardiographicjcomplexesjonjthejscreen.jThejnurs
ejshouldjdojwhichjfirst?
a. Calljajcodejblue.
b. Calljthejhealthjcarejprovider.
c. Checkjthejclientjstatusjandjleadjplacement.
d. PressjthejrecorderjbuttonjonjthejECGjconsole.
3. ThejLPN/LVNjinjajmedicaljunitjisjcaringjforjajclientjwithjheartjfailure.jThejclien
tjsuddenlyjdevelopsjextremejdyspnea,jtachycardia,andjlungjcrackles,jandjthejnu
rsejsuspectsjpulmonaryjedema.jThejnursejimmediatelyjnotifiesj thejregisteredjn
ursejandjexpectsjwhichjinterventionsjtojbejprescribed?jSelectjalljthatjapply.
a. Administeringjoxygen
b. InsertingjajFoleyjcatheter
c. Administeringj furosemidej (Lasix)
d. Administeringj morphinej sulfatej intravenously
, e. Transportingjthejclientjtojthejcoronaryjcarejunit
f. Placingjthejclientjinjajlow-Fowler'sjside-lyingjposition
4. Thejnursejisjmonitoringjajclientjfollowingjcardioversion.jWhichjob
servationsjshouldjbejofjhighestjpriorityjtojthejnurse?
a. Bloodjpressure
b. Statusj ofj airway
c. Oxygenj flowj rate
d. Leveljofjconsciousness
5. Thejnursejisjassistingjinjcaringjforjthejclientjimmediatelyj afterjin
sertionjofjajpermanentjdemandjpacemakerjviajthejright
, subclavianjvein.jThejnursejpreventsjdislodgementjofjthejpacingjcatheterjbyji
mplementingjwhichjintervention?
a. Limitingjmovementjandjabductionjofjthejleftjarm
b. Limitingjmovementj andj abductionj ofjthejrightj arm
c. Assistingjthej clientj toj getj outj ofj bedj andj ambulatej withj aj walker
4.jHavingjthejphysicaljtherapistjdojactivejrangejofjmotionjtojthejrightj
arm
6. Ajclientjdiagnosedjwithjthrombophlebitisj1jdayjagojsuddenlyjcomplainsjofjch
estjpainjandjshortnessjofjbreath,jandjthejclientjisvisiblyjanxious.jThejLPN/LV
Njunderstandsjthatjajlife-threateningjcomplicationjofjthisjconditionjisjwhich?
a. Pneumonia
b. Pulmonaryjedema
c. Pulmonaryj embolism
d. Myocardialjinfarction
7. Aj24-year-
oldjmanjseeksjmedicaljattentionjforjcomplaintsjofjclaudicationjinjthejarchjofjthej
foot.jThejnursejalsojnotesjsuperficialjthrombophlebitisjofjthejlowerjleg.jThejnur
sejshouldjcheckjthejclientforjwhichjnext?
a. Smokingjhistory
b. Recentj exposurej toj allergens
c. Historyjofjrecentjinsectjbites
d. Familialjtendencyjtowardjperipheraljvascularjdisease
8. ThejnursejhasjreinforcedjinstructionsjtojthejclientjwithjRaynaud'sjdis
easejaboutjself-
managementjofjthejdiseasejprocess.jThejnursejdeterminesjthatjthejcli
entjneedsjfurtherteachingjifjthejclientjstatesjwhich?
a. "Smokingj cessationj isj veryj important."
b. "Movingj toj aj warmerj climatej shouldj help."
, c. "Sourcesjofjcaffeinejshouldjbejeliminatedjfromjthejdiet."
4.j"Takingjnifedipinej(Procardia)jasjprescribedjwilldecreasejves
seljspasm."
9. Ajclientjwithjmyocardialjinfarctionjsuddenlyjbecomesjtachycardic,showsjsig
nsjofjairjhunger,jandjbeginsjcoughingjfrothy,jpink-
tingedjsputum.jThejnursejlistensjtojbreathjsounds,jexpectingjtojhearjwhichjbre
j
athjsoundsjbilaterally?
a. Rhonchi
b. Crackles
c. Wheezes