HESI Exit V2
HESI Exit V2 Exam Questions And Answers
Latest Updated Solution
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 best tolerate the ambulation? - ANSWER ✔ - Premedicate the client
with an analgesic before ambulating.
2. A client is wearing a continuous cardiac monitor, which begins to alarm at the nurse's station. The
nurse sees no electrocardiographic complexes on the screen. The nurse should do which first? -
ANSWER ✔ - 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, and lung crackles, and the nurse suspect’s pulmonary edema. The
nurse immediately notifies the registered nurse and expects which interventions to be prescribed?
Select all that apply. - ANSWER ✔ - 1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4. The nurse is monitoring a client following cardioversion. Which observations should be of highest
priority to the nurse? - ANSWER ✔ - Status of airway
5. The nurse is assisting in caring for the client 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? - ANSWER ✔ - 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
complication of this condition is which? - ANSWER ✔ - Pulmonary embolism
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, HESI Exit V2
7. A 24-year-old man seeks medical attention for 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? - ANSWER ✔ - Smoking history
8. The nurse has reinforced instructions to the 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? - ANSWER ✔ - "Moving to a warmer climate should help."
9. A client with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger, and
begins coughing frothy, pink-tinged sputum. The nurse listens to breathe sounds, expecting to hear
which breathe sounds bilaterally? - ANSWER ✔ - Crackles
10. The LPN/LVN is collecting data on a client with a diagnosis of right-sided heart failure. The nurse
should expect to note which specific characteristic of this condition? - ANSWER ✔ - Dependent edema
11. The LPN/LVN is checking the neurovascular status of a client who returned to the surgical nursing unit
4 hours ago after undergoing an aortoiliac bypass graft. The affected leg is warm, and the nurse notes
redness and edema. The pedal pulse is palpable and unchanged from admission. The nurse interprets
that the neurovascular status is which? - ANSWER ✔ - Normal, caused by increased blood flow through
the leg
12. A client with a diagnosis of rapid rate atrial fibrillation asks the nurse why the health care provider is
going to perform carotid massage. The LPN/LVN responds that this procedure may stimulate which?
- ANSWER ✔ - Vagus nerve to slow the heart rate
13. A client is admitted to the hospital with possible rheumatic endocarditis. The LPN/LVN should check
for a history of which type of infection? - ANSWER ✔ - Staphylococcal infection
14. Client has an Unna boot applied for treatment of a venous stasis leg ulcer. The LPN/LVN notes that
the client's toes are mottled, and cool and the client verbalizes some numbness and tingling of the
foot. Which interpretation should the nurse make of these findings? - ANSWER ✔ - The boot has been
applied too tightly
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, HESI Exit V2
15. A client with angina complains that the anginal 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? - ANSWER ✔ - Variant angina
16. The LPN/LVN is monitoring a client with an abdominal aortic aneurysm (AAA). Which finding is
probably unrelated to the AAA? - ANSWER ✔ - Hyperactive bowel sounds in the area
17. An emergency department client who 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? - ANSWER ✔ - Denial
18. A client is scheduled for a cardiac catheterization using a radiopaque dye. The LPN/LVN checks which
most critical item before the procedure? - ANSWER ✔ - Prior reaction to contrast media
19. A client is scheduled for a dipyridamole thallium scan. The LPN/ LVN should check to make sure that
the client has not consumed which substance before the procedure? - ANSWER ✔ - Caffeine
20. An ambulatory clinic nurse is interviewing a client who is complaining of flulike symptoms. The client
suddenly develops chest pain. Which question best assists the nurse to discriminate pain caused by a
non-cardiac problem? - ANSWER ✔ - "Does the pain get worse when you breathe in?"
21. A client with myocardial infarction (MI) has been transferred from the coronary care unit (CCU) to the
general medical unit with cardiac monitoring via telemetry. The nurse assisting in caring for the client
expects to note which type of activity prescribed? - ANSWER ✔ - Bathroom privileges and self-care
activities
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HESI Exit V2 Exam Questions And Answers
Latest Updated Solution
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 best tolerate the ambulation? - ANSWER ✔ - Premedicate the client
with an analgesic before ambulating.
2. A client is wearing a continuous cardiac monitor, which begins to alarm at the nurse's station. The
nurse sees no electrocardiographic complexes on the screen. The nurse should do which first? -
ANSWER ✔ - 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, and lung crackles, and the nurse suspect’s pulmonary edema. The
nurse immediately notifies the registered nurse and expects which interventions to be prescribed?
Select all that apply. - ANSWER ✔ - 1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4. The nurse is monitoring a client following cardioversion. Which observations should be of highest
priority to the nurse? - ANSWER ✔ - Status of airway
5. The nurse is assisting in caring for the client 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? - ANSWER ✔ - 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
complication of this condition is which? - ANSWER ✔ - Pulmonary embolism
1|P A G E
, HESI Exit V2
7. A 24-year-old man seeks medical attention for 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? - ANSWER ✔ - Smoking history
8. The nurse has reinforced instructions to the 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? - ANSWER ✔ - "Moving to a warmer climate should help."
9. A client with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger, and
begins coughing frothy, pink-tinged sputum. The nurse listens to breathe sounds, expecting to hear
which breathe sounds bilaterally? - ANSWER ✔ - Crackles
10. The LPN/LVN is collecting data on a client with a diagnosis of right-sided heart failure. The nurse
should expect to note which specific characteristic of this condition? - ANSWER ✔ - Dependent edema
11. The LPN/LVN is checking the neurovascular status of a client who returned to the surgical nursing unit
4 hours ago after undergoing an aortoiliac bypass graft. The affected leg is warm, and the nurse notes
redness and edema. The pedal pulse is palpable and unchanged from admission. The nurse interprets
that the neurovascular status is which? - ANSWER ✔ - Normal, caused by increased blood flow through
the leg
12. A client with a diagnosis of rapid rate atrial fibrillation asks the nurse why the health care provider is
going to perform carotid massage. The LPN/LVN responds that this procedure may stimulate which?
- ANSWER ✔ - Vagus nerve to slow the heart rate
13. A client is admitted to the hospital with possible rheumatic endocarditis. The LPN/LVN should check
for a history of which type of infection? - ANSWER ✔ - Staphylococcal infection
14. Client has an Unna boot applied for treatment of a venous stasis leg ulcer. The LPN/LVN notes that
the client's toes are mottled, and cool and the client verbalizes some numbness and tingling of the
foot. Which interpretation should the nurse make of these findings? - ANSWER ✔ - The boot has been
applied too tightly
2|P A G E
, HESI Exit V2
15. A client with angina complains that the anginal 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? - ANSWER ✔ - Variant angina
16. The LPN/LVN is monitoring a client with an abdominal aortic aneurysm (AAA). Which finding is
probably unrelated to the AAA? - ANSWER ✔ - Hyperactive bowel sounds in the area
17. An emergency department client who 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? - ANSWER ✔ - Denial
18. A client is scheduled for a cardiac catheterization using a radiopaque dye. The LPN/LVN checks which
most critical item before the procedure? - ANSWER ✔ - Prior reaction to contrast media
19. A client is scheduled for a dipyridamole thallium scan. The LPN/ LVN should check to make sure that
the client has not consumed which substance before the procedure? - ANSWER ✔ - Caffeine
20. An ambulatory clinic nurse is interviewing a client who is complaining of flulike symptoms. The client
suddenly develops chest pain. Which question best assists the nurse to discriminate pain caused by a
non-cardiac problem? - ANSWER ✔ - "Does the pain get worse when you breathe in?"
21. A client with myocardial infarction (MI) has been transferred from the coronary care unit (CCU) to the
general medical unit with cardiac monitoring via telemetry. The nurse assisting in caring for the client
expects to note which type of activity prescribed? - ANSWER ✔ - Bathroom privileges and self-care
activities
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