HESI Exit V2 WITH CORRECT GUIDING
QUESTIONS AND ANSWERS
The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery. The nurse plans to do
L L L L L L L L L L L L L L L L
which to enable the client to best tolerate the ambulation? - Premedicate the client with an analgesic
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before ambulating.
L L
A client is wearing a continuous cardiac monitor, which begins to alarm at the nurse's station. The nurse
L L L L L L L L L L L L L L L L L
sees no electrocardiographic complexes on the screen. The nurse should do which first? - Check the client
L L L L L L L L L L L L L L L L L
status and lead placement.
L L L L
The LPN/LVN in a medical unit is caring for a client with heart failure. The client suddenly develops extreme
L L L L L L L L L L L L L L L L L L
dyspnea, tachycardia, and lung crackles, and the nurse suspects pulmonary edema. The nurse immediately
L L L L L L L L L L L L L L
notifies the registered nurse and expects which interventions to be prescribed? Select all that apply. - 1.
L L L L L L L L L L L L L L L L L
Administering oxygen
L L
2. Inserting a Foley catheter
L L L L
3. Administering furosemide (Lasix)
L L L
The nurse is monitoring a client following cardioversion. Which observations should be of highest priority
L L L L L L L L L L L L L L
to the nurse? - Status of airway
L L L L L L L
The nurse is assisting in caring for the client immediately after insertion of a permanent demand
L L L L L L L L L L L L L L L
pacemaker via the right subclavian vein. The nurse prevents dislodgement of the pacing catheter by
L L L L L L L L L L L L L L L
implementing which intervention? - Limiting movement and abduction of the right arm
L L L L L L L L L L L L
A client diagnosed with thrombophlebitis 1 day ago suddenly complains of chest pain and shortness of
L L L L L L L L L L L L L L L
breath, and the client is visibly anxious. The LPN/LVN understands that a life-threatening complication of
L L L L L L L L L L L L L L L
this condition is which? - Pulmonary embolism
L L L L L L L
,A 24-year-old man seeks medical attention for complaints of claudication in the arch of the foot. The nurse
L L L L L L L L L L L L L L L L L
also notes superficial thrombophlebitis of the lower leg. The nurse should check the client for which next? -
L L L L L L L L L L L L L L L L L L
Smoking history
L L
The nurse has reinforced instructions to the client with Raynaud's disease about self-management of the
L L L L L L L L L L L L L L
disease process. The nurse determines that the client needs further teaching if the client states which? -
L L L L L L L L L L L L L L L L L
"Moving to a warmer climate should help."
L L L L L L L
A client with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger, and begins
L L L L L L L L L L L L L L
coughing frothy, pink-tinged sputum. The nurse listens to breath sounds, expecting to hear which breath
L L L L L L L L L L L L L L L
sounds bilaterally? - Crackles
L L L L
The LPN/LVN is collecting data on a client with a diagnosis of right-
L L L L L L L L L L L L
sided heart failure. The nurse should expect to note which specific characteristic of this condition? -
L L L L L L L L L L L L L L L
Dependent edema
L L
The LPN/LVN is checking the neurovascular status of a client who returned to the surgical nursing unit 4
L L L L L L L L L L L L L L L L L
hours ago after undergoing an aortoiliac bypass graft. The affected leg is warm, and the nurse notes
L L L L L L L L L L L L L L L L L
redness and edema. The pedal pulse is palpable and unchanged from admission. The nurse interprets that
L L L L L L L L L L L L L L L L
the neurovascular status is which? - Normal, caused by increased blood flow through the leg
L L L L L L L L L L L L L L L
A client with a diagnosis of rapid rate atrial fibrillation asks the nurse why the health care provider is going
L L L L L L L L L L L L L L L L L L L
to perform carotid massage. The LPN/LVN responds that this procedure may stimulate which? - Vagus
L L L L L L L L L L L L L L L
nerve to slow the heart rate
L L L L L L
A client is admitted to the hospital with possible rheumatic endocarditis. The LPN/LVN should check for a
L L L L L L L L L L L L L L L L
history of which type of infection? - Staphylococcal infection
L L L L L L L L L
, client has an Unna boot applied for treatment of a venous stasis leg ulcer. The LPN/LVN notes that the
L L L L L L L L L L L L L L L L L L
client's toes are mottled, and cool and the client verbalizes some numbness and tingling of the foot. Which
L L L L L L L L L L L L L L L L L L
interpretation should the nurse make of these findings? - The boot has been applied too tightly
L L L L L L L L L L L L L L L L
A client with angina complains that the anginal pain is prolonged and severe and occurs at the same time
L L L L L L L L L L L L L L L L L L
each day, most often in the morning. On further data collection, the nurse notes that the pain occurs in the
L L L L L L L L L L L L L L L L L L L L
absence of precipitating factors. How should the LPN/LVN best describe this type of anginal pain? - Variant
L L L L L L L L L L L L L L L L L
angina
L
The LPN/LVN is monitoring a client with an abdominal aortic aneurysm (AAA). Which finding is probably
L L L L L L L L L L L L L L L
unrelated to the AAA? - Hyperactive bowel sounds in the area
L L L L L L L L L L L
An emergency department client who complains of slightly improved but unrelieved chest pain for 2 days
L L L L L L L L L L L L L L L
is reluctant to take a nitroglycerin sublingual tablet offered by the nurse. The client states, "I don't need
L L L L L L L L L L L L L L L L L L
that—my dad takes that for his heart. There's nothing wrong with my heart." Which description best
L L L L L L L L L L L L L L L L
describes the client's response? - Denial
L L L L L L
A client is scheduled for a cardiac catheterization using a radiopaque dye. The LPN/LVN checks which most
L L L L L L L L L L L L L L L L
critical item before the procedure? - Prior reaction to contrast media
L L L L L L L L L L L
A client is scheduled for a dipyridamole thallium scan. The LPN/ LVN should check to make sure that the
L L L L L L L L L L L L L L L L L L
client has not consumed which substance before the procedure? - Caffeine
L L L L L L L L L L L
An ambulatory clinic nurse is interviewing a client who is complaining of flulike symptoms. The client
L L L L L L L L L L L L L L L
suddenly develops chest pain. Which question best assists the nurse to discriminate pain caused by a non
L L L L L L L L L L L L L L L L L
cardiac problem? - "Does the pain get worse when you breathe in?"
L L L L L L L L L L L L
A client with myocardial infarction (MI) has been transferred from the coronary care unit (CCU) to the
L L L L L L L L L L L L L L L L
general medical unit with cardiac monitoring via telemetry. The nurse assisting in caring for the client
L L L L L L L L L L L L L L L L
expects to note which type of activity prescribed? - Bathroom privileges and self-care activities
L L L L L L L L L L L L L L
QUESTIONS AND ANSWERS
The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery. The nurse plans to do
L L L L L L L L L L L L L L L L
which to enable the client to best tolerate the ambulation? - Premedicate the client with an analgesic
L L L L L L L L L L L L L L L L L
before ambulating.
L L
A client is wearing a continuous cardiac monitor, which begins to alarm at the nurse's station. The nurse
L L L L L L L L L L L L L L L L L
sees no electrocardiographic complexes on the screen. The nurse should do which first? - Check the client
L L L L L L L L L L L L L L L L L
status and lead placement.
L L L L
The LPN/LVN in a medical unit is caring for a client with heart failure. The client suddenly develops extreme
L L L L L L L L L L L L L L L L L L
dyspnea, tachycardia, and lung crackles, and the nurse suspects pulmonary edema. The nurse immediately
L L L L L L L L L L L L L L
notifies the registered nurse and expects which interventions to be prescribed? Select all that apply. - 1.
L L L L L L L L L L L L L L L L L
Administering oxygen
L L
2. Inserting a Foley catheter
L L L L
3. Administering furosemide (Lasix)
L L L
The nurse is monitoring a client following cardioversion. Which observations should be of highest priority
L L L L L L L L L L L L L L
to the nurse? - Status of airway
L L L L L L L
The nurse is assisting in caring for the client immediately after insertion of a permanent demand
L L L L L L L L L L L L L L L
pacemaker via the right subclavian vein. The nurse prevents dislodgement of the pacing catheter by
L L L L L L L L L L L L L L L
implementing which intervention? - Limiting movement and abduction of the right arm
L L L L L L L L L L L L
A client diagnosed with thrombophlebitis 1 day ago suddenly complains of chest pain and shortness of
L L L L L L L L L L L L L L L
breath, and the client is visibly anxious. The LPN/LVN understands that a life-threatening complication of
L L L L L L L L L L L L L L L
this condition is which? - Pulmonary embolism
L L L L L L L
,A 24-year-old man seeks medical attention for complaints of claudication in the arch of the foot. The nurse
L L L L L L L L L L L L L L L L L
also notes superficial thrombophlebitis of the lower leg. The nurse should check the client for which next? -
L L L L L L L L L L L L L L L L L L
Smoking history
L L
The nurse has reinforced instructions to the client with Raynaud's disease about self-management of the
L L L L L L L L L L L L L L
disease process. The nurse determines that the client needs further teaching if the client states which? -
L L L L L L L L L L L L L L L L L
"Moving to a warmer climate should help."
L L L L L L L
A client with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger, and begins
L L L L L L L L L L L L L L
coughing frothy, pink-tinged sputum. The nurse listens to breath sounds, expecting to hear which breath
L L L L L L L L L L L L L L L
sounds bilaterally? - Crackles
L L L L
The LPN/LVN is collecting data on a client with a diagnosis of right-
L L L L L L L L L L L L
sided heart failure. The nurse should expect to note which specific characteristic of this condition? -
L L L L L L L L L L L L L L L
Dependent edema
L L
The LPN/LVN is checking the neurovascular status of a client who returned to the surgical nursing unit 4
L L L L L L L L L L L L L L L L L
hours ago after undergoing an aortoiliac bypass graft. The affected leg is warm, and the nurse notes
L L L L L L L L L L L L L L L L L
redness and edema. The pedal pulse is palpable and unchanged from admission. The nurse interprets that
L L L L L L L L L L L L L L L L
the neurovascular status is which? - Normal, caused by increased blood flow through the leg
L L L L L L L L L L L L L L L
A client with a diagnosis of rapid rate atrial fibrillation asks the nurse why the health care provider is going
L L L L L L L L L L L L L L L L L L L
to perform carotid massage. The LPN/LVN responds that this procedure may stimulate which? - Vagus
L L L L L L L L L L L L L L L
nerve to slow the heart rate
L L L L L L
A client is admitted to the hospital with possible rheumatic endocarditis. The LPN/LVN should check for a
L L L L L L L L L L L L L L L L
history of which type of infection? - Staphylococcal infection
L L L L L L L L L
, client has an Unna boot applied for treatment of a venous stasis leg ulcer. The LPN/LVN notes that the
L L L L L L L L L L L L L L L L L L
client's toes are mottled, and cool and the client verbalizes some numbness and tingling of the foot. Which
L L L L L L L L L L L L L L L L L L
interpretation should the nurse make of these findings? - The boot has been applied too tightly
L L L L L L L L L L L L L L L L
A client with angina complains that the anginal pain is prolonged and severe and occurs at the same time
L L L L L L L L L L L L L L L L L L
each day, most often in the morning. On further data collection, the nurse notes that the pain occurs in the
L L L L L L L L L L L L L L L L L L L L
absence of precipitating factors. How should the LPN/LVN best describe this type of anginal pain? - Variant
L L L L L L L L L L L L L L L L L
angina
L
The LPN/LVN is monitoring a client with an abdominal aortic aneurysm (AAA). Which finding is probably
L L L L L L L L L L L L L L L
unrelated to the AAA? - Hyperactive bowel sounds in the area
L L L L L L L L L L L
An emergency department client who complains of slightly improved but unrelieved chest pain for 2 days
L L L L L L L L L L L L L L L
is reluctant to take a nitroglycerin sublingual tablet offered by the nurse. The client states, "I don't need
L L L L L L L L L L L L L L L L L L
that—my dad takes that for his heart. There's nothing wrong with my heart." Which description best
L L L L L L L L L L L L L L L L
describes the client's response? - Denial
L L L L L L
A client is scheduled for a cardiac catheterization using a radiopaque dye. The LPN/LVN checks which most
L L L L L L L L L L L L L L L L
critical item before the procedure? - Prior reaction to contrast media
L L L L L L L L L L L
A client is scheduled for a dipyridamole thallium scan. The LPN/ LVN should check to make sure that the
L L L L L L L L L L L L L L L L L L
client has not consumed which substance before the procedure? - Caffeine
L L L L L L L L L L L
An ambulatory clinic nurse is interviewing a client who is complaining of flulike symptoms. The client
L L L L L L L L L L L L L L L
suddenly develops chest pain. Which question best assists the nurse to discriminate pain caused by a non
L L L L L L L L L L L L L L L L L
cardiac problem? - "Does the pain get worse when you breathe in?"
L L L L L L L L L L L L
A client with myocardial infarction (MI) has been transferred from the coronary care unit (CCU) to the
L L L L L L L L L L L L L L L L
general medical unit with cardiac monitoring via telemetry. The nurse assisting in caring for the client
L L L L L L L L L L L L L L L L
expects to note which type of activity prescribed? - Bathroom privileges and self-care activities
L L L L L L L L L L L L L L
