HESI LPN-ADN ENTRANCE EXAM
STUDY QUESTIONS WITH ELABORATE
ANSWERS (GUARANTEE PASS)
1. What type of activity is expected for a client with myocardial infarction
transferred to a general medical unit? - ANSWER Bathroom privileges and
self-care activities.
2. What priority item should be available for a client arriving after an above-
the-knee amputation? - ANSWER Surgical tourniquet.
3. What prescription is indicated for a client diagnosed with thrombophlebitis?
- ANSWER Bed rest, with elevation of the affected extremity.
4. In which position should a client be placed after an above-knee amputation?
- ANSWER With the residual limb flat on the bed.
5. What is the first action the LPN/LVN should take when a client with a
history of angina experiences chest pain? - ANSWER Assist the client to sit
or lie down.
6. What should the LPN/LVN monitor in a client with bilateral 2+ edema? -
ANSWER Intake and output records.
7. Which medication is used to treat heart failure among the following options?
- ANSWER Digoxin (Lanoxin)
,8. What is the primary concern when a client is receiving digoxin and heparin
therapy? - ANSWER Potassium intake.
9. What lifestyle change should be recommended to a client to cut down on fat
consumption? - ANSWER Reduce the amount of fats consumed in the diet.
10.What is the appropriate response when a client is anxious about medical
equipment? - ANSWER Discuss how the cardiac monitor works.
11.What should the nurse anticipate reinforcing for a client with an abdominal
aortic aneurysm? - ANSWER Antihypertensives.
12.What is the initial action for a nurse when a client reports severe chest pain?
- ANSWER Assist the client to sit or lie down.
13.What should the LPN/LVN do if a client shows signs of anxiety about their
medical condition? - ANSWER Provide reassurance and information.
14.What is a common medication prescribed for heart failure? - ANSWER
Digoxin (Lanoxin)
15.What is a key nursing intervention for a client with acute pulmonary edema?
- ANSWER Monitor potassium levels.
16.What should the LPN/LVN assess when a client has bilateral edema? -
ANSWER Intake and output.
17.What is a potential complication of a client with an abdominal aortic
aneurysm? - ANSWER Shock.
,18.What should the nurse do if a client is tensing while staring at a cardiac
monitor? - ANSWER Engage the client in conversation about their
concerns.
19.What is the first question the LPN/LVN should ask a client experiencing
unusual fatigue and elevated blood pressure? - ANSWER "Is there a history
of diabetes mellitus in your family?"
20.What is the purpose of marking the location of the pedal pulses before a
right femoropopliteal bypass graft surgery? - ANSWER To address the risk
of compromised tissue perfusion to the extremity.
21.In which position should the client be placed for a pericardiocentesis? -
ANSWER Supine with the head of bed elevated at a 45- to 60-degree angle.
22.What activities can a client with pulmonary edema participate in to reduce
cardiac workload? - ANSWER Elevating the legs when in bed and using a
bedside commode for stools.
23.What immediate action should the LPN/LVN take for a client developing
pulmonary edema and exhibiting respiratory distress? - ANSWER Place the
client in high-Fowler's position.
24.What educational outcome has the greatest impact on a client's long-term
cardiac health after a permanent pacemaker insertion? - ANSWER The
ability to take an accurate pulse in either the wrist or neck.
25.Where should the stethoscope be placed to check a client's apical pulse? -
ANSWER At the midclavicular line at the fifth left intercostal space.
, 26.What vital sign indicates a potential issue in a client with unusual fatigue
and elevated blood pressure? - ANSWER Blood pressure of 184/96 mm Hg.
27.What should the nurse do first when there are no electrocardiographic
complexes on the screen? - ANSWER Check the client status and lead
placement.
28.What interventions should the nurse expect to be prescribed for a client with
suspected pulmonary edema? - ANSWER Administering oxygen, inserting
a Foley catheter, administering furosemide (Lasix), administering morphine
sulfate intravenously, and placing the client in a low-Fowler's side-lying
position.
29.What is the highest priority observation for a nurse monitoring a client after
cardioversion? - ANSWER Blood pressure.
30.How can a nurse prevent dislodgement of a pacing catheter after pacemaker
insertion? - ANSWER Limit movement and abduction of the right arm.
31.What life-threatening complication should a nurse be aware of in a client
with thrombophlebitis who suddenly complains of chest pain and shortness
of breath? - ANSWER Pulmonary embolism.
32.What should the nurse check for in a 24-year-old man with claudication and
superficial thrombophlebitis? - ANSWER Smoking history.
33.What statement indicates that a client with Raynaud's disease needs further
teaching? - ANSWER Sources of caffeine should be eliminated from the
diet.
STUDY QUESTIONS WITH ELABORATE
ANSWERS (GUARANTEE PASS)
1. What type of activity is expected for a client with myocardial infarction
transferred to a general medical unit? - ANSWER Bathroom privileges and
self-care activities.
2. What priority item should be available for a client arriving after an above-
the-knee amputation? - ANSWER Surgical tourniquet.
3. What prescription is indicated for a client diagnosed with thrombophlebitis?
- ANSWER Bed rest, with elevation of the affected extremity.
4. In which position should a client be placed after an above-knee amputation?
- ANSWER With the residual limb flat on the bed.
5. What is the first action the LPN/LVN should take when a client with a
history of angina experiences chest pain? - ANSWER Assist the client to sit
or lie down.
6. What should the LPN/LVN monitor in a client with bilateral 2+ edema? -
ANSWER Intake and output records.
7. Which medication is used to treat heart failure among the following options?
- ANSWER Digoxin (Lanoxin)
,8. What is the primary concern when a client is receiving digoxin and heparin
therapy? - ANSWER Potassium intake.
9. What lifestyle change should be recommended to a client to cut down on fat
consumption? - ANSWER Reduce the amount of fats consumed in the diet.
10.What is the appropriate response when a client is anxious about medical
equipment? - ANSWER Discuss how the cardiac monitor works.
11.What should the nurse anticipate reinforcing for a client with an abdominal
aortic aneurysm? - ANSWER Antihypertensives.
12.What is the initial action for a nurse when a client reports severe chest pain?
- ANSWER Assist the client to sit or lie down.
13.What should the LPN/LVN do if a client shows signs of anxiety about their
medical condition? - ANSWER Provide reassurance and information.
14.What is a common medication prescribed for heart failure? - ANSWER
Digoxin (Lanoxin)
15.What is a key nursing intervention for a client with acute pulmonary edema?
- ANSWER Monitor potassium levels.
16.What should the LPN/LVN assess when a client has bilateral edema? -
ANSWER Intake and output.
17.What is a potential complication of a client with an abdominal aortic
aneurysm? - ANSWER Shock.
,18.What should the nurse do if a client is tensing while staring at a cardiac
monitor? - ANSWER Engage the client in conversation about their
concerns.
19.What is the first question the LPN/LVN should ask a client experiencing
unusual fatigue and elevated blood pressure? - ANSWER "Is there a history
of diabetes mellitus in your family?"
20.What is the purpose of marking the location of the pedal pulses before a
right femoropopliteal bypass graft surgery? - ANSWER To address the risk
of compromised tissue perfusion to the extremity.
21.In which position should the client be placed for a pericardiocentesis? -
ANSWER Supine with the head of bed elevated at a 45- to 60-degree angle.
22.What activities can a client with pulmonary edema participate in to reduce
cardiac workload? - ANSWER Elevating the legs when in bed and using a
bedside commode for stools.
23.What immediate action should the LPN/LVN take for a client developing
pulmonary edema and exhibiting respiratory distress? - ANSWER Place the
client in high-Fowler's position.
24.What educational outcome has the greatest impact on a client's long-term
cardiac health after a permanent pacemaker insertion? - ANSWER The
ability to take an accurate pulse in either the wrist or neck.
25.Where should the stethoscope be placed to check a client's apical pulse? -
ANSWER At the midclavicular line at the fifth left intercostal space.
, 26.What vital sign indicates a potential issue in a client with unusual fatigue
and elevated blood pressure? - ANSWER Blood pressure of 184/96 mm Hg.
27.What should the nurse do first when there are no electrocardiographic
complexes on the screen? - ANSWER Check the client status and lead
placement.
28.What interventions should the nurse expect to be prescribed for a client with
suspected pulmonary edema? - ANSWER Administering oxygen, inserting
a Foley catheter, administering furosemide (Lasix), administering morphine
sulfate intravenously, and placing the client in a low-Fowler's side-lying
position.
29.What is the highest priority observation for a nurse monitoring a client after
cardioversion? - ANSWER Blood pressure.
30.How can a nurse prevent dislodgement of a pacing catheter after pacemaker
insertion? - ANSWER Limit movement and abduction of the right arm.
31.What life-threatening complication should a nurse be aware of in a client
with thrombophlebitis who suddenly complains of chest pain and shortness
of breath? - ANSWER Pulmonary embolism.
32.What should the nurse check for in a 24-year-old man with claudication and
superficial thrombophlebitis? - ANSWER Smoking history.
33.What statement indicates that a client with Raynaud's disease needs further
teaching? - ANSWER Sources of caffeine should be eliminated from the
diet.
