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HESI LPN-ADN MOBILITY EXAM PRACTICE QUESTIONS
QUESTIONS 1-170
MEDICAL-SURGICAL NURSING (Questions 1-50)
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?
A) Provide the client with a walker
B) Remove the telemetry equipment
C) Encourage the client to cough and deep breathe
D) Premedicate the client with an analgesic before ambulating
Answer: D
,Rationale: Premedicating with an analgesic before ambulation helps manage
postoperative pain, allowing the client to participate more effectively in activity.
Pain can limit mobility and increase physiological stress on the heart.
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.
What should the nurse do first?
A) Call a code blue
B) Call the healthcare provider
C) Check the client status and lead placement
D) Press the recorder button on the ECG console
Answer: C
Rationale: The first action is to assess the client and check lead placement.
Flatline on the monitor may indicate lead disconnection rather than cardiac
arrest. Client assessment determines the next steps.
3. A client with heart failure suddenly develops extreme dyspnea, tachycardia,
and lung crackles. The nurse suspects pulmonary edema. Which interventions
should the nurse expect to be prescribed? (Select all that apply)
,A) Administering oxygen
B) Inserting a Foley catheter
C) Administering furosemide (Lasix)
D) Administering morphine sulfate intravenously
E) Transporting the client to the coronary care unit
F) Placing the client in a low-Fowler's side-lying position
Answer: A, B, C, D
Rationale: Oxygen improves oxygenation; furosemide reduces fluid overload;
morphine reduces preload and anxiety; Foley catheter monitors urinary output.
Low-Fowler's would not optimize breathing—high-Fowler's is preferred.
4. The nurse is monitoring a client following cardioversion. Which observation
should be of highest priority?
A) Blood pressure
B) Status of airway
C) Oxygen flow rate
D) Level of consciousness
, Answer: B
Rationale: Airway patency is always the priority (ABCs). After cardioversion, the
client may have decreased respiratory drive or airway obstruction from sedation.
5. A client diagnosed with thrombophlebitis 1 day ago suddenly complains of
chest pain and shortness of breath and is visibly anxious. The nurse understands
that a life-threatening complication is which?
A) Pneumonia
B) Pulmonary edema
C) Pulmonary embolism
D) Myocardial infarction
Answer: C
Rationale: Deep vein thrombosis can lead to pulmonary embolism when a clot
dislodges and travels to the lungs. Symptoms include chest pain, dyspnea, and
anxiety.