lOMoAR cPSD| 22830792
PN HESI EXIT EXAM | HESI EXIT PN EXAM
.
1) The nurse is monitoring a client following cardioversion. Which
observations should be of highest priority to the nurse?
1. Blood pressure
2. Status of airway
3. Oxygen flow rate
4. Level of consciousness
Correct Answer: 2. Status of airway
2) 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 suspects pulmonary edema. The nurse immediately notifies the
registered nurse and expects which interventions to be prescribed? Select all that
apply.
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4. Administering morphine sulfate intravenously
5. Transporting the client to the coronary care unit
6. Placing the client in a low-Fowler's side-lying position
Correct Answer:
1. Administering oxygen
2. Inserting a Foley catheter
, lOMoAR cPSD| 22830792
3. Administering furosemide (Lasix)
3) 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?
1. Provide the client with a walker.
2. Remove the telemetry equipment.
3. Encourage the client to cough and deep breathe.
4. Premedicate the client with an analgesic before ambulating.
Correct Answer: 4. Premedicate the client with an analgesic before ambulating
4) 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?
1. Limiting movement and abduction of the left arm
2. Limiting movement and abduction of the right arm
3. Assisting the client to get out of bed and ambulate with a walker
4. Having the physical therapist do active range of motion to the right arm
Correct Answer: 2. Limiting movement and abduction of the right arm
5) 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?
1. Call a code blue.
2. Call the health care provider.
, lOMoAR cPSD| 22830792
3. Check the client status and lead placement.
4. Press the recorder button on the ECG console.
Correct Answer: 3. Check the client status and lead placement.
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?
1. Pneumonia
2. Pulmonary edema
3. Pulmonary embolism
4. Myocardial infarction
Correct Answer: 3. Pulmonary embolism
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?
1. Smoking history
2. Recent exposure to allergens
3. History of recent insect bites
4. Familial tendency toward peripheral vascular disease
Correct Answer: 1. 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?
, lOMoAR cPSD| 22830792
1. "Smoking cessation is very important."
2. "Moving to a warmer climate should help."
3. "Sources of caffeine should be eliminated from the diet."
4. "Taking nifedipine (Procardia) as prescribed will decrease vessel
spasm."
Correct Answer: 2. "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 breath sounds, expecting to hear which breath sounds
bilaterally?
1. Rhonchi
2. Crackles
3. Wheezes
4. Diminished breath sounds
Correct Answer: 2. 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?
1. Dyspnea
2. Hacking cough
3. Dependent edema
4. Crackles on lung auscultation
Correct Answer: 3. 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
PN HESI EXIT EXAM | HESI EXIT PN EXAM
.
1) The nurse is monitoring a client following cardioversion. Which
observations should be of highest priority to the nurse?
1. Blood pressure
2. Status of airway
3. Oxygen flow rate
4. Level of consciousness
Correct Answer: 2. Status of airway
2) 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 suspects pulmonary edema. The nurse immediately notifies the
registered nurse and expects which interventions to be prescribed? Select all that
apply.
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4. Administering morphine sulfate intravenously
5. Transporting the client to the coronary care unit
6. Placing the client in a low-Fowler's side-lying position
Correct Answer:
1. Administering oxygen
2. Inserting a Foley catheter
, lOMoAR cPSD| 22830792
3. Administering furosemide (Lasix)
3) 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?
1. Provide the client with a walker.
2. Remove the telemetry equipment.
3. Encourage the client to cough and deep breathe.
4. Premedicate the client with an analgesic before ambulating.
Correct Answer: 4. Premedicate the client with an analgesic before ambulating
4) 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?
1. Limiting movement and abduction of the left arm
2. Limiting movement and abduction of the right arm
3. Assisting the client to get out of bed and ambulate with a walker
4. Having the physical therapist do active range of motion to the right arm
Correct Answer: 2. Limiting movement and abduction of the right arm
5) 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?
1. Call a code blue.
2. Call the health care provider.
, lOMoAR cPSD| 22830792
3. Check the client status and lead placement.
4. Press the recorder button on the ECG console.
Correct Answer: 3. Check the client status and lead placement.
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?
1. Pneumonia
2. Pulmonary edema
3. Pulmonary embolism
4. Myocardial infarction
Correct Answer: 3. Pulmonary embolism
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?
1. Smoking history
2. Recent exposure to allergens
3. History of recent insect bites
4. Familial tendency toward peripheral vascular disease
Correct Answer: 1. 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?
, lOMoAR cPSD| 22830792
1. "Smoking cessation is very important."
2. "Moving to a warmer climate should help."
3. "Sources of caffeine should be eliminated from the diet."
4. "Taking nifedipine (Procardia) as prescribed will decrease vessel
spasm."
Correct Answer: 2. "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 breath sounds, expecting to hear which breath sounds
bilaterally?
1. Rhonchi
2. Crackles
3. Wheezes
4. Diminished breath sounds
Correct Answer: 2. 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?
1. Dyspnea
2. Hacking cough
3. Dependent edema
4. Crackles on lung auscultation
Correct Answer: 3. 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
