FINAL I“EXIT” IHESI! ILast Iday Iof IConcorde ILVN ISchool I– I04/16/2021
I HESI Exit V2 (Nurse Hero Review)
I I I I I
1. The ILPN/LVN Iis Ipreparing Ito Iambulate Ia Ipostoperative Iclient Iafter
Icardiac Isurgery. IThe Inurse Iplans Ito Ido Iwhich Ito Ienable Ithe Iclient Ito
Ib est Itolerate Ithe Iambulation?
1. Provide Ithe Iclient Iwith Ia Iwalker.
2. Remove I the I telemetry I equipment.
3. Encourage I the I client I to I cough I and Ideep Ibreathe.
4. Premedicate Ithe Iclient Iwith Ian Ianalgesic Ibefore Iambulating.
2. A I client I is I wearing I a I continuous I cardiac Imonitor, I which I begins I to I alarm
at I the I nurse's I station. I The I nurse I sees I no I electrocardiographic Icomplexes
I
Ion Ithe Iscreen. IThe Inurse Ishould Ido Iwhich I first?
a. Call Ia Icode Iblue.
b. Call Ithe Ihealth Icare Iprovider.
c. Check I the I client I status I and Ilead Iplacement.
d. Press I the I recorder I button I on I the IECG I console.
3. 3) IThe ILPN/LVN Iin Ia Imedical Iunit Iis Icaring Ifor Ia Iclient Iwith Iheart
Ifailure. I The I client I suddenly I develops I extreme I dyspnea, Itachycardia,
and I lung I crackles, I and I the I nurse I suspects I pulmonary I edema. I The
I
Inurse I immediately I notifies I the I registered I nurse I and I expects I which
Iinterventions Ito Ibe Iprescribed? ISelect Iall Ithat Iapply.
a. Administering Ioxygen
b. Inserting I a I Foley I catheter
c. Administering I furosemide I (Lasix)
d. Administering I morphine I sulfate I intravenously
e. Transporting Ithe Iclient Ito Ithe Icoronary Icare Iunit
f. Placing Ithe Iclient Iin I a Ilow-Fowler's Iside-lying Iposition
4. The I nurse I is I monitoring I a I client I following I cardioversion.
I Which I observations I should I be I of I highest I priority I to I the I nurse?
a. Blood Ipressure
b. Status I of I airway
c. Oxygen I flow I rate
d. Level Iof Iconsciousness
5. The I nurse I is I assisting I in I caring I for I the I client I immediately
after I insertion Iof I a Ipermanent Idemand I pacemaker I via I the I right
pg. I1
, FINAL I“EXIT” IHESI! ILast Iday Iof IConcorde ILVN ISchool I– I04/16/2021
subclavian Ivein. IThe Inurse Iprevents Idislodgement Iof Ithe Ipacing
Icatheter Iby Iimplementing Iwhich Iintervention?
a. Limiting I movement Iand I abduction Iof I the Ileft Iarm
b. Limiting I movement I and I abduction I of I the I right I arm
c. Assisting Ithe Iclient Ito Iget Iout Iof Ibed Iand Iambulate Iwith Ia
Iwalker I4. IHaving Ithe Iphysical Itherapist Ido Iactive Irange Iof
Imotion Ito Ithe Iright Iarm
6. A I client Idiagnosed I with I thrombophlebitis I 1 I day I ago I suddenly
Icomplains I of I chest I pain I and I shortness I of I breath, I and I the I client Iis
visibly Ianxious. IThe ILPN/LVN Iunderstands Ithat Ia Ilife-threatening
I
Icomplication Iof Ithis Icondition Iis Iwhich?
a. Pneumonia
b. Pulmonary Iedema
c. Pulmonary I embolism
d. Myocardial Iinfarction
7. A I24-year-old Iman Iseeks Imedical Iattention Ifor Icomplaints I of
Iclaudication Iin Ithe Iarch Iof Ithe Ifoot. IThe Inurse Ialso Inotes Isuperficial
Ithrombophlebitis Iof Ithe Ilower Ileg. IThe Inurse Ishould Icheck Ithe Iclient
Ifor Iwhich Inext?
a. Smoking Ihistory
b. Recent I exposure I to I allergens
c. History Iof Irecent Iinsect Ibites
d. Familial I tendency I toward I peripheral I vascular I disease
8. The Inurse Ihas Ireinforced Iinstructions Ito Ithe Iclient Iwith
IRaynaud's I disease I about I self-management I of I the I disease
Iprocess. I The I nurse Idetermines I that I the I client I needs I further
Iteaching Iif Ithe Iclient Istates Iwhich?
a. "Smoking I cessation I is I very I important."
b. "Moving I to I a I warmer I climate I should I help."
c. "Sources I of I caffeine I should I be I eliminated I from I the Idiet."
4. I"Taking Inifedipine I(Procardia) Ias Iprescribed IwillIdecrease
Ivessel Ispasm."
9. A I client Iwith Imyocardial Iinfarction I suddenly I becomes I tachycardic,
shows I signs I of I air I hunger, I and I begins I coughing I frothy, I pink-
I
Itinged I sputum. I The I nurse I listens I to I breath I sounds, I expecting I to
Ihear Iwhich Ibreath Isounds Ibilaterally?
a. Rhonchi
b. Crackles
c. Wheezes
pg. I2
, FINAL I“EXIT” IHESI! ILast Iday Iof IConcorde ILVN ISchool I– I04/16/2021
d. Diminished Ibreath Isounds
10. The ILPN/LVN Iis Icollecting Idata Ion Ia Iclient Iwith Ia Idiagnosis IofIright
Isided Iheart Ifailure. IThe Inurse Ishould Iexpect Ito Inote Iwhich Ispecific
Icharacteristic Iof Ithis Icondition?
a. Dyspnea
b. Hacking Icough
c. Dependent Iedema
d. Crackles Ion Ilung Iauscultation
11. The ILPN/LVN Iis Ichecking Ithe Ineurovascular Istatus Iof Ia Iclient Iwho
Ireturned Ito Ithe Isurgical Inursing Iunit I4 Ihours Iago Iafter Iundergoing
I an I aortoiliac I bypass I graft. I The I affected I leg I is I warm, I andIthe Inurse
Inotes Iredness Iand Iedema. IThe Ipedal Ipulse Iis Ipalpable Iand
Iunchanged Ifrom Iadmission. IThe Inurse Iinterprets Ithat Ithe
Ineurovascular Istatus Iis Iwhich?
a. Moderately I impaired, I and I the I surgeon I should I be I called
b. Normal, I caused Iby I increased I blood I flow I through I the I leg
c. Slightly Ideteriorating, I and I should Ibe I monitored I for I another
Ihour
d. Adequate I from I an I arterial I approach, I but Ivenous
Icomplications Iare Iarising
12. A Iclient Iwith Ia Idiagnosis Iof Irapid Irate Iatrial Ifibrillation Iasks ItheInurse
I why Ithe Ihealth Icare Iprovider Iis Igoing Ito Iperform Icarotid Imassage. I The
I LPN/LVN I responds I that Ithis I procedure I may I stimulate Iwhich?
a. Vagus Inerve Ito Islow Ithe Iheart Irate
b. Vagus Inerve Ito Iincrease Ithe Iheart Irate
c. Diaphragmatic I nerve I to I slow I the I heart I rate
d. Diaphragmatic I nerve I to I increase I the I heart I rate
13. A Iclient Iis Iadmitted Ito Ithe Ihospital Iwith Ipossible Irheumatic
endocarditis. IThe ILPN/LVN Ishould Icheck Ifor Ia Ihistory Iof Iwhich Itype
I
of Iinfection?
I
a. Viral I infection
b. Yeast Iinfection
c. Streptococcal Iinfection
d. Staphylococcal I infection
14. A I client Ihas I an IUnna I boot Iapplied I for Itreatment Iof Ia Ivenous Istasis Ileg
Iulcer. IThe ILPN/LVN Inotes Ithat Ithe Iclient's Itoes Iare Imottled,
pg. I3
, FINAL I“EXIT” IHESI! ILast Iday Iof IConcorde ILVN ISchool I– I04/16/2021
and I cool I and I the I client I verbalizes I some I numbness I and I tingling I of I the
Ifoot. IWhich Iinterpretation I should I the I nurse Imake Iof I these I findings?
a. The Iboot Ihas Inot Iyet Idried.
b. The Iboot Iis Icontrolling Ileg Iedema.
c. The I boot I is I impairing I venous I return.
d. The Iboot Ihas Ibeen Iapplied Itoo Itightly.
15. A Iclient Iwith Iangina Icomplains Ithat Ithe Ianginal Ipain Iis Iprolonged I and
Isevere I and I occurs I at I the I same I time I each I day, I most Ioften Iin Ithe
Imorning. IOn Ifurther Idata Icollection, Ithe Inurse Inotes IthatIthe Ipain
Ioccurs Iin I the Iabsence Iof Iprecipitating I factors. IHow Ishould Ithe
ILPN/LVN Ibest Idescribe Ithis Itype Iof Ianginal Ipain?
a. Stable Iangina
b. Variant I angina
c. Unstable Iangina
d. Nonanginal I pain
16. The ILPN/LVN Iis Imonitoring Ia Iclient Iwith Ian Iabdominal Iaortic
Ianeurysm I (AAA). I Which I finding I is I probably I unrelated I toIthe
IAAA?
a. Pulsatile I abdominal I mass
b. Hyperactive I bowel I sounds I in I the I area
c. Systolic Ibruit I over I the I area I of I the I mass
d. Subjective I sensation I of I "heart I beating" I in I the I abdomen
17. An I emergency I department I client I who I complains Iof I slightly Iimproved
Ibut I unrelieved I chest I pain I for I 2 I days I is I reluctant I to I take Ia
Initroglycerin Isublingual Itablet Ioffered Iby Ithe Inurse. IThe Iclient
Istates, I "I I don't I need I that—my I dad I takes I that I for I his I heart. I There's
Inothing I wrong I with I my I heart." I Which I description I best I describes I the
Iclient's Iresponse?
a. Angry
b. Denial
c. Phobic
d. Obsessive-compulsive
18. A Iclient Iis Ischeduled Ifor Ia Icardiac Icatheterization Iusing Ia Iradiopaque
Idye. IThe ILPN/LVN Ichecks Iwhich Imost Icritical Iitem IbeforeIthe
Iprocedure?
a. Intake I and Ioutput
b. Height I and I weight
c. Peripheral Ipulse I rates
d. Prior Ireaction Ito Icontrast Imedia
pg. I4
I HESI Exit V2 (Nurse Hero Review)
I I I I I
1. The ILPN/LVN Iis Ipreparing Ito Iambulate Ia Ipostoperative Iclient Iafter
Icardiac Isurgery. IThe Inurse Iplans Ito Ido Iwhich Ito Ienable Ithe Iclient Ito
Ib est Itolerate Ithe Iambulation?
1. Provide Ithe Iclient Iwith Ia Iwalker.
2. Remove I the I telemetry I equipment.
3. Encourage I the I client I to I cough I and Ideep Ibreathe.
4. Premedicate Ithe Iclient Iwith Ian Ianalgesic Ibefore Iambulating.
2. A I client I is I wearing I a I continuous I cardiac Imonitor, I which I begins I to I alarm
at I the I nurse's I station. I The I nurse I sees I no I electrocardiographic Icomplexes
I
Ion Ithe Iscreen. IThe Inurse Ishould Ido Iwhich I first?
a. Call Ia Icode Iblue.
b. Call Ithe Ihealth Icare Iprovider.
c. Check I the I client I status I and Ilead Iplacement.
d. Press I the I recorder I button I on I the IECG I console.
3. 3) IThe ILPN/LVN Iin Ia Imedical Iunit Iis Icaring Ifor Ia Iclient Iwith Iheart
Ifailure. I The I client I suddenly I develops I extreme I dyspnea, Itachycardia,
and I lung I crackles, I and I the I nurse I suspects I pulmonary I edema. I The
I
Inurse I immediately I notifies I the I registered I nurse I and I expects I which
Iinterventions Ito Ibe Iprescribed? ISelect Iall Ithat Iapply.
a. Administering Ioxygen
b. Inserting I a I Foley I catheter
c. Administering I furosemide I (Lasix)
d. Administering I morphine I sulfate I intravenously
e. Transporting Ithe Iclient Ito Ithe Icoronary Icare Iunit
f. Placing Ithe Iclient Iin I a Ilow-Fowler's Iside-lying Iposition
4. The I nurse I is I monitoring I a I client I following I cardioversion.
I Which I observations I should I be I of I highest I priority I to I the I nurse?
a. Blood Ipressure
b. Status I of I airway
c. Oxygen I flow I rate
d. Level Iof Iconsciousness
5. The I nurse I is I assisting I in I caring I for I the I client I immediately
after I insertion Iof I a Ipermanent Idemand I pacemaker I via I the I right
pg. I1
, FINAL I“EXIT” IHESI! ILast Iday Iof IConcorde ILVN ISchool I– I04/16/2021
subclavian Ivein. IThe Inurse Iprevents Idislodgement Iof Ithe Ipacing
Icatheter Iby Iimplementing Iwhich Iintervention?
a. Limiting I movement Iand I abduction Iof I the Ileft Iarm
b. Limiting I movement I and I abduction I of I the I right I arm
c. Assisting Ithe Iclient Ito Iget Iout Iof Ibed Iand Iambulate Iwith Ia
Iwalker I4. IHaving Ithe Iphysical Itherapist Ido Iactive Irange Iof
Imotion Ito Ithe Iright Iarm
6. A I client Idiagnosed I with I thrombophlebitis I 1 I day I ago I suddenly
Icomplains I of I chest I pain I and I shortness I of I breath, I and I the I client Iis
visibly Ianxious. IThe ILPN/LVN Iunderstands Ithat Ia Ilife-threatening
I
Icomplication Iof Ithis Icondition Iis Iwhich?
a. Pneumonia
b. Pulmonary Iedema
c. Pulmonary I embolism
d. Myocardial Iinfarction
7. A I24-year-old Iman Iseeks Imedical Iattention Ifor Icomplaints I of
Iclaudication Iin Ithe Iarch Iof Ithe Ifoot. IThe Inurse Ialso Inotes Isuperficial
Ithrombophlebitis Iof Ithe Ilower Ileg. IThe Inurse Ishould Icheck Ithe Iclient
Ifor Iwhich Inext?
a. Smoking Ihistory
b. Recent I exposure I to I allergens
c. History Iof Irecent Iinsect Ibites
d. Familial I tendency I toward I peripheral I vascular I disease
8. The Inurse Ihas Ireinforced Iinstructions Ito Ithe Iclient Iwith
IRaynaud's I disease I about I self-management I of I the I disease
Iprocess. I The I nurse Idetermines I that I the I client I needs I further
Iteaching Iif Ithe Iclient Istates Iwhich?
a. "Smoking I cessation I is I very I important."
b. "Moving I to I a I warmer I climate I should I help."
c. "Sources I of I caffeine I should I be I eliminated I from I the Idiet."
4. I"Taking Inifedipine I(Procardia) Ias Iprescribed IwillIdecrease
Ivessel Ispasm."
9. A I client Iwith Imyocardial Iinfarction I suddenly I becomes I tachycardic,
shows I signs I of I air I hunger, I and I begins I coughing I frothy, I pink-
I
Itinged I sputum. I The I nurse I listens I to I breath I sounds, I expecting I to
Ihear Iwhich Ibreath Isounds Ibilaterally?
a. Rhonchi
b. Crackles
c. Wheezes
pg. I2
, FINAL I“EXIT” IHESI! ILast Iday Iof IConcorde ILVN ISchool I– I04/16/2021
d. Diminished Ibreath Isounds
10. The ILPN/LVN Iis Icollecting Idata Ion Ia Iclient Iwith Ia Idiagnosis IofIright
Isided Iheart Ifailure. IThe Inurse Ishould Iexpect Ito Inote Iwhich Ispecific
Icharacteristic Iof Ithis Icondition?
a. Dyspnea
b. Hacking Icough
c. Dependent Iedema
d. Crackles Ion Ilung Iauscultation
11. The ILPN/LVN Iis Ichecking Ithe Ineurovascular Istatus Iof Ia Iclient Iwho
Ireturned Ito Ithe Isurgical Inursing Iunit I4 Ihours Iago Iafter Iundergoing
I an I aortoiliac I bypass I graft. I The I affected I leg I is I warm, I andIthe Inurse
Inotes Iredness Iand Iedema. IThe Ipedal Ipulse Iis Ipalpable Iand
Iunchanged Ifrom Iadmission. IThe Inurse Iinterprets Ithat Ithe
Ineurovascular Istatus Iis Iwhich?
a. Moderately I impaired, I and I the I surgeon I should I be I called
b. Normal, I caused Iby I increased I blood I flow I through I the I leg
c. Slightly Ideteriorating, I and I should Ibe I monitored I for I another
Ihour
d. Adequate I from I an I arterial I approach, I but Ivenous
Icomplications Iare Iarising
12. A Iclient Iwith Ia Idiagnosis Iof Irapid Irate Iatrial Ifibrillation Iasks ItheInurse
I why Ithe Ihealth Icare Iprovider Iis Igoing Ito Iperform Icarotid Imassage. I The
I LPN/LVN I responds I that Ithis I procedure I may I stimulate Iwhich?
a. Vagus Inerve Ito Islow Ithe Iheart Irate
b. Vagus Inerve Ito Iincrease Ithe Iheart Irate
c. Diaphragmatic I nerve I to I slow I the I heart I rate
d. Diaphragmatic I nerve I to I increase I the I heart I rate
13. A Iclient Iis Iadmitted Ito Ithe Ihospital Iwith Ipossible Irheumatic
endocarditis. IThe ILPN/LVN Ishould Icheck Ifor Ia Ihistory Iof Iwhich Itype
I
of Iinfection?
I
a. Viral I infection
b. Yeast Iinfection
c. Streptococcal Iinfection
d. Staphylococcal I infection
14. A I client Ihas I an IUnna I boot Iapplied I for Itreatment Iof Ia Ivenous Istasis Ileg
Iulcer. IThe ILPN/LVN Inotes Ithat Ithe Iclient's Itoes Iare Imottled,
pg. I3
, FINAL I“EXIT” IHESI! ILast Iday Iof IConcorde ILVN ISchool I– I04/16/2021
and I cool I and I the I client I verbalizes I some I numbness I and I tingling I of I the
Ifoot. IWhich Iinterpretation I should I the I nurse Imake Iof I these I findings?
a. The Iboot Ihas Inot Iyet Idried.
b. The Iboot Iis Icontrolling Ileg Iedema.
c. The I boot I is I impairing I venous I return.
d. The Iboot Ihas Ibeen Iapplied Itoo Itightly.
15. A Iclient Iwith Iangina Icomplains Ithat Ithe Ianginal Ipain Iis Iprolonged I and
Isevere I and I occurs I at I the I same I time I each I day, I most Ioften Iin Ithe
Imorning. IOn Ifurther Idata Icollection, Ithe Inurse Inotes IthatIthe Ipain
Ioccurs Iin I the Iabsence Iof Iprecipitating I factors. IHow Ishould Ithe
ILPN/LVN Ibest Idescribe Ithis Itype Iof Ianginal Ipain?
a. Stable Iangina
b. Variant I angina
c. Unstable Iangina
d. Nonanginal I pain
16. The ILPN/LVN Iis Imonitoring Ia Iclient Iwith Ian Iabdominal Iaortic
Ianeurysm I (AAA). I Which I finding I is I probably I unrelated I toIthe
IAAA?
a. Pulsatile I abdominal I mass
b. Hyperactive I bowel I sounds I in I the I area
c. Systolic Ibruit I over I the I area I of I the I mass
d. Subjective I sensation I of I "heart I beating" I in I the I abdomen
17. An I emergency I department I client I who I complains Iof I slightly Iimproved
Ibut I unrelieved I chest I pain I for I 2 I days I is I reluctant I to I take Ia
Initroglycerin Isublingual Itablet Ioffered Iby Ithe Inurse. IThe Iclient
Istates, I "I I don't I need I that—my I dad I takes I that I for I his I heart. I There's
Inothing I wrong I with I my I heart." I Which I description I best I describes I the
Iclient's Iresponse?
a. Angry
b. Denial
c. Phobic
d. Obsessive-compulsive
18. A Iclient Iis Ischeduled Ifor Ia Icardiac Icatheterization Iusing Ia Iradiopaque
Idye. IThe ILPN/LVN Ichecks Iwhich Imost Icritical Iitem IbeforeIthe
Iprocedure?
a. Intake I and Ioutput
b. Height I and I weight
c. Peripheral Ipulse I rates
d. Prior Ireaction Ito Icontrast Imedia
pg. I4
