PN HESI EXIT V2 GRADED A LATEST UPDATE
PN Hesi Exit V2
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?
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.
Click here for the answers https://bit.ly/317ncnf
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. The nurse should do which first?
1. Call a code blue.
2. Call the health care provider.
3. Check the client status and lead placement.
4. Press the recorder button on the ECG console.
Click here for the answers https://bit.ly/317ncnf
3) 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
Click here for the answers https://bit.ly/317ncnf
4) 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
Click here for the answers https://bit.ly/317ncnf
5) 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
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
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
Click here for the answers https://bit.ly/317ncnf
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?
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."
Click here for the answers https://bit.ly/317ncnf
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
Click here for the answers https://bit.ly/317ncnf
10) The LPN/LVN is collecting data on a client with a diagnosis
of rightsided 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
Click here for the answers https://bit.ly/317ncnf
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 bypass graft. The affected leg is warm, and the nurse
notes
redness and edema. The pedal pulse is palpable and
unchanged from
admission. The nurse interprets that the neurovascular status is
which?
1. Moderately impaired, and the surgeon should be called
2. Normal, caused by increased blood flow through the leg
3. Slightly deteriorating, and should be monitored for another
hour
4. Adequate from an arterial approach, but venous
complications are
arising
PN Hesi Exit V2
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?
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.
Click here for the answers https://bit.ly/317ncnf
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. The nurse should do which first?
1. Call a code blue.
2. Call the health care provider.
3. Check the client status and lead placement.
4. Press the recorder button on the ECG console.
Click here for the answers https://bit.ly/317ncnf
3) 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
Click here for the answers https://bit.ly/317ncnf
4) 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
Click here for the answers https://bit.ly/317ncnf
5) 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
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
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
Click here for the answers https://bit.ly/317ncnf
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?
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."
Click here for the answers https://bit.ly/317ncnf
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
Click here for the answers https://bit.ly/317ncnf
10) The LPN/LVN is collecting data on a client with a diagnosis
of rightsided 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
Click here for the answers https://bit.ly/317ncnf
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 bypass graft. The affected leg is warm, and the nurse
notes
redness and edema. The pedal pulse is palpable and
unchanged from
admission. The nurse interprets that the neurovascular status is
which?
1. Moderately impaired, and the surgeon should be called
2. Normal, caused by increased blood flow through the leg
3. Slightly deteriorating, and should be monitored for another
hour
4. Adequate from an arterial approach, but venous
complications are
arising
