NURSING FUNDAMENTAL LATEST UPDATE 2021/2022 PN Hesi Exit Exam (140 Q & A) BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+

2021/2022 PN
Hesi Exit Exam




 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.




 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.

,Correct Answer: 3. Check the client status and lead placement.




 A client is admitted to the hospital with a diagnosis of
pericarditis. The nurse reviews the client's record for which sign or
symptom that differentiates pericarditis from other cardiopulmonary
problems?




1. Anterior chest pain
2. Pericardial friction rub
3. Weakness and irritability
4. Chest pain that worsens on inspiration
Correct Answer: 2. Pericardial friction
rub


 The nurse is beginning to ambulate a client with activity
intolerance caused by bacterial endocarditis. The nurse determines
that the client is best tolerating ambulation if which parameter is
noted?




1. Mild dyspnea after walking 10 feet
2. Minimal chest pain rated 1 on a 1-to-10 pain scale
3. Pulse rate that increases from 68 to 94 beats per minute

,4. Blood pressure that increases from 114/82 to 118/86 mm Hg


Correct Answer: 4. Blood pressure that increases from 114/82 to
118/86 mm Hg




 The nurse is assisting a hospitalized client who is newly
diagnosed with coronary artery disease (CAD) to make appropriate
selections from the dietary menu. The nurse encourages the client to
select which meal?




1. Sausage, pancakes, and toast
2. Broccoli, buttered rice, and grilled chicken
3. Hamburger, baked apples, and avocado salad
4. Fresh strawberries, steamed vegetables, and baked fish


Correct Answer: 4. Fresh strawberries, steamed vegetables, and baked fish




 A client with known coronary artery disease (CAD) begins to
experience chest pain while getting out of bed. The nurse should
take which action?




1. Get a prescription for pain medication.
2. Have the client stop and lie back down in bed.
3. Report the complaint to the health care provider.
4. Have the client continue to get out of bed and into a chair.

, Correct Answer: 2. Have the client stop and lie back down in bed.




 The nurse is setting up the bedside unit for a client being admitted
to the nursing unit from the emergency department with a diagnosis of
coronary artery disease (CAD). The nurse should place highest
priority on making sure that which is available at the bedside?




1. Bedside commode
2. Rolling shower chair
3. Oxygen tubing and flowmeter
4. Twelve-lead electrocardiogram (ECG) machine


Correct Answer: 3. Oxygen tubing and flowmeter




 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