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.
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
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
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
, 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."
Correct Answer: 2. "Moving to a warmer climate should help."
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.
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
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.
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
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
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
, 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."
Correct Answer: 2. "Moving to a warmer climate should help."
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.
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
