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 admitted to the hospital with possible rheumatic
endocarditis. The LPN/LVN should check for a history of which type
of infection?
1. Viral infection
2. Yeast infection
3. Streptococcal infection
4. Staphylococcal infection
Correct Answer: 3. Streptococcal infection
, A client has an Unna boot applied for treatment of a venous stasis
leg ulcer. The LPN/LVN notes that the client's toes are mottled, and
cool and the client verbalizes some numbness and tingling of the foot.
Which interpretation should the nurse make of these findings?
1. The boot has not yet dried.
2. The boot is controlling leg edema.
3. The boot is impairing venous return.
4. The boot has been applied too tightly.
Correct Answer: 4. The boot has been applied too tightly.
A client seeks medical attention for intermittent episodes in which
the fingers of both hands become cold, pale, and numb. The client
states that they then become reddened and swollen with a throbbing,
achy pain and Raynaud's disease is diagnosed. Which factor would
precipitate these episodes?
1. Exposure to heat
2. Being in a relaxed environment
3. Prolonged episodes of inactivity
4. Ingestion of coffee or chocolate
Correct Answer: 4. Ingestion of coffee or chocolate
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.
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 admitted to the hospital with possible rheumatic
endocarditis. The LPN/LVN should check for a history of which type
of infection?
1. Viral infection
2. Yeast infection
3. Streptococcal infection
4. Staphylococcal infection
Correct Answer: 3. Streptococcal infection
, A client has an Unna boot applied for treatment of a venous stasis
leg ulcer. The LPN/LVN notes that the client's toes are mottled, and
cool and the client verbalizes some numbness and tingling of the foot.
Which interpretation should the nurse make of these findings?
1. The boot has not yet dried.
2. The boot is controlling leg edema.
3. The boot is impairing venous return.
4. The boot has been applied too tightly.
Correct Answer: 4. The boot has been applied too tightly.
A client seeks medical attention for intermittent episodes in which
the fingers of both hands become cold, pale, and numb. The client
states that they then become reddened and swollen with a throbbing,
achy pain and Raynaud's disease is diagnosed. Which factor would
precipitate these episodes?
1. Exposure to heat
2. Being in a relaxed environment
3. Prolonged episodes of inactivity
4. Ingestion of coffee or chocolate
Correct Answer: 4. Ingestion of coffee or chocolate
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.
