CORRECT LATEST UPDATE 2021-2022 PN HESI EXIT
EXAM BEST SOLUTION FOR YOUR EXAM
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.
Correct Answer: 4. Premedicate the client with an analgesic before ambulating.
2. 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
3. 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.
4. 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
5. 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
,6. 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
7. 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
8. 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.
9. 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