NGN HESI PN EXIT EXAM V2 140 QUESTIONS WITH 100%
CORRECT ANSWERS/A+ GRADE GUARANTEED 2024
• The LPN/LVN is preparing to ambulate a postoperative client after cardiac
surgery. The nurse plans to do which to enable the client to besttolerate the
ambulation?
• Provide the client with a walker.
• Remove the telemetry equipment.
• Encourage the client to cough and deep breathe.
• Premedicate the client with an analgesic before ambulating.
Correct Answer: 4. Premedicate the client with an analgesic beforeambulating.
• A client is wearing a continuous cardiac monitor, which begins toalarm
at the nurse's station. The nurse sees no electrocardiographic complexes on
the screen. The nurse should do which first?
• Call a code blue.
• Call the health care provider.
• Check the client status and lead placement.
• 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, andlung 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.
• Administering oxygen
• Inserting a Foley catheter
,• Administering furosemide (Lasix)
• Administering morphine sulfate intravenously
• Transporting the client to the coronary care unit
• Placing the client in a low-Fowler's side-lying position
Correct Answer:
• Administering oxygen
• Inserting a Foley catheter
• Administering furosemide (Lasix)
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?
• Pneumonia
• Pulmonary edema
• Pulmonary embolism
• Myocardial infarction
Correct Answer: 3. Pulmonary embolism
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?
• Rhonchi
,• Crackles
• Wheezes
• Diminished breath soundsCorrect
Answer: 2. Crackles
Correct Answer: 2. Normal, caused by increased blood flow through theleg
12) A client with a diagnosis of rapid rate atrial fibrillation asks the nurse why the
health care provider is going to perform carotid massage. The LPN/LVN responds
that this procedure may stimulate which?
• Vagus nerve to slow the heart rate
• Vagus nerve to increase the heart rate
• Diaphragmatic nerve to slow the heart rate
• Diaphragmatic nerve to increase the heart rate Correct
Answer: 1. Vagus nerve to slow the heart rate
15) A client with angina complains that the anginal pain is prolonged andsevere
and occurs at the same time each day, most often in the morning. On further data
collection, the nurse notes that the pain occurs in the absence of precipitating
factors. How should the LPN/LVN best describe this type of anginal pain?
• Stable angina
• Variant angina
• Unstable angina
• Nonanginal pain
Correct Answer: 2. Variant angina
, • A client is scheduled for a cardiac catheterization using a radiopaque dye.
The LPN/LVN checks which most critical item before the procedure?
• Intake and output
• Height and weight
• Peripheral pulse rates
• Prior reaction to contrast media
Correct Answer: 4. Prior reaction to contrast media
• A client is scheduled for a dipyridamole thallium scan. The LPN/ LVN
should check to make sure that the client has not consumed whichsubstance
before the procedure?
• Caffeine
• Fatty meal
• Excess sugar
• Milk products
Correct Answer: 1. Caffeine
• An ambulatory clinic nurse is interviewing a client who is complaining of
flulike symptoms. The client suddenly develops chest pain. Which question
best assists the nurse to discriminate pain causedby a non cardiac problem?
• "Can you describe the pain to me?"
• "Have you ever had this pain before?"
• "Does the pain get worse when you breathe in?"
• "Can you rate the pain on a scale of 1 to 10, with 10 being the worst?"Correct
Answer: 3. "Does the pain get worse when you breathe in?"
CORRECT ANSWERS/A+ GRADE GUARANTEED 2024
• The LPN/LVN is preparing to ambulate a postoperative client after cardiac
surgery. The nurse plans to do which to enable the client to besttolerate the
ambulation?
• Provide the client with a walker.
• Remove the telemetry equipment.
• Encourage the client to cough and deep breathe.
• Premedicate the client with an analgesic before ambulating.
Correct Answer: 4. Premedicate the client with an analgesic beforeambulating.
• A client is wearing a continuous cardiac monitor, which begins toalarm
at the nurse's station. The nurse sees no electrocardiographic complexes on
the screen. The nurse should do which first?
• Call a code blue.
• Call the health care provider.
• Check the client status and lead placement.
• 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, andlung 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.
• Administering oxygen
• Inserting a Foley catheter
,• Administering furosemide (Lasix)
• Administering morphine sulfate intravenously
• Transporting the client to the coronary care unit
• Placing the client in a low-Fowler's side-lying position
Correct Answer:
• Administering oxygen
• Inserting a Foley catheter
• Administering furosemide (Lasix)
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?
• Pneumonia
• Pulmonary edema
• Pulmonary embolism
• Myocardial infarction
Correct Answer: 3. Pulmonary embolism
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?
• Rhonchi
,• Crackles
• Wheezes
• Diminished breath soundsCorrect
Answer: 2. Crackles
Correct Answer: 2. Normal, caused by increased blood flow through theleg
12) A client with a diagnosis of rapid rate atrial fibrillation asks the nurse why the
health care provider is going to perform carotid massage. The LPN/LVN responds
that this procedure may stimulate which?
• Vagus nerve to slow the heart rate
• Vagus nerve to increase the heart rate
• Diaphragmatic nerve to slow the heart rate
• Diaphragmatic nerve to increase the heart rate Correct
Answer: 1. Vagus nerve to slow the heart rate
15) A client with angina complains that the anginal pain is prolonged andsevere
and occurs at the same time each day, most often in the morning. On further data
collection, the nurse notes that the pain occurs in the absence of precipitating
factors. How should the LPN/LVN best describe this type of anginal pain?
• Stable angina
• Variant angina
• Unstable angina
• Nonanginal pain
Correct Answer: 2. Variant angina
, • A client is scheduled for a cardiac catheterization using a radiopaque dye.
The LPN/LVN checks which most critical item before the procedure?
• Intake and output
• Height and weight
• Peripheral pulse rates
• Prior reaction to contrast media
Correct Answer: 4. Prior reaction to contrast media
• A client is scheduled for a dipyridamole thallium scan. The LPN/ LVN
should check to make sure that the client has not consumed whichsubstance
before the procedure?
• Caffeine
• Fatty meal
• Excess sugar
• Milk products
Correct Answer: 1. Caffeine
• An ambulatory clinic nurse is interviewing a client who is complaining of
flulike symptoms. The client suddenly develops chest pain. Which question
best assists the nurse to discriminate pain causedby a non cardiac problem?
• "Can you describe the pain to me?"
• "Have you ever had this pain before?"
• "Does the pain get worse when you breathe in?"
• "Can you rate the pain on a scale of 1 to 10, with 10 being the worst?"Correct
Answer: 3. "Does the pain get worse when you breathe in?"
