PN HESI EXIT EXAM 2023/2024 LATEST VERSION QUESTION
AND ANSWERS BEST GRADED A+ ASSURED SUCCESS FO
NURSING
• The LPN/LVN is preparing to ambulate a postoperative patient after cardiac surgery. The n
plans to do which to enable the patient to besttolerate the ambulation?
• Provide the patient with a walker.
• Remove the telemetry equipment.
• Encourage the patient to cough and deep breathe.
• Premedicate the patient with an analgesic before ambulating.
Correct Answer: 4. Premedicate the patient with an analgesic beforeambulating.
• A patient is wearing a continuous cardiac monitor, which begins toalarm at the nurse's stat
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 patient status and lead placement.
• Press the recorder button on the ECG console.
Correct Answer: 3. Check the patient status and lead placement.
• The LPN/LVN in a medical unit is caring for a patient with heart failure. The patient sudde
develops extreme dyspnea, tachycardia, andlung crackles, and the nurse suspects pulmonary edem
The nurse immediately notifies the registered nurse and expects which interventions to be prescri
Select all that apply.
• Administering oxygen
,• Inserting a Foley catheter
• Administering furosemide (Lasix)
• Administering morphine sulfate intravenously
• Transporting the patient to the coronary care unit
• Placing the patient in a low-Fowler's side-lying position
Correct Answer:
• Administering oxygen
• Inserting a Foley catheter
• Administering furosemide (Lasix)
• The nurse is monitoring a patient following cardioversion. Whichobservations should be o
highest priority to the nurse?
• Blood pressure
• Status of airway
• Oxygen flow rate
• Level of consciousness
Correct Answer: 2. Status of airway
• The nurse is assisting in caring for the patient immediately after insertion of a permanent
demand pacemaker via the right subclavianvein. The nurse prevents dislodgement of the pacing
catheter by implementing which intervention?
• Limiting movement and abduction of the left arm
• Limiting movement and abduction of the right arm
• Assisting the patient to get out of bed and ambulate with a walker
• Having the physical therapist do active range of motion to the rightarm
Correct Answer: 2. Limiting movement and abduction of the right arm
,• A patient diagnosed with thrombophlebitis 1 day ago suddenly complains of chest pain and
shortness of breath, and the patient is visibly anxious. The LPN/LVN understands that a life-
threatening complicationof this condition is which?
• Pneumonia
• Pulmonary edema
• Pulmonary embolism
• Myocardial infarction
Correct Answer: 3. Pulmonary embolism
• A 24-year-old man seeks medical attention for complaints of claudication in the arch of the
The nurse also notes superficial thrombophlebitis of the lower leg. The nurse should check the pa
forwhich next?
• Smoking history
• Recent exposure to allergens
• History of recent insect bites
• Familial tendency toward peripheral vascular diseaseCorrect Answer: 1. Smoking history
• The nurse has reinforced instructions to the patient with Raynaud'sdisease about self-
management of the disease process. The nurse determines that the patient needs further teaching i
patient states which?
• "Smoking cessation is very important."
• "Moving to a warmer climate should help."
• "Sources of caffeine should be eliminated from the diet."
• "Taking nifedipine (Procardia) as prescribed will decrease vesselspasm."
, Correct Answer: 2. "Moving to a warmer climate should help."
• A patient with myocardial infarction suddenly becomes tachycardic,shows signs of air hun
and begins coughing frothy, pink-tinged sputum. The nurse listens to breath sounds, expecting to
which breath sounds bilaterally?
• Rhonchi
• Crackles
• Wheezes
• Diminished breath soundsCorrect Answer: 2. Crackles
• The LPN/LVN is collecting data on a patient with a diagnosis of right-sided heart failure. T
nurse should expect to note which specific characteristic of this condition?
• Dyspnea
• Hacking cough
• Dependent edema
• Crackles on lung auscultation Correct Answer: 3. Dependent edema
• The LPN/LVN is checking the neurovascular status of a patient whoreturned to the surgica
nursing unit 4 hours ago after undergoing an aortoiliac bypass graft. The affected leg is warm, an
nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission. The
interprets that the neurovascular status is which?
• Moderately impaired, and the surgeon should be called
• Normal, caused by increased blood flow through the leg
• Slightly deteriorating, and should be monitored for another hour
• Adequate from an arterial approach, but venous complications arearising
Correct Answer: 2. Normal, caused by increased blood flow through theleg
AND ANSWERS BEST GRADED A+ ASSURED SUCCESS FO
NURSING
• The LPN/LVN is preparing to ambulate a postoperative patient after cardiac surgery. The n
plans to do which to enable the patient to besttolerate the ambulation?
• Provide the patient with a walker.
• Remove the telemetry equipment.
• Encourage the patient to cough and deep breathe.
• Premedicate the patient with an analgesic before ambulating.
Correct Answer: 4. Premedicate the patient with an analgesic beforeambulating.
• A patient is wearing a continuous cardiac monitor, which begins toalarm at the nurse's stat
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 patient status and lead placement.
• Press the recorder button on the ECG console.
Correct Answer: 3. Check the patient status and lead placement.
• The LPN/LVN in a medical unit is caring for a patient with heart failure. The patient sudde
develops extreme dyspnea, tachycardia, andlung crackles, and the nurse suspects pulmonary edem
The nurse immediately notifies the registered nurse and expects which interventions to be prescri
Select all that apply.
• Administering oxygen
,• Inserting a Foley catheter
• Administering furosemide (Lasix)
• Administering morphine sulfate intravenously
• Transporting the patient to the coronary care unit
• Placing the patient in a low-Fowler's side-lying position
Correct Answer:
• Administering oxygen
• Inserting a Foley catheter
• Administering furosemide (Lasix)
• The nurse is monitoring a patient following cardioversion. Whichobservations should be o
highest priority to the nurse?
• Blood pressure
• Status of airway
• Oxygen flow rate
• Level of consciousness
Correct Answer: 2. Status of airway
• The nurse is assisting in caring for the patient immediately after insertion of a permanent
demand pacemaker via the right subclavianvein. The nurse prevents dislodgement of the pacing
catheter by implementing which intervention?
• Limiting movement and abduction of the left arm
• Limiting movement and abduction of the right arm
• Assisting the patient to get out of bed and ambulate with a walker
• Having the physical therapist do active range of motion to the rightarm
Correct Answer: 2. Limiting movement and abduction of the right arm
,• A patient diagnosed with thrombophlebitis 1 day ago suddenly complains of chest pain and
shortness of breath, and the patient is visibly anxious. The LPN/LVN understands that a life-
threatening complicationof this condition is which?
• Pneumonia
• Pulmonary edema
• Pulmonary embolism
• Myocardial infarction
Correct Answer: 3. Pulmonary embolism
• A 24-year-old man seeks medical attention for complaints of claudication in the arch of the
The nurse also notes superficial thrombophlebitis of the lower leg. The nurse should check the pa
forwhich next?
• Smoking history
• Recent exposure to allergens
• History of recent insect bites
• Familial tendency toward peripheral vascular diseaseCorrect Answer: 1. Smoking history
• The nurse has reinforced instructions to the patient with Raynaud'sdisease about self-
management of the disease process. The nurse determines that the patient needs further teaching i
patient states which?
• "Smoking cessation is very important."
• "Moving to a warmer climate should help."
• "Sources of caffeine should be eliminated from the diet."
• "Taking nifedipine (Procardia) as prescribed will decrease vesselspasm."
, Correct Answer: 2. "Moving to a warmer climate should help."
• A patient with myocardial infarction suddenly becomes tachycardic,shows signs of air hun
and begins coughing frothy, pink-tinged sputum. The nurse listens to breath sounds, expecting to
which breath sounds bilaterally?
• Rhonchi
• Crackles
• Wheezes
• Diminished breath soundsCorrect Answer: 2. Crackles
• The LPN/LVN is collecting data on a patient with a diagnosis of right-sided heart failure. T
nurse should expect to note which specific characteristic of this condition?
• Dyspnea
• Hacking cough
• Dependent edema
• Crackles on lung auscultation Correct Answer: 3. Dependent edema
• The LPN/LVN is checking the neurovascular status of a patient whoreturned to the surgica
nursing unit 4 hours ago after undergoing an aortoiliac bypass graft. The affected leg is warm, an
nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission. The
interprets that the neurovascular status is which?
• Moderately impaired, and the surgeon should be called
• Normal, caused by increased blood flow through the leg
• Slightly deteriorating, and should be monitored for another hour
• Adequate from an arterial approach, but venous complications arearising
Correct Answer: 2. Normal, caused by increased blood flow through theleg
