HESI PN EXIT EXAM GUARANTEED A+

• 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? 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 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? 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. • 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