HESI LPN EXIT EXAM MERGED FROM 2019/2020&2021 BEST FOR 2022/2023 ACTUAL EXAM PREP

HESI LPN EXIT EXAM MERGED
FROM 2019/2020&2021 BEST FOR
2022/2023 ACTUAL EXAM PREP


 TheLPN/LVNispreparingtoambulateapostoperativeclientaftercardi
acsurgery.Thenurseplanstodowhichtoenabletheclienttobesttoleratethe
ambulation?


1. Provide theclientwithawalker.
2. Removethetelemetryequipment.
3. Encouragetheclienttocoughanddeepbreathe.
4. Premedicatetheclientwithananalgesicbeforeambulating.


CorrectAnswer:4.Premedicatetheclientwithananalgesicbeforeambulating
.




 Aclientiswearingacontinuouscardiacmonitor,whichbeginstoalar
matthenurse'sstation.Thenurseseesnoelectrocardiographiccomplex
esonthescreen.Thenurseshoulddo whichfirst?




1. Callacodeblue.
2. Callthehealthcareprovider.
3. Checktheclientstatusandleadplacement.

,4. PresstherecorderbuttonontheECGconsole.


CorrectAnswer:3.Checktheclientstatusandleadplacement.




 Aclientisadmittedtothehospitalwithadiagnosisofpericarditis.The
nurse reviewsthe
client'srecordforwhichsignorsymptomthatdifferentiatespericarditisfr
omothercardiopulmonaryproblems?




1. Anteriorchestpain
2. Pericardialfrictionrub
3. Weaknessandirritability
4. ChestpainthatworsensoninspirationCor
rectAnswer:2.Pericardialfrictionrub


 The nurse is beginning to ambulate a client with activity
intolerancecaused by bacterial endocarditis. The nurse determines that
the client isbest toleratingambulationifwhichparameterisnoted?




1. Milddyspneaafterwalking10feet
2. Minimalchestpainrated1ona1-to-10painscale
3. Pulse ratethatincreasesfrom68to94beatsperminute

,4. Bloodpressurethatincreasesfrom114/82to118/86mmHg


CorrectAnswer:4.Bloodpressurethatincreasesfrom114/82to118/86mm
Hg




 Thenurseisassistingahospitalizedclientwhoisnewlydiagnosedwithc
oronaryarterydisease(CAD)tomakeappropriateselectionsfromthedietar
ymenu.Thenurseencouragestheclienttoselectwhichmeal?




1. Sausage,pancakes,andtoast
2. Broccoli,butteredrice,andgrilledchicken
3. Hamburger,bakedapples,andavocadosalad
4. Freshstrawberries,steamedvegetables,andbakedfish


CorrectAnswer:4.Freshstrawberries,steamedvegetables,andbakedfish




 A clientwithknowncoronaryarterydisease
(CAD)beginstoexperiencechestpainwhilegettingoutofbed.Thenurse
shouldtakewhich action?




1. Getaprescriptionforpainmedication.
2. Havetheclientstopandliebackdowninbed.
3. Reportthecomplainttothehealthcareprovider.
4. Have theclientcontinuetogetoutofbedandintoachair.

, CorrectAnswer:2.Have theclientstopandliebackdowninbed.




 The nurseissettingupthebedsideunitforaclientbeingadmittedtothe
nursingunitfromtheemergencydepartmentwithadiagnosisofcoronaryart
erydisease(CAD).The nurseshouldplacehighestpriorityon makingsure
thatwhich isavailableat thebedside?




1. Bedsidecommode
2. Rollingshowerchair
3. Oxygentubingandflowmeter
4. Twelve-leadelectrocardiogram(ECG)machine


CorrectAnswer:3.Oxygentubingandflowmeter




 The LPN/LVNinamedicalunitiscaringforaclientwith
heartfailure.Theclientsuddenlydevelopsextremedyspnea,tachycardia,a
ndlung crackles,andthenurse suspectspulmonaryedema.The
nurseimmediatelynotifiesthe registerednurse
andexpectswhichinterventionsto beprescribed?Selectall thatapply.




1. Administeringoxygen
2. InsertingaFoleycatheter
3. Administeringfurosemide(Lasix)
4. Administeringmorphinesulfateintravenously
5. Transportingtheclienttothecoronarycareunit