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Exam Structure:
Subject: HESI LPN-ADN Entrance Exam (Mobility & Cardiovascular Nursing)
Source: HESI LPN-ADN Entrance Exam Study Material (2026/2027) – Mobility Exams,
Graded A 100% Verified
Format: Multiple Choice (A-D or Select All That Apply) with Rationales
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?
A) Provide the client with a walker.
B) Remove the telemetry equipment.
C) Encourage the client to cough and deep breathe.
D) Premedicate the client with an analgesic before ambulating.
Correct Answer: D) Premedicate the client with an analgesic before
ambulating.
Rationale:
1. Pain can increase myocardial oxygen demand and limit mobility.
2. Premedicating with an analgesic before ambulation helps manage
pain, reducing cardiac stress and improving the client's ability to
participate.
3. The nurse should allow time for the analgesic to take effect before
initiating activity.
2. A client is wearing a continuous cardiac monitor, which begins to
alarm at the nurse's station. The nurse sees no electrocardiographic
complexes on the screen. The nurse should do which first?
A) Call a code blue.
B) Call the health care provider.
, 3|Page
C) Check the client status and lead placement.
D) Press the recorder button on the ECG console.
Correct Answer: C) Check the client status and lead placement.
Rationale:
1. The absence of ECG complexes may indicate lead dislodgement, poor
contact, or equipment malfunction rather than cardiac arrest.
2. The nurse should first assess the client for responsiveness, breathing,
and pulse while simultaneously checking lead placement.
3. Assuming a life-threatening event without assessment could lead to
unnecessary interventions.
3. The LPN/LVN in a medical unit is caring for a client with heart
failure. The client suddenly develops extreme dyspnea, tachycardia,
and lung 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.)
A) Administering oxygen
B) Inserting a Foley catheter
C) Administering furosemide (Lasix)
D) Administering morphine sulfate intravenously
E) Transporting the client to the coronary care unit
F) Placing the client in a low-Fowler's side-lying position
Correct Answer: A, C, D
Rationale:
1. Oxygen improves oxygenation and reduces hypoxia.
2. Furosemide (Lasix) is a loop diuretic that reduces preload by promoting
rapid diuresis.
3. Morphine sulfate reduces preload, decreases anxiety, and alleviates
respiratory distress.
4. Inserting a Foley catheter (B) may be done later to monitor output but
is not an immediate priority.
5. Transport (E) may be needed but is not the first intervention.
6. High-Fowler's position, not low-Fowler's (F), is indicated to ease
breathing.
4. The nurse is monitoring a client following cardioversion. Which
observations should be of highest priority to the nurse?
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A) Blood pressure
B) Status of airway
C) Oxygen flow rate
D) Level of consciousness
Correct Answer: B) Status of airway
Rationale:
1. Following cardioversion, the client may be sedated and have decreased
protective reflexes.
2. Ensuring a patent airway is the highest priority according to the ABC
(Airway, Breathing, Circulation) framework.
3. The nurse should monitor for respiratory depression and maintain
airway patency.
5. The nurse is assisting in caring for the client immediately after
insertion of a permanent demand pacemaker via the right subclavian
vein. The nurse prevents dislodgement of the pacing catheter by
implementing which intervention?
A) Limiting movement and abduction of the left arm
B) Limiting movement and abduction of the right arm
C) Assisting the client to get out of bed and ambulate with a walker
D) Having the physical therapist do active range of motion to the right arm
Correct Answer: B) Limiting movement and abduction of the right arm
Rationale:
1. The pacemaker leads are inserted into the right subclavian vein on the
same side as the procedure.
2. Excessive movement or abduction of the right arm can dislodge the
leads before they become anchored.
3. The client should avoid lifting the right arm above shoulder level for a
prescribed period.
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?
A) Pneumonia
B) Pulmonary edema
, 2|Page
Exam Structure:
Subject: HESI LPN-ADN Entrance Exam (Mobility & Cardiovascular Nursing)
Source: HESI LPN-ADN Entrance Exam Study Material (2026/2027) – Mobility Exams,
Graded A 100% Verified
Format: Multiple Choice (A-D or Select All That Apply) with Rationales
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?
A) Provide the client with a walker.
B) Remove the telemetry equipment.
C) Encourage the client to cough and deep breathe.
D) Premedicate the client with an analgesic before ambulating.
Correct Answer: D) Premedicate the client with an analgesic before
ambulating.
Rationale:
1. Pain can increase myocardial oxygen demand and limit mobility.
2. Premedicating with an analgesic before ambulation helps manage
pain, reducing cardiac stress and improving the client's ability to
participate.
3. The nurse should allow time for the analgesic to take effect before
initiating activity.
2. A client is wearing a continuous cardiac monitor, which begins to
alarm at the nurse's station. The nurse sees no electrocardiographic
complexes on the screen. The nurse should do which first?
A) Call a code blue.
B) Call the health care provider.
, 3|Page
C) Check the client status and lead placement.
D) Press the recorder button on the ECG console.
Correct Answer: C) Check the client status and lead placement.
Rationale:
1. The absence of ECG complexes may indicate lead dislodgement, poor
contact, or equipment malfunction rather than cardiac arrest.
2. The nurse should first assess the client for responsiveness, breathing,
and pulse while simultaneously checking lead placement.
3. Assuming a life-threatening event without assessment could lead to
unnecessary interventions.
3. The LPN/LVN in a medical unit is caring for a client with heart
failure. The client suddenly develops extreme dyspnea, tachycardia,
and lung 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.)
A) Administering oxygen
B) Inserting a Foley catheter
C) Administering furosemide (Lasix)
D) Administering morphine sulfate intravenously
E) Transporting the client to the coronary care unit
F) Placing the client in a low-Fowler's side-lying position
Correct Answer: A, C, D
Rationale:
1. Oxygen improves oxygenation and reduces hypoxia.
2. Furosemide (Lasix) is a loop diuretic that reduces preload by promoting
rapid diuresis.
3. Morphine sulfate reduces preload, decreases anxiety, and alleviates
respiratory distress.
4. Inserting a Foley catheter (B) may be done later to monitor output but
is not an immediate priority.
5. Transport (E) may be needed but is not the first intervention.
6. High-Fowler's position, not low-Fowler's (F), is indicated to ease
breathing.
4. The nurse is monitoring a client following cardioversion. Which
observations should be of highest priority to the nurse?
, 4|Page
A) Blood pressure
B) Status of airway
C) Oxygen flow rate
D) Level of consciousness
Correct Answer: B) Status of airway
Rationale:
1. Following cardioversion, the client may be sedated and have decreased
protective reflexes.
2. Ensuring a patent airway is the highest priority according to the ABC
(Airway, Breathing, Circulation) framework.
3. The nurse should monitor for respiratory depression and maintain
airway patency.
5. The nurse is assisting in caring for the client immediately after
insertion of a permanent demand pacemaker via the right subclavian
vein. The nurse prevents dislodgement of the pacing catheter by
implementing which intervention?
A) Limiting movement and abduction of the left arm
B) Limiting movement and abduction of the right arm
C) Assisting the client to get out of bed and ambulate with a walker
D) Having the physical therapist do active range of motion to the right arm
Correct Answer: B) Limiting movement and abduction of the right arm
Rationale:
1. The pacemaker leads are inserted into the right subclavian vein on the
same side as the procedure.
2. Excessive movement or abduction of the right arm can dislodge the
leads before they become anchored.
3. The client should avoid lifting the right arm above shoulder level for a
prescribed period.
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?
A) Pneumonia
B) Pulmonary edema
