HESI Exit V2Questions and Verified
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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?
- Answer Premedicate the client with an analgesic before ambulating.
For a client diagnosed with pulmonary edema, the LPN/LVN establishes a goal to
have the client participate in activities that reduce cardiac workload. Which client
activities will contribute to achieving this goal? - Answer Using a bedside
commode for stools
,The LPN/LVN is caring for a client who is developing pulmonary edema. The client
exhibits respiratory distress, but the blood pressure is unchanged from the client's
baseline. As an immediate action before help arrives, the nurse should perform
which action? - Answer Place the client in high-Fowler's position.
The LPN/LVN has reinforced home care instructions to a client who had a
permanent pacemaker inserted. Which educational outcome has the greatest
impact on the client's long-term cardiac health? - Answer The ability to take an
accurate pulse in either the wrist or neck
The clinic nurse is obtaining cardiovascular data on a client. The LPN/LVN
prepares to check the client's apical pulse and places the stethoscope in which
position? - Answer At the midclavicular line at the fifth left intercostal space
The LPN/LVN is caring for a client who has been admitted to the hospital with a
diagnosis of angina pectoris. The client is receiving oxygen via nasal cannula at 2 L.
The client asks the nurse why the oxygen is necessary. The LPN/LVN bases the
response on which information? - Answer Deficient oxygenation to heart cells
results in angina pectoris pain.
,The licensed practical nurse (LPN) is assisting in caring for a client with a diagnosis
of myocardial infarction (MI). The client is experiencing chest pain that is
unrelieved by the administration of nitroglycerin. The registered nurse
administers morphine sulfate to the client as prescribed by the health care
provider. Following administration of the morphine sulfate, the LPN plans to
monitor which indicator(s)? - Answer Respirations and blood pressure
A client diagnosed with angina pectoris returns to the nursing unit after
experiencing an angioplasty. The nurse reinforces instructions to the client
regarding the procedure and home care measures. Which statement by the client
indicates an understanding of the instructions? - Answer "I need to adhere to my
dietary restrictions."
The LPN/LVN is caring for a client with a diagnosis of myocardial infarction (MI)
and is assisting the client in completing the diet menu. Which beverage does the
nurse instruct the client to select from the menu? - Answer Lemonade
The LPN/LVN is collecting data on a client with a diagnosis of angina pectoris who
takes nitroglycerin for chest pain. During the admission, the client reports chest
pain. The nurse immediately asks the client which question? - Answer "Where is
the pain located?"
, The LPN/LVN has reinforced dietary instructions to a client with coronary artery
disease. Which statement by the client indicates an understanding of the dietary
instructions? - Answer "I should routinely use polyunsaturated oils in my diet."
The LPN/LVN is assisting in caring for a client in the telemetry unit who is
receiving an intravenous infusion of 1000 mL 5% dextrose with 40 mEq of
potassium chloride. Which occurrence observed on the cardiac monitor indicates
the presence of hyperkalemia? - Answer Tall, peaked T waves
The LPN/LVN is assisting in caring for a client in the telemetry unit and is
monitoring the client for cardiac changes indicative of hypokalemia. Which
occurrence noted on the cardiac monitor indicates the presence of hypokalemia?
- Answer ST-segment depression
While the nurse is involved in preparing a client for a cardiac catheterization, the
client says, "I don't want to talk with you. You're only the nurse. I want my
doctor." Which response by the nurse should be therapeutic? - Answer "So you're
saying that you want to talk to your health care provider?"
The LPN/LVN reinforces instructions to a client at risk for thrombophlebitis
regarding measures to minimize its occurrence. Which statement by the client
indicates an understanding of this information? - Answer "I should avoid sitting in
one position for long periods of time."
Rationalized Answers, 100% Passing
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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?
- Answer Premedicate the client with an analgesic before ambulating.
For a client diagnosed with pulmonary edema, the LPN/LVN establishes a goal to
have the client participate in activities that reduce cardiac workload. Which client
activities will contribute to achieving this goal? - Answer Using a bedside
commode for stools
,The LPN/LVN is caring for a client who is developing pulmonary edema. The client
exhibits respiratory distress, but the blood pressure is unchanged from the client's
baseline. As an immediate action before help arrives, the nurse should perform
which action? - Answer Place the client in high-Fowler's position.
The LPN/LVN has reinforced home care instructions to a client who had a
permanent pacemaker inserted. Which educational outcome has the greatest
impact on the client's long-term cardiac health? - Answer The ability to take an
accurate pulse in either the wrist or neck
The clinic nurse is obtaining cardiovascular data on a client. The LPN/LVN
prepares to check the client's apical pulse and places the stethoscope in which
position? - Answer At the midclavicular line at the fifth left intercostal space
The LPN/LVN is caring for a client who has been admitted to the hospital with a
diagnosis of angina pectoris. The client is receiving oxygen via nasal cannula at 2 L.
The client asks the nurse why the oxygen is necessary. The LPN/LVN bases the
response on which information? - Answer Deficient oxygenation to heart cells
results in angina pectoris pain.
,The licensed practical nurse (LPN) is assisting in caring for a client with a diagnosis
of myocardial infarction (MI). The client is experiencing chest pain that is
unrelieved by the administration of nitroglycerin. The registered nurse
administers morphine sulfate to the client as prescribed by the health care
provider. Following administration of the morphine sulfate, the LPN plans to
monitor which indicator(s)? - Answer Respirations and blood pressure
A client diagnosed with angina pectoris returns to the nursing unit after
experiencing an angioplasty. The nurse reinforces instructions to the client
regarding the procedure and home care measures. Which statement by the client
indicates an understanding of the instructions? - Answer "I need to adhere to my
dietary restrictions."
The LPN/LVN is caring for a client with a diagnosis of myocardial infarction (MI)
and is assisting the client in completing the diet menu. Which beverage does the
nurse instruct the client to select from the menu? - Answer Lemonade
The LPN/LVN is collecting data on a client with a diagnosis of angina pectoris who
takes nitroglycerin for chest pain. During the admission, the client reports chest
pain. The nurse immediately asks the client which question? - Answer "Where is
the pain located?"
, The LPN/LVN has reinforced dietary instructions to a client with coronary artery
disease. Which statement by the client indicates an understanding of the dietary
instructions? - Answer "I should routinely use polyunsaturated oils in my diet."
The LPN/LVN is assisting in caring for a client in the telemetry unit who is
receiving an intravenous infusion of 1000 mL 5% dextrose with 40 mEq of
potassium chloride. Which occurrence observed on the cardiac monitor indicates
the presence of hyperkalemia? - Answer Tall, peaked T waves
The LPN/LVN is assisting in caring for a client in the telemetry unit and is
monitoring the client for cardiac changes indicative of hypokalemia. Which
occurrence noted on the cardiac monitor indicates the presence of hypokalemia?
- Answer ST-segment depression
While the nurse is involved in preparing a client for a cardiac catheterization, the
client says, "I don't want to talk with you. You're only the nurse. I want my
doctor." Which response by the nurse should be therapeutic? - Answer "So you're
saying that you want to talk to your health care provider?"
The LPN/LVN reinforces instructions to a client at risk for thrombophlebitis
regarding measures to minimize its occurrence. Which statement by the client
indicates an understanding of this information? - Answer "I should avoid sitting in
one position for long periods of time."