g04/16/2021 ENTRANCE EXAM(MOBILITY
FINAL “EXIT” HESI! Last day of Concorde LVN School –
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1. ThegLPN/LVNgisgpreparinggtogambulategagpostoperativegclientgaftergc
ardiacgsurgery.gThegnursegplansgtogdogwhichgtogenablegthegclientgtog
bestgtolerategthegambulation?
1. Providegthegclientg withgagwalker.
2. Removegthegtelemetrygequipment.
3. Encouragegthegclientgtogcoughgandgdeepgbreathe.
4. Premedicategthegclientgwithganganalgesicgbeforegambulating.
2. Agclientgisgwearinggagcontinuousgcardiacgmonitor,gwhichgbeginsgtogalarmg
atgthegnurse'sgstation.gThegnursegseesgnogelectrocardiographicgcomplexe
sgongthegscreen.gThegnursegshouldgdogwhichgfirst?
a. Callgagcodegblue.
b. Callg theg healthg careg provider.
c. Checkgthegclientgstatusgandgleadgplacement.
d. PressgthegrecordergbuttongongthegECGgconsole.
3. 3)gThegLPN/LVNgingagmedicalgunitgisgcaringgforgagclientgwithgheartgfai
lure.gThegclientgsuddenlygdevelopsgextremegdyspnea,gtachycardia,gan
dglunggcrackles,gandgthegnursegsuspectsgpulmonarygedema.gThegnurs
egimmediatelygnotifiesgthegregisteredgnursegandgexpectsgwhichginter
ventionsgtogbegprescribed?gSelectgallgthatgapply.
a. Administeringg oxygen
b. InsertinggagFoleygcatheter
c. Administeringgfurosemideg(Lasix)
d. Administeringgmorphinegsulfategintravenously
e. Transportingg theg clientg tog theg coronaryg careg unit
f. Placinggthegclientgingaglow-Fowler'sgside-lyinggposition
4. Thegnursegisgmonitoringgagclientgfollowinggcardioversion.gWhic
hgobservationsgshouldgbegofghighestgprioritygtogthegnurse?
a. Bloodgpressure
b. Statusgofgairway
c. Oxygengflowgrate
d. Levelg ofg consciousness
5. Thegnursegisgassistinggingcaringgforgthegclientgimmediately
afterginsertiongofgagpermanentgdemandgpacemakergviagthegright
pg.g1
, HESI LPN-AND g
g04/16/2021 ENTRANCE EXAM(MOBILITY
FINAL “EXIT” HESI! Last day of Concorde LVN School –
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subclaviangvein.gThegnursegpreventsgdislodgementgofgthegpacingg
cathetergbygimplementinggwhichgintervention?
a. Limitinggmovementgandgabductiongofgthegleftgarm
b. Limitinggmovementgandgabductiongofgthegrightgarm
c. Assistinggthegclientgtoggetgoutgofgbedgandgambulategwithgag
walkerg4.gHavinggthegphysicalgtherapistgdogactivegrangegofg
motiongtogthegrightgarm
6. Agclientgdiagnosedgwithgthrombophlebitisg1gdaygagogsuddenlygcom
plainsgofgchestgpaingandgshortnessgofgbreath,gandgthegclientgisgvisi
blyganxious.gThegLPN/LVNgunderstandsgthatgaglife-
threateninggcomplicationgofgthisgconditiongisgwhich?
a. Pneumonia
b. Pulmonarygedema
c. Pulmonaryg embolism
d. Myocardialg infarction
7. Ag24-year-
oldgmangseeksgmedicalgattentiongforgcomplaintsgofgclaudicationgingth
egarchgofgthegfoot.gThegnursegalsognotesgsuperficialgthrombophlebitis
gofgtheglowergleg.gThegnursegshouldgcheckgthegclientgforgwhich gnext?
a. Smokingg history
b. Recentgexposuregtogallergens
c. Historygofgrecentginsectgbites
d. Familialgtendencygtowardgperipheralgvasculargdisease
8. ThegnurseghasgreinforcedginstructionsgtogthegclientgwithgRay
naud'sgdiseasegaboutgself-
managementgofgthegdiseasegprocess.gThegnursegdeterminesgt
hatgthegclientgneedsgfurthergteachinggifgthegclientgstatesgwhi
ch?
a. "Smokingg cessationg isg veryg important."
b. "Movinggtogagwarmergclimategshouldghelp."
c. "Sourcesgofgcaffeinegshouldgbegeliminatedgfromgthegdiet."
4.g"Takinggnifedipineg(Procardia)gasgprescribedgwillgdecreas
egvesselgspasm."
9. Agclientgwithgmyocardialginfarctiongsuddenlygbecomesgtachycardic,
gshowsgsignsgofgairghunger,gandgbeginsgcoughinggfrothy,gpink-
g tingedgsputum. gThegnurseglistensgtogbreathgsounds,gexpectinggtog
heargwhichgbreathgsoundsgbilaterally?
a. Rhonchi
b. Crackles
pg.g2
,HESI LPN-AND
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04/16/2021 ENTRANCE EXAM(MOBILITY
FINAL “EXIT” HESI! Last day of Concorde LVN School –
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, HESI LPN-AND g
g04/16/2021 ENTRANCE EXAM(MOBILITY
FINAL “EXIT” HESI! Last day of Concorde LVN School –
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EXAMS)
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d. Diminishedg breathg sounds
10. ThegLPN/LVNgisgcollectinggdatagongagclientgwithgagdiagnosisgofrightg
sidedgheartgfailure.gThegnursegshouldgexpectgtognotegwhichgspecific
gcharacteristicgofgthisgcondition?
a. Dyspnea
b. Hackingg cough
c. Dependentg edema
d. Cracklesgonglunggauscultation
11. ThegLPN/LVNgisgcheckinggthegneurovasculargstatusgofgagclientgwhogr
eturnedgtogthegsurgicalgnursinggunitg4ghoursgagogaftergundergoinggan
gaortoiliacgbypassggraft.gThegaffectedgleggisgwarm,gandthegnursegnot
esgrednessgandgedema.gThegpedalgpulsegisgpalpablegandgunchangedgf
romgadmission.gThegnurseginterpretsgthatgthegneurovasculargstatusgi
sgwhich?
a. Moderatelygimpaired,gandgthegsurgeongshouldgbegcalled
b. Normal,gcausedgbygincreasedgbloodgflowgthroughgthegleg
c. Slightlygdeteriorating,gandgshouldgbegmonitoredgforganother
ghour
d. Adequategfromgangarterialgapproach,gbutgvenous
gcomplications garegarising
12. Agclientgwithgagdiagnosisgofgrapidgrategatrialgfibrillationgasksgthenurseg
whygtheghealthgcaregprovidergisggoinggtogperformgcarotidgmassage.gT
hegLPN/LVNgrespondsgthatgthisgproceduregmaygstimulategwhich?
a. Vagusgnervegtogslowgthegheartgrate
b. Vagusgnervegtogincreasegthegheartgrate
c. Diaphragmaticgnervegtogslowgthegheartgrate
d. Diaphragmaticgnervegtogincreasegthegheartgrate
13. Agclientgisgadmittedgtogtheghospitalgwithgpossiblegrheumaticgendoc
arditis.gThegLPN/LVNgshouldgcheckgforgaghistorygofgwhichgtypegofginf
ection?
a. Viralg infection
b. Yeastginfection
c. Streptococcal g infection
d. Staphylococcal g infection
14. AgclientghasgangUnnagbootgappliedgforgtreatmentgofgagvenousgstasis
g leggulcer.gThegLPN/LVNgnotesgthatgthegclient'sgtoesgaregmottled,
pg.g4