lOMoARcPSD|17616083
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2022 PN Hesi Exit V2
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1) The LPN/LVN is preparing to ambulate a postoperative client after
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Sp
cardiac surgery. The nurse plans to do which to enable the client to best
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tolerate the ambulation?
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tz
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Sp
1. Provide the client with a walker.
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2. Remove the telemetry equipment.
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3. Encourage the client to cough and deep breathe.
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4. Premedicate the client with an analgesic before ambulating.
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la
Correct Answer: 4. Premedicate the client with an analgesic before
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ambulating.
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la
2) A client is wearing a continuous cardiac monitor, which begins to alarm
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at the nurse's station. The nurse sees no electrocardiographic complexes
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on the screen. The nurse should do which first?
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tz
sh
Sp
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1. Call a code blue.
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2. Call the health care provider.
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Sp
3. Check the client status and lead placement.
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4. Press the recorder button on the ECG console.
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Correct Answer: 3. Check the client status and lead placement.
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Sp
, lOMoARcPSD|17616083
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3) The LPN/LVN in a medical unit is caring for a client with heart failure.
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The client suddenly develops extreme dyspnea, tachycardia, and lung
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tz
crackles, and the nurse suspects pulmonary edema. The nurse
sh
Sp
immediately notifies the registered nurse and expects which interventions
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la
to be prescribed? Select all that apply.
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1. Administering oxygen
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2. Inserting a Foley catheter
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Sp
3. Administering furosemide (Lasix)
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4. Administering morphine sulfate intravenously
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5. Transporting the client to the coronary care unit
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Sp
6. Placing the client in a low-Fowler's side-lying position
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Correct Answer:
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1. Administering oxygen
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2. Inserting a Foley catheter
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3. Administering furosemide (Lasix)
sh
Sp
ne
4) The nurse is monitoring a client following cardioversion. Which
la
tz
observations should be of highest priority to the nurse? sh
Sp
ne
la
1. Blood pressure
sh
2. Status of airway
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3. Oxygen flow rate
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4. Level of consciousness
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sh
Sp
ne
Correct Answer: 2. Status of airway
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Sp
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Sp
, lOMoARcPSD|17616083
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sh
5) The nurse is assisting in caring for the client immediately after
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insertion of a permanent demand pacemaker via the right subclavian vein.
la
tz
The nurse prevents dislodgement of the pacing catheter by implementing
sh
Sp
which intervention?
ne
la
sh
1. Limiting movement and abduction of the left arm
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2. Limiting movement and abduction of the right arm
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3. Assisting the client to get out of bed and ambulate with a walker4.
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Sp
Having the physical therapist do active range of motion to the right arm
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la
Correct Answer: 2. Limiting movement and abduction of the right arm
sh
Sp
ne
6) A client diagnosed with thrombophlebitis 1 day ago suddenly
la
tz
complains of chest pain and shortness of breath, and the client is visibly
sh
Sp
anxious. The LPN/LVN understands that a life-threatening complication
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of this condition is which?
la
sh
Sp
ne
1. Pneumonia
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2. Pulmonary edema
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3. Pulmonary embolism
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4. Myocardial infarction
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Correct Answer: 3. Pulmonary embolism
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ne
a
7) A 24-year-old man seeks medical attention for complaints of
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sh
claudication in the arch of the foot. The nurse also notes superficial
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sh
Sp
la
Sp
, lOMoARcPSD|17616083
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sh
thrombophlebitis of the lower leg. The nurse should check the client for
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which next? la
tz
sh
Sp
ne
1. Smoking history
la
2. Recent exposure to allergens
sh
3. History of recent insect bites
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4. Familial tendency toward peripheral vascular disease
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Correct Answer: 1. Smoking history
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la
8) The nurse has reinforced instructions to the client with Raynaud's
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Sp
disease about self-management of the disease process. The nurse
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determines that the client needs further teaching if the client states which?
la
tz
sh
Sp
1. "Smoking cessation is very important."
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2. "Moving to a warmer climate should help."
sh
3. "Sources of caffeine should be eliminated from the diet."
Sp
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4. "Taking nifedipine (Procardia) as prescribed will decrease vessel
la
spasm."
tz
sh
Sp
Correct Answer: 2. "Moving to a warmer climate should help."
ne
la
sh
9) A client with myocardial infarction suddenly becomes tachycardic,
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shows signs of air hunger, and begins coughing frothy, pink-tinged
a
sputum. The nurse listens to breath sounds, expecting to hear which
tz
l
sh
breath sounds bilaterally?
Sp
ne
1. Rhonchi
la
sh
Sp
la
Sp
ne
sh
ne
la
tz
2022 PN Hesi Exit V2
sh
Sp
ne
la
1) The LPN/LVN is preparing to ambulate a postoperative client after
sh
Sp
cardiac surgery. The nurse plans to do which to enable the client to best
ne
tolerate the ambulation?
la
tz
sh
Sp
1. Provide the client with a walker.
ne
2. Remove the telemetry equipment.
la
3. Encourage the client to cough and deep breathe.
sh
Sp
4. Premedicate the client with an analgesic before ambulating.
ne
la
Correct Answer: 4. Premedicate the client with an analgesic before
tz
sh
ambulating.
Sp
ne
la
2) A client is wearing a continuous cardiac monitor, which begins to alarm
sh
Sp
at the nurse's station. The nurse sees no electrocardiographic complexes
ne
on the screen. The nurse should do which first?
la
tz
sh
Sp
ne
1. Call a code blue.
la
2. Call the health care provider.
sh
Sp
3. Check the client status and lead placement.
ne
4. Press the recorder button on the ECG console.
a
tz
l
sh
Correct Answer: 3. Check the client status and lead placement.
Sp
ne
la
sh
Sp
la
Sp
, lOMoARcPSD|17616083
ne
sh
3) The LPN/LVN in a medical unit is caring for a client with heart failure.
ne
The client suddenly develops extreme dyspnea, tachycardia, and lung
la
tz
crackles, and the nurse suspects pulmonary edema. The nurse
sh
Sp
immediately notifies the registered nurse and expects which interventions
ne
la
to be prescribed? Select all that apply.
sh
Sp
ne
1. Administering oxygen
la
2. Inserting a Foley catheter
tz
sh
Sp
3. Administering furosemide (Lasix)
ne
4. Administering morphine sulfate intravenously
la
5. Transporting the client to the coronary care unit
sh
Sp
6. Placing the client in a low-Fowler's side-lying position
ne
la
Correct Answer:
tz
sh
1. Administering oxygen
Sp
ne
2. Inserting a Foley catheter
la
3. Administering furosemide (Lasix)
sh
Sp
ne
4) The nurse is monitoring a client following cardioversion. Which
la
tz
observations should be of highest priority to the nurse? sh
Sp
ne
la
1. Blood pressure
sh
2. Status of airway
Sp
ne
3. Oxygen flow rate
a
4. Level of consciousness
tz
l
sh
Sp
ne
Correct Answer: 2. Status of airway
la
sh
Sp
la
Sp
, lOMoARcPSD|17616083
ne
sh
5) The nurse is assisting in caring for the client immediately after
ne
insertion of a permanent demand pacemaker via the right subclavian vein.
la
tz
The nurse prevents dislodgement of the pacing catheter by implementing
sh
Sp
which intervention?
ne
la
sh
1. Limiting movement and abduction of the left arm
Sp
ne
2. Limiting movement and abduction of the right arm
la
3. Assisting the client to get out of bed and ambulate with a walker4.
tz
sh
Sp
Having the physical therapist do active range of motion to the right arm
ne
la
Correct Answer: 2. Limiting movement and abduction of the right arm
sh
Sp
ne
6) A client diagnosed with thrombophlebitis 1 day ago suddenly
la
tz
complains of chest pain and shortness of breath, and the client is visibly
sh
Sp
anxious. The LPN/LVN understands that a life-threatening complication
ne
of this condition is which?
la
sh
Sp
ne
1. Pneumonia
la
2. Pulmonary edema
tz
3. Pulmonary embolism
sh
Sp
ne
4. Myocardial infarction
la
Correct Answer: 3. Pulmonary embolism
sh
Sp
ne
a
7) A 24-year-old man seeks medical attention for complaints of
tz
l
sh
claudication in the arch of the foot. The nurse also notes superficial
Sp
ne
la
sh
Sp
la
Sp
, lOMoARcPSD|17616083
ne
sh
thrombophlebitis of the lower leg. The nurse should check the client for
ne
which next? la
tz
sh
Sp
ne
1. Smoking history
la
2. Recent exposure to allergens
sh
3. History of recent insect bites
Sp
ne
4. Familial tendency toward peripheral vascular disease
la
tz
Correct Answer: 1. Smoking history
sh
Sp
ne
la
8) The nurse has reinforced instructions to the client with Raynaud's
sh
Sp
disease about self-management of the disease process. The nurse
ne
determines that the client needs further teaching if the client states which?
la
tz
sh
Sp
1. "Smoking cessation is very important."
ne
la
2. "Moving to a warmer climate should help."
sh
3. "Sources of caffeine should be eliminated from the diet."
Sp
ne
4. "Taking nifedipine (Procardia) as prescribed will decrease vessel
la
spasm."
tz
sh
Sp
Correct Answer: 2. "Moving to a warmer climate should help."
ne
la
sh
9) A client with myocardial infarction suddenly becomes tachycardic,
Sp
ne
shows signs of air hunger, and begins coughing frothy, pink-tinged
a
sputum. The nurse listens to breath sounds, expecting to hear which
tz
l
sh
breath sounds bilaterally?
Sp
ne
1. Rhonchi
la
sh
Sp
la
Sp
