PN HESI EXIT V2 EXAM PRACTICE QUESTIONMS
AND ANSWERS
The nurse is monitoring a client following cardioversion.
Which observations should be of highest priority to the nurse?
1. Blood pressure
2. Status of airway
3. Oxygen flow rate
4. Level of consciousness
Correct Answer: 2. Status of airway
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?
1. Limiting movement and abduction of the left arm
2. Limiting movement and abduction of the right arm
3. Assisting the client to get out of bed and ambulate with a walker
4. Having the physical therapist do active range of motion to the
right arm
Correct Answer: 2. Limiting movement and abduction of the right arm
, 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?
1. Pneumonia
,2. Pulmonary edema
3. Pulmonary embolism
4. Myocardial infarction
Correct Answer: 3. Pulmonary embolism
A 24-year-old man seeks medical attention for complaints of
claudication in the arch of the foot. The nurse also notes superficial
thrombophlebitis of the lower leg. The nurse should check the client
for which next?
1. Smoking history
2. Recent exposure to allergens
3. History of recent insect bites
4. Familial tendency toward peripheral vascular
disease Correct Answer: 1. Smoking history
The nurse has reinforced instructions to the client with
Raynaud's disease about self-management of the disease process.
The nurse determines that the client needs further teaching if the
client states which?
1. "Smoking cessation is very important."
2. "Moving to a warmer climate should help."
3. "Sources of caffeine should be eliminated from the diet."
4. "Taking nifedipine (Procardia) as prescribed will decrease
, vessel spasm."
Correct Answer: 2. "Moving to a warmer climate should help."
A client with myocardial infarction suddenly becomes
tachycardic, shows signs of air hunger, and begins coughing frothy,
pink-tinged sputum. The nurse listens to breath sounds, expecting
to hear which breath sounds bilaterally?
AND ANSWERS
The nurse is monitoring a client following cardioversion.
Which observations should be of highest priority to the nurse?
1. Blood pressure
2. Status of airway
3. Oxygen flow rate
4. Level of consciousness
Correct Answer: 2. Status of airway
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?
1. Limiting movement and abduction of the left arm
2. Limiting movement and abduction of the right arm
3. Assisting the client to get out of bed and ambulate with a walker
4. Having the physical therapist do active range of motion to the
right arm
Correct Answer: 2. Limiting movement and abduction of the right arm
, 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?
1. Pneumonia
,2. Pulmonary edema
3. Pulmonary embolism
4. Myocardial infarction
Correct Answer: 3. Pulmonary embolism
A 24-year-old man seeks medical attention for complaints of
claudication in the arch of the foot. The nurse also notes superficial
thrombophlebitis of the lower leg. The nurse should check the client
for which next?
1. Smoking history
2. Recent exposure to allergens
3. History of recent insect bites
4. Familial tendency toward peripheral vascular
disease Correct Answer: 1. Smoking history
The nurse has reinforced instructions to the client with
Raynaud's disease about self-management of the disease process.
The nurse determines that the client needs further teaching if the
client states which?
1. "Smoking cessation is very important."
2. "Moving to a warmer climate should help."
3. "Sources of caffeine should be eliminated from the diet."
4. "Taking nifedipine (Procardia) as prescribed will decrease
, vessel spasm."
Correct Answer: 2. "Moving to a warmer climate should help."
A client with myocardial infarction suddenly becomes
tachycardic, shows signs of air hunger, and begins coughing frothy,
pink-tinged sputum. The nurse listens to breath sounds, expecting
to hear which breath sounds bilaterally?
