1
2017 PN Hesi Exit V2
1) The LPN/LVN is preparing to ambulate a postoperative client after
cardiac surgery. The nurse plans to do which to enable the
... [Show More] client to best
tolerate the ambulation?
1. Provide the client with a walker.
2. Remove the telemetry equipment.
3. Encourage the client to cough and deep breathe.
4. Premedicate the client with an analgesic before ambulating.
Correct Answer: 4. Premedicate the client with an analgesic before
ambulating.
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?
1. Call a code blue.
2. Call the health care provider.
3. Check the client status and lead placement.
4. Press the recorder button on the ECG console.
Correct Answer: 3. Check the client status and lead placement.
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.
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4. Administering morphine sulfate intravenously
5. Transporting the client to the coronary care unit
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6. Placing the client in a low-Fowler's side-lying position
Correct Answer:
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4) 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
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?
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
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?
1. Pneumonia
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2. Pulmonary edema
3. Pulmonary embolism
4. Myocardial infarction
Correct Answer: 3. Pulmonary embolism
7) 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
8) 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."
9) 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?
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1. Rhonchi
2. Crackles
3. Wheezes
4. Diminished breath sounds
Correct Answer: 2. Crackles
10) The LPN/LVN is collecting data on a client with a diagnosis of rightsided heart failure. The nurse should expect to note which specific
characteristic of this condition?
1. Dyspnea
2. Hacking cough
3. Dependent edema
4. Crackles on lung auscultation
Correct Answer: 3. Dependent edema
11) The LPN/LVN is checking the neurovascular status of a client who
returned to the surgical nursing unit 4 hours ago after undergoing an
aortoiliac bypass graft. The affected leg is warm, and the nurse notes
redness and edema. The pedal pulse is palpable and unchanged from
admission. The nurse interprets that the neurovascular status is which?
1. Moderately impaired, and the surgeon should be called
2. Normal, caused by increased blood flow through the leg
3. Slightly deteriorating, and should be monitored for another hour
4. Adequate from an arterial approach, but venous complications are
arising
Correct Answer: 2. Normal, caused by increased blood flow through the
leg
12) A client with a diagnosis of rapid rate atrial fibrillation asks the nurse
why the health care provider is going to perform carotid massage. The
LPN/LVN responds that this procedure may stimulate which?
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1. Vagus nerve to slow the heart rate
2. Vagus nerve to increase the heart rate
3. Diaphragmatic nerve to slow the heart rate
4. Diaphragmatic nerve to increase the heart rate
Correct Answer: 1. Vagus nerve to slow the heart rate
13) A client is admitted to the hospital with possible rheumatic
endocarditis. The LPN/LVN should check for a history of which type of
infection?
1. Viral infection
2. Yeast infection
3. Streptococcal infection
4. Staphylococcal infection
Correct Answer: 3. Streptococcal infection
14) A client has an Unna boot applied for treatment of a venous stasis leg
ulcer. The LPN/LVN notes that the client's toes are mottled, and cool and
the client verbalizes some numbness and tingling of the foot. Which
interpretation should the nurse make of these findings?
1. The boot has not yet dried.
2. The boot is controlling leg edema.
3. The boot is impairing venous return.
4. The boot has been applied too tightly.
Correct Answer: 4. The boot has been applied too tightly.
15) A client with angina complains that the anginal pain is prolonged and
severe and occurs at the same time each day, most often in the morning.
On further data collection, the nurse notes that the pain occurs in the
absence of precipitating factors. How should the LPN/LVN best describe
this type of anginal pain?
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1. Stable angina
2. Variant angina
3. Unstable angina
4. Nonanginal pain
Correct Answer: 2. Variant angina
16) The LPN/LVN is monitoring a client with an abdominal aortic
aneurysm (AAA). Which finding is probably unrelated to the AAA?
1. Pulsatile abdominal mass
2. Hyperactive bowel sounds in the area
3. Systolic bruit over the area of the mass
4. Subjective sensation of "heart beating" in the abdomen
2. Hyperactive bowel sounds in the area
17) An emergency department client who complains of slightly
improved but unrelieved chest pain for 2 days is reluctant to take a
nitroglycerin sublingual tablet offered by the nurse. The client states, "I
don't need that—my dad takes that for his heart. There's nothing wrong
with my heart." Which description best describes the client's response?
1. Angry
2. Denial
3. Phobic
4. Obsessive-compulsive
Correct Answer: 2. Denial
18) A client is scheduled for a cardiac catheterization using a radiopaque
dye. The LPN/LVN checks which most critical item before the
procedure?
1. Intake and output
2. Height and weight
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3. Peripheral pulse rates
4. Prior reaction to contrast media
Correct Answer: 4. Prior reaction to contrast media
19) A client is scheduled for a dipyridamole thallium scan. The LPN/
LVN should check to make sure that the client has not consumed which
substance before the procedure?
1. Caffeine
2. Fatty meal
3. Excess sugar
4. Milk products
Correct Answer: 1. Caffeine
20) An ambulatory clinic nurse is interviewing a client who is
complaining of flulike symptoms. The client suddenly develops chest
pain. Which question best assists the nurse to discriminate pain caused
by a non cardiac problem?
1. "Can you describe the pain to me?"
2. "Have you ever had this pain before?"
3. "Does the pain get worse when you breathe in?"
4. "Can you rate the pain on a scale of 1 to 10, with 10 being the worst?"
Correct Answer: 3. "Does the pain get worse when you breathe in?"
21) A client with myocardial infarction (MI) has been transferred from
the coronary care unit (CCU) to the general medical unit with cardiac
monitoring via telemetry. The nurse assisting in caring for the client
expects to note which type of activity prescribed?
1. Strict bed rest for 24 hours
2. Bathroom privileges and self-care activities
3. Unrestricted activities because the client is monitored
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4. Unsupervised hallway ambulation with distances less than 200 feet
Correct Answer: 2. Bathroom privileges and self-care activities
22) The LPN/LVN is preparing to care for a client who will be arriving
from the recovery room after an above-the-knee amputation. The nurse
ensures that which priority item is available for emergency use?
1. Surgical tourniquet
2. Dry sterile dressings
3. Incentive spirometer
4. Over-the-bed trapeze
Correct Answer:1. Surgical tourniquet
23) A client is diagnosed with thrombophlebitis. The nurse should tell
the client that which prescription is indicated?
1. Bed rest, with bathroom privileges only
2. Bed rest, keeping the affected extremity flat
3. Bed rest, with elevation of the affected extremity
4. Bed rest, with the affected extremity in a dependent position
Correct Answer: 3. Bed rest, with elevation of the affected extremity
24) A client returns to the nursing unit after an above knee amputation of
the right leg. In which position should the nurse place the client?
1. Prone with the head on a pillow
2. With the foot of the bed elevated
3. Reverse Trendelenburg's position
4. With the residual limb flat on the bed
Correct Answer: 2. With the foot of the bed elevated
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25) The LPN/LVN is collecting data from a client about medications
being taken, and the client tells the nurse that he is taking herbal
supplements for the treatment of varicose veins. The nurse understands
that the client is most likely taking which?
1. Bilberry
2. Ginseng
3. Feverfew
4. Evening primrose
Correct Answer: 1. Bilberry
26) The LPN/LVN is planning to reinforce instructions to a client with
peripheral arterial disease about measures to limit disease progression.
The nurse should include which items on a list of suggestions to be given
to the client? Select all that apply.
1. Wear elastic stockings.
2. Be careful not to injure the legs or feet.
3. Use a heating pad on the legs to aid vasodilation.
4. Walk each day to increase circulation to the legs.
5. Cut down on the amount of fats consumed in the diet.
Correct Answer:
2. Be careful not to injure the legs or feet.
4. Walk each day to increase circulation to the legs.
5. Cut down on the amount of fats consumed in the diet.
27) A client is at risk for developing disseminated intravascular
coagulopathy (DIC). The LPN/LVN should become concerned with
which fibrinogen level?
1. 90 mg/dL
2. 190 mg/dL
3. 290 mg/dL
4. 390 mg/dL
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Correct Answer: 1. 90 mg/dL
28) A hospitalized client with a history of angina pectoris is ambulating
in the corridor. The client suddenly complains of severe substernal chest
pain. The LPN/LVN should take which action first?
1. Check the client's vital signs.
2. Assist the client to sit or lie down.
3. Administer sublingual nitroglycerin.
4. Apply nasal oxygen at a rate of 2 L/min.
Correct Answer: 2. Assist the client to sit or lie down.
29) The LPN/LVN notes bilateral 2+ edema in the lower extremities of a
client with known coronary artery disease who was admitted to the
hospital 2 days ago. Based on this finding, the nurse should implement
which action?
1. Reviews the intake and output records for the last 2 days
2. Prescribes daily weights starting on the following morning
3. Changes the time of diuretic administration from morning to evening
4. Requests a sodium restriction of 1 g/day from the health care provider
Correct Answer: 1. Reviews the intake and output records for the last 2
days
30) A client brings the following medications to the clinic for a yearly
physical. The LPN/LVN realizes which medication has been prescribed
to treat heart failure?
1. Digoxin (Lanoxin)
2. Warfarin (Coumadin)
3. Amiodarone (Cordarone)
4. Potassium chloride (K-Dur)
Correct Answer: 1. Digoxin (Lanoxin)
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31) A student nurse is assigned to assist in caring for a client with acute
pulmonary edema who is receiving digoxin (Lanoxin) and heparin
therapy. The nursing instructor reviews the plan of care formulated by
the student and tells the student that which intervention is unsafe?
1. Restricting the client's potassium intake
2. Encouraging the client to rest after meals
3. Administering the heparin with a 25-gauge needle
4. Holding the digoxin for a heart rate less than 60 beats per minute
1. Restricting the client's potassium intake
32) A client has an inoperable abdominal aortic aneurysm (AAA).
Which measure should the nurse anticipate reinforcing when teaching
the client?
1. Bed rest
2. Restricting fluids
3. Antihypertensives
4. Maintaining a low-fiber diet
Correct Answer: 3. Antihypertensives
33) The LPN/LVN finds a client tensing while lying in bed staring at the
cardiac monitor. Which is the nurse's best response when the client
states, "There sure are a lot of wires around there. I sure hope we don't
get hit by lightning!"?
1. "Would you like a mild sedative to help you relax?"
2. "Oh, don't worry, the weather is supposed to be sunny and clear
today."
3. "Yes, this equipment is a little scary. Can we talk about how the
cardiac monitor works?"
4. "I can appreciate your concerns. Your family can stay with you
tonight if you want them to."
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Correct Answer: 3. "Yes, this equipment is a little scary. Can we talk about
how the cardiac monitor works?"
34) The LPN/LVN is asked to assist another health care member in
providing care to a client who is placed in a modified Trendelenburg's
position. The nurse interprets that the client is likely being treated for
which condition?
1. Shock
2. Kidney dysfunction
3. Respiratory insufficiency
4. Increased intracranial pressure
1. Shock
35) A client is seen in the health care provider's office for a physical
examination after experiencing unusual fatigue over the last several
weeks. Height is 5 feet, 8 inches, with a weight of 220 pounds. Vital
signs are temperature 98.6° F oral, pulse 86 beats per minute,
respirations 18 breaths per minute, and blood pressure 184/96 mm Hg.
Random blood glucose is 110 mg/dL. In order to best collect relevant
data, which question should the LPN/LVN ask the client first?
1. "Do you exercise regularly?"
2. "Would you consider losing weight?"
3. "Is there a history of diabetes mellitus in your family?"
4. "When was the last time you had your blood pressure checked?"
Correct Answer: 4. "When was the last time you had your blood pressure
checked?
36) The client scheduled for a right femoropopliteal bypass graft is at
risk for compromised tissue perfusion to the extremity. The LPN/LVN
takes which action before surgery to address this risk?
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1. Having the client void before surgery
2. Completing a preoperative checklist
3. Marking the location of the pedal pulses on the right leg
4. Checking the results of any baseline coagulation studies
3. Marking the location of the pedal pulses on the right leg
37) When preparing a client for a pericardiocentesis, which position does
the LPN/LVN place the client in?
1. Supine with slight lowering of the head
2. Lying on the right side with a pillow under the head
3. Lying on the left side with a pillow under the chest wall
4. Supine with the head of bed elevated at a 45- to 60-degree angle
Correct Answer: 4. Supine with the head of bed elevated at a 45- to 60-
degree angle
38) 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?
1. Elevating the legs when in bed
2. Sleeping in the supine position
3. Using a bedside commode for stools
4. Seasoning beef with a meat tenderizer
Correct Answer: 3. Using a bedside commode for stools
39) 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?
1. Suction the client vigorously.
2. Place the client in high-Fowler's position.
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3. Begin assembling medications that are anticipated to be given.
4. Call the respiratory therapy department to request a ventilator.
2. Place the client in high-Fowler's position.
40) 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?
1. Knowledge of when it is safe to resume sexual activity
2. The ability to take an accurate pulse in either the wrist or neck
3. An understanding of the importance of proper microwave oven usage
4. An understanding of why vigorous arm and shoulder movement must
be avoided initially
2. The ability to take an accurate pulse in either the wrist or neck
41) 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?
1. Midsternum equal with the nipple line
2. At the midaxillary line on the left side of the chest
3. At the midline of the chest just below the xiphoid process
4. At the midclavicular line at the fifth left intercostal space
Correct Answer: 4. At the midclavicular line at the fifth left intercostal
space
42) 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?
1. Oxygen assists in calming the client.
2. Oxygen prevents the development of any thrombus formation.
3. Deficient oxygenation to heart cells results in angina pectoris pain.
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4. Oxygen dilates the blood vessels, supplying more nutrients to the heart
muscle.
Correct Answer: 3. Deficient oxygenation to heart cells results in angina
pectoris pain.
43) 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)?
1. Mental status
2. Urinary output
3. Respirations and blood pressure
4. Temperature and blood pressure
Correct Answer: 3. Respirations and blood pressure
44) 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?
1. "I am considering cutting my workload."
2. "I need to cut down on cigarette smoking."
3. "I am so relieved that my heart is repaired."
4. "I need to adhere to my dietary restrictions."
Correct Answer: 4. "I need to adhere to my dietary restrictions."
45) 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?
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1. Tea
2. Cola
3. Coffee
4. Lemonade
Correct Answer: 4. Lemonade
46) 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?
1. "Are you having any nausea?"
2. "Where is the pain located?"
3. "Are you allergic to any medications?"
4. "Do you have your nitroglycerin with you?"
Correct Answer: 2. "Where is the pain located?"
47) 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?
1. "I need to substitute eggs and milk for meat."
2. "I will eliminate all cholesterol and fat from my diet."
3. "I should routinely use polyunsaturated oils in my diet."
4. "I need to seriously consider becoming a strict vegetarian."
Correct Answer: 3. "I should routinely use polyunsaturated oils in my
diet."
48) 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?
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1. Tall, peaked T waves
2. ST segment depressions
3. Shortened P-R intervals
4. Shortening of the QRS complex
Correct Answer: 1. Tall, peaked T waves
49) 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?
1. Tall, peaked T waves
2. ST-segment depression
3. Prolonged P-R interval
4. Widening of the QRS complex
2. ST-segment depression
50) 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?
1. "Your doctor expects me to prepare you for this procedure."
2. "That's fine, if that's what you want. I'll call your health care
provider."
3. "So you're saying that you want to talk to your health care provider?"
4. "I'm concerned with the way you've dismissed me. I know what I am
doing."
Correct Answer: 3. "So you're saying that you want to talk to your health
care provider?"
51) 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?
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1. "I need to avoid pregnancy by taking oral contraceptives."
2. "I should avoid sitting in one position for long periods of time."
3. "I can finally stop wearing these support stockings that you gave me."
4. "I will be sure to maintain my fluid intake to at least four glasses
daily."
Correct Answer: 2. "I should avoid sitting in one position for long periods
of time."
52) A client with a history of angina pectoris tells the nurse that chest
pain usually occurs after going up two flights of stairs or after walking
four blocks. The LPN/LVN interprets that the client is experiencing
which type of angina?
1. Stable
2. Variant
3. Unstable
4. Intractable
Correct Answer: 1. Stable
53) The LPN/LVN is teaching the client with angina pectoris about
disease management and lifestyle changes that are necessary in order to
control disease progression. Which statement by the client indicates a
need for further teaching?
1. "I will avoid using table salt with meals."
2. "It is best to exercise once a week for an hour."
3. "I will take nitroglycerin whenever chest discomfort begins."
4. "I will use muscle relaxation to cope with stressful situations."
Correct Answer: 2. "It is best to exercise once a week for an hour."
54) The LPN/LVN is working with a client who has been diagnosed with
Prinzmetal's (variant) angina. The nurse plans to reinforce which
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information about this type of angina when teaching the client?
1. Prinzmetal's angina is effectively managed by beta-blocking agents.
2. Prinzmetal's angina improves with a low-sodium, high-potassium diet.
3. Prinzmetal's angina has the same risk factors as stable and unstable
angina.
4. Prinzmetal's angina is generally treated with calcium channel blocking
agents.
Correct Answer: 4. Prinzmetal's angina is generally treated with calcium
channel blocking agents.
55) The LPN/LVN working in a long-term care facility is collecting data
from a client experiencing chest pain. The nurse should interpret that the
pain is likely a result of myocardial infarction (MI) if which observation
is made by the nurse?
1. The client is not experiencing nausea or vomiting.
2. The pain is described as substernal and radiating to the left arm.
3. The pain has not been unrelieved by rest and nitroglycerin tablets.
4. The client says the pain began while trying to open a stuck dresser
drawer.
Correct Answer: 3. The pain has not been unrelieved by rest and
nitroglycerin tablets.
56) The LPN/LVN is discussing smoking cessation with a client
diagnosed with coronary artery disease (CAD). Which statement should
the nurse make to the client to try to motivate the client to quit smoking?
1. "Since the damage has already been done, it will be all right to cut
down a little at a time."
2. "None of the cardiovascular effects are reversible, but quitting might
prevent lung cancer."
3. "If you totally quit smoking right now, you can cut your
cardiovascular risk to zero within a year."
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4. "If you quit now, your risk of cardiovascular disease will decrease to
that of a nonsmoker in 3 to 4 years."
Correct Answer: 4. "If you quit now, your risk of cardiovascular disease
will decrease to that of a nonsmoker in 3 to 4 years."
57) A client with heart failure is scheduled to be discharged to home
with digoxin (Lanoxin) and furosemide (Lasix) as ongoing prescribed
medications. The nurse teaches the client to report which sign/symptom
that indicates the medications are not producing the intended effect?
1. Decrease in pedal edema
2. High urine output during the day
3. Weight gain of 2 to 3 pounds in a few days
4. Cough accompanied by other signs of respiratory infection
Correct Answer: 3. Weight gain of 2 to 3 pounds in a few days
58) A client has experienced an episode of pulmonary edema. The LPN/
LVN determines that the client's respiratory status is improving if which
breath sounds are noted?
1. Rhonchi
2. Wheezes
3. Crackles in the lung bases
4. Crackles throughout the lung fields
3. Crackles in the lung bases
59) A client in pulmonary edema has a prescription to receive morphine
sulfate intravenously. The licensed practical nurse assisting in caring for
the client determines that the client experienced an intended effect of the
medication if which is noted?
1. Increased pulse rate
2. Relief of apprehension
3. Decreased urine output
4. Increased blood pressure
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Correct Answer: 2. Relief of apprehension
60) The LPN/LVN is providing discharge teaching for a post-myocardial
infarction (MI) client who will be taking 1 baby aspirin a day. The nurse
determines that the client understands the use of this medication if the
client makes which statement?
1. "I will take this medication every day."
2. "I will take this medication every other day."
3. "I will take this medication until I feel better."
4. "I will take this medication only when I have pain."
Correct Answer: 1. "I will take this medication every day."
61) The LPN/LVN determines that a client with coronary artery disease
(CAD) needs further teaching about disease management if the client
makes which statement?
1. "I will watch my weight gain."
2. "I will avoid walking for exercise."
3. "I will monitor my cholesterol intake."
4. "I will follow a low-fat, low-salt diet."
Correct Answer: 2. "I will avoid walking for exercise."
62) An older client with ischemic heart disease has experienced an
episode of dizziness and shortness of breath. The nurse reviews the plan
of care and notices documentation of decreased cardiac output, dyspnea,
and syncopal episodes. The nurse plans to take which important action?
1. Monitor oxygen saturation levels.
2. Place the client on a cardiac monitor.
3. Measure blood pressure every 4 hours.
4. Check capillary refill at least once per shift.
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