PN HESI EXIT EXAM LATEST VERSION 2023-2024 QUESTIONS WITH CORRECT ANSWERS
The LPN/LVN is preparing to ambulate a postoperative client after cardiac
... [Show More] surgery. The nurse plans to do which to enable the client to best tolerate the ambulation?
Provide the client with a walker.
Remove the telemetry equipment.
Encourage the client to cough and deep breathe.
Premedicate the client with an analgesic before ambulating.
Correct Answer: 4. Premedicate the client with an analgesic before ambulating.
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?
Call a code blue.
Call the health care provider.
Check the client status and lead placement.
Press the recorder button on the ECG console.
Correct Answer: 3. Check the client status and lead placement.
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.
Administering oxygen
Inserting a Foley catheter
Administering furosemide (Lasix)
Administering morphine sulfate intravenously
Transporting the client to the coronary care unit
Placing the client in a low-Fowler's side-lying position
Correct Answer:
Administering oxygen
Inserting a Foley catheter
Administering furosemide (Lasix)
The nurse is monitoring a client following cardioversion. Which observations should be of highest priority to the nurse?
Blood pressure
Status of airway
Oxygen flow rate
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?
Limiting movement and abduction of the left arm
Limiting movement and abduction of the right arm
Assisting the client to get out of bed and ambulate with a walker
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?
Pneumonia
Pulmonary edema
Pulmonary embolism
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?
Smoking history
Recent exposure to allergens
History of recent insect bites
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?
"Smoking cessation is very important."
"Moving to a warmer climate should help."
"Sources of caffeine should be eliminated from the diet."
"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?
Rhonchi
Crackles
Wheezes
Diminished breath sounds Correct Answer: 2. Crackles
The LPN/LVN is collecting data on a client with a diagnosis of right- sided heart failure. The nurse should expect to note which specific characteristic of this condition?
Dyspnea
Hacking cough
Dependent edema
Crackles on lung auscultation Correct Answer: 3. Dependent edema
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?
Moderately impaired, and the surgeon should be called
Normal, caused by increased blood flow through the leg
Slightly deteriorating, and should be monitored for another hour
Adequate from an arterial approach, but venous complications are arising
Correct Answer: 2. Normal, caused by increased blood flow through the leg
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? [Show Less]