PN HESI EXIT V2 EXAM WITH VERIFIED QUESTIONS AND ANSWERS
1) TheLPN/LVN ina medicalunit is caringforaclient withheart failure.The client suddenly
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develops extreme dyspnea, tachycardia, and lung crackles, and the nurse suspects
pulmonary edema. The nurse immediately notifies the registered nurse and expects which
interventionsto beprescribed? Select all that apply.
1. Administeringoxygen
2. InsertingaFoleycatheter
3. Administeringfurosemide(Lasix)
4. Administering morphinesulfateintravenously
5. Transportingtheclient tothecoronarycareunit
6. Placingtheclient inalow-Fowler'sside-lyingposition
Correct Answer:
1. Administering oxygen 2.
InsertingaFoleycatheter
3. Administeringfurosemide (Lasix)
2) Thenurseis monitoringaclient followingcardioversion. Whichobservations
shouldbe ofhighest priority tothe nurse?
1. Bloodpressure
2. Status ofairway
3. Oxygenflow rate
4. Levelofconsciousness
Correct Answer:2. Status of airway
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3) The nurse is assisting in caring for the client immediately after insertionofapermanent
demandpacemakerviatherightsubclavianvein.The nurse prevents dislodgement of the
pacing catheter by implementing whichintervention?
1. Limiting movementandabductionof theleftarm
2. Limiting movementandabductionof therightarm
3. Assisting the client to get out of bed and ambulate with a walker4. Havingthephysical
therapistdoactiverangeof motiontotherightarm
Correct Answer:2. Limiting movement andabductionof theright arm
4) A client diagnosed with thrombophlebitis 1 day ago suddenly complains of chest pain and
shortness of breath, and the client is visiblyanxious.TheLPN/LVN understandsthatalifethreateningcomplicationof this condition is which?
1. Pneumonia
2. Pulmonaryedema
3. Pulmonaryembolism
4. Myocardial infarction
Correct Answer: 3. Pulmonary embolism
5) A 24-year-old man seeks medical attention for complaints of claudicationinthe
archof thefoot.Thenursealsonotessuperficial
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thrombophlebitis of the lower leg.Thenurseshouldcheck theclient forwhichnext?
1. Smokinghistory
2. Recentexposuretoallergens
3. Historyof recent insectbites
4. Familial tendency towardperipheralvasculardisease
Correct Answer: 1. Smoking history
6) The LPN/LVN is preparing to ambulate a postoperative client after cardiacsurgery.
Thenurseplans todo whichtoenabletheclient tobesttolerate the ambulation?
1. Providetheclient witha walker.
2. Removethetelemetryequipment.
3. Encouragetheclient tocoughand deepbreathe.
4. Premedicatetheclient withananalgesicbeforeambulating.
Correct Answer: 4. Premedicate the client with an analgesic beforeambulating.
7) A client is wearing a continuous cardiac monitor, which begins to alarmat the nurse's
station. The nurse sees no electrocardiographic complexes on thescreen.Thenurse should
do which first?
1. Callacodeblue.
2. Call thehealthcareprovider.
3. Check theclient statusandleadplacement.
4. Press therecorderbuttonontheECG console.
Correct Answer: 3. Check theclient status and lead placement.
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8) The nurse has reinforced instructions to the client with Raynaud's disease about selfmanagement of the disease process. The nurse determines that theclientneeds further
teachingif theclientstates which?
1. "Smokingcessationis veryimportant."
2. "Movingtoa warmerclimateshould help."
3. "Sourcesofcaffeineshouldbeeliminatedfrom thediet."
4. "Takingnifedipine(Procardia)asprescribed willdecreasevesselspasm."
Correct Answer:2. "Moving toa warmerclimateshouldhelp."
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?
1. Rhonchi
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2. Crackles
3. Wheezes
4. Diminishedbreathsounds
Correct Answer:2. Crackles
10) The LPN/LVN is collecting data on a client with a diagnosis of rightsidedheart
failure.Thenurseshouldexpect tonote whichspecificcharacteristic of this condition?
1. Dyspnea
2. Hackingcough
3. Dependentedema
4. Cracklesonlungauscultation
Correct Answer: 3. Dependentedema
11) TheLPN/LVN ischeckingtheneurovascularstatusofaclient whoreturned 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.Thenurseinterprets that theneurovascularstatus is
which?
1. Moderately impaired,andthesurgeonshouldbecalled
2. Normal,causedby increasedbloodflow throughtheleg
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3. Slightly deteriorating, andshould be monitored for anotherhour4.Adequatefrom an
arterialapproach,butvenouscomplications arearising
Correct Answer:2. Normal, caused by increasedblood flow through theleg
12) A client with a diagnosis of rapid rate atrial fibrillation asks the nursewhy the health
care provider is going to perform carotid massage. The LPN/LVN responds that this
procedure may stimulate which?
1. Vagusnervetoslow theheartrate
2. Vagusnervetoincreasetheheartrate
3. Diaphragmaticnervetoslow theheart rate
4. Diaphragmaticnervetoincreasetheheart rate
Correct Answer: 1.Vagus nerve to slow the heart rate
13) A client is admitted to the hospital with possible rheumatic endocarditis.TheLPN/LVN
shouldcheck forahistoryof whichtypeofinfection?
1. Viral infection
2. Yeast infection
3. Streptococcal infection
4. Staphylococcal infection
Correct Answer: 3. Streptococcal [Show Less]