lOMoAR cPSD|19500986
lOMoAR cPSD|19500986
2023 PN HESI EXIT VERSION 6 EXAM ACTUAL
EXAM/PN HESI EXIT /HESI EXIT PN NEWEST EXAM
160 QUESTIONS AND CORRECT ANSWERS|ALREADY
GRADED A+
- 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
lOMoAR cPSD|19500986
lOMoAR cPSD|19500986
- 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?
lOMoAR cPSD|19500986
- Rhonchi
- Crackles
- Wheezes
- Diminished breath sounds
Correct Answer: 2. Crackles
- 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?
- 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?