PN HESI Exit V2 Exam
The LPN\/LVN is preparing to ambulate a postoperative client after cardiac
surgery. The nurse plans to do which to enable the client to best tolerate the
ambulation?
(ANS- 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?
(ANS- 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.
(ANS1. Administering oxygen<\/p>\n\n\n\n
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?
(ANS- 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?
(ANS- 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?
(ANS- 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?
(ANS- “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?
(ANS- Crackles
The LPN\/LVN is collecting data on a client with a diagnosis of right-<\/p>\n\n\n\n
sided heart failure. The nurse should expect to note which specific characteristic of
this condition?
(ANS- 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?
(ANS- 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?
(ANS- Vagus nerve to slow the heart rate
A client is admitted to the hospital with possible rheumatic endocarditis. The
LPN\/LVN should check for a history of which type of infection?
(ANS- Staphylococcal infection
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?
(ANS- The boot has been applied too tightly<\/p>\n","protected":false},"excerpt":{"rendered":"
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