NCLEX NGN HESI EXIT EXAM 2024 LATEST

NCLEX NGN HESI EXIT EXAM 2024 LATEST

VERSION QUESTIONS AND ANSWERS BEST

GRADED A+ ASSURED SUCCESS FOR

NURSING

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. - ANSWER✔✔2. Be careful not to injure the legs or feet.

• Walk each day to increase circulation to the legs.
• Cut down on the amount of fats consumed in the diet.

A client is at risk for developing disseminated intravascular coagulopathy (DIC). The LPN/LVN should become concerned with which fibrinogen level? - ANSWER✔✔90 mg/dL 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? - ANSWER✔✔Assist the client to sit or lie down.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? - ANSWER✔✔Reviews the intake and output records for the last 2 days 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? - ANSWER✔✔Digoxin (Lanoxin)

• 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? - ANSWER✔✔Restricting the client's potassium intake 1 / 3

A client has an inoperable abdominal aortic aneurysm (AAA). Which measure should the nurse anticipate reinforcing when teaching the client? - ANSWER✔✔Antihypertensives 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!"? - ANSWER✔✔"Yes, this equipment is a little scary. Can we talk about how the cardiac monitor works?" 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? - ANSWER✔✔Shock 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? - ANSWER✔✔"When was the last time you had your blood pressure checked?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? - ANSWER✔✔Marking the location of the pedal pulses on the right leg When preparing a client for a pericardiocentesis, which position does the LPN/LVN place the client in? - ANSWER✔✔Supine with the head of bed elevated at a 45- to 60- degree angle 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? - ANSWER✔✔Using a bedside commode for stools 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? - ANSWER✔✔Place the client in high-Fowler's position. 2 / 3

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? - ANSWER✔✔The ability to take an accurate pulse in either the wrist or neck 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? - ANSWER✔✔At the midclavicular line at the fifth left intercostal space 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? - ANSWER✔✔Deficient oxygenation to heart cells results in angina pectoris pain.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)? - ANSWER✔✔Respirations and blood pressure 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? - ANSWER✔✔"I need to adhere to my dietary restrictions." 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? - ANSWER✔✔Lemonade 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? - ANSWER✔✔"Where is the pain located?"

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