PN HESI EXIT V1 & V2 2026-2027 EXAM/ HESI PN V1 & V2 EXAM 221 QUESTIONS AND

PN HESI EXIT V1 & V2 2026-2027 EXAM/ HESI PN V1 & V2 EXAM 221 QUESTIONS AND ANSWERS

PN HESI EXIT V1 & V2 2026-2027

EXAM/ HESI PN V1 & V2 EXAM

221 QUESTIONS AND

ANSWERS

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1. 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?

1. Provide the client with a walker.

2. Remove the telemetry equipment.

3. Encourage the client to cough and deep breathe.

4. Premedicate the client with an analgesic before ambulating.

2. 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?

a. Call a code blue.

b. Call the health care provider.

c. Check the client status and lead placement.

d. Press the recorder button on the ECG console.

3. 3) 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.

a. Administering oxygen

b. Inserting a Foley catheter

c. Administering furosemide (Lasix)

d. Administering morphine sulfate intravenously

e. Transporting the client to the coronary care unit

f. Placing the client in a low-Fowler's side-lying position

4. The nurse is monitoring a client following cardioversion.

Which observations should be of highest priority to the nurse?

a. Blood pressure

b. Status of airway

c. Oxygen flow rate

d. Level of consciousness

5. The nurse is assisting in caring for the client immediately

after insertion of a permanent demand pacemaker via the right

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subclavian vein. The nurse prevents dislodgement of the pacing

catheter by implementing which intervention?

a. Limiting movement and abduction of the left arm

b. Limiting movement and abduction of the right arm

c. Assisting the client to get out of bed and ambulate with a

walker 4. Having the physical therapist do active range of

motion to the right arm

6. 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?

a. Pneumonia

b. Pulmonary edema

c. Pulmonary embolism

d. Myocardial infarction

7. 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?

a. Smoking history

b. Recent exposure to allergens

c. History of recent insect bites

d. Familial tendency toward peripheral vascular disease

8. 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?

a. "Smoking cessation is very important."

b. "Moving to a warmer climate should help."

c. "Sources of caffeine should be eliminated from the diet."

4. "Taking nifedipine (Procardia) as prescribed will

decrease vessel spasm."

9. A client with myocardial infarction suddenly becomes tachycardic,

shows signs of air hunger, and begins coughing frothy, pinktinged sputum. The nurse listens to breath sounds, expecting to

hear which breath sounds bilaterally?

a. Rhonchi

b. Crackles

c. Wheezes

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d. Diminished breath sounds

10. The LPN/LVN is collecting data on a client with a diagnosis ofright

sided heart failure. The nurse should expect to note which specific

characteristic of this condition?

a. Dyspnea

b. Hacking cough

c. Dependent edema

d. Crackles on lung auscultation

11. 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, andthe nurse

notes redness and edema. The pedal pulse is palpable and

unchanged from admission. The nurse interprets that the

neurovascular status is which?

a. Moderately impaired, and the surgeon should be called

b. Normal, caused by increased blood flow through the leg

c. Slightly deteriorating, and should be monitored for another

hour

d. Adequate from an arterial approach, but venous

complications are arising

12. A client with a diagnosis of rapid rate atrial fibrillation asks thenurse

why the health care provider is going to perform carotid massage.

The LPN/LVN responds that this procedure may stimulate which?

a. Vagus nerve to slow the heart rate

b. Vagus nerve to increase the heart rate

c. Diaphragmatic nerve to slow the heart rate

d. Diaphragmatic nerve to increase the heart rate

13. A client is admitted to the hospital with possible rheumatic

endocarditis. The LPN/LVN should check for a history of which type

of infection?

a. Viral infection

b. Yeast infection

c. Streptococcal infection

d. Staphylococcal infection

14. A 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,