HESI PN V2 Exit Exam Questions and Answers

2017 PN Hesi Exit V2

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.

Correct Answer: 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?

1. Call a code blue.

2. Call the health care provider.

3. Check the client status and lead placement.

4. Press the recorder button on the ECG console.

Correct Answer: 3. Check the client status and lead placement.

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.

1. Administering oxygen

2. Inserting a Foley catheter

3. Administering furosemide (Lasix)

4. Administering morphine sulfate intravenously

5. Transporting the client to the coronary care unit

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

Correct Answer:

1. Administering oxygen

2. Inserting a Foley catheter

3. Administering furosemide (Lasix)

4) The nurse is monitoring a client following cardioversion. Which

observations should be of highest priority to the nurse?

1. Blood pressure

2. Status of airway

3. Oxygen flow rate

4. Level of consciousness

Correct Answer: 2. Status of airway

5) 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?

1. Limiting movement and abduction of the left arm

2. Limiting movement and abduction of the right arm

3. 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

Correct Answer: 2. Limiting movement and abduction of 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?

1. Pneumonia

2. Pulmonary edema

3. Pulmonary embolism

4. Myocardial infarction

Correct Answer: 3. Pulmonary embolism

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?

1. Smoking history

2. Recent exposure to allergens

3. History of recent insect bites

4. Familial tendency toward peripheral vascular disease

Correct Answer: 1. Smoking history

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?

1. "Smoking cessation is very important."

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

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

4. "Taking nifedipine (Procardia) as prescribed will decrease vessel

spasm."

Correct Answer: 2. "Moving to a warmer climate should help."

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

2. Crackles

3. Wheezes

4. Diminished breath sounds

Correct Answer: 2. Crackles

10) 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?

1. Dyspnea

2. Hacking cough

3. Dependent edema

4. Crackles on lung auscultation

Correct Answer: 3. Dependent edema

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, 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?

1. Moderately impaired, and the surgeon should be called

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

3. Slightly deteriorating, and should be monitored for another hour

4. Adequate from an arterial approach, but venous complications are

arising

Correct Answer: 2. Normal, caused by increased blood flow through the

leg

12) 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?

1. Vagus nerve to slow the heart rate

2. Vagus nerve to increase the heart rate

3. Diaphragmatic nerve to slow the heart rate

4. Diaphragmatic nerve to increase the heart rate

Correct Answer: 1. Vagus nerve to slow the heart rate