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HESI 101 Final Review Latest Solutions
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FINAL “EXIT” HESI! Last day of Concorde LVN SchoolHESI Exit V2 Latest Solutions
1. The LPN/LVN is preparing to ambulate a postoperative client after cardiac
surgery. The nurse plans to do which to enable the client tobest 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 alarmat 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
pg. 1
, FINAL “EXIT” HESI! Last day of Concorde LVN School
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 isvisibly 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 clientfor 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 furtherteaching 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 willdecrease
vessel spasm."
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?
a. Rhonchi
b. Crackles
c. Wheezes
pg. 2
, FINAL “EXIT” HESI! Last day of Concorde LVN School
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 anotherhour
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 typeof
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,
pg. 3
, FINAL “EXIT” HESI! Last day of Concorde LVN School
and cool and the client verbalizes some numbness and tingling of thefoot. Which
interpretation should the nurse make of these findings?
a. The boot has not yet dried.
b. The boot is controlling leg edema.
c. The boot is impairing venous return.
d. The boot has been applied too tightly.
15. A client with angina complains that the anginal pain is prolonged and
severe and occurs at the same time each day, most often in the morning. On
further data collection, the nurse notes thatthe pain occurs in the absence of
precipitating factors. How should the LPN/LVN best describe this type of
anginal pain?
a. Stable angina
b. Variant angina
c. Unstable angina
d. Nonanginal pain
16. The LPN/LVN is monitoring a client with an abdominal aortic
aneurysm (AAA). Which finding is probably unrelated tothe AAA?
a. Pulsatile abdominal mass
b. Hyperactive bowel sounds in the area
c. Systolic bruit over the area of the mass
d. Subjective sensation of "heart beating" in the abdomen
17. An emergency department client who complains of slightly improved
but unrelieved chest pain for 2 days is reluctant to take a nitroglycerin
sublingual tablet offered by the nurse. The client states, "I don't need that—
my dad takes that for his heart. There's nothing wrong with my heart."
Which description best describes theclient's response?
a. Angry
b. Denial
c. Phobic
d. Obsessive-compulsive
18. A client is scheduled for a cardiac catheterization using a radiopaque
dye. The LPN/LVN checks which most critical item beforethe procedure?
a. Intake and output
b. Height and weight
c. Peripheral pulse rates
d. Prior reaction to contrast media
pg. 4
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