HESI Exit V2 (Nurse Hero Review) 221 Questions and Answers
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 equip...
hesi exit v2 nurse hero review 221 questions and answers
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HESI Exit V2 (Nurse Hero Review) 221 Questions and
Answers
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
pg. 1
, 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. 2
, 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
pg. 3
, frothy, pink- tinged sputum. The nurse listens to breath
sounds, expecting to hear which breath sounds bilaterally?
a. Rhonchi
b. Crackles
c. Wheezes
pg. 4
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