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HESI LPN ADN ENTRANCE EXAM MOBILITY EXAMS A GRADED 100% VERIFIED
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HESI LPN ADN ENTRANCE EXAM MOBILITY EXAMS A GRADED 100% VERIFIED
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HESI LPN ADN ENTRANCE EXAM MOBILITYEXAMS A GRADED 100% VERIFIED
• The LPN/LVN is preparing to ambulate a postoperative patient after cardiac
surgery. The nurse plans to do which to enable the patient tobest tolerate the
ambulation?
• Provide the patient with a walker.
• Remove the telemetry equipment.
• Encourage the patient to cough and deep breathe.
• Premedicate the patient with an analgesic before ambulating.
• A patient 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?
• Call a code blue.
• Call the health care provider.
• Check the patient status and lead placement.
• Press the recorder button on the ECG console.
• 3) The LPN/LVN in a medical unit is caring for a patient with heart failure. The
patient 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.
• Administering oxygen
• Inserting a Foley catheter
• Administering furosemide (Lasix)
• Administering morphine sulfate intravenously
• Transporting the patient to the coronary care unit
• Placing the patient in a low-Fowler's side-lying position
• The nurse is monitoring a patient following cardioversion. Which observations
should be of highest priority to the nurse?
• Blood pressure
• Status of airway
• Oxygen flow rate
• Level of consciousness
,• The nurse is assisting in caring for the patient 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?
• Limiting movement and abduction of the left arm
• Limiting movement and abduction of the right arm
• Assisting the patient to get out of bed and ambulate with a walker 4. Having
the physical therapist do active range of motion to the right arm
• A patient diagnosed with thrombophlebitis 1 day ago suddenly complains of
chest pain and shortness of breath, and the patient isvisibly anxious. The LPN/LVN
understands that a life-threatening complication of this condition is which?
• Pneumonia
• Pulmonary edema
• Pulmonary embolism
• Myocardial infarction
• 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 patientfor which next?
• Smoking history
• Recent exposure to allergens
• History of recent insect bites
• Familial tendency toward peripheral vascular disease
• The nurse has reinforced instructions to the patient with Raynaud's disease
about self-management of the disease process. The nurse determines that the
patient needs furtherteaching if the patient states which?
• "Smoking cessation is very important."
• "Moving to a warmer climate should help."
• "Sources of caffeine should be eliminated from the diet."
4. "Taking nifedipine (Procardia) as prescribed willdecrease vessel spasm."
• A patient 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?
• Rhonchi
• Crackles
• Wheezes
,• Diminished breath sounds
• The LPN/LVN is collecting data on a patient with a diagnosis ofright sided heart
failure. The nurse should expect to note which specificcharacteristic of this condition?
• Dyspnea
• Hacking cough
• Dependent edema
• Crackles on lung auscultation
• The LPN/LVN is checking the neurovascular status of a patient who returned to
the surgical nursing unit 4 hours ago after undergoingan 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?
• Moderately impaired, and the surgeon should be called
• Normal, caused by increased blood flow through the leg
• Slightly deteriorating, and should be monitored for anotherhour
• Adequate from an arterial approach, but venouscomplications are arising
• A patient with a diagnosis of rapid rate atrial fibrillation asks thenursewhy the
health care provider is going to perform carotid massage. The LPN/LVN responds that
this procedure may stimulate which?
• Vagus nerve to slow the heart rate
• Vagus nerve to increase the heart rate
• Diaphragmatic nerve to slow the heart rate
• Diaphragmatic nerve to increase the heart rate
• A patient is admitted to the hospital with possible rheumatic endocarditis. The
LPN/LVN should check for a history of which typeof infection?
• Viral infection
• Yeast infection
• Streptococcal infection
• Staphylococcal infection
• A patient has an Unna boot applied for treatment of a venous stasisleg ulcer.
The LPN/LVN notes that the patient's toes are mottled,
and cool and the patient verbalizes some numbness and tingling of thefoot. Which
interpretation should the nurse make of these findings?
• The boot has not yet dried.
, • The boot is controlling leg edema.
• The boot is impairing venous return.
• The boot has been applied too tightly.
• A patient 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?
• Stable angina
• Variant angina
• Unstable angina
• Nonanginal pain
• The LPN/LVN is monitoring a patient with an abdominal aorticaneurysm (AAA).
Which finding is probably unrelated tothe AAA?
• Pulsatile abdominal mass
• Hyperactive bowel sounds in the area
• Systolic bruit over the area of the mass
• Subjective sensation of "heart beating" in the abdomen
• An emergency department patient 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 patient states, "I don't need that—my dad takes that for his
heart. There's nothing wrong with my heart." Which description best describes the
patient's response?
• Angry
• Denial
• Phobic
• Obsessive-compulsive
• A patient is scheduled for a cardiac catheterization using a radiopaquedye. The
LPN/LVN checks which most critical item beforethe procedure?
• Intake and output
• Height and weight
• Peripheral pulse rates
• Prior reaction to contrast media
• A patient is scheduled for a dipyridamole thallium scan. TheLPN/ LVN should
check to make sure that the patient has not consumedwhich substance before the
procedure?
• Caffeine
• Fatty meal
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