Page 1 of 29 1 HESI PN EXIT EXAM TESTBANK WITH NEXT GENERATION NCLEX VERIFIED QUESTIONS (NGN) RATED A client is seen in the health care provider's office for a physical examination after experiencing unusual fatigue over the last several weeks. Height is 5 feet, 8 inches, wi th a weight of 220 pounds. Vital signs are temperature 98.6° F oral, pulse 86 beats per minute, respirations 18 breaths per minute, and blood pressure 184/96 mm Hg. Random blood glucose is 110 mg/dL. In order to best collect relevant data, which question s hould the LPN/LVN ask the client first? - ANSWER -"When was the last time you had your blood pressure checked ? The client scheduled for a right femoropopliteal bypass graft is at risk for compromised tissue perfusion to the extremity. The LPN/LVN takes whi ch action before surgery to address this risk? - ANSWER -Marking the location of the pedal pulses on the right leg When preparing a client for a pericardiocentesis, which position does the LPN/LVN place the client in? - ANSWER -Supine with the head of bed e levated at a 45 - to 60 - degree angle Page 2 of 29 2 For a client diagnosed with pulmonary edema, the LPN/LVN establishes a goal to have the client participate in activities that reduce cardiac workload. Which client activities will contribute to achieving this goal? - ANSWER -Using a bedside commode for stoo ls The LPN/LVN is caring for a client who is developing pulmonary edema. The client exhibits respiratory distress, but the blood pressure is unchanged from the client's baseline. As an immediate action before help arrives, the nurse should perform which a ction? - ANSWER -Place the client in high -Fowler's position. The LPN/LVN has reinforced home care instructions to a client who had a permanent pacemaker inserted. Which educational outcome has the greatest impact on the client's long -
term cardiac health? - ANSWER -The ability to take an accurate pulse in either the wrist or neck The clinic nurse is obtaining cardiovascular data on a client. The LPN/LVN prepares to check the client's apical pulse and places the stethoscope in which position? - ANSWER -At the midclavicular line at the fifth left intercostal space The LPN/LVN is caring for a client who has been admitted to the hospital with a diagnosis of angina pectoris. The client is receiving oxygen via nasal cannula at 2 L. The client asks the nurse why the oxygen is necessary. The LPN/LVN bases the response on which information? - ANSWER -Deficient oxygenation to heart cells results in angina pectoris pain. Page 3 of 29 3 The licensed practical nurse (LPN) is assisting in caring for a client with a diagnosis of myocardial infarction (MI). The client is experiencing chest pain that is unrelieved by the administration of nitroglycerin. The registered nurse administers morphine sulfate to the client as prescribed by the health care provider. Following administration of the mo rphine sulfate, the LPN plans to monitor which indicator(s)? - ANSWER -Respirations and blood pressure A client diagnosed with angina pectoris returns to the nursing unit after experiencing an angioplasty. The nurse reinforces instructions to the client re garding the procedure and home care measures. Which statement by the client indicates an understanding of the instructions? - ANSWER -"I need to adhere to my dietary restrictions." The LPN/LVN is caring for a client with a diagnosis of myocardial infarctio n (MI) and is assisting the client in completing the diet menu. Which beverage does the nurse instruct the client to select from the menu? - ANSWER -Lemonade The LPN/LVN is collecting data on a client with a diagnosis of angina pectoris who takes nitroglyc erin for chest pain. During the admission, the client reports chest pain. The nurse immediately asks the client which question? - ANSWER -"Where is the pain located?" The LPN/LVN has reinforced dietary instructions to a client with coronary artery disease. Which statement by the client indicates an understanding of the dietary instructions? - ANSWER -"I should routinely use polyunsaturated oils in my diet."
term cardiac health? - ANSWER -The ability to take an accurate pulse in either the wrist or neck The clinic nurse is obtaining cardiovascular data on a client. The LPN/LVN prepares to check the client's apical pulse and places the stethoscope in which position? - ANSWER -At the midclavicular line at the fifth left intercostal space The LPN/LVN is caring for a client who has been admitted to the hospital with a diagnosis of angina pectoris. The client is receiving oxygen via nasal cannula at 2 L. The client asks the nurse why the oxygen is necessary. The LPN/LVN bases the response on which information? - ANSWER -Deficient oxygenation to heart cells results in angina pectoris pain. Page 3 of 29 3 The licensed practical nurse (LPN) is assisting in caring for a client with a diagnosis of myocardial infarction (MI). The client is experiencing chest pain that is unrelieved by the administration of nitroglycerin. The registered nurse administers morphine sulfate to the client as prescribed by the health care provider. Following administration of the mo rphine sulfate, the LPN plans to monitor which indicator(s)? - ANSWER -Respirations and blood pressure A client diagnosed with angina pectoris returns to the nursing unit after experiencing an angioplasty. The nurse reinforces instructions to the client re garding the procedure and home care measures. Which statement by the client indicates an understanding of the instructions? - ANSWER -"I need to adhere to my dietary restrictions." The LPN/LVN is caring for a client with a diagnosis of myocardial infarctio n (MI) and is assisting the client in completing the diet menu. Which beverage does the nurse instruct the client to select from the menu? - ANSWER -Lemonade The LPN/LVN is collecting data on a client with a diagnosis of angina pectoris who takes nitroglyc erin for chest pain. During the admission, the client reports chest pain. The nurse immediately asks the client which question? - ANSWER -"Where is the pain located?" The LPN/LVN has reinforced dietary instructions to a client with coronary artery disease. Which statement by the client indicates an understanding of the dietary instructions? - ANSWER -"I should routinely use polyunsaturated oils in my diet."
