FINAL “EXIT” HESI! Last day of Concorde LVNSchool – 04/16/2021
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1. The LPN/LVN is preparing to ambulate a postoperative client after
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ij cardiac surgery. The nurse plans to do which to enable the client to
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ij best tolerate the ambulation? ij ij ij
1. Provide the client with a walker. i j i j i j i j i j
2. Remove the telemetry equipment. ij ij ij
3. Encourage the client to cough and deep breathe. ij ij ij ij ij ij ij
4. Premedicate the client with an analgesic before ambulating. ij ij ij ij ij ij ij
2. A client is wearing a continuous cardiac monitor, which begins to alarm
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ij at the nurse's station. The nurse sees no electrocardiographic complexes
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ij on the screen. The nurse should do which first?
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a. Call a code blue. ij ij ij
b. Callthe health careprovider. ij ij ij ij
c. Check the client status and lead placement. ij ij ij ij ij ij
d. Press the recorder button on the ECG console. ij ij ij ij ij ij ij
3. 3) The LPN/LVN in a medical unit is caring for a client with heart
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ij failure. The client suddenly develops extreme dyspnea, tachycardia,
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ij and lung crackles, and the nurse suspects pulmonary edema. The
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ij nurse immediately notifies the registered nurse and expects which
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ij interventions to be prescribed? Select all that apply. ij ij ij ij ij ij ij
a. Administering oxygen i j ij
b. ij
c. Administering furosemide (Lasix) ij ij
d. Administering morphine sulfate intravenously ij ij ij
e. Transporting the client to the coronary care unit ij ij ij ij ij ij ij
f. Placing the client in a low-Fowler's side-lying position ij ij ij ij ij ij ij
4. The nurse is monitoring a client following cardioversion.
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i j Which observations should be of highest priority to the nurse?
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a. Blood pressure ij
b. Status of airway ij ij
c. Oxygen flow rate ij ij
d. Level of consciousness ij ij
, FINAL “EXIT” HESI! Last day of Concorde LVNSchool – 04/16/2021
ij ij ij ij ij ij ij ij ij ij
s EXAM
before
Ipen
ANSwhen
modium
Reduceda(MOBILITY
Diuretics
transportprocedure
your
is
tremors
Aspirin
Das
rug
the ,Blood
for
ij ij EXAMS)
?
potassium
used for
and -required
bipolar
glucose ANS
- ANS level
reduced
thinners A+
24-48
disorder GRADED
isby hours
above
Diarrhea
drooling
Drugs for
-the
ANS W
body 100%
Normal
aLithium
5 ? - ANS
Anticholinergic
hen
cells VERIFIED
potassium
Hypernatermia
effects
aFunction
patient
Hypertension
from -the of How
levelslong
Parkinson's
isbloodstream
ANS ofon Coumadin
BetaBlockers
insulin
ijijij
ANSshould
,-- dsythrimas
ANS
to 3.5-5
you
or Metformin
Winishat
medication
should
Thiazide
Insulin
the the
individual hap
heart
-cells
not ANS
giveto-
needed ij ij ij ij ij ij ij ij ij ijij ij ij ij ij
be used
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an energy
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5. The nurse is assisting in caring for the client immediately
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after insertion of a permanent demand pacemaker via the right
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, FINAL “EXIT” HESI! Last day of Concorde LVNSchool – 04/16/2021
ij ij ij ij ij ij ij ij ij ij
s EXAM
before
Ipen
ANSwhen
modium
Reduceda(MOBILITY
Diuretics
transportprocedure
your
is
tremors
Aspirin
Das
rug
the ,Blood
for
ij ij EXAMS)
?
potassium
used for
and -required
bipolar
glucose ANS
- ANS level
reduced
thinners A+
24-48
disorder GRADED
isby hours
above
Diarrhea
drooling
Drugs for
-the
ANS W
body 100%
Normal
aLithium
5 ? - ANS
Anticholinergic
hen
cells VERIFIED
potassium
Hypernatermia
effects
aFunction
patient
Hypertension
from -the of How
levelslong
Parkinson's
isbloodstream
ANS ofon Coumadin
BetaBlockers
insulin ANSshould
,-- dsythrimas
ANS
to 3.5-5
you
or Metformin
Winishat
medication
should
Thiazide
Insulin
the the
individual
ijijij hap
heart
-cells
not ANS
giveto-
needed ij ij ij ij ij ij ij ij ij ijij ij ij ij ij
be used
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an energy
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subclavian vein. The nurse prevents dislodgement of the pacing ij ij ij ij ij ij ij ij
catheter by implementing which intervention?
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a. Limiting movement and abduction of the left arm ij ij ij ij ij ij ij
b. Limiting movement and abduction of the right arm ij ij ij ij ij ij ij
c. Assisting the client to get out of bed and ambulate with a ij ij ij ij ij ij ij ij ij ij ij
walker 4. Having the physical therapist do active range of
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motion to the right arm ij ij ij ij ij
6. A client diagnosed with thrombophlebitis 1 day ago suddenly
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ij complains of chest pain and shortness of breath, and the client is ij ij ij ij ij ij ij ij ij ij ij
ij visibly anxious. The LPN/LVN understands that a life-threatening
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ij complication of this condition is which? ij ij ij ij ij
a. Pneumonia
b. Pulmonary edema ij
c. Pulmonary embolism i j
d. Myocardial infarction i j
7. A 24-year-old man seeks medical attention for complaints of
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ij claudication in the arch of the foot. The nurse also notes superficial ij ij ij ij ij ij ij ij ij ij ij
ij thrombophlebitis of the lower leg. The nurse should check the client ij ij ij ij ij ij ij ij ij ij
ij for which next? ij ij
a. Smoking history ij
b. Recent exposure to allergens ij ij ij
c. History of recent insect bites ij ij ij ij
d. Familial tendency toward peripheral vascular disease ij ij ij ij ij
8. The nurse has reinforced instructions to the client with
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ij Raynaud's disease about self-management of the disease ij ij ij ij ij ij
ij process. The nurse determines that the client needs further ij ij ij ij ij ij ij ij
ij teaching if the client states which? ij ij ij ij ij
a. "Smoking cessation is very important." ij ij ij ij
b. "Moving to a warmer climate should help." ij ij ij ij ij ij
c. "Sources of caffeine should be eliminated from the diet." ij ij ij ij ij ij ij ij
4. "Taking nifedipine (Procardia) as prescribed will decrease
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vessel spasm." ij ij
9. A client with myocardial infarction suddenly becomes tachycardic,
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ij shows signs of air hunger, and begins coughing frothy, pink-
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i tinged sputum. The nurse listens to breath sounds, expecting to
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ij hear which breath sounds bilaterally?
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a. Rhonchi
b. Crackles
c. Wheezes
, FINAL “EXIT” HESI! Last day of Concorde LVNSchool – 04/16/2021
ij ij ij ij ij ij ij ij ij ij
s EXAM
before
Ipen
ANSwhen
modium
Reduceda(MOBILITY
Diuretics
transportprocedure
your
is
tremors
Aspirin
Das
rug
the ,Blood
for
ij ij EXAMS)
?
potassium
used for
and -required
bipolar
glucose ANS
- ANS level
reduced
thinners A+
24-48
disorder GRADED
isby hours
above
Diarrhea
drooling
Drugs for
-the
ANS W
body 100%
Normal
aLithium
5 ? - ANS
Anticholinergic
hen
cells VERIFIED
potassium
Hypernatermia
effects
aFunction
patient
Hypertension
from -the of How
levelslong
Parkinson's
isbloodstream
ANS ofon Coumadin
BetaBlockers
insulin ANSshould
,-- dsythrimas
ANS
to 3.5-5
you
or Metformin
Winishat
medication
should
Thiazide
Insulin
the the
individual hap
heart
-cells
not ANS
giveto-
needed
ijijij ij ij ij ij ij ij ij ij ij ijij ij ij ij ij
be used
ij
ij
an energy
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d. Diminished breath sounds i j i j
10. The LPN/LVN is collecting data on a client with a diagnosis ofright
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ij sided heart failure. The nurse should expect to note which specific
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ij characteristic of this condition? ij ij ij
a. Dyspnea
b. Hacking cough ij
c. Dependent edema i j
d. Crackles on lung auscultation ij ij ij
11. The LPN/LVN is checking the neurovascular status of a client who
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ij returned to the surgical nursing unit 4 hours ago after undergoing ij ij ij ij ij ij ij ij ij i j
ij an aortoiliac bypass graft. The affected leg is warm, andthe nurse
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ij notes redness and edema. The pedal pulse is palpable and
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ij unchanged from admission. The nurse interprets that the ij ij ij ij ij ij ij
i j neurovascular status is which? ij ij ij
a. Moderately impaired, and the surgeon should be called ij ij ij ij ij ij ij
b. Normal, caused by increased blood flow through the leg ij ij ij ij ij ij ij ij
c. Slightly deteriorating, and should be monitored for another ij ij ij ij ij ij ij
hour ij
d. Adequate from an arterial approach, but venous ij ij ij ij ij ij
complications are arising ij ij ij
12. A client with a diagnosis of rapid rate atrial fibrillation asks thenurse
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ij why the health care provider is going to perform carotid massage.
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ij The LPN/LVN responds that this procedure may stimulate which?
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a. Vagus nerve to slow the heart rate ij ij ij ij ij ij
b. Vagus nerve to increase the heart rate ij ij ij ij ij ij
c. Diaphragmatic nerve to slow the heart rate ij ij ij ij ij ij
d. Diaphragmatic nerve to increase the heart rate ij ij ij ij ij ij
13. A client is admitted to the hospital with possible rheumatic
ij ij ij ij ij ij ij ij ij
ij endocarditis. The LPN/LVN should check for a history of which type of ij ij ij ij ij ij ij ij ij ij ij
ij infection?
a. Viral infection ij
b. Yeast infection ij
c. Streptococcal infection i j
d. Staphylococcal infection i j
14. A client has an Unna boot applied for treatment of a venous stasis
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ij leg ulcer. The LPN/LVN notes that the client's toes are mottled,
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