1. The LPN/LVN is preparing to ambulate a postoperative client after cardiac
r r r r r r r r r r
r surgery. The nurse plans to do which to enable the client to best tolerate the
r r r r r r r r r r r r r r
r ambulation?
1. Provide the client with a walker. r r r r r
2. Remove the telemetry equipment. r r r
3. Encourage the client to cough and deep breathe. r r r r r r r
4. Premedicate the client with an analgesic before ambulating. r r r r r r r
2. A client is wearing a continuous cardiac monitor, which begins to alarm at the
r r r r r r r r r r r r r
r nurse's station. The nurse sees no electrocardiographic complexes on the screen.
r r r r r r r r r r
r The nurse should do which first?
r r r r r
a. Call a code blue. r r r
b. Call the health care provider. r r r r
c. Check the client status and lead placement. r r r r r r
d. Press the recorder button on the ECG console. r r r r r r r
3. 3) The LPN/LVN in a medical unit is caring for a client with heart failure. The
r r r r r r r r r r r r r r r
r client suddenly develops extreme dyspnea, tachycardia, and lung crackles,
r r r r r r r r
r and the nurse suspects pulmonary edema. The nurse immediately notifies the
r r r r r r r r r r
r registered nurse and expects which interventions to be prescribed? Select all
r r r r r r r r r r
r that apply. r
a. Administering oxygen r
b. Inserting a Foley catheter r r r
c. Administering furosemide (Lasix) r r
d. Administering morphine sulfate intravenously r r r
e. Transporting the client to the coronary care unit r r r r r r r
f. Placing the client in a low-Fowler's side-lying position r r r r r r r
4. The nurse is monitoring a client following cardioversion. Which
r r r r r r r r
r observations should be of highest priority to the nurse? r r r r r r r r
a. Blood pressure r
b. Status of airway r r
c. Oxygen flow rate r r
d. Level of consciousness r r
pg. 1
r
, FINAL “EXIT” HESI! Last day of Concorde LVN School – 04/16/2021
r r r r r r r r r r
5. The nurse is assisting in caring for the client immediately
r r r r r r r r r
after insertion of a permanent demand pacemaker via the right
r r r r r r r r r
pg. 2
r
, FINAL “EXIT” HESI! Last day of Concorde LVN School – 04/16/2021
r r r r r r r r r r
subclavian vein. The nurse prevents dislodgement of the pacing catheter
r r r r r r r r r
by implementing which intervention?
r r r r
a. Limiting movement and abduction of the left arm r r r r r r r
b. Limiting movement and abduction of the right arm r r r r r r r
c. Assisting the client to get out of bed and ambulate with a walker 4. r r r r r r r r r r r r r
Having the physical therapist do active range of motion to the
r r r r r r r r r r r
right arm r r
6. A client diagnosed with thrombophlebitis 1 day ago suddenly complains of
r r r r r r r r r r
r chest pain and shortness of breath, and the client is visibly anxious. The
r r r r r r r r r r r r
r LPN/LVN understands that a life-threatening complication of this
r r r r r r r
r condition is which? r r
a. Pneumonia
b. Pulmonary edema r
c. Pulmonary embolism r
d. Myocardial infarction r
7. A 24-year-old man seeks medical attention for complaints of claudication in
r r r r r r r r r r
r the arch of the foot. The nurse also notes superficial thrombophlebitis of the
r r r r r r r r r r r r
r lower leg. The nurse should check the client for which next?
r r r r r r r r r r
a. Smoking history r
b. Recent exposure to allergens r r r
c. History of recent insect bites r r r r
d. Familial tendency toward peripheral vascular disease r r r r r
8. The nurse has reinforced instructions to the client with Raynaud's
r r r r r r r r r
r disease about self-management of the disease process. The nurse
r r r r r r r r
r determines that the client needs further teaching if the client states
r r r r r r r r r r
r which?
a. "Smoking cessation is very important." r r r r
b. "Moving to a warmer climate should help." r r r r r r
c. "Sources of caffeine should be eliminated from the diet." r r r r r r r r
4. "Taking nifedipine (Procardia) as prescribed will decrease vessel
r r r r r r r r
spasm." r
9. A client with myocardial infarction suddenly becomes tachycardic, shows
r r r r r r r r
r signs of air hunger, and begins coughing frothy, pink- tinged sputum. The
r r r r r r r r r r r
r nurse listens to breath sounds, expecting to hear which breath sounds
r r r r r r r r r r
r bilaterally?
a. Rhonchi
b. Crackles
c. Wheezes
pg. 3
r
, FINAL “EXIT” HESI! Last day of Concorde LVN School – 04/16/2021
r r r r r r r r r r
d. Diminished breath sounds r r
10. The LPN/LVN is collecting data on a client with a diagnosis ofright sided
r r r r r r r r r r r r
r heart failure. The nurse should expect to note which specific characteristic
r r r r r r r r r r
r of this condition?
r r
a. Dyspnea
b. Hacking cough r
c. Dependent edema r
d. Crackles on lung auscultation r r r
11. The LPN/LVN is checking the neurovascular status of a client who returned
r r r r r r r r r r r
r to the surgical nursing unit 4 hours ago after undergoing an aortoiliac bypass
r r r r r r r r r r r r
r graft. The affected leg is warm, andthe nurse notes redness and edema. The
r r r r r r r r r r r r
r pedal pulse is palpable and unchanged from admission. The nurse interprets
r r r r r r r r r r
r that the neurovascular status is which?
r r r r r
a. Moderately impaired, and the surgeon should be called r r r r r r r
b. Normal, caused by increased blood flow through the leg r r r r r r r r
c. Slightly deteriorating, and should be monitored for another hour r r r r r r r r
d. Adequate from an arterial approach, but venous r r r r r r
complications are arising
r r r
12. A client with a diagnosis of rapid rate atrial fibrillation asks thenurse why the
r r r r r r r r r r r r r
r health care provider is going to perform carotid massage. The LPN/LVN
r r r r r r r r r r
r responds that this procedure may stimulate which?
r r r r r r
a. Vagus nerve to slow the heart rate r r r r r r
b. Vagus nerve to increase the heart rate r r r r r r
c. Diaphragmatic nerve to slow the heart rate r r r r r r
d. Diaphragmatic nerve to increase the heart rate r r r r r r
13. A client is admitted to the hospital with possible rheumatic endocarditis.
r r r r r r r r r r
r The LPN/LVN should check for a history of which type of infection?
r r r r r r r r r r r
a. Viral infection r
b. Yeast infection r
c. Streptococcal infection r
d. Staphylococcal infection r
14. A client has an Unna boot applied for treatment of a venous stasis leg ulcer.
r r r r r r r r r r r r r r
r The LPN/LVN notes that the client's toes are mottled,
r r r r r r r r
pg. 4
r
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Ascorers. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.69. You're not tied to anything after your purchase.
