NGN HESI PN EXIT EXAM ACTUAL EXAM REAL
EXAM QUESTIONS WITH DETAILED VERIFIED
ANSWERS/A+ GRADE ASSURED
• The LPN/LVN is preparing to ambulate a postoperative patient after
cardiac surgery. The nurse plans to do which to enable the patient to best
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.
Correct Answer: 4. Premedicate the patient with an analgesic beforeambulating.
• A patient 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?
• Call a code blue.
• Call the health care provider.
• Check the patient status and lead placement.
• Press the recorder button on the ECG console.
Correct Answer: 3. Check the patient status and lead placement.
• 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
Correct Answer: 2. Status of airway
• The nurse is assisting in caring for the patient immediately after
insertion of a permanent demand pacemaker via the right subclavianvein.
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
• Having the physical therapist do active range of motion to the rightarm
,Correct Answer: 2. Limiting movement and abduction of the right arm
• A patient diagnosed with thrombophlebitis 1 day ago suddenly complains
of chest pain and shortness of breath, and the patient is visibly anxious. The
LPN/LVN understands that a life-threatening complicationof this condition is
which?
• 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 patient forwhich next?
• Smoking history
• Recent exposure to allergens
• History of recent insect bites
• Familial tendency toward peripheral vascular disease
Correct Answer: 1. Smoking history
• 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 further teaching 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."
• "Taking nifedipine (Procardia) as prescribed will decrease vessel
spasm."
Correct Answer: 2. "Moving to a warmer climate should help."
• 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?
• The LPN/LVN is collecting data on a patient with a diagnosis of right-
sided heart failure. The nurse should expect to note which specific
characteristic of this condition?
• The LPN/LVN is checking the neurovascular status of a patient who
returned to the surgical nursing unit 4 hours ago after undergoing an
aortoiliac bypass graft. The affected leg is warm, and the nurse notes
redness and edema. The pedal pulse is palpable and unchanged from
admission. The nurse interprets that the neurovascular status is which?
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