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
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r nurse's station. The nurse sees no electrocardiographic complexes on the screen.
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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
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r client suddenly develops extreme dyspnea, tachycardia, and lung crackles,
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r and the nurse suspects pulmonary edema. The nurse immediately notifies the
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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
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after insertion of a permanent demand pacemaker via the right
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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
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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
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r chest pain and shortness of breath, and the client is visibly anxious. The
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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
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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
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r to the surgical nursing unit 4 hours ago after undergoing an aortoiliac bypass
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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
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