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2020 PN HESI EXIT EXAM WITH NGN QUESTIONS AND VERIFIED ANSWERS UPDATED 2023 RATED A+
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2020 PN HESI EXIT EXAM WITH NGN QUESTIONS AND VERIFIED ANSWERS UPDATED 2023 RATED A+
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2020 PN HESI EXIT EXAMWITH NGN QUESTIONS AND
VERIFIED ANSWERS
UPDATED 2023 RATED A+
1) The LPN/LVN is preparing to ambulate a postoperative patient after
cardiac surgery. The nurse plans to do which to enable the patient to
besttolerate the ambulation?
1. Provide the patient with a walker.
2. Remove the telemetry equipment.
3. Encourage the patient to cough and deep breathe.
4. Premedicate the patient with an analgesic before ambulating.
Right Choice: 4. Premedicate the patient with an analgesic before
ambulating.
2) A patient is wearing a continuous cardiac monitor, which begins
toalarm at the nurse's station. The nurse sees no electrocardiographic
complexes on the screen. The nurse should do which first?
1. Call a code blue.
2. Call the health care provider.
3. Check the patient status and lead placement.
4. Press the recorder button on the ECG console.
Right Choice: 3. Check the patient status and lead placement.
3) The LPN/LVN in a medical unit is caring for a patient with heart
failure. The patient suddenly develops extreme dyspnea, tachycardia,
andlung 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.
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4. Administering morphine sulfate intravenously
,5. Transporting the patient to the coronary care unit
,6. Placing the patient in a low-Fowler's side-lying position
Right Choice:
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
4) The nurse is monitoring a patient following cardioversion.
Whichobservations should be of highest priority to the nurse?
1. Blood pressure
2. Status of airway
3. Oxygen flow rate
4. Level of consciousness
Right Choice: 2. Status of airway
5) The nurse is assisting in caring for the patient immediately after
insertion of a permanent demand pacemaker via the right subclavian
vein. The nurse prevents dislodgement of the pacing catheter by
implementing which intervention?
1. Limiting movement and abduction of the left arm
2. Limiting movement and abduction of the right arm
3. Assisting the patient to get out of bed and ambulate with a walker
4. Having the physical therapist do active range of motion to the right
arm
Right Choice: 2. Limiting movement and abduction of the right arm
6) 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?
1. Pneumonia
, 2. Pulmonary edema
3. Pulmonary embolism
4. Myocardial infarction
Right Choice: 3. Pulmonary embolism
7) 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?
1. Smoking history
2. Recent exposure to allergens
3. History of recent insect bites
4. Familial tendency toward peripheral vascular disease
Right Choice: 1. Smoking history
8) The nurse has reinforced instructions to the patient with
Raynaud'sdisease about self-management of the disease process.
The nurse determines that the patient needs further teaching if the
patient states which?
1. "Smoking cessation is very important."
2. "Moving to a warmer climate should help."
3. "Sources of caffeine should be eliminated from the diet."
4. "Taking nifedipine (Procardia) as prescribed will decrease vessel
spasm."
Right Choice: 2. "Moving to a warmer climate should help."
9) 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?
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