1. The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery. The nurse plans to do which to enable the client to best tolerate the ambulation? 1. Provide the client with a walker. 2. Remove the telemetry equipment. 3. Encourage the client to cough and deep breathe. 4. P...
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, HESI LPN-ADN ENTRANCE EXAM
FINAL “EXIT” HESI! Last day of Concorde LVN School – 04/16/2021
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1. The LPN/LVN is preparing to ambulate a postoperative client after
cardiac surgery. The nurse plans to do which to enable the client to
best tolerate the ambulation?
1. Provide the client with a walker.
2. Remove the telemetry equipment.
3. Encourage the client to cough and deep breathe.
4. Premedicate the client with an analgesic before ambulating.
2. A client 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?
a. Call a code blue.
b. Call the health care provider.
c. Check the client status and lead placement.
d. Press the recorder button on the ECG console.
3. 3) The LPN/LVN in a medical unit is caring for a client with heart
failure. The client 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.
a. Administering oxygen
b. Inserting a Foley catheter
c. Administering furosemide (Lasix)
d. Administering morphine sulfate intravenously
e. Transporting the client to the coronary care unit
f. Placing the client in a low-Fowler's side-lying position
4. The nurse is monitoring a client following cardioversion.
Which observations should be of highest priority to the nurse?
a. Blood pressure
b. Status of airway
c. Oxygen flow rate
d. Level of consciousness
5. The nurse is assisting in caring for the client immediately
after insertion of a permanent demand pacemaker via the right
pg. 1
, HESI LPN-ADN ENTRANCE EXAM
FINAL “EXIT” HESI! Last day of Concorde LVN School – 04/16/2021
HESI LPN-ADN ENTRANCE
s EXAM
before
Ipen
modium
(MOBILITY
whena(MOBILITY
procedure
your forEXAMS)
?- -ANS
potassium
is used ANS
EXAMS)
A+
24-48
level GRADED
hours
is above
Diarrhea
A+ GRADED
?100%
a 5Normal VERIFIED
potassium
- ANS
Anticholinergic
100%
How
effects oflevels
Hypernatermia long
VERIFIED
should
-, ANS Metformin
3.5-5
dsythrimas
Parkinson's What
in thehap
medication -heart
ANS
Reduced
ANS
Diuretics
transport
be used
eye on tremors
Aspirin
Das
rug
the ,Blood
an
nearby for and
glucose
energy
objects reduced
thinners
bipolar
required
source drooling
Drugs
disorder
by- the
ANS
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subclavian vein. The nurse prevents dislodgement of the pacing
catheter by implementing which intervention?
a. Limiting movement and abduction of the left arm
b. Limiting movement and abduction of the right arm
c. Assisting the client to get out of bed and ambulate with a
walker 4. Having the physical therapist do active range of
motion to the right arm
6. A client diagnosed with thrombophlebitis 1 day ago suddenly
complains of chest pain and shortness of breath, and the client is
visibly anxious. The LPN/LVN understands that a life-threatening
complication of this condition is which?
a. Pneumonia
b. Pulmonary edema
c. Pulmonary embolism
d. Myocardial infarction
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 client
for which next?
a. Smoking history
b. Recent exposure to allergens
c. History of recent insect bites
d. Familial tendency toward peripheral vascular disease
8. The nurse has reinforced instructions to the client with
Raynaud's disease about self-management of the disease
process. The nurse determines that the client needs further
teaching if the client states which?
a. "Smoking cessation is very important."
b. "Moving to a warmer climate should help."
c. "Sources of caffeine should be eliminated from the diet."
4. "Taking nifedipine (Procardia) as prescribed will
decrease vessel spasm."
9. A client 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?
a. Rhonchi
b. Crackles
c. Wheezes
pg. 2
, HESI LPN-ADN ENTRANCE EXAM
FINAL “EXIT” HESI! Last day of Concorde LVN School – 04/16/2021
HESI LPN-ADN ENTRANCE
s EXAM
before
Ipen
modium
(MOBILITY
whena(MOBILITY
procedure
your forEXAMS)
?- -ANS
potassium
is used ANS
EXAMS)
A+
24-48
level GRADED
hours
is above
Diarrhea
A+ GRADED
?100%
a 5Normal VERIFIED
potassium
- ANS
Anticholinergic
100%
How
effects oflevels
Hypernatermia long
VERIFIED
should
-, ANS Metformin
3.5-5
dsythrimas
Parkinson's What
in thehap
medication -heart
ANS
Reduced
ANS
Diuretics
transport
be used
eye on tremors
Aspirin
Das
rug
the ,Blood
an
nearby for and
glucose
energy
objects reduced
thinners
bipolar
required
source drooling
Drugs
disorder
by- the
ANS
Presbyopia When
forbody
Lithium aFunction
Hypertension
- cells
ANS patient
from-theisof
ANS on Coumadin
BetaBlockers
insulin
bloodstream
Age-related - ANS
decreased you should
or Thiazide
Insulin
toability
the notcells
toisfocus
needed
individual give
the -
toto
d. Diminished breath sounds
10. The LPN/LVN is collecting data on a client with a diagnosis ofright
sided heart failure. The nurse should expect to note which specific
characteristic of this condition?
a. Dyspnea
b. Hacking cough
c. Dependent edema
d. Crackles on lung auscultation
11. The LPN/LVN is checking the neurovascular status of a client who
returned to the surgical nursing unit 4 hours ago after undergoing
an aortoiliac bypass graft. The affected leg is warm, andthe nurse
notes redness and edema. The pedal pulse is palpable and
unchanged from admission. The nurse interprets that the
neurovascular status is which?
a. Moderately impaired, and the surgeon should be called
b. Normal, caused by increased blood flow through the leg
c. Slightly deteriorating, and should be monitored for another
hour
d. Adequate from an arterial approach, but venous
complications are arising
12. A client with a diagnosis of rapid rate atrial fibrillation asks thenurse
why the health care provider is going to perform carotid massage.
The LPN/LVN responds that this procedure may stimulate which?
a. Vagus nerve to slow the heart rate
b. Vagus nerve to increase the heart rate
c. Diaphragmatic nerve to slow the heart rate
d. Diaphragmatic nerve to increase the heart rate
13. A client is admitted to the hospital with possible rheumatic
endocarditis. The LPN/LVN should check for a history of which type
of infection?
a. Viral infection
b. Yeast infection
c. Streptococcal infection
d. Staphylococcal infection
14. A client has an Unna boot applied for treatment of a venous stasis
leg ulcer. The LPN/LVN notes that the client's toes are mottled,
pg. 3
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