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2020 PN HESI EXIT EXAMS
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PN Hesi Exit Exam2020.
,2020 PN HESI EXIT EXAMS
Replace a. with a and u. with u
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.
Correct Answer: 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?
1. Call a code blue.
2. Call the health care provider.
3. Check the client status and lead placement.
4. Press the recorder button on the ECG console.
Correct Answer: 3. Check the client status and lead placement.
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.
1. A.dministering oxygen
2. Inserting a. Foley ca.theter
3. A.dministering fu.rosemide (La.six)
4. A.dministering morphine su.lfa.te intra.venou.sly
5. Tra.nsporting the client to the corona.ry ca.re u.nit
6. Pla.cing the client in a. low-Fowler's side-lying position
Correct A.nswer:
,1. A.dministering oxygen
2. Inserting a. Foley ca.theter
3. A.dministering fu.rosemide (La.six)
4) The nurse is monitoring a client following cardioversion. Which observations
should be of highest priority to the nurse?
1. Blood pressure
2. Status of airway
3. Oxygen flow rate
4. Level of consciousness
Correct Answer: 2. Status of airway
5) The nurse is assisting in caring for the client 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 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
Correct Answer: 2. Limiting movement and abduction of 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?
1. Pneu.monia.
2. Pu.lmona.ry edema.
3. Pu.lmona.ry embolism
4. Myoca.rdia.l infa.rction
Correct A.nswer: 3. Pu.lmona.ry embolism
, 7) A. 24-yea.r-old ma.n seeks medica.l a.ttention for compla.ints of
cla.u.dica.tion in the a.rch of the foot. The nu.rse a.lso notes su.perficia.l
thrombophlebitis of the lower leg. The nu.rse shou.ld check the client for
which next?
1. Smoking history
2. Recent exposu.re to a.llergens
3. History of recent insect bites
4. Fa.milia.l tendency towa.rd periphera.l va.scu.la.r disea.se
Correct A.nswer: 1. Smoking history
8) The nu.rse ha.s reinforced instru.ctions to the client with Ra.yna.u.d's
disea.se a.bou.t self-ma.na.gement of the disea.se process. The nu.rse
determines tha.t the client needs fu.rther tea.ching if the client sta.tes
which?
1. "Smoking cessa.tion is very importa.nt."
2. "Moving to a. wa.rmer clima.te shou.ld help."
3. "Sou.rces of ca.ffeine shou.ld be elimina.ted from the diet."
4. "Ta.king nifedipine (Proca.rdia.) a.s prescribed will decrea.se vessel
spa.sm."
Correct A.nswer: 2. "Moving to a. wa.rmer clima.te shou.ld help."
9) A. client with myoca.rdia.l infa.rction su.ddenly becomes
ta.chyca.rdic, shows signs of a.ir hu.nger, a.nd begins cou.ghing frothy,
pink-tinged spu.tu.m. The nu.rse listens to brea.th sou.nds, expecting to
hea.r which brea.th sou.nds bila.tera.lly?
1. Rhonchi
2. Cra.ckles
3. Wheezes
4. Diminished brea.th sou.nds
Correct A.nswer: 2. Cra.ckles
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