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...
FINAL “EXIT” HESI! Last day of Concorde LVN School – 04/16/2021 EXAM (MOBILITY EXAMS) A+ GRADED 100% VERIFIED How long should Metformin before a procedure ? - ANS 24 -48 hours Normal potassium levels - ANS 3.5-5 What hap penwhen your potassium level is above a 5 ? - ANS Hypernatermia , dsythrimas in the heart sImodium is used for - ANS Diarrhea Anticholinergic effects of Parkinson's medication - ANS Reduced tremors and reduced drooling When a patient is on Coumadin you should not give - ANS Aspirin ,Blood thinners Drugs for Hypertension - ANS BetaBlockers or Thiazide DiureticsDrug for bipola r disorder - ANS Lithium Function of insulin - ANS Insulin is need ed to transport the glucose required by the body cells from the bloodstream to the individual cells be used as an energy HESI LPN -AND ENTRANCE EXAM (MOBILITY EXAMS ) pg. 1 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 HESI LPN-ADN FINAL “EXIT” HESI! Last day of Concorde LVN School – 04/16/2021 EXAM (MOBILITY EXAMS) A+ GRADED 100% VERIFIED How long should Metformin before a procedure ? - ANS 24 -48 hours Normal potassium levels - ANS 3.5-5 What hap penwhen your potassium level is above a 5 ? - ANS Hypernatermia , dsythrimas in the heart sImodium is used for - ANS Diarrhea Anticholinergic effects of Parkinson's medication - ANS Reduced tremors and reduced drooling When a patient is on Coumadin you should not give - ANS Aspirin ,Blood thinners Drugs for Hypertension - ANS BetaBlockers or Thiazide DiureticsDrug for bipola r disorder - ANS Lithium Function of insulin - ANS Insulin is need ed to transport the glucose required by the body cells from the bloodstream to the individual cells be used as an energy HESI LPN -AND ENTRANCE EXAM (MOBILITY EXAMS ) pg. 2 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 FINAL “EXIT” HESI! Last day of Concorde LVN School – 04/16/2021 EXAM (MOBILITY EXAMS) A+ GRADED 100% VERIFIED How long should Metformin before a procedure ? - ANS 24 -48 hours Normal potassium levels - ANS 3.5-5 What hap penwhen your potassium level is above a 5 ? - ANS Hypernatermia , dsythrimas in the heart sImodium is used for - ANS Diarrhea Anticholinergic effects of Parkinson's medication - ANS Reduced tremors and reduced drooling When a patient is on Coumadin you should not give - ANS Aspirin ,Blood thinners Drugs for Hypertension - ANS BetaBlockers or Thiazide DiureticsDrug for bipola r disorder - ANS Lithium Function of insulin - ANS Insulin is need ed to transport the glucose required by the body cells from the bloodstream to the individual cells be used as an energy HESI LPN -AND ENTRANCE EXAM (MOBILITY EXAMS ) pg. 3 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, FINAL “EXIT” HESI! Last day of Concorde LVN School – 04/16/2021 EXAM (MOBILITY EXAMS) A+ GRADED 100% VERIFIED How long should Metformin before a procedure ? - ANS 24 -48 hours Normal potassium levels - ANS 3.5-5 What hap penwhen your potassium level is above a 5 ? - ANS Hypernatermia , dsythrimas in the heart sImodium is used for - ANS Diarrhea Anticholinergic effects of Parkinson's medication - ANS Reduced tremors and reduced drooling When a patient is on Coumadin you should not give - ANS Aspirin ,Blood thinners Drugs for Hypertension - ANS BetaBlockers or Thiazide DiureticsDrug for bipola r disorder - ANS Lithium Function of insulin - ANS Insulin is need ed to transport the glucose required by the body cells from the bloodstream to the individual cells be used as an energy HESI LPN -AND ENTRANCE EXAM (MOBILITY EXAMS ) pg. 4 and cool and the client verbalizes some numbness and tingling of the foot. Which interpretation should the nurse make of these findings? a. The boot has not yet dried. b. The boot is controlling leg edema. c. The boot is impairing venous return. d. The boot has been applied too tightly. 15. A client with angina complains that the anginal pain is prolonged and severe and occurs at the same time each day, most often in the morning. On further data collection, the nurse notes thatthe pain occurs in the absence of precipitating factors. How should the LPN/LVN best describe this type of anginal pain? a. Stable angina b. Variant angina c. Unstable angina d. Nonanginal pain 16. The LPN/LVN is monitoring a client with an abdominal aortic aneurysm (AAA). Which finding is probably unrelated tothe AAA? a. Pulsatile abdominal mass b. Hyperactive bowel sounds in the area c. Systolic bruit over the area of the mass d. Subjective sensation of "heart beating" in the abdomen 17. An emergency department client who complains of slightly improved but unrelieved chest pain for 2 days is reluctant to take a nitroglycerin sublingual tablet offered by the nurse. The client states, "I don't need that—my dad takes that for his heart. There's nothing wrong with my heart." Which description best describes the client's response? a. Angry b. Denial c. Phobic d. Obsessive -compulsive 18. A client is scheduled for a cardiac catheterization using a radiopaque dye. The LPN/LVN checks which most critical item beforethe procedure? a. Intake and output b. Height and weight c. Peripheral pulse rates d. Prior reaction to contrast media
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