HESI PN EXIT V3 EXAM 140
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The LPN/LVN is teaching the client with angina pectoris about
disease management and lifestyle changes that are necessary in
order to control disease progression. Which statement by the client
...
,The LPN/LVN is teaching the client with angina pectoris about
disease management and lifestyle changes that are necessary in
order to control disease progression. Which statement by the client
indicates a need for further teaching? - CORRECT ANSWER-"It is
best to exercise once a week for an hour."
The LPN/LVN is working with a client who has been diagnosed with
Prinzmetal's (variant) angina. The nurse plans to reinforce which
information about this type of angina when teaching the client? -
CORRECT ANSWER-Prinzmetal's angina is generally treated with
calcium channel blocking agents.
The LPN/LVN working in a long-term care facility is collecting data
from a client experiencing chest pain. The nurse should interpret
that the pain is likely a result of myocardial infarction (MI) if which
observation is made by the nurse? - CORRECT ANSWER-The pain
has not been unrelieved by rest and nitroglycerin tablets.
The LPN/LVN is discussing smoking cessation with a client
diagnosed with coronary artery disease (CAD). Which statement
should the nurse make to the client to try to motivate the client to
quit smoking? - CORRECT ANSWER-"If you quit now, your risk of
cardiovascular disease will decrease to that of a nonsmoker in 3 to 4
years."
,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? - CORRECT ANSWER-Premedicate
the client with an analgesic before ambulating.
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? -
CORRECT ANSWER-Check the client status and lead placement.
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. - CORRECT
ANSWER-1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
The nurse is monitoring a client following cardioversion. Which
observations should be of highest priority to the nurse? - CORRECT
ANSWER-Status of airway
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? - CORRECT ANSWER-
Limiting movement and abduction of the right arm
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? - CORRECT ANSWER-
Pulmonary embolism
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? - CORRECT ANSWER-Smoking history
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? - CORRECT ANSWER-"Moving to a warmer climate should
help."
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? - CORRECT ANSWER-Crackles
The LPN/LVN is collecting data on a client with a diagnosis of right-
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