HESI LPN-ADN ENTRANCE EXAM-
Questions and Verified Answers ()
Grade A+
The LPN/LVN is preparing to ambulate a postoperative patient after cardiac surgery. The nurse plans to do
which to enable the patient to best tolerate the ambulation? CORRECT ANSWER
Premedicate the patient with an analgesic before ambulating.
A patient is wearing a continuous cardiac monitor, which begins to alarm at the nurse's station. The
nursesees no electrocardiographic complexes on the screen. The nurse should do which first?
CORRECT ANSWER
Check the patient status and lead placement.
The LPN/LVN in a medical unit is caring for a patient with heart failure. The patient 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? CORRECT
ANSWER Select all thatapply.
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
The nurse is monitoring a patient 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 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? CORRECT ANSWER
Limiting movement and abduction of the right arm
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 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 patient for
whichnext? CORRECT ANSWER
Smoking history
The nurse has reinforced instructions to the patient with Raynaud's disease about self-management of the
disease process. The nurse determines that the patient needs further teaching if the patient states which?
CORRECT ANSWER "Moving to a warmer climate should help."
,A patient with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger, and
beginscoughing 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 patient with a diagnosis of right-
sided heart failure. The nurse should expect to note which specific characteristic of this condition?
CORRECT ANSWER Dependent edema
The LPN/LVN is checking the neurovascular status of a patient who returned to the surgical nursing unit 4
hours ago after undergoing an aortoiliac bypass graft. The affected leg is warm, and the nurse notes
redness and edema. The pedal pulse is palpable and unchanged from admission. The nurse interprets that
the neurovascular status is which? CORRECT ANSWER
Normal, caused by increased blood flow through the leg
A patient with a diagnosis of rapid rate atrial fibrillation asks the nurse why the health care provider is
going to perform carotid massage. The LPN/LVN responds that this procedure may stimulate which?
CORRECT ANSWER Vagus nerve to slow the heart rate
A patient is admitted to the hospital with possible rheumatic endocarditis. The LPN/LVN should check
for a history of which type of infection? CORRECT ANSWER
Staphylococcal infection
patient has an Unna boot applied for treatment of a venous stasis leg ulcer. The LPN/LVN notes that the
patient's toes are mottled, and cool and the patient verbalizes some numbness and tingling of the foot.
Whichinterpretation should the nurse make of these findings? CORRECT ANSWER
The boot has been applied too tightly
A patient 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 that the pain occurs in the
absence of precipitating factors. How should the LPN/LVN best describe this type of anginal pain?
CORRECT ANSWER
Variant angina
The LPN/LVN is monitoring a patient with an abdominal aortic aneurysm (AAA). Which finding is
probably unrelated to the AAA? CORRECT ANSWER
Hyperactive bowel sounds in the area
An emergency department patient who complains of slightly improved but unrelieved chest pain for 2
daysis reluctant to take a nitroglycerin sublingual tablet offered by the nurse. The patient 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 patient's response? CORRECT ANSWER
Denial
, A patient is scheduled for a cardiac catheterization using a radiopaque dye. The LPN/LVN checks
whichmost critical item before the procedure? CORRECT ANSWER
Prior reaction to contrast media
A patient is scheduled for a dipyridamole thallium scan. The LPN/ LVN should check to make sure that the
patient has not consumed which substance before the procedure? CORRECT ANSWER
Caffeine
An ambulatory clinic nurse is interviewing a patient who is complaining of flulike symptoms. The patient
suddenly develops chest pain. Which question best assists the nurse to discriminate pain caused by a non
cardiac problem? CORRECT ANSWER
"Does the pain get worse when you breathe in? CORRECT ANSWER"
A patient with myocardial infarction (MI) has been transferred from the coronary care unit (CCU) to the
general medical unit with cardiac monitoring via telemetry. The nurse assisting in caring for the patient
expects to note which type of activity prescribed? CORRECT ANSWER
Bathroom privileges and self-care activities
The LPN/LVN is preparing to care for a patient who will be arriving from the recovery room after an
above-the-knee amputation. The nurse ensures that which priority item is available for emergency use?
CORRECT ANSWERSurgical tourniquet
A patient is diagnosed with thrombophlebitis. The nurse should tell the patient that which prescription is
indicated? CORRECT ANSWER
Bed rest, with elevation of the affected extremity
A patient returns to the nursing unit after an above knee amputation of the right leg. In which position
should the nurse place the patient? CORRECT ANSWER
With the foot of the bed elevated
The LPN/LVN is collecting data from a patient about medications being taken, and the patient tells the
nursethat he is taking herbal supplements for the treatment of varicose veins. The nurse understands that
the patient is most likely taking which? CORRECT ANSWER
Bilberry
The LPN/LVN is planning to reinforce instructions to a patient with peripheral arterial disease about
measures to limit disease progression. The nurse should include which items on a list of suggestions to be
given to the patient? CORRECT ANSWER Select all that apply.
2. Be careful not to injure the legs or feet.
4. Walk each day to increase circulation to the legs.
5. Cut down on the amount of fats consumed in the diet.
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