HESI EXIT PN || PN HESI EXIT
ACTUAL EXAM ALREADY GRADED
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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?
1. Smoking history
2. Recent exposure to allergens
3. History of recent insect bites
4. Familial tendency toward peripheral vascular disease - ANS✔✔- 1. Smoking
history
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 - ANS✔✔- 2. Status of airway
A client with heart failure is scheduled to be discharged to home with digoxin
(Lanoxin) and furosemide (Lasix) as ongoing prescribed medications. The nurse
teaches the client to report which sign/symptom that indicates the medications
are not producing the intended effect?
1. Decrease in pedal edema
2. High urine output during the day
3. Weight gain of 2 to 3 pounds in a few days
4. Cough accompanied by other signs of respiratory infection - ANS✔✔-: 3.
Weight gain of 2 to 3 pounds in a few days
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 -
ANS✔✔- 2. 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?
1. Pneumonia
2. Pulmonary edema
3. Pulmonary embolism
4. Myocardial infarction - ANS✔✔- 3. Pulmonary embolism
A client has just returned from the cardiac catheterization laboratory. The left
femoral vessel was used as the access site. After returning the client to bed and
conducting an initial assessment, the nurse assisting in caring for the client
expects the health care provider to write a
prescription for the client to remain on bed rest. In which position should the
bed be positioned?
1. In the high-Fowler's position
2. With the head of bed elevated at least 60 degrees
3. With the head of bed elevated no more than 30 degrees
4. With the foot of bed elevated as much as tolerated by the client - ANS✔✔-
Answer: 3. With the head of bed elevated no more than 30 degrees
The nurse is collecting data from a client with varicose veins. Which finding
would the nurse identify as an indication of a potential
complication associated with this disorder?
1. Legs are unsightly in appearance and distress the client.
2. The client complains of aching and feelings of heaviness in the legs. 3. The
client complains of leg edema, and skin breakdown has started. 4. The health
care provider finds that the legs become distended when the tourniquet is
released during the Trendelenburg's test. - ANS✔✔-Correct Answer: 3. The client
complains of leg edema, and skin breakdown has started.
ati ati pharmacology comprehensive comprehensive predictor computer science health care health care / nursing health care/ nursing healthcare hesi hesi rn exit maternal newborn med surg medical nursing medical surgical mental health nurs nursing nursing & health nutrition pathophysiology pediatrics pharmacology test bank tncc
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