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2021 HESI PN Cardiovascular Exit Exam With Answers (140 Solved Questions) - Document preview page 1

2021 HESI PN Cardiovascular Exit Exam With Answers (140 Solved Questions) - Page 1

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2021 HESI PN Cardiovascular Exit Exam With Answers (140 Solved Questions)

2021 HESI PN Cardiovascular Exit Exam With Answers offers a step-by-step approach to solving past exam questions.

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2021 HESI PN Cardiovascular Exit Exam With Answers (140 Solved Questions) - Page 1 preview image2021PN Hesi ExitExam1)The LPN/LVN is preparing to ambulate a postoperative client aftercardiac surgery. The nurse plans to do which to enable the client to besttolerate 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 beforeambulating.2)A client is wearing a continuous cardiac monitor, which begins toalarm at the nurse's station. The nurse sees no electrocardiographiccomplexes 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 heartfailure. The client suddenly develops extreme dyspnea, tachycardia, andlung crackles, and the nurse suspects pulmonary edema. The nurseimmediately notifies the registered nurse and expects whichinterventions to be prescribed? Select all that apply.1.Administering oxygen2.Inserting a Foley catheter3.Administering furosemide (Lasix)4.Administering morphine sulfate intravenously5.Transporting the client to the coronary care unit
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2021 HESI PN Cardiovascular Exit Exam With Answers (140 Solved Questions) - Page 2 preview image
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2021 HESI PN Cardiovascular Exit Exam With Answers (140 Solved Questions) - Page 3 preview image6.Placing the client in a low-Fowler's side-lying positionCorrect Answer:1.Administering oxygen2.Inserting a Foley catheter3.Administering furosemide (Lasix)4)The nurse is monitoring a client following cardioversion. Whichobservations should be of highest priority to the nurse?1.Blood pressure2.Status of airway3.Oxygen flow rate4.Level of consciousnessCorrect Answer: 2. Status of airway5)The nurse is assisting in caring for the client immediately afterinsertion of a permanent demand pacemaker via the right subclavianvein. The nurse prevents dislodgement of the pacing catheter byimplementing which intervention?1.Limiting movement and abduction of the left arm2.Limiting movement and abduction of the right arm3.Assisting the client to get out of bed and ambulate with a walker4.Having the physical therapist do active range of motion to the rightarmCorrect Answer: 2. Limiting movement and abduction of the right arm6)A client diagnosed with thrombophlebitis 1 day ago suddenlycomplains of chest pain and shortness of breath, and the client is visiblyanxious. The LPN/LVN understands that a life-threatening complicationof this condition is which?1.Pneumonia
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2021 HESI PN Cardiovascular Exit Exam With Answers (140 Solved Questions) - Page 4 preview image2.Pulmonary edema3.Pulmonary embolism4.Myocardial infarctionCorrect Answer: 3. Pulmonary embolism7)A 24-year-old man seeks medical attention for complaints ofclaudication in the arch of the foot. The nurse also notes superficialthrombophlebitis of the lower leg. The nurse should check the client forwhich next?1.Smoking history2.Recent exposure to allergens3.History of recent insect bites4.Familial tendency toward peripheral vascular diseaseCorrect Answer: 1. Smoking history8)The nurse has reinforced instructions to the client with Raynaud'sdisease about self-management of the disease process. The nursedetermines that the client needs further teaching if the client stateswhich?1."Smoking cessation is very important."2."Moving to a warmer climate should help."3."Sources of caffeine should be eliminated from the diet."4."Taking nifedipine (Procardia) as prescribed will decrease vesselspasm."Correct Answer: 2. "Moving to a warmer climate should help."9)A client with myocardial infarction suddenly becomes tachycardic,shows signs of air hunger, and begins coughing frothy, pink-tingedsputum. The nurse listens to breath sounds, expecting to hear whichbreath sounds bilaterally?
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2021 HESI PN Cardiovascular Exit Exam With Answers (140 Solved Questions) - Page 5 preview image1.Rhonchi2.Crackles3.Wheezes4.Diminished breath soundsCorrect Answer: 2. Crackles10)The LPN/LVN is collecting data on a client with a diagnosis of right-sided heart failure. The nurse should expect to note which specificcharacteristic of this condition?1.Dyspnea2.Hacking cough3.Dependent edema4.Crackles on lung auscultationCorrect Answer: 3. Dependent edema11)The LPN/LVN is checking the neurovascular status of a client whoreturned to the surgical nursing unit 4 hours ago after undergoing anaortoiliac bypass graft. The affected leg is warm, and the nurse notesredness and edema. The pedal pulse is palpable and unchanged fromadmission. The nurse interprets that the neurovascular status is which?1.Moderately impaired, and the surgeon should be called2.Normal, caused by increased blood flow through the leg3.Slightly deteriorating, and should be monitored for another hour4.Adequate from an arterial approach, but venous complications arearisingCorrect Answer: 2. Normal, caused by increased blood flow through theleg12)A client with a diagnosis of rapid rate atrial fibrillation asks the nursewhy the health care provider is going to perform carotid massage. TheLPN/LVN responds that this procedure may stimulate which?
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2021 HESI PN Cardiovascular Exit Exam With Answers (140 Solved Questions) - Page 6 preview image1.Vagus nerve to slow the heart rate2.Vagus nerve to increase the heart rate3.Diaphragmatic nerve to slow the heart rate4.Diaphragmatic nerve to increase the heart rateCorrect Answer: 1. Vagus nerve to slow the heart rate13)A client is admitted to the hospital with possible rheumaticendocarditis. The LPN/LVN should check for a history of which type ofinfection?1.Viral infection2.Yeast infection3.Streptococcal infection4.Staphylococcal infectionCorrect Answer: 3. Streptococcal infection14)A client has an Unna boot applied for treatment of a venous stasis legulcer. The LPN/LVN notes that the client's toes are mottled, and cool andthe client verbalizes some numbness and tingling of the foot. Whichinterpretation should the nurse make of these findings?1.The boot has not yet dried.2.The boot is controlling leg edema.3.The boot is impairing venous return.4.The boot has been applied too tightly.Correct Answer: 4. The boot has been applied too tightly.15)A client with angina complains that the anginal pain is prolonged andsevere 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 theabsence of precipitating factors. How should the LPN/LVN best describethis type of anginal pain?
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2021 HESI PN Cardiovascular Exit Exam With Answers (140 Solved Questions) - Page 7 preview image1.Stable angina2.Variant angina3.Unstable angina4.Nonanginal painCorrect Answer: 2. Variant angina16)The LPN/LVN is monitoring a client with an abdominal aorticaneurysm (AAA). Which finding is probably unrelated to the AAA?1.Pulsatile abdominal mass2.Hyperactive bowel sounds in the area3.Systolic bruit over the area of the mass4.Subjective sensation of "heart beating" in the abdomenCorrect answer: 2. Hyperactive bowel sounds in the area17)An emergency department client who complains of slightlyimproved but unrelieved chest pain for 2 days is reluctant to take anitroglycerin sublingual tablet offered by the nurse. The client states, "Idon't need thatmy dad takes that for his heart. There's nothing wrongwith my heart." Which description best describes the client's response?1.Angry2.Denial3.Phobic4.Obsessive-compulsiveCorrect Answer: 2. Denial18)A client is scheduled for a cardiac catheterization using a radiopaquedye. The LPN/LVN checks which most critical item before theprocedure?1.Intake and output2.Height and weight
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2021 HESI PN Cardiovascular Exit Exam With Answers (140 Solved Questions) - Page 8 preview image3.Peripheral pulse rates4.Prior reaction to contrast mediaCorrect Answer: 4. Prior reaction to contrast media19)A client is scheduled for a dipyridamole thallium scan. The LPN/LVN should check to make sure that the client has not consumed whichsubstance before the procedure?1.Caffeine2.Fatty meal3.Excess sugar4.Milk productsCorrect Answer: 1. Caffeine20)An ambulatory clinic nurse is interviewing a client who iscomplaining of flulike symptoms. The client suddenly develops chestpain. Which question best assists the nurse to discriminate pain causedby a non cardiac problem?1."Can you describe the pain to me?"2."Have you ever had this pain before?"3."Does the pain get worse when you breathe in?"4."Can you rate the pain on a scale of 1 to 10, with 10 being the worst?"Correct Answer: 3. "Does the pain get worse when you breathe in?"21)A client with myocardial infarction (MI) has been transferred fromthe coronary care unit (CCU) to the general medical unit with cardiacmonitoring via telemetry. The nurse assisting in caring for the clientexpects to note which type of activity prescribed?1.Strict bed rest for 24 hours2.Bathroom privileges and self-care activities3.Unrestricted activities because the client is monitored
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2021 HESI PN Cardiovascular Exit Exam With Answers (140 Solved Questions) - Page 9 preview image4.Unsupervised hallway ambulation with distances less than 200 feetCorrect Answer: 2. Bathroom privileges and self-care activities22)The LPN/LVN is preparing to care for a client who will be arrivingfrom the recovery room after an above-the-knee amputation. The nurseensures that which priority item is available for emergency use?1.Surgical tourniquet2.Dry sterile dressings3.Incentive spirometer4.Over-the-bed trapezeCorrect Answer:1. Surgical tourniquet23)A client is diagnosed with thrombophlebitis. The nurse should tellthe client that which prescription is indicated?1.Bed rest, with bathroom privileges only2.Bed rest, keeping the affected extremity flat3.Bed rest, with elevation of the affected extremity4.Bed rest, with the affected extremity in a dependent positionCorrect Answer: 3. Bed rest, with elevation of the affected extremity24)A client returns to the nursing unit after an above knee amputation ofthe right leg. In which position should the nurse place the client?1.Prone with the head on a pillow2.With the foot of the bed elevated3.Reverse Trendelenburg's position4.With the residual limb flat on the bedCorrect Answer: 2. With the foot of the bed elevated
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2021 HESI PN Cardiovascular Exit Exam With Answers (140 Solved Questions) - Page 10 preview image25)The LPN/LVN is collecting data from a client about medicationsbeing taken, and the client tells the nurse that he is taking herbalsupplements for the treatment of varicose veins. The nurse understandsthat the client is most likely taking which?1.Bilberry2.Ginseng3.Feverfew4.Evening primroseCorrect Answer: 1. Bilberry26)The LPN/LVN is planning to reinforce instructions to a client withperipheral arterial disease about measures to limit disease progression.The nurse should include which items on a list of suggestions to be givento the client? Select all that apply.1.Wear elastic stockings.2.Be careful not to injure the legs or feet.3.Use a heating pad on the legs to aid vasodilation.4.Walk each day to increase circulation to the legs.5.Cut down on the amount of fats consumed in the diet.Correct Answer: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.27)A client is at risk for developing disseminated intravascularcoagulopathy (DIC). The LPN/LVN should become concerned withwhich fibrinogen level?1.90 mg/dL2.190 mg/dL3.290 mg/dL4.390 mg/dL
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2021 HESI PN Cardiovascular Exit Exam With Answers (140 Solved Questions) - Page 11 preview imageCorrect Answer: 1. 90 mg/dL28)A hospitalized client with a history of angina pectoris is ambulatingin the corridor. The client suddenly complains of severe substernal chestpain. The LPN/LVN should take which action first?1.Check the client's vital signs.2.Assist the client to sit or lie down.3.Administer sublingual nitroglycerin.4.Apply nasal oxygen at a rate of 2 L/min.Correct Answer: 2. Assist the client to sit or lie down.29)The LPN/LVN notes bilateral 2+ edema in the lower extremities of aclient with known coronary artery disease who was admitted to thehospital 2 days ago. Based on this finding, the nurse should implementwhich action?1.Reviews the intake and output records for the last 2 days2.Prescribes daily weights starting on the following morning3.Changes the time of diuretic administration from morning to evening4.Requests a sodium restriction of 1 g/day from the health care providerCorrect Answer: 1. Reviews the intake and output records for the last 2days30)A client brings the following medications to the clinic for a yearlyphysical. The LPN/LVN realizes which medication has been prescribedto treat heart failure?1.Digoxin (Lanoxin)2.Warfarin (Coumadin)3.Amiodarone (Cordarone)4.Potassium chloride (K-Dur)Correct Answer: 1. Digoxin (Lanoxin)
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2021 HESI PN Cardiovascular Exit Exam With Answers (140 Solved Questions) - Page 12 preview image31)A student nurse is assigned to assist in caring for a client with acutepulmonary edema who is receiving digoxin (Lanoxin) and heparintherapy. The nursing instructor reviews the plan of care formulated bythe student and tells the student that which intervention is unsafe?1.Restricting the client's potassium intake2.Encouraging the client to rest after meals3.Administering the heparin with a 25-gauge needle4.Holding the digoxin for a heart rate less than 60 beats per minute1. Restricting the client's potassium intake32)A client has an inoperable abdominal aortic aneurysm (AAA).Which measure should the nurse anticipate reinforcing when teachingthe client?1.Bed rest2.Restricting fluids3.Antihypertensives4.Maintaining a low-fiber dietCorrect Answer: 3. Antihypertensives33)The LPN/LVN finds a client tensing while lying in bed staring at thecardiac monitor. Which is the nurse's best response when the clientstates, "There sure are a lot of wires around there. I sure hope we don'tget hit by lightning!"?1."Would you like a mild sedative to help you relax?"2."Oh, don't worry, the weather is supposed to be sunny and cleartoday."3."Yes, this equipment is a little scary. Can we talk about how thecardiac monitor works?"4."I can appreciate your concerns. Your family can stay with youtonight if you want them to."
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2021 HESI PN Cardiovascular Exit Exam With Answers (140 Solved Questions) - Page 13 preview imageCorrect Answer: 3. "Yes, this equipment is a little scary. Can we talk abouthow the cardiac monitor works?"34)The LPN/LVN is asked to assist another health care member inproviding care to a client who is placed in a modified Trendelenburg'sposition. The nurse interprets that the client is likely being treated forwhich condition?1.Shock2.Kidney dysfunction3.Respiratory insufficiency4.Increased intracranial pressure1. Shock35)A client is seen in the health care provider's office for a physicalexamination after experiencing unusual fatigue over the last severalweeks. Height is 5 feet, 8 inches, with a weight of 220 pounds. Vitalsigns are temperature 98.6° F oral, pulse 86 beats per minute,respirations 18 breaths per minute, and blood pressure 184/96 mm Hg.Random blood glucose is 110 mg/dL. In order to best collect relevantdata, which question should the LPN/LVN ask the client first?1."Do you exercise regularly?"2."Would you consider losing weight?"3."Is there a history of diabetes mellitus in your family?"4."When was the last time you had your blood pressure checked?"Correct Answer: 4. "When was the last time you had your blood pressurechecked?36)The client scheduled for a right femoropopliteal bypass graft is atrisk for compromised tissue perfusion to the extremity. The LPN/LVNtakes which action before surgery to address this risk?
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2021 HESI PN Cardiovascular Exit Exam With Answers (140 Solved Questions) - Page 14 preview image1.Having the client void before surgery2.Completing a preoperative checklist3.Marking the location of the pedal pulses on the right leg4.Checking the results of any baseline coagulation studies3. Marking the location of the pedal pulses on the right leg37)When preparing a client for a pericardiocentesis, which position doesthe LPN/LVN place the client in?1.Supine with slight lowering of the head2.Lying on the right side with a pillow under the head3.Lying on the left side with a pillow under the chest wall4.Supine with the head of bed elevated at a 45- to 60-degree angleCorrect Answer: 4. Supine with the head of bed elevated at a 45- to 60-degree angle38)For a client diagnosed with pulmonary edema, the LPN/LVNestablishes a goal to have the client participate in activities that reducecardiac workload. Which client activities will contribute to achieving thisgoal?1.Elevating the legs when in bed2.Sleeping in the supine position3.Using a bedside commode for stools4.Seasoning beef with a meat tenderizerCorrect Answer: 3. Using a bedside commode for stools39)The LPN/LVN is caring for a client who is developing pulmonaryedema. The client exhibits respiratory distress, but the blood pressure isunchanged from the client's baseline. As an immediate action before helparrives, the nurse should perform which action?1.Suction the client vigorously.2.Place the client in high-Fowler's position.
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2021 HESI PN Cardiovascular Exit Exam With Answers (140 Solved Questions) - Page 15 preview image3.Begin assembling medications that are anticipated to be given.4.Call the respiratory therapy department to request a ventilator.2. Place the client in high-Fowler's position.40)The LPN/LVN has reinforced home care instructions to a client whohad a permanent pacemaker inserted. Which educational outcome has thegreatest impact on the client's long-term cardiac health?1.Knowledge of when it is safe to resume sexual activity2.The ability to take an accurate pulse in either the wrist or neck3.An understanding of the importance of proper microwave oven usage4.An understanding of why vigorous arm and shoulder movement mustbe avoided initially2. The ability to take an accurate pulse in either the wrist or neck41)The clinic nurse is obtaining cardiovascular data on a client. TheLPN/LVN prepares to check the client's apical pulse and places thestethoscope in which position?1.Midsternum equal with the nipple line2.At the midaxillary line on the left side of the chest3.At the midline of the chest just below the xiphoid process4.At the midclavicular line at the fifth left intercostal spaceCorrect Answer: 4. At the midclavicular line at the fifth left intercostalspace42)The LPN/LVN is caring for a client who has been admitted to thehospital with a diagnosis of angina pectoris. The client is receivingoxygen via nasal cannula at 2 L. The client asks the nurse why theoxygen is necessary. The LPN/LVN bases the response on whichinformation?1.Oxygen assists in calming the client.2.Oxygen prevents the development of any thrombus formation.3.Deficient oxygenation to heart cells results in angina pectoris pain.
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