HESI Exit Exam (E2)
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?
a) Instruct the client
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HESI Exit Exam (E2)
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?
a) Instruct the client to request assistance when feeling faint
b) Premedicate the client with an analgesic before ambulating
c) Ambulate the client immediately upon arising to prevent fatigue
d) Limit ambulation to the bedside only for the first 24 hours
Rationale: Premedicating with an analgesic prior to ambulation helps manage incisional
and procedural pain, allowing the client to participate more effectively and tolerate the
activity. Pain increases cardiac workload and can limit mobility .
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) Check the client status and lead placement
c) Defibrillate the client immediately
d) Notify the healthcare provider
Rationale: The absence of complexes on the monitor is often due to loose or disconnected
leads. The nurse must first check the client and then the equipment to determine if the
alarm is a true emergency or a technical issue .
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.)
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