HESI PN Med-Surg TEST BANK (NGN-Style
Questions & Case Scenarios) 400+ Qs & Ans to Pass
the Exam
SECTION 1: ONCOLOGY & RADIATION SAFETY
Case Study 1: Prostate Cancer Brachytherapy
A client with prostate cancer undergoes brachytherapy (radioactive seed
implantation).
Question 1
What nursing action has the highest priority following this procedure?
A) Follow radiation exposure precautions.
B) Encourage the client to consume regular meals.
C) Collect all urine in sealed containers.
D) Avoid touching the client.
Correct Answer: A
Rationale: Radiation precautions protect healthcare workers, clients, and visitors
from unnecessary exposure. Protocols generally include time, distance, and
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,shielding measures. For brachytherapy, staff must maintain limited, computed
exposure times near the client. Brachytherapy involves permanently implanted
radioactive seeds that emit radiation over time .
Question 2
During a clinic visit, a client reports discovering a solid, painless mass in their
breast during self‑examination. What instruction should the PN reinforce?
A) Continue to monitor the mass until the next scheduled annual exam.
B) Notify the healthcare provider if the mass becomes painful or starts to drain.
C) Schedule an appointment with the healthcare provider for evaluation.
D) Breast masses are insignificant if they feel soft or are easily movable.
Correct Answer: C
Rationale: A painless breast mass is considered an abnormal finding and requires
prompt medical evaluation. Early detection of potential breast cancer is crucial.
Delaying evaluation may lead to progression of undiagnosed malignancy .
Case Study 2: Liver Cancer & Malignant Metastasis
2
, A client with stage 4 liver cancer learns the metastasis has spread to the spine but
incorrectly states, "It's not malignant."
Question 3
What is the PN's best initial action?
A) Encourage the client to attend a cancer education program.
B) Perform a complete history and physical assessment.
C) Ask the client to explain their understanding of the term "malignancy."
D) Offer the client emotional support to deal with the diagnosis.
Correct Answer: C
Rationale: Before providing further education or emotional support, the PN should
assess the client's understanding of "malignancy." Stage 4 cancer is metastatic,
meaning it has spread to distant parts of the body, which categorizes it as
malignant. Clarifying knowledge gaps helps provide accurate education and care .
Question 4
Which statement indicates the client understands "malignancy"?
A) "Malignant tumors are harmless and don't spread."
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Questions & Case Scenarios) 400+ Qs & Ans to Pass
the Exam
SECTION 1: ONCOLOGY & RADIATION SAFETY
Case Study 1: Prostate Cancer Brachytherapy
A client with prostate cancer undergoes brachytherapy (radioactive seed
implantation).
Question 1
What nursing action has the highest priority following this procedure?
A) Follow radiation exposure precautions.
B) Encourage the client to consume regular meals.
C) Collect all urine in sealed containers.
D) Avoid touching the client.
Correct Answer: A
Rationale: Radiation precautions protect healthcare workers, clients, and visitors
from unnecessary exposure. Protocols generally include time, distance, and
1
,shielding measures. For brachytherapy, staff must maintain limited, computed
exposure times near the client. Brachytherapy involves permanently implanted
radioactive seeds that emit radiation over time .
Question 2
During a clinic visit, a client reports discovering a solid, painless mass in their
breast during self‑examination. What instruction should the PN reinforce?
A) Continue to monitor the mass until the next scheduled annual exam.
B) Notify the healthcare provider if the mass becomes painful or starts to drain.
C) Schedule an appointment with the healthcare provider for evaluation.
D) Breast masses are insignificant if they feel soft or are easily movable.
Correct Answer: C
Rationale: A painless breast mass is considered an abnormal finding and requires
prompt medical evaluation. Early detection of potential breast cancer is crucial.
Delaying evaluation may lead to progression of undiagnosed malignancy .
Case Study 2: Liver Cancer & Malignant Metastasis
2
, A client with stage 4 liver cancer learns the metastasis has spread to the spine but
incorrectly states, "It's not malignant."
Question 3
What is the PN's best initial action?
A) Encourage the client to attend a cancer education program.
B) Perform a complete history and physical assessment.
C) Ask the client to explain their understanding of the term "malignancy."
D) Offer the client emotional support to deal with the diagnosis.
Correct Answer: C
Rationale: Before providing further education or emotional support, the PN should
assess the client's understanding of "malignancy." Stage 4 cancer is metastatic,
meaning it has spread to distant parts of the body, which categorizes it as
malignant. Clarifying knowledge gaps helps provide accurate education and care .
Question 4
Which statement indicates the client understands "malignancy"?
A) "Malignant tumors are harmless and don't spread."
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