PNR206 Med Surg Hesi Exam Questions And Correct Answers
1. A client's results for this morning's platelet count is Institute
bleeding precau-
30,000/mm 3 . What action should the practical nurse tions.
(PN) implement first?
2. A client is admitted with a C4 spinal cord injury Check the respiratory
(SCI) after falling from a roof at a ef- fort and pulse
construction site. After returning to the unit oximeter reading.
for a CT scan to confirm the vertebral
fracture, which assessment by the practical
nurse has the highest priority?
Hard, rigid abdomen.
3. A client with cholelithiasis is admitted with
jaundice due to obstruction of the common
bile duct. Which finding is most important for
the practical nurse to report to the
healthcare provider? Ice application and
eleva- tion.
4. Which actions should the practical nurse
implement for a client whose fractured tibia
is causing swelling of the lower leg?
5. A male client with increased intracranial pressure (ICP) Raise the
head 30 degrees
due to a skull fracture is in the supine position with his and lower
the feet.
legs elevated. What should the practical nurse
(PN) do first?
6. A client with Parkinson's disease asks the practical Degeneration of
the basal
nurse (PN) to explain how this disease causes his mus- ganglia
leads to a de- cles to malfunction. Which underlying pathophysiolo-
crease in dopamine levels. gy should the PN use as a basis for
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33
, PNR206 Med Surg Hesi Exam Questions And Correct Answers
the explanation?
7. A client with newly diagnosed essential Role play a situation
hypertension is learning to cope with stressful the client identifies as
situations in his life. Which activity should the stress- ful.
practical nurse (PN) imple- ment to help the
client learn constructive coping?
2/
33
, PNR206 Med Surg Hesi Exam Questions And Correct Answers
8. Which finding should the practical nurse (PN) identify Hemoglobin
of 10
as typical for a client who is hypoxic? grams/dl
9. Which finding for a client with heart failure (HF) should Distended
neck veins
the practical nurse (PN) report to the charge while upright.
nurse?
Use pursed-lip and ab-
10. The practical nurse (PN) is caring for a client dominal breathing.
with chronic obstructive pulmonary disease
(COPD). To re- duce carbon dioxide ( CO 2 )
retention in the lungs, which information
should the PN reinforce? The four-drug protocol
should be taken concur-
11. A male client who has been taking a four-drug rently.
reg- imen for tuberculosis (TB) tells the
practical nurse (PN) that he has finished the
first drug, isoniazid, and will start taking
rifampin next. How should the PN respond?
12. The practical nurse (PN) is reviewing the health history Atrial
fibrillation.
of a client with coronary artery disease (CAD).
Which finding should the PN identify that
places the client at risk for stroke?
13. After receiving report, the practical nurse per nasal
(PN) be- gins assessment for a client with cannula.
chronic obstructive pulmonary disease (COPD) Which
who has just completed a respiratory intervention
treatment. The PN finds the client sitting is most
upright in bed with oxygen at 6 liters/minute important
3/
33
, PNR206 Med Surg Hesi Exam Questions And Correct Answers
for the PN to implement? Decrease oxygen flow
rate to 2 liter/minute
14. A male client is having an intraocular pressure
and at- tach pulse
(IOP) measurement using a tonometer for
oximeter.
the first time.
A topical anesthetic will
be used on the eye
surface.
4/
33
1. A client's results for this morning's platelet count is Institute
bleeding precau-
30,000/mm 3 . What action should the practical nurse tions.
(PN) implement first?
2. A client is admitted with a C4 spinal cord injury Check the respiratory
(SCI) after falling from a roof at a ef- fort and pulse
construction site. After returning to the unit oximeter reading.
for a CT scan to confirm the vertebral
fracture, which assessment by the practical
nurse has the highest priority?
Hard, rigid abdomen.
3. A client with cholelithiasis is admitted with
jaundice due to obstruction of the common
bile duct. Which finding is most important for
the practical nurse to report to the
healthcare provider? Ice application and
eleva- tion.
4. Which actions should the practical nurse
implement for a client whose fractured tibia
is causing swelling of the lower leg?
5. A male client with increased intracranial pressure (ICP) Raise the
head 30 degrees
due to a skull fracture is in the supine position with his and lower
the feet.
legs elevated. What should the practical nurse
(PN) do first?
6. A client with Parkinson's disease asks the practical Degeneration of
the basal
nurse (PN) to explain how this disease causes his mus- ganglia
leads to a de- cles to malfunction. Which underlying pathophysiolo-
crease in dopamine levels. gy should the PN use as a basis for
1/
33
, PNR206 Med Surg Hesi Exam Questions And Correct Answers
the explanation?
7. A client with newly diagnosed essential Role play a situation
hypertension is learning to cope with stressful the client identifies as
situations in his life. Which activity should the stress- ful.
practical nurse (PN) imple- ment to help the
client learn constructive coping?
2/
33
, PNR206 Med Surg Hesi Exam Questions And Correct Answers
8. Which finding should the practical nurse (PN) identify Hemoglobin
of 10
as typical for a client who is hypoxic? grams/dl
9. Which finding for a client with heart failure (HF) should Distended
neck veins
the practical nurse (PN) report to the charge while upright.
nurse?
Use pursed-lip and ab-
10. The practical nurse (PN) is caring for a client dominal breathing.
with chronic obstructive pulmonary disease
(COPD). To re- duce carbon dioxide ( CO 2 )
retention in the lungs, which information
should the PN reinforce? The four-drug protocol
should be taken concur-
11. A male client who has been taking a four-drug rently.
reg- imen for tuberculosis (TB) tells the
practical nurse (PN) that he has finished the
first drug, isoniazid, and will start taking
rifampin next. How should the PN respond?
12. The practical nurse (PN) is reviewing the health history Atrial
fibrillation.
of a client with coronary artery disease (CAD).
Which finding should the PN identify that
places the client at risk for stroke?
13. After receiving report, the practical nurse per nasal
(PN) be- gins assessment for a client with cannula.
chronic obstructive pulmonary disease (COPD) Which
who has just completed a respiratory intervention
treatment. The PN finds the client sitting is most
upright in bed with oxygen at 6 liters/minute important
3/
33
, PNR206 Med Surg Hesi Exam Questions And Correct Answers
for the PN to implement? Decrease oxygen flow
rate to 2 liter/minute
14. A male client is having an intraocular pressure
and at- tach pulse
(IOP) measurement using a tonometer for
oximeter.
the first time.
A topical anesthetic will
be used on the eye
surface.
4/
33
