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MED-SURG HESI PN 2025 | BRAND NEW
QUESTIONS WITH VERIFIED SOLUTIONS
A client is walking in the hallway and begins experiencing an acute angina attack.
Which is the first action for the nurse to take?
a. Administer a nitroglycerine tablet sublingually.
b. Notify the local emergency medical services. (EMS).
c. Assist the client to walk back to the client's room.
d. Ask the client if this attack occurred at the same time as yesterday's. -correct-
answer-a. Administer a nitroglycerine tablet sublingually.
Rationale:
The first action is to administer nitroglycerine sublingually, in order to dilate the
coronary arteries so that more oxygenated blood can be provided to the
myocardium. It is not necessary to notify EMS unless the angina pain is unrelieved
by three nitroglycerine tablets. The client should rest immediately, not walk back
to the room. It is not a priority to determine whether or not the attack occurred at
the same time as yesterday's.
A client has had a gastrectomy to treat stomach cancer. The nurse has reinforced
instructions on ways to prevent "dumping syndrome." Which client statement
indicates the need for further instruction?
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a. "My meals need to be mostly protein."
b. "I should walk around after each meal."
c. "I should eat fewer carbohydrates."
d. "I should eat smaller, more frequent meals." -correct-answer-b. "I should walk
around after each meal."
Rationale:
The client should lie down after meals to avoid syncope. The client should eat
more protein and less carbohydrates, and smaller more frequent meals
An adult client is admitted to the emergency department with partial-thickness
and full-thickness burns over 40% of the body surface area resulting from a car
collision fire. After the health care provider and nurse have intubated the client,
which intervention should the practical nurse (PN) do first?
a. Remove all the client's clothing, shoes, and jewelry.
b. Insert indwelling urinary foley.
c. Initiate an intravenous catheter line.
d. Obtain blood work and urine sample -correct-answer-a. Remove all the client's
clothing, shoes, and jewelry.
Rationale:
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Interventions for moderate to severe burns of deep partial-thickness and full-
thickness, once an airway and circulation is established, then the next thing is to
remove all the victims clothing, shoes, and jewelry before the edema sets in and
they become constricting, also it is possible to cause more severe burns by leaving
clothing on.
The practical nurse (PN) is assigned a client with a medical history of diabetes and
gangrene who had a right below the knee amputation. At the time of rewrapping
and inspecting the stump, the client refuses to look at their stump. The practical
nurse (PN) tells the client that the incision is healing well, but the client refuses to
talk about it. What is the best response to this client's silence?
a. "It is normal to feel angry and depressed, but the sooner you deal with this
surgery, the better you will feel."
b. "Looking at your incision can be frightening, but facing this fear is a necessary
part of your recovery."
c. "It is okay if you do not want to talk about your surgery. I will be available when
you are ready."
d. "I will ask another person who has had an amputation to come by and share
their experiences with you." -correct-answer-c. "It is okay if you do not want to
talk about your surgery. I will be available when you are ready."
Rationale:
Informing the client that it is okay they do not want to talk about their surgery and
stating that the PN is available when they need them, displays sensitivity and
understanding without judging the client.
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A client comes to the clinic and reports the presence of a painful lesion in the
genital area; they described it as a blister 2 days earlier that is now crusty. Which
intervention should the practical nurse (PN) implement first?
a. Ask the client if they have had unprotected sex.
b. Prepare the client for a culture and sensitivity test of the lesion.
c. Inform the client this occurrence will have to be reported to the public health
department.
d. Prepare to administer penicillin intramuscularly into the dorsogluteal area. -
correct-answer-a. Ask the client if they have had unprotected sex.
Rationale:
These are typical signs and symptoms of herpes simplex virus 2 (HSV2), a sexually
transmitted disease (STD), so the PN should ask the client if they had unprotected
sex and if the client has exposed others to the disease.
Which educational materials should the practical nurse select for reinforcement of
teaching for secondary prevention? (Select all that apply.)
a. Video that teaches client to do breast self-examinations.
b. Pamphlets describing how to do testicular self-examinations.
c. Chart that emphasizes childhood immunization schedule.
d. Chart that emphasizes childhood immunization schedule.
MED-SURG HESI PN 2025 | BRAND NEW
QUESTIONS WITH VERIFIED SOLUTIONS
A client is walking in the hallway and begins experiencing an acute angina attack.
Which is the first action for the nurse to take?
a. Administer a nitroglycerine tablet sublingually.
b. Notify the local emergency medical services. (EMS).
c. Assist the client to walk back to the client's room.
d. Ask the client if this attack occurred at the same time as yesterday's. -correct-
answer-a. Administer a nitroglycerine tablet sublingually.
Rationale:
The first action is to administer nitroglycerine sublingually, in order to dilate the
coronary arteries so that more oxygenated blood can be provided to the
myocardium. It is not necessary to notify EMS unless the angina pain is unrelieved
by three nitroglycerine tablets. The client should rest immediately, not walk back
to the room. It is not a priority to determine whether or not the attack occurred at
the same time as yesterday's.
A client has had a gastrectomy to treat stomach cancer. The nurse has reinforced
instructions on ways to prevent "dumping syndrome." Which client statement
indicates the need for further instruction?
,2|Page
a. "My meals need to be mostly protein."
b. "I should walk around after each meal."
c. "I should eat fewer carbohydrates."
d. "I should eat smaller, more frequent meals." -correct-answer-b. "I should walk
around after each meal."
Rationale:
The client should lie down after meals to avoid syncope. The client should eat
more protein and less carbohydrates, and smaller more frequent meals
An adult client is admitted to the emergency department with partial-thickness
and full-thickness burns over 40% of the body surface area resulting from a car
collision fire. After the health care provider and nurse have intubated the client,
which intervention should the practical nurse (PN) do first?
a. Remove all the client's clothing, shoes, and jewelry.
b. Insert indwelling urinary foley.
c. Initiate an intravenous catheter line.
d. Obtain blood work and urine sample -correct-answer-a. Remove all the client's
clothing, shoes, and jewelry.
Rationale:
,3|Page
Interventions for moderate to severe burns of deep partial-thickness and full-
thickness, once an airway and circulation is established, then the next thing is to
remove all the victims clothing, shoes, and jewelry before the edema sets in and
they become constricting, also it is possible to cause more severe burns by leaving
clothing on.
The practical nurse (PN) is assigned a client with a medical history of diabetes and
gangrene who had a right below the knee amputation. At the time of rewrapping
and inspecting the stump, the client refuses to look at their stump. The practical
nurse (PN) tells the client that the incision is healing well, but the client refuses to
talk about it. What is the best response to this client's silence?
a. "It is normal to feel angry and depressed, but the sooner you deal with this
surgery, the better you will feel."
b. "Looking at your incision can be frightening, but facing this fear is a necessary
part of your recovery."
c. "It is okay if you do not want to talk about your surgery. I will be available when
you are ready."
d. "I will ask another person who has had an amputation to come by and share
their experiences with you." -correct-answer-c. "It is okay if you do not want to
talk about your surgery. I will be available when you are ready."
Rationale:
Informing the client that it is okay they do not want to talk about their surgery and
stating that the PN is available when they need them, displays sensitivity and
understanding without judging the client.
, 4|Page
A client comes to the clinic and reports the presence of a painful lesion in the
genital area; they described it as a blister 2 days earlier that is now crusty. Which
intervention should the practical nurse (PN) implement first?
a. Ask the client if they have had unprotected sex.
b. Prepare the client for a culture and sensitivity test of the lesion.
c. Inform the client this occurrence will have to be reported to the public health
department.
d. Prepare to administer penicillin intramuscularly into the dorsogluteal area. -
correct-answer-a. Ask the client if they have had unprotected sex.
Rationale:
These are typical signs and symptoms of herpes simplex virus 2 (HSV2), a sexually
transmitted disease (STD), so the PN should ask the client if they had unprotected
sex and if the client has exposed others to the disease.
Which educational materials should the practical nurse select for reinforcement of
teaching for secondary prevention? (Select all that apply.)
a. Video that teaches client to do breast self-examinations.
b. Pamphlets describing how to do testicular self-examinations.
c. Chart that emphasizes childhood immunization schedule.
d. Chart that emphasizes childhood immunization schedule.
