PN Hesi Med Surg Exam 2025
PN Hesi Med Surg Exam 2025 Test Bank
With Real Exam Prep Questions And
Correct Answers With Detailed Rationales/
Hesi PN Med Surg Exam/ Pn Hesi Medical
Surgical
Which description of symptoms is characteristic of a client diagnosed with trigeminal neuralgia (tic
douloureux)?
Tinnitus, vertigo, and hearing difficulties
Sudden, stabbing, severe pain over the lip and chin.
Facial weakness and paralysis.
Difficulty in chewing, talking, and swallowing.
Correct Answer :Sudden, stabbing, severe pain over the lip and chin.
Trigeminal neuralgia is characterized by paroxysms of pain, similar to an electric shock, in the area
innervated by one or more branches of the trigeminal nerve (5th cranial). Women are more often
afflicted with this condition and generally occurs in clients over the age of 50 years old.
A client with a 16-year history of diabetes mellitus is having renal function tests because of recent
fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels. Which finding should
the nurse conclude as an early symptom of renal insufficiency?
Dyspnea
A+ TEST BANK 1
, PN Hesi Med Surg Exam 2025
Nocturia
Confusion.
Stomatitis –
Correct Answer :Nocturia
As the glomerular filtration rate decreases in early renal insufficiency, metabolic waste products,
including urea, creatinine, and other substances, such as phenols, hormones, and electrolytes,
accumulate in the blood. In the early stage of renal insufficiency, polyuria results from the inability of
the kidneys to concentrate urine and contributes to nocturia.
An elderly client is admitted with a diagnosis of bacterial pneumonia. When observing the client for
the first signs of decreasing oxygenation, the nurse should assess for which clinical cues?
Abominal distention.
Undue fatigue.
Cyanosis of the lips.
Confusion and tachycardia –
Correct Answer :Confusion and tachycardia
The onset of pneumonia in the elderly may be signaled by general deterioration, confusion, increased
heart rate or increased respiratory rate due to the decreased oxygen- carbon dioxide exchange at
the alveoli, known as the V-Q mismatch. Cyanosis is a very late sign.
During suctioning, a client with an uncuffed tracheostomy tube begins to cough violently and
dislodges the tracheostomy tube. Which action should the nurse implement first?
Notify the healthcare provider for reinsertion.
Attempt to reinsert the tracheostomy tube.
A+ TEST BANK 2
, PN Hesi Med Surg Exam 2025
Position the client in a lateral position with the neck extended.
Ventilate client's tracheostomy stoma with a manual bag-mask. –
Correct Answer :Attempt to reinsert the tracheostomy tube.
The nurse should attempt to reinsert the tracheostomy tube by using a hemostat to open the
tracheostomy or by grasping the retention sutures (if present) to spread the opening and insert a
replacement tube (with its obturator) into the stoma. Once in place, the obturator should
immediately be removed.
During a health fair, a 72-year-old male client tells the nurse that he is experiencing shortness of
breath. Auscultation reveals crackles and wheezing in both lungs. Suspecting that the client might
have chronic bronchitis, which classic symptom would the nurse expect this client to have?
Racing pulse with exertion.
Clubbing of the fingers.
An increased chest diameter.
Productive cough with grayish-white sputum. –
Correct Answer :Productive cough with grayish-white sputum.
Chronic bronchitis, one of the diseases comprising the diagnosis of chronic obstructive pulmonary
disease (COPD), is characterized by a productive cough with grayish-white sputum.
Despite several eye surgeries, a 78-year-old client who lives alone has persistent vision problems. The
visiting nurse is discussing home safety hazards with the client. The nurse suggests that the edges of
the steps be painted which color?
Black.
White.
Light green.
A+ TEST BANK 3
, PN Hesi Med Surg Exam 2025
Medium yellow. –
Correct Answer :Medium yellow
The color yellow is the easiest for a person with failing vision to see.
When providing discharge teaching for a client with osteoporosis, the nurse should reinforce which
home care activity?
A diet low in phosphates.
Skin inspection for bruising.
Exercise regimen, including swimming.
Elimination of hazards to home safety. –
Correct Answer :Elimination of hazards to home safety.
Discussion about fall prevention strategies is imperative for the discharged client with osteoporosis.
Advice about safety measures in the home should be provided such as the elimination of throw rugs
and proper lighting to minimize trip hazards and falls.
A 58-year-old client, who has no health problems, asks the nurse about the Pneumovax vaccine. The
nurse's response to the client should be based on which information?
The vaccine is given annually before the flu season to those over 50 years of age.
The immunization is administered once to older adults or persons with a history of chronic illness.
The vaccine is for all ages and is given primarily to those persons traveling overseas to areas of
infection.
The vaccine will prevent the occurrence of pneumococcal pneumonia for up to five years. –
A+ TEST BANK 4
PN Hesi Med Surg Exam 2025 Test Bank
With Real Exam Prep Questions And
Correct Answers With Detailed Rationales/
Hesi PN Med Surg Exam/ Pn Hesi Medical
Surgical
Which description of symptoms is characteristic of a client diagnosed with trigeminal neuralgia (tic
douloureux)?
Tinnitus, vertigo, and hearing difficulties
Sudden, stabbing, severe pain over the lip and chin.
Facial weakness and paralysis.
Difficulty in chewing, talking, and swallowing.
Correct Answer :Sudden, stabbing, severe pain over the lip and chin.
Trigeminal neuralgia is characterized by paroxysms of pain, similar to an electric shock, in the area
innervated by one or more branches of the trigeminal nerve (5th cranial). Women are more often
afflicted with this condition and generally occurs in clients over the age of 50 years old.
A client with a 16-year history of diabetes mellitus is having renal function tests because of recent
fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels. Which finding should
the nurse conclude as an early symptom of renal insufficiency?
Dyspnea
A+ TEST BANK 1
, PN Hesi Med Surg Exam 2025
Nocturia
Confusion.
Stomatitis –
Correct Answer :Nocturia
As the glomerular filtration rate decreases in early renal insufficiency, metabolic waste products,
including urea, creatinine, and other substances, such as phenols, hormones, and electrolytes,
accumulate in the blood. In the early stage of renal insufficiency, polyuria results from the inability of
the kidneys to concentrate urine and contributes to nocturia.
An elderly client is admitted with a diagnosis of bacterial pneumonia. When observing the client for
the first signs of decreasing oxygenation, the nurse should assess for which clinical cues?
Abominal distention.
Undue fatigue.
Cyanosis of the lips.
Confusion and tachycardia –
Correct Answer :Confusion and tachycardia
The onset of pneumonia in the elderly may be signaled by general deterioration, confusion, increased
heart rate or increased respiratory rate due to the decreased oxygen- carbon dioxide exchange at
the alveoli, known as the V-Q mismatch. Cyanosis is a very late sign.
During suctioning, a client with an uncuffed tracheostomy tube begins to cough violently and
dislodges the tracheostomy tube. Which action should the nurse implement first?
Notify the healthcare provider for reinsertion.
Attempt to reinsert the tracheostomy tube.
A+ TEST BANK 2
, PN Hesi Med Surg Exam 2025
Position the client in a lateral position with the neck extended.
Ventilate client's tracheostomy stoma with a manual bag-mask. –
Correct Answer :Attempt to reinsert the tracheostomy tube.
The nurse should attempt to reinsert the tracheostomy tube by using a hemostat to open the
tracheostomy or by grasping the retention sutures (if present) to spread the opening and insert a
replacement tube (with its obturator) into the stoma. Once in place, the obturator should
immediately be removed.
During a health fair, a 72-year-old male client tells the nurse that he is experiencing shortness of
breath. Auscultation reveals crackles and wheezing in both lungs. Suspecting that the client might
have chronic bronchitis, which classic symptom would the nurse expect this client to have?
Racing pulse with exertion.
Clubbing of the fingers.
An increased chest diameter.
Productive cough with grayish-white sputum. –
Correct Answer :Productive cough with grayish-white sputum.
Chronic bronchitis, one of the diseases comprising the diagnosis of chronic obstructive pulmonary
disease (COPD), is characterized by a productive cough with grayish-white sputum.
Despite several eye surgeries, a 78-year-old client who lives alone has persistent vision problems. The
visiting nurse is discussing home safety hazards with the client. The nurse suggests that the edges of
the steps be painted which color?
Black.
White.
Light green.
A+ TEST BANK 3
, PN Hesi Med Surg Exam 2025
Medium yellow. –
Correct Answer :Medium yellow
The color yellow is the easiest for a person with failing vision to see.
When providing discharge teaching for a client with osteoporosis, the nurse should reinforce which
home care activity?
A diet low in phosphates.
Skin inspection for bruising.
Exercise regimen, including swimming.
Elimination of hazards to home safety. –
Correct Answer :Elimination of hazards to home safety.
Discussion about fall prevention strategies is imperative for the discharged client with osteoporosis.
Advice about safety measures in the home should be provided such as the elimination of throw rugs
and proper lighting to minimize trip hazards and falls.
A 58-year-old client, who has no health problems, asks the nurse about the Pneumovax vaccine. The
nurse's response to the client should be based on which information?
The vaccine is given annually before the flu season to those over 50 years of age.
The immunization is administered once to older adults or persons with a history of chronic illness.
The vaccine is for all ages and is given primarily to those persons traveling overseas to areas of
infection.
The vaccine will prevent the occurrence of pneumococcal pneumonia for up to five years. –
A+ TEST BANK 4
