8/4/25, 11:13 PM HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST EXAM ACTUAL EXAM TEST BANK 100 QUESTIO…
HESI PN MED SURG EXIT EXAM / MED SURG
HESI PN LATEST EXAM 2025-2026 ACTUAL EXAM
TEST BANK 100 QUESTIONS AND CORRECT
DETAILED ANSWERS\LATEST UPDATE
During a clinic visit, a client c. Schedule an appointment with the health care provider for
reports to the practical evaluation.
nurse (PN) that they felt a
A painless breast mass is an abnormal finding, and the PN
solid mass in their breast should instruct the client to obtain prompt medical evaluation.
during self-
examination, but it was not
painful. What instruction
should the PN reinforce with
the client?
A. Continue to monitor the
mass until the next
scheduled annual exam.
B. Notify the PCP if the mass
becomes soft or painful or
starts to drain.
C. Schedule an appointment
with the PCP for evaluation
D. Breast masses are usually
insignificant if they feel soft
or are easily moveable.
1/71
,8/4/25, 11:13 PM HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST EXAM ACTUAL EXAM TEST BANK 100 QUESTIO…
The home health practical d. Feelings of dizziness
nurse is visiting with a
client who has a history of Rationale:
second- degree heart Feelings of dizziness may occur as the result of a
block and pacemaker decreased heart rate, leading to decreased cardiac
placement 6 months ago. output as a result of pacemaker failure.
Which symptom compliant
by the client would be
indicative of pacemaker
failure?
a. Facialflushing
b. Nausea
c. Pounding headache
d. Feelings of dizziness
Which actions demonstrate b. Shake the inhaler.
to the practical nurse that c. Attach the canister of medication to the mouthpiece.
the client understands the e. Use a spacer attachment and place the mouthpiece in the
correct procedure mouth.
administration of a f. Close the lips around the mouthpiece.
metered dose inhaler (MDI)? g. After inhaling the medication, hold the breath 10 seconds.
(Select all that apply.)
Rationale:
a. Sitor stand. The correct sequence of MDI administration includes
b. Shake the inhaler. shaking the inhaler, attaching the canister to the
c. Attach the canister of
mouthpiece, attaching the spacer, the client should then
medication to the let their breath out through the mouth to empty the
mouthpiece. lungs and place the mouthpiece in the mouth, closing
d. Breathe in through the the lips and mouth around the mouthpiece, and inhaling
mouth, filling the lungs. medication and holding the breath for 10 seconds.
e. Use a spacer attachment
and place the mouthpiece
in the mouth.
f. Close the lips around the
mouthpiece.
g. After inhaling the
medication, hold the breath
10 seconds.
2/71
,8/4/25, 11:13 PM HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST EXAM ACTUAL EXAM TEST BANK 100 QUESTIO…
The Centers for Disease b. Wear gloves when coming in contact with the blood or body
Control and fluids of a client.
Prevention (CDC) has issued
guidelines for health care Rationale:
workers in relation to The CDC guidelines for standard precautions
protection from HIV. The recommend that health care workers use gloves when
practical nurse (PN) who coming in contact with blood or body fluids from any
suspects they may be client because HIV is infectious before the client
pregnant is assigned a client becomes aware of symptoms. Pregnancy of a nurse
who is HIV+. What action should not inhibit the nurse for taking care of a HIV+
should the PN implement? client as long as
standard precautions are observed.
a. Make the suspected
pregnancy known and
request a different client
assignment.
b. Wear gloves when
coming in contact with
the blood or body fluids of
a client.
c. Limit contact and
interaction with the client
and have another nurse
bathe the client.
d. Put on all the PPE to
include gown and mask
when entering the client's
room.
3/71
, 8/4/25, 11:13 PM HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST EXAM ACTUAL EXAM TEST BANK 100 QUESTIO…
A practical nurse (PN) b. "I may still contract HIV even though I am 62 years old."
reinforced client
teaching regarding the Rationale:
transmission of the HIV More than 10% of all AIDS cases in the United States
virus. Which statement by are among those older than 50 years of age.
the client demonstrates an
understanding of the
reinforced teaching?
a. "To be absolutely safe, I
should wear two latex
condoms during intercourse
with an infected partner."
b. "I may still contract HIV
even though I am 62 years
old."
c. "Urinating immediately after
having
sexual relations will help
reduce the risk of
contracting HIV."
d. "If I take AZT during my
pregnancy, I will not give the
virus to my unborn baby."
A client is diagnosed with a. Tachycardia
fluid volume deficit. Which c. Cool skin
findings would the practical e. Decreased urine output
nurse document consistent f. Increased thirst
with fluid
volume deficit? (Select all that Rationale:
apply.) Fluid volume deficit causes tachycardia because the
body tries to compensate and pump blood efficiently.
a. Tachycardia
Cool skin is consistent with fluid volume deficit.
b. Diaphoresis
Decreased urine output results from reduced fluid
c. Cool skin
volume perfusing the kidneys. Thirst will be stimulated
d. Heart failure
e. Decreased urine output
by the hypothalamus because of decreased fluid
f. Increased thirst volume.
4/71
HESI PN MED SURG EXIT EXAM / MED SURG
HESI PN LATEST EXAM 2025-2026 ACTUAL EXAM
TEST BANK 100 QUESTIONS AND CORRECT
DETAILED ANSWERS\LATEST UPDATE
During a clinic visit, a client c. Schedule an appointment with the health care provider for
reports to the practical evaluation.
nurse (PN) that they felt a
A painless breast mass is an abnormal finding, and the PN
solid mass in their breast should instruct the client to obtain prompt medical evaluation.
during self-
examination, but it was not
painful. What instruction
should the PN reinforce with
the client?
A. Continue to monitor the
mass until the next
scheduled annual exam.
B. Notify the PCP if the mass
becomes soft or painful or
starts to drain.
C. Schedule an appointment
with the PCP for evaluation
D. Breast masses are usually
insignificant if they feel soft
or are easily moveable.
1/71
,8/4/25, 11:13 PM HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST EXAM ACTUAL EXAM TEST BANK 100 QUESTIO…
The home health practical d. Feelings of dizziness
nurse is visiting with a
client who has a history of Rationale:
second- degree heart Feelings of dizziness may occur as the result of a
block and pacemaker decreased heart rate, leading to decreased cardiac
placement 6 months ago. output as a result of pacemaker failure.
Which symptom compliant
by the client would be
indicative of pacemaker
failure?
a. Facialflushing
b. Nausea
c. Pounding headache
d. Feelings of dizziness
Which actions demonstrate b. Shake the inhaler.
to the practical nurse that c. Attach the canister of medication to the mouthpiece.
the client understands the e. Use a spacer attachment and place the mouthpiece in the
correct procedure mouth.
administration of a f. Close the lips around the mouthpiece.
metered dose inhaler (MDI)? g. After inhaling the medication, hold the breath 10 seconds.
(Select all that apply.)
Rationale:
a. Sitor stand. The correct sequence of MDI administration includes
b. Shake the inhaler. shaking the inhaler, attaching the canister to the
c. Attach the canister of
mouthpiece, attaching the spacer, the client should then
medication to the let their breath out through the mouth to empty the
mouthpiece. lungs and place the mouthpiece in the mouth, closing
d. Breathe in through the the lips and mouth around the mouthpiece, and inhaling
mouth, filling the lungs. medication and holding the breath for 10 seconds.
e. Use a spacer attachment
and place the mouthpiece
in the mouth.
f. Close the lips around the
mouthpiece.
g. After inhaling the
medication, hold the breath
10 seconds.
2/71
,8/4/25, 11:13 PM HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST EXAM ACTUAL EXAM TEST BANK 100 QUESTIO…
The Centers for Disease b. Wear gloves when coming in contact with the blood or body
Control and fluids of a client.
Prevention (CDC) has issued
guidelines for health care Rationale:
workers in relation to The CDC guidelines for standard precautions
protection from HIV. The recommend that health care workers use gloves when
practical nurse (PN) who coming in contact with blood or body fluids from any
suspects they may be client because HIV is infectious before the client
pregnant is assigned a client becomes aware of symptoms. Pregnancy of a nurse
who is HIV+. What action should not inhibit the nurse for taking care of a HIV+
should the PN implement? client as long as
standard precautions are observed.
a. Make the suspected
pregnancy known and
request a different client
assignment.
b. Wear gloves when
coming in contact with
the blood or body fluids of
a client.
c. Limit contact and
interaction with the client
and have another nurse
bathe the client.
d. Put on all the PPE to
include gown and mask
when entering the client's
room.
3/71
, 8/4/25, 11:13 PM HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST EXAM ACTUAL EXAM TEST BANK 100 QUESTIO…
A practical nurse (PN) b. "I may still contract HIV even though I am 62 years old."
reinforced client
teaching regarding the Rationale:
transmission of the HIV More than 10% of all AIDS cases in the United States
virus. Which statement by are among those older than 50 years of age.
the client demonstrates an
understanding of the
reinforced teaching?
a. "To be absolutely safe, I
should wear two latex
condoms during intercourse
with an infected partner."
b. "I may still contract HIV
even though I am 62 years
old."
c. "Urinating immediately after
having
sexual relations will help
reduce the risk of
contracting HIV."
d. "If I take AZT during my
pregnancy, I will not give the
virus to my unborn baby."
A client is diagnosed with a. Tachycardia
fluid volume deficit. Which c. Cool skin
findings would the practical e. Decreased urine output
nurse document consistent f. Increased thirst
with fluid
volume deficit? (Select all that Rationale:
apply.) Fluid volume deficit causes tachycardia because the
body tries to compensate and pump blood efficiently.
a. Tachycardia
Cool skin is consistent with fluid volume deficit.
b. Diaphoresis
Decreased urine output results from reduced fluid
c. Cool skin
volume perfusing the kidneys. Thirst will be stimulated
d. Heart failure
e. Decreased urine output
by the hypothalamus because of decreased fluid
f. Increased thirst volume.
4/71
