Med/ Surg HESI Comprehensive
Review for the NCLEX-PN®
Examination, 5th Edition 2025/2026
Well Eraborated
A client diagnosed with a fracture of the (L) radius has a plaster cast applied. Which instruction should
the practical nurse give the client to dry the cast over the next 24 hours?
A. Wrap the cast in plastic wrap for 24 hours.
B. Support the cast on a firm surface during the night.
C. Do not cover and keep the cast surfaces exposed to circulating air.
D. Use a blow dryer on medium setting until dry. - correct answer.💖💖💖💖✔<<<<<C. Do not
cover and keep the cast surfaces exposed to circulating air.
Rationale:
The nurse should instruct the client to keep the cast exposed to circulating air and avoid covering it with
material that might keep it moist.
The practical nurse (PN) is interviewing a male client diagnosed with hypertension. Which finding places
the client at the greatest risk for development of a cerebral vascular accident (CVA)?
A. Drinking more than one drink of alcohol a day
, B. A basal metabolic index of 27%
C. A waistline greater than 40 inches (101.6 cm)
D. Eating too much processed foods - correct answer.💖💖💖💖✔<<<<<C. A waistline greater than
40 inches (101.6 cm)
Rationale:
Males with waist sizes larger than 40 inches (101.6 cm) and females with waist sizes larger than 35
inches (88.9 cm) are at greater risk of cardiac disease increasing the risk of CVA. The more abdominal fat
an individual has the more the risk goes up.
A client diagnosed with chronic obstructive pulmonary disease complains to the practical nurse of
extreme fatigue after coughing. Which self-care measures can help minimize the client's dyspnea?
(Select all that apply.)
A. Assume a sitting position with shoulders relaxed and knees flexed.
B. Support forearms with a pillow and place both feet flat on the floor.
C. Slightly drop the head, bend forward, and slowly exhale with pursed lips.
D. Resume sitting up straight, using diaphragmatic breathing to inhale slowly and deeply.
E. Repeat inhaling deeply and slowly with pursed lips while bending forward only once.
F. Repeat exhaling and wait for the cough reflex to facilitate movement of the secretions.
G. After coughing, inhale deeply from abdomen and cough three or four times while exhaling. - correct
answer.💖💖💖💖✔<<<<<Answer: A, B, C, D
Review for the NCLEX-PN®
Examination, 5th Edition 2025/2026
Well Eraborated
A client diagnosed with a fracture of the (L) radius has a plaster cast applied. Which instruction should
the practical nurse give the client to dry the cast over the next 24 hours?
A. Wrap the cast in plastic wrap for 24 hours.
B. Support the cast on a firm surface during the night.
C. Do not cover and keep the cast surfaces exposed to circulating air.
D. Use a blow dryer on medium setting until dry. - correct answer.💖💖💖💖✔<<<<<C. Do not
cover and keep the cast surfaces exposed to circulating air.
Rationale:
The nurse should instruct the client to keep the cast exposed to circulating air and avoid covering it with
material that might keep it moist.
The practical nurse (PN) is interviewing a male client diagnosed with hypertension. Which finding places
the client at the greatest risk for development of a cerebral vascular accident (CVA)?
A. Drinking more than one drink of alcohol a day
, B. A basal metabolic index of 27%
C. A waistline greater than 40 inches (101.6 cm)
D. Eating too much processed foods - correct answer.💖💖💖💖✔<<<<<C. A waistline greater than
40 inches (101.6 cm)
Rationale:
Males with waist sizes larger than 40 inches (101.6 cm) and females with waist sizes larger than 35
inches (88.9 cm) are at greater risk of cardiac disease increasing the risk of CVA. The more abdominal fat
an individual has the more the risk goes up.
A client diagnosed with chronic obstructive pulmonary disease complains to the practical nurse of
extreme fatigue after coughing. Which self-care measures can help minimize the client's dyspnea?
(Select all that apply.)
A. Assume a sitting position with shoulders relaxed and knees flexed.
B. Support forearms with a pillow and place both feet flat on the floor.
C. Slightly drop the head, bend forward, and slowly exhale with pursed lips.
D. Resume sitting up straight, using diaphragmatic breathing to inhale slowly and deeply.
E. Repeat inhaling deeply and slowly with pursed lips while bending forward only once.
F. Repeat exhaling and wait for the cough reflex to facilitate movement of the secretions.
G. After coughing, inhale deeply from abdomen and cough three or four times while exhaling. - correct
answer.💖💖💖💖✔<<<<<Answer: A, B, C, D
