Hesi PN Med-Surg Exam Questions and answers
EXAM, SOLUTIONS (MULTIPLE CHOICES) 100%
correct 2026!!
Save
Terms in this set (107)
During a clinic visit, a client reports c. Schedule an appointment with the health care
to the practical nurse (PN) that they provider for evaluation.
felt a solid mass in their breast
during self-examination, but it was A painless breast mass is an abnormal finding,
not painful. What instruction should and the PN should instruct the client to obtain
the PN reinforce with the client? prompt medical evaluation.
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.
,The health care provider informed a c. Ask the client to explain his understanding of
client diagnosed with stage 4 liver the term malignancy.
cancer that the cancer has spread
to their spine. The client states to The best initial action is to assess the client's
the practical nurse, "I have a cancer, knowledge of the term malignancy when used to
but it is not malignant." What is the describe cancer. The client appears to have
best initial nursing action? inaccurate knowledge. Stage 4 cancer means the
cancer has spread (metastasized) from where it
A. Encourage the client to attend a has started to another body part.
cancer education program
B. Perform a complete history and
physical assessment
C. Ask the client to explain his
understanding of the term
malignancy.
D. Offer the client emotional
support to deal with the diagnosis
Submit
A client diagnosed with d. Instruct the client to take an analgesic before
osteoarthritis. Which intervention walking daily.
should the practical nurse
implement to help relieve joint pain Adequate pain management is important for the
and stiffness? success of an exercise program. Keeping the
joints active decreases pain, so taking an
a. Encourage the client to perform analgesic and walking daily is likely to help
weight-bearing exercises. decrease joint pain and stiffness.
b. Teach the client how to perform
range-of-motion exercises.
c. Explain the use of ice and
massage for pain relief.
d. Instruct the client to take an
analgesic before walking daily
,A client diagnosed with prostate a. Follow radiation exposure precautions.
cancer is prescribed radioactive
seed implantation (brachytherapy). Clients being treated for prostate cancer with
What is the most important nursing brachytherapy (radioactive seeds implant) should
action for the practical nurse (PN) be placed on radiation exposure precautions.
to do? The PN needs to follow the institution's protocols
put in place regarding the amount of time and
a. Follow radiation exposure distance needed to prevent excessive exposure
precautions that would pose a hazard to others.
b. Encourage regular meals
c. Collect all urine in sealed
containers
d. Avoid touching the client.
A client diagnosed with b. A weight loss of 5 pounds since the last
emphysema that is oxygen- monthly home visit
dependent lives alone at home and
manages self-care with no difficulty. A weight loss of 5 pounds in 1 month is a concern.
Which finding should prompt the Clients with COPD need additional calorie intake
home health practical nurse to because they are using up a lot from the energy
consult the registered nurse case they are using to breath. The practical nurse
manager? needs to consult with the registered nurse case
manager for a nutrition consult
a. A pulse oximetry reading of 91%
on oxygen at 2 L/m
b. A weight loss of 5 pounds since
the last monthly home visit
c. The client reports feeling as tired
as at the last visit by the nurse
d. Upon entering the home, the PN
noticed dirty dishes and clothing
scattered around the home.
, The nurse has reinforced a. Fruity breath odor
instructions to a client with diabetes b. Rapid, weak pulse
mellitus on how to self-monitor for d. Extreme thirst
symptoms of diabetic ketoacidosis e. Urinary frequency
(DKA). The nurse realizes the
instructions have been effective if Diabetic ketoacidosis is caused by a profound
the client can list which symptoms? deficiency of insulin. Some common
(Select all that apply.) characteristics include a sweet, fruity breath
odor, a rapid weak pulse, extreme thirst, urinary
a. Fruity breath odor frequency, and sunken-appearing eyeballs.
b. Rapid, weak pulse
c. Cold, clammy skin
d. Extreme thirst
e. Urinary frequency
f. Protruding eyeballs
A client mentions using garlic daily a. Monitor the client for signs of bleeding.
as an herb to lower cholesterol and
triglyceride levels. Which nursing Garlic inhibits platelet aggregation in the same
action is a priority? way that aspirin works, and the client should be
monitored for bleeding. Garlic can lower the
a. Monitor the client for signs of blood pressure, not raise it. It does not relieve
bleeding. fever. While the client will likely want to avoid
b. Instruct the client that garlic garlic odor, it is not a priority.
tends to cause hypertension.
c. This may relieve fever in the same
way that acetaminophen does.
d. Remind the patient to use tooth
brushing and mouthwash to prevent
garlic odor.
EXAM, SOLUTIONS (MULTIPLE CHOICES) 100%
correct 2026!!
Save
Terms in this set (107)
During a clinic visit, a client reports c. Schedule an appointment with the health care
to the practical nurse (PN) that they provider for evaluation.
felt a solid mass in their breast
during self-examination, but it was A painless breast mass is an abnormal finding,
not painful. What instruction should and the PN should instruct the client to obtain
the PN reinforce with the client? prompt medical evaluation.
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.
,The health care provider informed a c. Ask the client to explain his understanding of
client diagnosed with stage 4 liver the term malignancy.
cancer that the cancer has spread
to their spine. The client states to The best initial action is to assess the client's
the practical nurse, "I have a cancer, knowledge of the term malignancy when used to
but it is not malignant." What is the describe cancer. The client appears to have
best initial nursing action? inaccurate knowledge. Stage 4 cancer means the
cancer has spread (metastasized) from where it
A. Encourage the client to attend a has started to another body part.
cancer education program
B. Perform a complete history and
physical assessment
C. Ask the client to explain his
understanding of the term
malignancy.
D. Offer the client emotional
support to deal with the diagnosis
Submit
A client diagnosed with d. Instruct the client to take an analgesic before
osteoarthritis. Which intervention walking daily.
should the practical nurse
implement to help relieve joint pain Adequate pain management is important for the
and stiffness? success of an exercise program. Keeping the
joints active decreases pain, so taking an
a. Encourage the client to perform analgesic and walking daily is likely to help
weight-bearing exercises. decrease joint pain and stiffness.
b. Teach the client how to perform
range-of-motion exercises.
c. Explain the use of ice and
massage for pain relief.
d. Instruct the client to take an
analgesic before walking daily
,A client diagnosed with prostate a. Follow radiation exposure precautions.
cancer is prescribed radioactive
seed implantation (brachytherapy). Clients being treated for prostate cancer with
What is the most important nursing brachytherapy (radioactive seeds implant) should
action for the practical nurse (PN) be placed on radiation exposure precautions.
to do? The PN needs to follow the institution's protocols
put in place regarding the amount of time and
a. Follow radiation exposure distance needed to prevent excessive exposure
precautions that would pose a hazard to others.
b. Encourage regular meals
c. Collect all urine in sealed
containers
d. Avoid touching the client.
A client diagnosed with b. A weight loss of 5 pounds since the last
emphysema that is oxygen- monthly home visit
dependent lives alone at home and
manages self-care with no difficulty. A weight loss of 5 pounds in 1 month is a concern.
Which finding should prompt the Clients with COPD need additional calorie intake
home health practical nurse to because they are using up a lot from the energy
consult the registered nurse case they are using to breath. The practical nurse
manager? needs to consult with the registered nurse case
manager for a nutrition consult
a. A pulse oximetry reading of 91%
on oxygen at 2 L/m
b. A weight loss of 5 pounds since
the last monthly home visit
c. The client reports feeling as tired
as at the last visit by the nurse
d. Upon entering the home, the PN
noticed dirty dishes and clothing
scattered around the home.
, The nurse has reinforced a. Fruity breath odor
instructions to a client with diabetes b. Rapid, weak pulse
mellitus on how to self-monitor for d. Extreme thirst
symptoms of diabetic ketoacidosis e. Urinary frequency
(DKA). The nurse realizes the
instructions have been effective if Diabetic ketoacidosis is caused by a profound
the client can list which symptoms? deficiency of insulin. Some common
(Select all that apply.) characteristics include a sweet, fruity breath
odor, a rapid weak pulse, extreme thirst, urinary
a. Fruity breath odor frequency, and sunken-appearing eyeballs.
b. Rapid, weak pulse
c. Cold, clammy skin
d. Extreme thirst
e. Urinary frequency
f. Protruding eyeballs
A client mentions using garlic daily a. Monitor the client for signs of bleeding.
as an herb to lower cholesterol and
triglyceride levels. Which nursing Garlic inhibits platelet aggregation in the same
action is a priority? way that aspirin works, and the client should be
monitored for bleeding. Garlic can lower the
a. Monitor the client for signs of blood pressure, not raise it. It does not relieve
bleeding. fever. While the client will likely want to avoid
b. Instruct the client that garlic garlic odor, it is not a priority.
tends to cause hypertension.
c. This may relieve fever in the same
way that acetaminophen does.
d. Remind the patient to use tooth
brushing and mouthwash to prevent
garlic odor.
