HESI PN Med-Surg TEST BANK (NGN-Style Questions & Case Scenarios) 400+ Qs & Ans to Pass the Exam

HESI PN Med-Surg

TEST BANK
(NGN-Style Questions & Case Scenarios)

400+ Qs & Ans to Pass the Exam


This Hesi test contains:
 400+ Qs & Ans
 passing score Guarantee
 Format Set of Multiple-choice
 questions with incorporating Next Generation NCLEX
(NGN) and Case Scenarios
 Expert-Verified Explanations & Solutions

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#### 1. A client with prostate cancer undergoes brachytherapy (radioactive seed

implantation). What nursing action has the highest priority?



A. Follow radiation exposure precautions.

B. Encourage the client to consume regular meals.

C. Collect all urine in sealed containers.

D. Avoid touching the client.



Answer: A. Follow radiation exposure precautions.



Expert Rationale:

Radiation precautions protect healthcare workers, clients, and visitors from

unnecessary exposure. Protocols generally include time, distance, and shielding

measures. For brachytherapy, staff must maintain limited, computed exposure times

near the client.



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#### 2. NGN-Style Case Scenario: A home health PN visits a client with emphysema

who is oxygen-dependent and independently manages self-care. Recent findings

reveal:

,- Oxygen Saturation: 91% on 2 L/min oxygen.
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- Weight: 5 lbs less than the last home visit (30 days ago).
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- Reported Fatigue: Unchanged since the prior visit. sd sd sd sd sd sd




- Home Environment: Disheveled with dirty dishes and clothing scattered.
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Based on this assessment, what requires immediate consultation with the RN case manage
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r?



A. Oxygen saturation of 91% on oxygen at 2 L/min.
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B. Weight loss of 5 pounds within the past month.
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C. Report of unchanged fatigue from the prior visit.
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D. Disheveled appearance of the home environment. sd sd sd sd sd




Answer: B. Weight loss of 5 pounds within the past month.
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Expert Rationale: sd




Unintended weight loss in clients with COPD could indicate increased energy expenditure
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and nutritional deficiencies requiring urgent dietary intervention. Oxygen saturation of 91
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% is expected in COPD. Fatigue and disorganized surroundings may also result from illness
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but are secondary concerns compared to potential malnutrition.
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#### 3. A client with diabetes mellitus is being educated on symptoms of diabetic ketoacidosis (
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DKA). Which symptoms should the PN reinforce? (Select all that apply.)
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A. Fruity breath odor. sd sd




B. Rapid, weak pulse. sd sd




C. Cold, clammy skin. sd sd




D. Extreme thirst. sd




E. Urinary frequency. sd




F. Protruding eyeballs. sd




Answers:

A. Fruity breath odor. sd sd




B. Rapid, weak pulse. sd sd




D. Extreme thirst. sd




E. Urinary frequency. sd




Expert Rationale:sd




DKA results from significant insulin deficiency, leading to hyperglycemia, ketonemia, and d
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ehydration. Symptoms include fruity breath, tachycardia (from hypovolemia),
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