HESI PN MED-SURG TEST BANK (NGN-STYLE QUESTIONS
& CASE SCENARIOS) 100+ QS & ANS TO PASS THE EXAM
During a clinic visit, a client reports to the practical nurse (PN) that they felt a
solid mass in their breast 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. -
-------CORRECT ANSWER----c. Schedule an appointment with the health care
provider for evaluation.
A painless breast mass is an abnormal finding, and the PN should instruct the
client to obtain prompt medical evaluation.
The health care provider informed a client diagnosed with stage 4 liver cancer
that the cancer has spread to their spine. The client states to the practical nurse,
"I have a cancer, but it is not malignant." What is the best initial nursing action?
A. Encourage the client to attend a 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 - -------CORRECT ANSWER----c. Ask the client to explain his understanding
of the term malignancy.
The best initial action is to assess the client's knowledge of the term malignancy
when used to describe cancer. The client appears to have inaccurate knowledge.
Stage 4 cancer means the cancer has spread (metastasized) from where it has
started to another body part.
A client diagnosed with osteoarthritis. Which intervention should the practical
nurse implement to help relieve joint pain and stiffness?
a. Encourage the client to perform weight-bearing exercises.
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 - -------CORRECT
ANSWER----d. Instruct the client to take an analgesic before walking daily.
Adequate pain management is important for the success of an exercise program.
Keeping the joints active decreases pain, so taking an analgesic and walking daily
is likely to help decrease joint pain and stiffness.
A client diagnosed with prostate cancer is prescribed radioactive seed
implantation (brachytherapy). What is the most important nursing action for the
practical nurse (PN) to do?
,a. Follow radiation exposure precautions
b. Encourage regular meals
c. Collect all urine in sealed containers
d. Avoid touching the client. - -------CORRECT ANSWER----a. Follow radiation
exposure precautions.
Clients being treated for prostate cancer with brachytherapy (radioactive seeds
implant) should be placed on radiation exposure precautions. The PN needs to
follow the institution's protocols put in place regarding the amount of time and
distance needed to prevent excessive exposure that would pose a hazard to
others.
A client diagnosed with emphysema that is oxygen-dependent lives alone at
home and manages self-care with no difficulty. Which finding should prompt the
home health practical nurse to consult the registered nurse case manager?
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. - -------CORRECT ANSWER----b. A weight loss of 5 pounds since
the last monthly home visit
A weight loss of 5 pounds in 1 month is a concern. Clients with COPD need
additional calorie intake because they are using up a lot from the energy they are
using to breath. The practical nurse needs to consult with the registered nurse
case manager for a nutrition consult
, The nurse has reinforced instructions to a client with diabetes mellitus on how to
self-monitor for symptoms of diabetic ketoacidosis (DKA). The nurse realizes the
instructions have been effective if the client can list which symptoms? (Select all
that apply.)
a. Fruity breath odor
b. Rapid, weak pulse
c. Cold, clammy skin
d. Extreme thirst
e. Urinary frequency
f. Protruding eyeballs - -------CORRECT ANSWER----a. Fruity breath odor
b. Rapid, weak pulse
d. Extreme thirst
e. Urinary frequency
Diabetic ketoacidosis is caused by a profound deficiency of insulin. Some common
characteristics include a sweet, fruity breath odor, a rapid weak pulse, extreme
thirst, urinary frequency, and sunken-appearing eyeballs.
A client mentions using garlic daily as an herb to lower cholesterol and triglyceride
levels. Which nursing action is a priority?
a. Monitor the client for signs of bleeding.
b. Instruct the client that garlic tends to cause hypertension.
c. This may relieve fever in the same way that acetaminophen does.
& CASE SCENARIOS) 100+ QS & ANS TO PASS THE EXAM
During a clinic visit, a client reports to the practical nurse (PN) that they felt a
solid mass in their breast 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. -
-------CORRECT ANSWER----c. Schedule an appointment with the health care
provider for evaluation.
A painless breast mass is an abnormal finding, and the PN should instruct the
client to obtain prompt medical evaluation.
The health care provider informed a client diagnosed with stage 4 liver cancer
that the cancer has spread to their spine. The client states to the practical nurse,
"I have a cancer, but it is not malignant." What is the best initial nursing action?
A. Encourage the client to attend a 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 - -------CORRECT ANSWER----c. Ask the client to explain his understanding
of the term malignancy.
The best initial action is to assess the client's knowledge of the term malignancy
when used to describe cancer. The client appears to have inaccurate knowledge.
Stage 4 cancer means the cancer has spread (metastasized) from where it has
started to another body part.
A client diagnosed with osteoarthritis. Which intervention should the practical
nurse implement to help relieve joint pain and stiffness?
a. Encourage the client to perform weight-bearing exercises.
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 - -------CORRECT
ANSWER----d. Instruct the client to take an analgesic before walking daily.
Adequate pain management is important for the success of an exercise program.
Keeping the joints active decreases pain, so taking an analgesic and walking daily
is likely to help decrease joint pain and stiffness.
A client diagnosed with prostate cancer is prescribed radioactive seed
implantation (brachytherapy). What is the most important nursing action for the
practical nurse (PN) to do?
,a. Follow radiation exposure precautions
b. Encourage regular meals
c. Collect all urine in sealed containers
d. Avoid touching the client. - -------CORRECT ANSWER----a. Follow radiation
exposure precautions.
Clients being treated for prostate cancer with brachytherapy (radioactive seeds
implant) should be placed on radiation exposure precautions. The PN needs to
follow the institution's protocols put in place regarding the amount of time and
distance needed to prevent excessive exposure that would pose a hazard to
others.
A client diagnosed with emphysema that is oxygen-dependent lives alone at
home and manages self-care with no difficulty. Which finding should prompt the
home health practical nurse to consult the registered nurse case manager?
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. - -------CORRECT ANSWER----b. A weight loss of 5 pounds since
the last monthly home visit
A weight loss of 5 pounds in 1 month is a concern. Clients with COPD need
additional calorie intake because they are using up a lot from the energy they are
using to breath. The practical nurse needs to consult with the registered nurse
case manager for a nutrition consult
, The nurse has reinforced instructions to a client with diabetes mellitus on how to
self-monitor for symptoms of diabetic ketoacidosis (DKA). The nurse realizes the
instructions have been effective if the client can list which symptoms? (Select all
that apply.)
a. Fruity breath odor
b. Rapid, weak pulse
c. Cold, clammy skin
d. Extreme thirst
e. Urinary frequency
f. Protruding eyeballs - -------CORRECT ANSWER----a. Fruity breath odor
b. Rapid, weak pulse
d. Extreme thirst
e. Urinary frequency
Diabetic ketoacidosis is caused by a profound deficiency of insulin. Some common
characteristics include a sweet, fruity breath odor, a rapid weak pulse, extreme
thirst, urinary frequency, and sunken-appearing eyeballs.
A client mentions using garlic daily as an herb to lower cholesterol and triglyceride
levels. Which nursing action is a priority?
a. Monitor the client for signs of bleeding.
b. Instruct the client that garlic tends to cause hypertension.
c. This may relieve fever in the same way that acetaminophen does.
