HESI PN MED SURG II QUESTIONS AND
CORRECT DETAILED ANSWERS AGRADE
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During a clinic visit, a c. Schedule an appointment with the health care
client reports to the provider for evaluation.
practical nurse (PN) that
they felt a solid mass in A painless breast mass is an abnormal finding, and the
their breast during self- PN should instruct the client to obtain prompt
examination, but it was not medical evaluation.
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.
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The health care provider c. Ask the client to explain his understanding of the
informed a client term malignancy.
diagnosed with stage 4
liver cancer that the The best initial action is to assess the client's
cancer has spread to their knowledge of the term malignancy when used to
spine. The client states to describe cancer. The client appears to have
the practical nurse, "I have inaccurate knowledge. Stage 4 cancer means the
a cancer, but it is not cancer has spread (metastasized) from where it has
malignant." What is the started to another body part.
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
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A client diagnosed with d. Instruct the client to take an analgesic before
osteoarthritis. Which walking daily.
intervention should the
practical nurse implement Adequate pain management is important for the
to help relieve joint pain success of an exercise program. Keeping the joints
and stiffness? active decreases pain, so taking an analgesic and
walking daily is likely to help decrease joint pain and
a. Encourage the client to stiffness.
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
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