PNR206 Med Surg Hesi 2025 Actual
Questions And Correct Verified Answers
1. A client's results for this morning's platelet count is
30,000/mm 3 . What action should the practical nurse (PN)
implement first?-Answer:- Institute bleeding pre- cautions.
2. A client is admitted with a C4 spinal cord injury (SCI) after
falling from a roof at a construction site. After returning to the unit
for a CT scan to confirm the vertebral fracture, which assessment by
the practical nurse has the highest priority?-Answer:- Check the
respiratory effort and pulse oximeter reading.
3. A client with cholelithiasis is admitted with jaundice due to
obstruction of the common bile duct. Which finding is most
important for the practical nurse to report to the healthcare
provider?-Answer:- Hard, rigid abdomen.
4. Which actions should the practical nurse implement for a client
whose frac- tured tibia is causing swelling of the lower leg?-
Answer:- Ice application and elevation.
5. A male client with increased intracranial pressure (ICP) due to
a skull fracture is in the supine position with his legs elevated. What
,should the practical nurse (PN) do first?-Answer:- Raise the head 30
degrees and lower the feet.
6. A client with Parkinson's disease asks the practical nurse (PN)
to explain how this disease causes his muscles to malfunction.
Which underlying patho- physiology should the PN use as a basis for
the explanation?-Answer:- Degeneration of the basal ganglia leads
to a decrease in dopamine levels.
7. A client with newly diagnosed essential hypertension is
learning to cope with stressful situations in his life. Which activity
should the practical nurse (PN) implement to help the client learn
constructive coping?-Answer:- Role play a situation the client
identifies as stressful.
8. Which finding should the practical nurse (PN) identify as
typical for a client who is hypoxic?-Answer:- Hemoglobin of 10
grams/dl
9. Which finding for a client with heart failure (HF) should the
practical nurse (PN) report to the charge nurse?-Answer:-
Distended neck veins while upright.
10. The practical nurse (PN) is caring for a client with chronic
obstructive pulmonary disease (COPD). To reduce carbon dioxide (
, CO 2 ) retention in the lungs, which information should the PN
reinforce?-Answer:- Use pursed-lip and abdominal breathing.
11. A male client who has been taking a four-drug regimen for
tuberculosis (TB) tells the practical nurse (PN) that he has finished
the first drug, isoniazid, and will start taking rifampin next. How
should the PN respond?-Answer:- The four-drug protocol should be
taken concurrently.
12. The practical nurse (PN) is reviewing the health history of a
client with coronary artery disease (CAD). Which finding should the
PN identify that places the client at risk for stroke?-Answer:- Atrial
fibrillation.
13. After receiving report, the practical nurse (PN) begins
assessment for a client with chronic obstructive pulmonary disease
(COPD) who has just completed a respiratory treatment. The PN
finds the client sitting upright in bed with oxygen at 6 liters/minute
per nasal cannula. Which intervention is most important for the PN
to implement?-Answer:- Decrease oxygen flow rate to 2
liter/minute and attach pulse oximeter.
14. A male client is having an intraocular pressure (IOP)
measurement using a tonometer for the first time. The client is
fearful that the test hurts and may damage his vision. Which
Questions And Correct Verified Answers
1. A client's results for this morning's platelet count is
30,000/mm 3 . What action should the practical nurse (PN)
implement first?-Answer:- Institute bleeding pre- cautions.
2. A client is admitted with a C4 spinal cord injury (SCI) after
falling from a roof at a construction site. After returning to the unit
for a CT scan to confirm the vertebral fracture, which assessment by
the practical nurse has the highest priority?-Answer:- Check the
respiratory effort and pulse oximeter reading.
3. A client with cholelithiasis is admitted with jaundice due to
obstruction of the common bile duct. Which finding is most
important for the practical nurse to report to the healthcare
provider?-Answer:- Hard, rigid abdomen.
4. Which actions should the practical nurse implement for a client
whose frac- tured tibia is causing swelling of the lower leg?-
Answer:- Ice application and elevation.
5. A male client with increased intracranial pressure (ICP) due to
a skull fracture is in the supine position with his legs elevated. What
,should the practical nurse (PN) do first?-Answer:- Raise the head 30
degrees and lower the feet.
6. A client with Parkinson's disease asks the practical nurse (PN)
to explain how this disease causes his muscles to malfunction.
Which underlying patho- physiology should the PN use as a basis for
the explanation?-Answer:- Degeneration of the basal ganglia leads
to a decrease in dopamine levels.
7. A client with newly diagnosed essential hypertension is
learning to cope with stressful situations in his life. Which activity
should the practical nurse (PN) implement to help the client learn
constructive coping?-Answer:- Role play a situation the client
identifies as stressful.
8. Which finding should the practical nurse (PN) identify as
typical for a client who is hypoxic?-Answer:- Hemoglobin of 10
grams/dl
9. Which finding for a client with heart failure (HF) should the
practical nurse (PN) report to the charge nurse?-Answer:-
Distended neck veins while upright.
10. The practical nurse (PN) is caring for a client with chronic
obstructive pulmonary disease (COPD). To reduce carbon dioxide (
, CO 2 ) retention in the lungs, which information should the PN
reinforce?-Answer:- Use pursed-lip and abdominal breathing.
11. A male client who has been taking a four-drug regimen for
tuberculosis (TB) tells the practical nurse (PN) that he has finished
the first drug, isoniazid, and will start taking rifampin next. How
should the PN respond?-Answer:- The four-drug protocol should be
taken concurrently.
12. The practical nurse (PN) is reviewing the health history of a
client with coronary artery disease (CAD). Which finding should the
PN identify that places the client at risk for stroke?-Answer:- Atrial
fibrillation.
13. After receiving report, the practical nurse (PN) begins
assessment for a client with chronic obstructive pulmonary disease
(COPD) who has just completed a respiratory treatment. The PN
finds the client sitting upright in bed with oxygen at 6 liters/minute
per nasal cannula. Which intervention is most important for the PN
to implement?-Answer:- Decrease oxygen flow rate to 2
liter/minute and attach pulse oximeter.
14. A male client is having an intraocular pressure (IOP)
measurement using a tonometer for the first time. The client is
fearful that the test hurts and may damage his vision. Which
