HESI PN Med Surg Exit Latest Exam 2025-2026 Actual Exam
Test Bank 100 Questions And Correct Detailed Answers With Rationales
1. 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? c. Schedule an appointment with the health care provider for
evaluation.
A. Continue to monitor the mass until the
next scheduled annual exam. A painless breast mass is an abnormal finding, and the PN
B. Notify the PCP if the mass becomes soft or should instruct the client to obtain prompt medical evaluation.
painful or starts to drain.
C
C. Schedule an appointment with the
PCP for evaluation LE
D. Breast masses are usually in significant if
they feel soft or are easily moveable.
2. The health care provider in formed a client
ST
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?
BE
A. Encourage the client to at tend a cancer c. Ask the client to explain his understand ing of the term
education pro gram malignancy.
B. Perform a complete history and physical
assessment
The best initial action is to assess the client's knowledge of
C. Ask the client to explain his
the term malignancy when used to describe cancer. The
understanding of the term malignancy.
client appears to have inaccurate knowledge.
Stage 4 cancer means the cancer has spread (metastasized)
from where it has started to another body part.
, D. Offer the client emotional support to deal
with the diagnosis
Submit
3. A client diagnosed with osteoarthritis. Which d. Instruct the client to take an analgesic before walking
intervention should the practical nurse daily.
implement to help relieve joint pain and
stiffness?
Adequate pain management is important for the success of
an exercise program.
a. Encourage the client to perform weight Keeping the joints active decreases pain, so taking an
bearing exercises. analgesic and walking daily is likely to help decrease joint
b. Teach the client how to perform range of pain and stiffness.
motion exercises.
c. Explain the use of ice and massage for
pain relief.
C
d. Instruct the client to take an analgesic
before walking daily LE
4. A client diagnosed with prostate cancer is a. Follow radiation exposure precautions.
prescribed radioactive seed implantation
(brachytherapy). What is the most important Clients being treated for prostate cancer with brachytherapy
ST
nursing action for the practical nurse (PN) to (radioactive seeds im plant) should be placed on radiation expo
do? sure precautions. The PN needs to follow the institution's
protocols put in place re garding the amount of time and
distance needed to prevent excessive exposure that would
a. Follow radiation exposure precautions pose a hazard to others.
BE
b. Encourage regular meals
c. Collect all urine in sealed containers
d. Avoid touching the client.
5. A client diagnosed with emphysema that is b. A weight loss of 5 pounds since the last monthly home
oxygen dependent visit
, lives alone at home and man ages self-care
with no difficulty.Which finding should A weight loss of 5 pounds in 1 month is a concern. Clients
prompt the home health practical nurse to with COPD need ad ditional calorie intake because they
consult the registered nurse case manager? are using up a lot from the energy they are
using to breath.The practical nurse needs to consult with the
a. A pulse oximetry reading of 91% on registered nurse case manager for a nutrition consult
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.
6. The nurse has reinforced instructions to a
C
client with diabetes mellitus on how to self-
monitor for symptoms of diabetic
ketoacidosis (DKA).
a. Fruity breath odor
LE
The nurse realizes the instructions have been b. Rapid, weak pulse
effective if the client can list which d. Extreme thirst
symptoms? (Select all that apply.)
e. Urinary frequency
ST
a. Fruity breath odor Diabetic ketoacidosis is caused by a profound deficiency of
b. Rapid, weak pulse insulin. Some com mon characteristics include a sweet, fruity
c. Cold, clammy skin breath odor, a rapid weak pulse, extreme thirst, urinary
frequency, and sunkenap pearing eyeballs.
d. Extreme thirst
BE
e. Urinary frequency
f. Protruding eyeballs
7.
, A client mentions using garlic daily as an herb a. Monitor the client for signs of bleeding.
to lower cholesterol and triglyceride levels.
Which nursing action is a priority?
Garlic inhibits platelet aggregation in the same way that
aspirin works, and the client should be monitored for
a. Monitor the client for signs of bleeding. bleeding. Garlic can lower the blood pressure, not raise it. It
b. Instruct the client that garlic tends to does not relieve fever. While the client will likely want to
cause hypertension. avoid garlic odor, it is not a priority.
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.
8. The practical nurse (PN) is re viewing the
health histories of assigned clients. Which
factors have a potential for development of a. Tobacco use
C
throat cancer? (Select all that apply.) b. Excessive intake of alcohol
d. Human papillomavirus (HPV)
LE
a. Tobacco use
b. Excessive intake of alcohol Rationale:
c. Intake of hot and spicy foods The most common risk factors for throat cancer are tobacco
d. Human papillomavirus (HPV) use, alcohol abuse, human papillomavirus (HPV), a diet
ST
lacking in fruits and vegetable, and gastroesophageal reflux
e. Lack of exercise disease (GERD). Foods seasoned with herbs and spices have
f. Lack of dietary fiber shown to have some health benefits in decreasing the risk of
developing cancer.
BE
9. A client has undergone craniotomy to
remove a brain tumor. The client spent b. The client became more confused than he was upon
several days in the intensive care unit, and is transfer to the postsurgical unit.
now on the postsurgical unit. The nurse has
urgently contact the surgeon to Rationale:
A change in the level of consciousness is most likely the
earliest symptom of in
Test Bank 100 Questions And Correct Detailed Answers With Rationales
1. 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? c. Schedule an appointment with the health care provider for
evaluation.
A. Continue to monitor the mass until the
next scheduled annual exam. A painless breast mass is an abnormal finding, and the PN
B. Notify the PCP if the mass becomes soft or should instruct the client to obtain prompt medical evaluation.
painful or starts to drain.
C
C. Schedule an appointment with the
PCP for evaluation LE
D. Breast masses are usually in significant if
they feel soft or are easily moveable.
2. The health care provider in formed a client
ST
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?
BE
A. Encourage the client to at tend a cancer c. Ask the client to explain his understand ing of the term
education pro gram malignancy.
B. Perform a complete history and physical
assessment
The best initial action is to assess the client's knowledge of
C. Ask the client to explain his
the term malignancy when used to describe cancer. The
understanding of the term malignancy.
client appears to have inaccurate knowledge.
Stage 4 cancer means the cancer has spread (metastasized)
from where it has started to another body part.
, D. Offer the client emotional support to deal
with the diagnosis
Submit
3. A client diagnosed with osteoarthritis. Which d. Instruct the client to take an analgesic before walking
intervention should the practical nurse daily.
implement to help relieve joint pain and
stiffness?
Adequate pain management is important for the success of
an exercise program.
a. Encourage the client to perform weight Keeping the joints active decreases pain, so taking an
bearing exercises. analgesic and walking daily is likely to help decrease joint
b. Teach the client how to perform range of pain and stiffness.
motion exercises.
c. Explain the use of ice and massage for
pain relief.
C
d. Instruct the client to take an analgesic
before walking daily LE
4. A client diagnosed with prostate cancer is a. Follow radiation exposure precautions.
prescribed radioactive seed implantation
(brachytherapy). What is the most important Clients being treated for prostate cancer with brachytherapy
ST
nursing action for the practical nurse (PN) to (radioactive seeds im plant) should be placed on radiation expo
do? sure precautions. The PN needs to follow the institution's
protocols put in place re garding the amount of time and
distance needed to prevent excessive exposure that would
a. Follow radiation exposure precautions pose a hazard to others.
BE
b. Encourage regular meals
c. Collect all urine in sealed containers
d. Avoid touching the client.
5. A client diagnosed with emphysema that is b. A weight loss of 5 pounds since the last monthly home
oxygen dependent visit
, lives alone at home and man ages self-care
with no difficulty.Which finding should A weight loss of 5 pounds in 1 month is a concern. Clients
prompt the home health practical nurse to with COPD need ad ditional calorie intake because they
consult the registered nurse case manager? are using up a lot from the energy they are
using to breath.The practical nurse needs to consult with the
a. A pulse oximetry reading of 91% on registered nurse case manager for a nutrition consult
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.
6. The nurse has reinforced instructions to a
C
client with diabetes mellitus on how to self-
monitor for symptoms of diabetic
ketoacidosis (DKA).
a. Fruity breath odor
LE
The nurse realizes the instructions have been b. Rapid, weak pulse
effective if the client can list which d. Extreme thirst
symptoms? (Select all that apply.)
e. Urinary frequency
ST
a. Fruity breath odor Diabetic ketoacidosis is caused by a profound deficiency of
b. Rapid, weak pulse insulin. Some com mon characteristics include a sweet, fruity
c. Cold, clammy skin breath odor, a rapid weak pulse, extreme thirst, urinary
frequency, and sunkenap pearing eyeballs.
d. Extreme thirst
BE
e. Urinary frequency
f. Protruding eyeballs
7.
, A client mentions using garlic daily as an herb a. Monitor the client for signs of bleeding.
to lower cholesterol and triglyceride levels.
Which nursing action is a priority?
Garlic inhibits platelet aggregation in the same way that
aspirin works, and the client should be monitored for
a. Monitor the client for signs of bleeding. bleeding. Garlic can lower the blood pressure, not raise it. It
b. Instruct the client that garlic tends to does not relieve fever. While the client will likely want to
cause hypertension. avoid garlic odor, it is not a priority.
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.
8. The practical nurse (PN) is re viewing the
health histories of assigned clients. Which
factors have a potential for development of a. Tobacco use
C
throat cancer? (Select all that apply.) b. Excessive intake of alcohol
d. Human papillomavirus (HPV)
LE
a. Tobacco use
b. Excessive intake of alcohol Rationale:
c. Intake of hot and spicy foods The most common risk factors for throat cancer are tobacco
d. Human papillomavirus (HPV) use, alcohol abuse, human papillomavirus (HPV), a diet
ST
lacking in fruits and vegetable, and gastroesophageal reflux
e. Lack of exercise disease (GERD). Foods seasoned with herbs and spices have
f. Lack of dietary fiber shown to have some health benefits in decreasing the risk of
developing cancer.
BE
9. A client has undergone craniotomy to
remove a brain tumor. The client spent b. The client became more confused than he was upon
several days in the intensive care unit, and is transfer to the postsurgical unit.
now on the postsurgical unit. The nurse has
urgently contact the surgeon to Rationale:
A change in the level of consciousness is most likely the
earliest symptom of in
