HESI PN adult medical surgical EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Med Surg Hesi PN*++ 2026 A+ GRADE ASSURED COMP
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LETE SOLUTIONS AND VERIFIED ANSWERS (F3CFE)
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QUESTION 1 zm




A client diagnosed with osteoarthritis. Which intervention should the practical nurse i
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mplement to help relieve joint pain and stiffness?
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a. Encourage the client to perform weight-bearing exercises.
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b. Teach the client how to perform range-of-motion exercises.
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c. Explain the use of ice and massage for pain relief.
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d. Instruct the client to take an analgesic before walking daily
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ANSWER

d. Instruct the client to take an analgesic before walking daily. Adequate pain management is import
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ant for the success of an exercise program. Keeping the joints active decreases pain, so taking an an
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algesic and walking daily is likely to help decrease joint pain and stiffness.
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QUESTION 2 zm




A client diagnosed with prostate cancer is prescribed radioactive seed implantation (b
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rachytherapy). What is the most important nursing action for the practical nurse (PN)
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mto do? zm



a. Follow radiation exposure precautions
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b. Encourage regular meals
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c. Collect all urine in sealed containers
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d. Avoid touching the client.
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ANSWER

a. Follow radiation exposure precautions. Clients being treated for prostate cancer with brachytherap
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y (radioactive seeds implant) should be placed on radiation exposure precautions. The PN needs to f
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ollow the institution's protocols put in place regarding the amount of time and distance needed to p
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revent excessive exposure that would pose a hazard to others.
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QUESTION 3 zm

, The nurse has reinforced instructions to a client with diabetes mellitus on how to self
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-
monitor for symptoms of diabetic ketoacidosis (DKA). The nurse realizes the instructi
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ons have been effective if the client can list which symptoms? (Select all that apply.)
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a. Fruity breath odor
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b. Rapid, weak pulse
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c. Cold, clammy skin
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d. Extreme thirst
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e. Urinary frequency f. Protruding eyeballs
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ANSWER

a. Fruity breath odor
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b. Rapid, weak pulse
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d. Extreme thirst
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e. Urinary frequency Diabetic ketoacidosis is caused by a profound deficiency of insulin. Some comm
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on characteristics include a sweet, fruity breath odor, a rapid weak pulse, extreme thirst, urinary fre
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quency, and sunken-appearing eyeballs.
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QUESTION 4 zm




A client mentions using garlic daily as an herb to lower cholesterol and triglyceride le
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vels. Which nursing action is a priority?
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a. Monitor the client for signs of bleeding.
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b. Instruct the client that garlic tends to cause hypertension.
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c. This may relieve fever in the same way that acetaminophen does.
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d. Remind the patient to use tooth brushing and mouthwash to prevent garlic odor.
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ANSWER

a. Monitor the client for signs of bleeding. Garlic inhibits platelet aggregation in the same way that a
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spirin works, and the client should be monitored for bleeding. Garlic can lower the blood pressure,
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not raise it. It does not relieve fever. While the client will likely want to avoid garlic odor, it is not
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a priority.
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QUESTION 5 zm




The practical nurse (PN) is reviewing the health histories of assigned clients. Which fa
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ctors have a potential for development of throat cancer? (Select all that apply.)
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a. Tobacco use
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b. Excessive intake of alcohol
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c. Intake of hot and spicy foods
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d. Human papillomavirus (HPV)
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e. Lack of exercise f. Lack of dietary fiber
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ANSWER

a. Tobacco use
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b. Excessive intake of alcohol
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