Med-Surg Hesi PN
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?
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
move- able.: 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.
2. 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: 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.
3. A client diagnosed with osteoarthritis. Which intervention should the
prac- tical 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: 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.
, 4. 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.: 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.
5. 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 manag- er?
a. A pulse oximetry reading of 91% on oxygen at 2 L/m
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?
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
move- able.: 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.
2. 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: 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.
3. A client diagnosed with osteoarthritis. Which intervention should the
prac- tical 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: 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.
, 4. 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.: 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.
5. 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 manag- er?
a. A pulse oximetry reading of 91% on oxygen at 2 L/m
