PN Medical-Surgical Practice Exam
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Med Surg Practice Quiz Medical-Surgical Practice Medical-Surgical Practice Exam HESI M
25 terms 101 terms 99 terms 25 terms
stud3ntnurs3 Preview Laygo Preview Pb3062 Preview Mrs
C. 50-year-old with Prinzmetal's angina. Which client should the practical nurse question a PRN prescription for
sumatriptan (Imitrex) for migraine headaches?
D. A low-dose aspirin given daily. The practical nurse (PN) is reinforcing information to a older male client with a
history of coronary artery disease about his prescribed daily medication regimen.
Which medication is most likely to reduce the client's risk factors?
A. Pain relief after ear drainage begins. An adult client with otitis media has thick, yellow drainage from the right ear
canal. What additional findings should the practical nurse (PN) expect to identify?
C. Continue to monitor client's blood pressure. The practical nurse is caring for a client who is admitted with signs of possible
acute brain attack (Stroke) three hours ago. The client's blood pressure is 170/96,
regular radial pulse 76 beats/minute, respirations are nonlabored at 11
breaths/minute, and a Sp02 of 99%. What action is most important for the PN to
implement?
D. Reports the hospital room is an office. A client who was hit in the head with a baseball is admitted to the hospital for
observation. Which finding requires the practical nurse (PN) to follow-up with
further assessment?
D. It is a combination of wear and tear and calcium loss An older female client with osteoporosis asks the practical nurse (PN) to explain
that causes the change. why she is now 2 inches shorter than when she was younger. What information is
best for the practical nurse (PN) to provide?
A. 500/mm3. A practical nurse (PN) is coordinating the care of four clients on an oncology unit.
Which neutrophil count should the PN identify as a risk for a life-threatening
infection in one of the clients?
C. Surgery can restore vision with corrective lens An older client who has had a cataract in the right eye for several years tells the
implants or glasses. practical nurse (PN), "Now I have lost the sight in my right eye because I waited
too long for treatment." What information should the PN provide?
, D. Elevate the arm above the level of the heart. The practical nurse (PN) is visiting a male client with diabetes who has a new cast
on his arm. The client's fingers are pale, cool, slightly swollen, and the radial pulse
is strong. What should the PN do first?
1. Maintain the client's airway A client with epilepsy is having bilateral rhythmic jerking movements of all
2. Apply pads to the bedside rails. extremities. After calling for help, which action should the practical nurse (PN) do
3. Avoid stimulation during post-ictal phase. next?
4. Observe the client for incontinence.
B. Sitting upright in a tripod position leaning on an The practical nurse (PN) should place a client in which position for a
overbed table. thoracentesis?
A. Implement standard precautions with the CSF Which action should the practical nurse take when handling a sample of
specimen. cerebrospinal fluid (CSF) collected for diagnostic testing from a client?
C. Avoid using ice packs on the exposed area. Which instruction should the practical nurse (PN) reinforce with a female client
about skin care after her first radiotherapy treatment?
D. Sleeps with two additional pillows. A client with heart failure (HF) takes a daily tablet of furosemide (Lasix) and
lisinopril (Zestril). Which finding during the clinic visit should indicate to the
practical nurse that the client's condition is worsening?
D. Report the change in condition to the healthcare A client who is 3 days postoperative after a laminectomy is coughing up thick
provider. green sputum and wheezing. What action is most important for the practical nurse
(PN) to implement?
B. Offer the client the commode or urinal every two A male client who had a stroke is incontinent of urine. Which action should the
hours. practical nurse (PN) implement in providing bladder training?
C. Change the transparent dressing every 72 hours. Which action should the practical nurse (PN) implement to reduce the risk of
infection for a client who is receiving total parenteral nutrition (TPN)?
B. Hemoglobin of 10 grams/dl Which finding should the practical nurse (PN) identify as typical for a client who is
hypoxic?
A. High pitched expiratory sound. Which finding for a client who is 1-day postoperative for a partial thyroidectomy
requires immediate follow-up by the practical nurse (PN)?
B. Smooth, beefy-red oral cavity. Which findings should the practical nurse identify in a client with anemia due to a
D. Paresthesia of hands and feet. vitamin B12 deficiency? (Select all)
A. Right calf is 24 cm and left calf is 21 cm. Which finding is most important for the practical nurse (PN) to explore further for
a client who had a total abdominal hysterectomy and bilateral oophorectomy
yesterday?
B. Check the respiratory effort and pulse oximeter A client is admitted with a C4 spinal cord injury (SCI) after falling from a roof at a
reading. 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?
Save
Students also studied
Med Surg Practice Quiz Medical-Surgical Practice Medical-Surgical Practice Exam HESI M
25 terms 101 terms 99 terms 25 terms
stud3ntnurs3 Preview Laygo Preview Pb3062 Preview Mrs
C. 50-year-old with Prinzmetal's angina. Which client should the practical nurse question a PRN prescription for
sumatriptan (Imitrex) for migraine headaches?
D. A low-dose aspirin given daily. The practical nurse (PN) is reinforcing information to a older male client with a
history of coronary artery disease about his prescribed daily medication regimen.
Which medication is most likely to reduce the client's risk factors?
A. Pain relief after ear drainage begins. An adult client with otitis media has thick, yellow drainage from the right ear
canal. What additional findings should the practical nurse (PN) expect to identify?
C. Continue to monitor client's blood pressure. The practical nurse is caring for a client who is admitted with signs of possible
acute brain attack (Stroke) three hours ago. The client's blood pressure is 170/96,
regular radial pulse 76 beats/minute, respirations are nonlabored at 11
breaths/minute, and a Sp02 of 99%. What action is most important for the PN to
implement?
D. Reports the hospital room is an office. A client who was hit in the head with a baseball is admitted to the hospital for
observation. Which finding requires the practical nurse (PN) to follow-up with
further assessment?
D. It is a combination of wear and tear and calcium loss An older female client with osteoporosis asks the practical nurse (PN) to explain
that causes the change. why she is now 2 inches shorter than when she was younger. What information is
best for the practical nurse (PN) to provide?
A. 500/mm3. A practical nurse (PN) is coordinating the care of four clients on an oncology unit.
Which neutrophil count should the PN identify as a risk for a life-threatening
infection in one of the clients?
C. Surgery can restore vision with corrective lens An older client who has had a cataract in the right eye for several years tells the
implants or glasses. practical nurse (PN), "Now I have lost the sight in my right eye because I waited
too long for treatment." What information should the PN provide?
, D. Elevate the arm above the level of the heart. The practical nurse (PN) is visiting a male client with diabetes who has a new cast
on his arm. The client's fingers are pale, cool, slightly swollen, and the radial pulse
is strong. What should the PN do first?
1. Maintain the client's airway A client with epilepsy is having bilateral rhythmic jerking movements of all
2. Apply pads to the bedside rails. extremities. After calling for help, which action should the practical nurse (PN) do
3. Avoid stimulation during post-ictal phase. next?
4. Observe the client for incontinence.
B. Sitting upright in a tripod position leaning on an The practical nurse (PN) should place a client in which position for a
overbed table. thoracentesis?
A. Implement standard precautions with the CSF Which action should the practical nurse take when handling a sample of
specimen. cerebrospinal fluid (CSF) collected for diagnostic testing from a client?
C. Avoid using ice packs on the exposed area. Which instruction should the practical nurse (PN) reinforce with a female client
about skin care after her first radiotherapy treatment?
D. Sleeps with two additional pillows. A client with heart failure (HF) takes a daily tablet of furosemide (Lasix) and
lisinopril (Zestril). Which finding during the clinic visit should indicate to the
practical nurse that the client's condition is worsening?
D. Report the change in condition to the healthcare A client who is 3 days postoperative after a laminectomy is coughing up thick
provider. green sputum and wheezing. What action is most important for the practical nurse
(PN) to implement?
B. Offer the client the commode or urinal every two A male client who had a stroke is incontinent of urine. Which action should the
hours. practical nurse (PN) implement in providing bladder training?
C. Change the transparent dressing every 72 hours. Which action should the practical nurse (PN) implement to reduce the risk of
infection for a client who is receiving total parenteral nutrition (TPN)?
B. Hemoglobin of 10 grams/dl Which finding should the practical nurse (PN) identify as typical for a client who is
hypoxic?
A. High pitched expiratory sound. Which finding for a client who is 1-day postoperative for a partial thyroidectomy
requires immediate follow-up by the practical nurse (PN)?
B. Smooth, beefy-red oral cavity. Which findings should the practical nurse identify in a client with anemia due to a
D. Paresthesia of hands and feet. vitamin B12 deficiency? (Select all)
A. Right calf is 24 cm and left calf is 21 cm. Which finding is most important for the practical nurse (PN) to explore further for
a client who had a total abdominal hysterectomy and bilateral oophorectomy
yesterday?
B. Check the respiratory effort and pulse oximeter A client is admitted with a C4 spinal cord injury (SCI) after falling from a roof at a
reading. 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?
