HESI PN Med-Surg
TEST BANK
(NGN-Style Questions & Case Scenarios)
400+ Qs & Ans to Pass the Exam
This Hesi test contains:
` ` ` `
400+`Qs`&`Ans`
passing`score`Guarantee`
Format`Set`of`Multiple-choice
questions`with`incorporating`Next`Generation`NCLEX
` (NGN)`and`Case`Scenarios
Expert-Verified`Explanations`&`Solutions
,---
####`1.`A`client`with`prostate`cancer`undergoes`brachytherapy`(radioactive`seed`impl
antation).`What`nursing`action`has`the`highest`priority?``
A.`Follow`radiation`exposure`precautions.``
B.`Encourage`the`client`to`consume`regular`meals.``
C.`Collect`all`urine`in`sealed`containers.``
D.`Avoid`touching`the`client.``
Answer:`A.`Follow`radiation`exposure`precautions.
Expert`Rationale:``
Radiation`precautions`protect`healthcare`workers,`clients,`and`visitors`from`unnecessa
ry`exposure.`Protocols`generally`include`time,`distance,`and`shielding`measures.`For`b
rachytherapy,`staff`must`maintain`limited,`computed`exposure`times`near`the`client.
---
####`2.`NGN-
Style`Case`Scenario:`A`home`health`PN`visits`a`client`with`emphysema`who`is`oxygen-
dependent`and`independently`manages`self-care.`Recent`findings`reveal:``
-`Oxygen`Saturation:`91%`on`2`L/min`oxygen.``
-`Weight:`5`lbs`less`than`the`last`home`visit`(30`days`ago).``
-`Reported`Fatigue:`Unchanged`since`the`prior`visit.``
-`Home`Environment:`Disheveled`with`dirty`dishes`and`clothing`scattered.``
Based`on`this`assessment,`what`requires`immediate`consultation`with`the`RN`case`ma
nager?``
A.`Oxygen`saturation`of`91%`on`oxygen`at`2`L/min.``
B.`Weight`loss`of`5`pounds`within`the`past`month.``
,C.`Report`of`unchanged`fatigue`from`the`prior`visit.``
D.`Disheveled`appearance`of`the`home`environment.``
Answer:`B.`Weight`loss`of`5`pounds`within`the`past`month.
Expert`Rationale:``
Unintended`weight`loss`in`clients`with`COPD`could`indicate`increased`energy`expendi
ture`and`nutritional`deficiencies`requiring`urgent`dietary`intervention.`Oxygen`saturat
ion`of`91%`is`expected`in`COPD.`Fatigue`and`disorganized`surroundings`may`also`res
ult`from`illness`but`are`secondary`concerns`compared`to`potential`malnutrition.
---
####`3.`A`client`with`diabetes`mellitus`is`being`educated`on`symptoms`of`diabetic`ket
oacidosis`(DKA).`Which`symptoms`should`the`PN`reinforce?`(Select`all`that`apply.)
A.`Fruity`breath`odor.``
B.`Rapid,`weak`pulse.``
C.`Cold,`clammy`skin.``
D.`Extreme`thirst.``
E.`Urinary`frequency.``
F.`Protruding`eyeballs.``
Answers:``
A.`Fruity`breath`odor.``
B.`Rapid,`weak`pulse.``
D.`Extreme`thirst.``
E.`Urinary`frequency.``
Expert`Rationale:``
DKA`results`from`significant`insulin`deficiency,`leading`to`hyperglycemia,`ketonemia,`
and`dehydration.`Symptoms`include`fruity`breath,`tachycardia`(from`hypovolemia),`po
, lydipsia,`polyuria,`and`hyperventilation.`Cold,`clammy`skin`is`a`sign`of`hypoglycemia,`
not`DKA.
####`4.`During`a`clinic`visit,`a`client`reports`discovering`a`solid,`painless`mass`in`the
ir`breast`during`self-
examination.`What`instruction`should`the`practical`nurse`(PN)`reinforce`with`the`clie
nt?
A.`Continue`to`monitor`the`mass`until`the`next`scheduled`annual`exam.``
B.`Notify`the`healthcare`provider`if`the`mass`becomes`painful`or`starts`to`drain.``
C.`Schedule`an`appointment`with`the`healthcare`provider`for`evaluation.``
D.`Breast`masses`are`insignificant`if`they`feel`soft`or`are`easily`movable.``
Answer:`C.`Schedule`an`appointment`with`the`healthcare`provider`for`evaluation.``
Expert`Rationale:``
A`painless`breast`mass`is`considered`an`abnormal`finding`and`requires`prompt`medic
al`evaluation.`Early`detection`of`potential`breast`cancer`is`crucial.`Delaying`evaluation
`may`lead`to`progression`of`undiagnosed`malignancy.
---
####`5.`A`client`with`stage`4`liver`cancer`learns`the`metastasis`has`spread`to`the`spin
e`but`incorrectly`states,`"It's`not`malignant."`What`is`the`PN’s`initial`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`their`understanding`of`the`term`malignancy.``
D.`Offer`the`client`emotional`support`to`deal`with`the`diagnosis.``
Answer:`C.`Ask`the`client`to`explain`their`understanding`of`the`term`malignancy.``
TEST BANK
(NGN-Style Questions & Case Scenarios)
400+ Qs & Ans to Pass the Exam
This Hesi test contains:
` ` ` `
400+`Qs`&`Ans`
passing`score`Guarantee`
Format`Set`of`Multiple-choice
questions`with`incorporating`Next`Generation`NCLEX
` (NGN)`and`Case`Scenarios
Expert-Verified`Explanations`&`Solutions
,---
####`1.`A`client`with`prostate`cancer`undergoes`brachytherapy`(radioactive`seed`impl
antation).`What`nursing`action`has`the`highest`priority?``
A.`Follow`radiation`exposure`precautions.``
B.`Encourage`the`client`to`consume`regular`meals.``
C.`Collect`all`urine`in`sealed`containers.``
D.`Avoid`touching`the`client.``
Answer:`A.`Follow`radiation`exposure`precautions.
Expert`Rationale:``
Radiation`precautions`protect`healthcare`workers,`clients,`and`visitors`from`unnecessa
ry`exposure.`Protocols`generally`include`time,`distance,`and`shielding`measures.`For`b
rachytherapy,`staff`must`maintain`limited,`computed`exposure`times`near`the`client.
---
####`2.`NGN-
Style`Case`Scenario:`A`home`health`PN`visits`a`client`with`emphysema`who`is`oxygen-
dependent`and`independently`manages`self-care.`Recent`findings`reveal:``
-`Oxygen`Saturation:`91%`on`2`L/min`oxygen.``
-`Weight:`5`lbs`less`than`the`last`home`visit`(30`days`ago).``
-`Reported`Fatigue:`Unchanged`since`the`prior`visit.``
-`Home`Environment:`Disheveled`with`dirty`dishes`and`clothing`scattered.``
Based`on`this`assessment,`what`requires`immediate`consultation`with`the`RN`case`ma
nager?``
A.`Oxygen`saturation`of`91%`on`oxygen`at`2`L/min.``
B.`Weight`loss`of`5`pounds`within`the`past`month.``
,C.`Report`of`unchanged`fatigue`from`the`prior`visit.``
D.`Disheveled`appearance`of`the`home`environment.``
Answer:`B.`Weight`loss`of`5`pounds`within`the`past`month.
Expert`Rationale:``
Unintended`weight`loss`in`clients`with`COPD`could`indicate`increased`energy`expendi
ture`and`nutritional`deficiencies`requiring`urgent`dietary`intervention.`Oxygen`saturat
ion`of`91%`is`expected`in`COPD.`Fatigue`and`disorganized`surroundings`may`also`res
ult`from`illness`but`are`secondary`concerns`compared`to`potential`malnutrition.
---
####`3.`A`client`with`diabetes`mellitus`is`being`educated`on`symptoms`of`diabetic`ket
oacidosis`(DKA).`Which`symptoms`should`the`PN`reinforce?`(Select`all`that`apply.)
A.`Fruity`breath`odor.``
B.`Rapid,`weak`pulse.``
C.`Cold,`clammy`skin.``
D.`Extreme`thirst.``
E.`Urinary`frequency.``
F.`Protruding`eyeballs.``
Answers:``
A.`Fruity`breath`odor.``
B.`Rapid,`weak`pulse.``
D.`Extreme`thirst.``
E.`Urinary`frequency.``
Expert`Rationale:``
DKA`results`from`significant`insulin`deficiency,`leading`to`hyperglycemia,`ketonemia,`
and`dehydration.`Symptoms`include`fruity`breath,`tachycardia`(from`hypovolemia),`po
, lydipsia,`polyuria,`and`hyperventilation.`Cold,`clammy`skin`is`a`sign`of`hypoglycemia,`
not`DKA.
####`4.`During`a`clinic`visit,`a`client`reports`discovering`a`solid,`painless`mass`in`the
ir`breast`during`self-
examination.`What`instruction`should`the`practical`nurse`(PN)`reinforce`with`the`clie
nt?
A.`Continue`to`monitor`the`mass`until`the`next`scheduled`annual`exam.``
B.`Notify`the`healthcare`provider`if`the`mass`becomes`painful`or`starts`to`drain.``
C.`Schedule`an`appointment`with`the`healthcare`provider`for`evaluation.``
D.`Breast`masses`are`insignificant`if`they`feel`soft`or`are`easily`movable.``
Answer:`C.`Schedule`an`appointment`with`the`healthcare`provider`for`evaluation.``
Expert`Rationale:``
A`painless`breast`mass`is`considered`an`abnormal`finding`and`requires`prompt`medic
al`evaluation.`Early`detection`of`potential`breast`cancer`is`crucial.`Delaying`evaluation
`may`lead`to`progression`of`undiagnosed`malignancy.
---
####`5.`A`client`with`stage`4`liver`cancer`learns`the`metastasis`has`spread`to`the`spin
e`but`incorrectly`states,`"It's`not`malignant."`What`is`the`PN’s`initial`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`their`understanding`of`the`term`malignancy.``
D.`Offer`the`client`emotional`support`to`deal`with`the`diagnosis.``
Answer:`C.`Ask`the`client`to`explain`their`understanding`of`the`term`malignancy.``
