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MED SURG HESI PN PROCTORED
EXAM 2026/2027 NEW Complete Practice
Test with 100% Verified Answers already
graded A+A, Exams of Nursing.
A client has undergone craniotomy to remove a brain tumor. The client spent several days in the
intensive care unit, and is now on the post-surgical unit. The nurse has urgently contact the
surgeon to report signs of increasing intracranial pressure (ICP). Which was the most likely
EARLY sign that the client was experiencing increased ICP?
a. The client's blood pressure dropped from 128/70 to 124/68, preoperative BP 122/72
b. The client became more confused than he was upon transfer to the post-surgical unit.
c. The client had a large amount of sanguineous drainage noted on the gauze dressings.
d. The client's pulse rate had increased from 70 to 82 beats/min. - answer..,b. The client became
more confused than he was upon transfer to the post-surgical unit.
Rationale:
A change in the level of consciousness is most likely the earliest symptom of increased ICP.
Vital sign changes can also occur, with a widening pulse pressure and bradycardia. Neither of
these are indicated by data in the options. Sanguineous drainage does not indicate increased ICP.
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The home health practical nurse is visiting with a client who has a history of second-degree heart
block and pacemaker placement 6 months ago. Which symptom compliant by the client would
be indicative of pacemaker failure?
a. Facial flushing
b. Nausea
c. Pounding headache
d. Feelings of dizziness - answer..,d. Feelings of dizziness
Rationale:
Feelings of dizziness may occur as the result of a decreased heart rate, leading to decreased
cardiac output as a result of pacemaker failure.
Which actions demonstrate to the practical nurse that the client understands the correct procedure
administration of a metered dose inhaler (MDI)? (Select all that apply.)
a. Sit or stand.
b. Shake the inhaler.
c. Attach the canister of medication to the mouthpiece.
d. Breathe in through the mouth, filling the lungs.
e. Use a spacer attachment and place the mouthpiece in the mouth.
f. Close the lips around the mouthpiece.
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g. After inhaling the medication, hold the breath 10 seconds. - answer..,b. Shake the inhaler.
c. Attach the canister of medication to the mouthpiece.
e. Use a spacer attachment and place the mouthpiece in the mouth.
f. Close the lips around the mouthpiece.
g. After inhaling the medication, hold the breath 10 seconds.
Rationale:
The correct sequence of MDI administration includes shaking the inhaler, attaching the canister
to the mouthpiece, attaching the spacer, the client should then let their breath out through the
mouth to empty the lungs and place the mouthpiece in the mouth, closing the lips and mouth
around the mouthpiece, and inhaling medication and holding the breath for 10 seconds.
The Centers for Disease Control and Prevention (CDC) has issued guidelines for health care
workers in relation to protection from HIV. The practical nurse (PN) who suspects they may be
pregnant is assigned a client who is HIV+. What action should the PN implement?
a. Make the suspected pregnancy known and request a different client assignment.
b. Wear gloves when coming in contact with the blood or body fluids of a client.
c. Limit contact and interaction with the client and have another nurse bathe the client.
d. Put on all the PPE to include gown and mask when entering the client's room. - answer..,b.
Wear gloves when coming in contact with the blood or body fluids of a client.
Rationale:
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The CDC guidelines for standard precautions recommend that health care workers use gloves
when coming in contact with blood or body fluids from any client because HIV is infectious
before the client becomes aware of symptoms. Pregnancy of a nurse should not inhibit the nurse
for taking care of a HIV+ client as long as standard precautions are observed.
A practical nurse (PN) reinforced client teaching regarding the transmission of the HIV virus.
Which statement by the client demonstrates an understanding of the reinforced teaching?
a. "To be absolutely safe, I should wear two latex condoms during intercourse with an infected
partner."
b. "I may still contract HIV even though I am 62 years old."
c. "Urinating immediately after having sexual relations will help reduce the risk of contracting
HIV."
d. "If I take AZT during my pregnancy, I will not give the virus to my unborn baby." -
answer..,b. "I may still contract HIV even though I am 62 years old."
Rationale:
More than 10% of all AIDS cases in the United States are among those older than 50 years of
age.
A client is diagnosed with fluid volume deficit. Which findings would the practical nurse
document consistent with fluid volume deficit? (Select all that apply.)
MED SURG HESI PN PROCTORED
EXAM 2026/2027 NEW Complete Practice
Test with 100% Verified Answers already
graded A+A, Exams of Nursing.
A client has undergone craniotomy to remove a brain tumor. The client spent several days in the
intensive care unit, and is now on the post-surgical unit. The nurse has urgently contact the
surgeon to report signs of increasing intracranial pressure (ICP). Which was the most likely
EARLY sign that the client was experiencing increased ICP?
a. The client's blood pressure dropped from 128/70 to 124/68, preoperative BP 122/72
b. The client became more confused than he was upon transfer to the post-surgical unit.
c. The client had a large amount of sanguineous drainage noted on the gauze dressings.
d. The client's pulse rate had increased from 70 to 82 beats/min. - answer..,b. The client became
more confused than he was upon transfer to the post-surgical unit.
Rationale:
A change in the level of consciousness is most likely the earliest symptom of increased ICP.
Vital sign changes can also occur, with a widening pulse pressure and bradycardia. Neither of
these are indicated by data in the options. Sanguineous drainage does not indicate increased ICP.
,2|Page
The home health practical nurse is visiting with a client who has a history of second-degree heart
block and pacemaker placement 6 months ago. Which symptom compliant by the client would
be indicative of pacemaker failure?
a. Facial flushing
b. Nausea
c. Pounding headache
d. Feelings of dizziness - answer..,d. Feelings of dizziness
Rationale:
Feelings of dizziness may occur as the result of a decreased heart rate, leading to decreased
cardiac output as a result of pacemaker failure.
Which actions demonstrate to the practical nurse that the client understands the correct procedure
administration of a metered dose inhaler (MDI)? (Select all that apply.)
a. Sit or stand.
b. Shake the inhaler.
c. Attach the canister of medication to the mouthpiece.
d. Breathe in through the mouth, filling the lungs.
e. Use a spacer attachment and place the mouthpiece in the mouth.
f. Close the lips around the mouthpiece.
,3|Page
g. After inhaling the medication, hold the breath 10 seconds. - answer..,b. Shake the inhaler.
c. Attach the canister of medication to the mouthpiece.
e. Use a spacer attachment and place the mouthpiece in the mouth.
f. Close the lips around the mouthpiece.
g. After inhaling the medication, hold the breath 10 seconds.
Rationale:
The correct sequence of MDI administration includes shaking the inhaler, attaching the canister
to the mouthpiece, attaching the spacer, the client should then let their breath out through the
mouth to empty the lungs and place the mouthpiece in the mouth, closing the lips and mouth
around the mouthpiece, and inhaling medication and holding the breath for 10 seconds.
The Centers for Disease Control and Prevention (CDC) has issued guidelines for health care
workers in relation to protection from HIV. The practical nurse (PN) who suspects they may be
pregnant is assigned a client who is HIV+. What action should the PN implement?
a. Make the suspected pregnancy known and request a different client assignment.
b. Wear gloves when coming in contact with the blood or body fluids of a client.
c. Limit contact and interaction with the client and have another nurse bathe the client.
d. Put on all the PPE to include gown and mask when entering the client's room. - answer..,b.
Wear gloves when coming in contact with the blood or body fluids of a client.
Rationale:
, 4|Page
The CDC guidelines for standard precautions recommend that health care workers use gloves
when coming in contact with blood or body fluids from any client because HIV is infectious
before the client becomes aware of symptoms. Pregnancy of a nurse should not inhibit the nurse
for taking care of a HIV+ client as long as standard precautions are observed.
A practical nurse (PN) reinforced client teaching regarding the transmission of the HIV virus.
Which statement by the client demonstrates an understanding of the reinforced teaching?
a. "To be absolutely safe, I should wear two latex condoms during intercourse with an infected
partner."
b. "I may still contract HIV even though I am 62 years old."
c. "Urinating immediately after having sexual relations will help reduce the risk of contracting
HIV."
d. "If I take AZT during my pregnancy, I will not give the virus to my unborn baby." -
answer..,b. "I may still contract HIV even though I am 62 years old."
Rationale:
More than 10% of all AIDS cases in the United States are among those older than 50 years of
age.
A client is diagnosed with fluid volume deficit. Which findings would the practical nurse
document consistent with fluid volume deficit? (Select all that apply.)
