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
implantation). 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 unnecessary
exposure. Protocols generally include time, distance, and shielding measures. For
brachytherapy, 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
manager?
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
expenditure and nutritional deficiencies requiring urgent dietary intervention. Oxygen
saturation of 91% is expected in COPD. Fatigue and disorganized surroundings may also
result from illness but are secondary concerns compared to potential malnutrition.
---
#### 3. A client with diabetes mellitus is being educated on symptoms of diabetic
ketoacidosis (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
implantation). 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 unnecessary
exposure. Protocols generally include time, distance, and shielding measures. For
brachytherapy, 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
manager?
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
expenditure and nutritional deficiencies requiring urgent dietary intervention. Oxygen
saturation of 91% is expected in COPD. Fatigue and disorganized surroundings may also
result from illness but are secondary concerns compared to potential malnutrition.
---
#### 3. A client with diabetes mellitus is being educated on symptoms of diabetic
ketoacidosis (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.``
