HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST EXAM
ACTUAL EXAM TEST BANK 100 QUESTIONS AND CORRECT
DETAILED ANSWERS
1. During a clinic visit, a client re- c. Schedule an appointment with the
ports to the practical nurse (PN) health care provider for evaluation.
that they felt a solid mass in
their breast during self-exami- A painless breast mass is an abnormal
nation, but it was not painful. finding, and the PN should instruct the
What instruction should the PN client to obtain prompt medical evaluation.
reinforce with the client?
A. Continue to monitor the
mass until the next scheduled
annual exam.
B. Notify the PCP if the mass be-
comes soft or painful or starts
to drain.
C. Schedule an appointment
with the PCP for evaluation
D. Breast masses are usually in-
significant if they feel soft or are
easily moveable.
2. The health care provider in- c. Ask the client to explain his understand-
formed a client diagnosed with ing of the term malignancy.
stage 4 liver cancer that the
cancer has spread to their The best initial action is to assess the
spine. The client states to the client's knowledge of the term malignancy
practical nurse, "I have a can- when used to describe cancer. The client
cer, but it is not malignant." appears to have inaccurate knowledge.
What is the best initial nursing Stage 4 cancer means the cancer has
action? spread (metastasized) from where it has
started to another body part.
A. Encourage the client to at-
tend a cancer education pro-
gram
B. Perform a complete history
and physical assessment
C. Ask the client to explain his
understanding of the term ma-
lignancy.
, HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST EXAM
ACTUAL EXAM TEST BANK 100 QUESTIONS AND CORRECT
DETAILED ANSWERS
D. Offer the client emotional
support to deal with the diagno-
sis
Submit
3. A client diagnosed with os- d. Instruct the client to take an analgesic
teoarthritis. Which intervention before walking daily.
should the practical nurse im-
plement to help relieve joint Adequate pain management is important
pain and stiffness? for the success of an exercise program.
Keeping the joints active decreases pain,
a. Encourage the client to per- so taking an analgesic and walking daily
form weight-bearing exercises. is likely to help decrease joint pain and
b. Teach the client how to per- stiffness.
form range-of-motion exercis-
es.
c. Explain the use of ice and
massage for pain relief.
d. Instruct the client to take an
analgesic before walking daily
4. A client diagnosed with a. Follow radiation exposure precautions.
prostate cancer is prescribed
radioactive seed implantation Clients being treated for prostate cancer
(brachytherapy). What is the with brachytherapy (radioactive seeds im-
most important nursing action plant) should be placed on radiation expo-
for the practical nurse (PN) to sure precautions. The PN needs to follow
do? the institution's protocols put in place re-
garding the amount of time and distance
a. Follow radiation exposure needed to prevent excessive exposure
precautions that would pose a hazard to others.
b. Encourage regular meals
c. Collect all urine in sealed
containers
d. Avoid touching the client.
5. A client diagnosed with emphy- b. A weight loss of 5 pounds since the last
sema that is oxygen-dependent monthly home visit
, HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST EXAM
ACTUAL EXAM TEST BANK 100 QUESTIONS AND CORRECT
DETAILED ANSWERS
lives alone at home and man-
ages self-care with no difficul- A weight loss of 5 pounds in 1 month is
ty. Which finding should prompt a concern. Clients with COPD need ad-
the home health practical nurse ditional calorie intake because they are
to consult the registered nurse using up a lot from the energy they are
case manager? using to breath. The practical nurse needs
to consult with the registered nurse case
a. A pulse oximetry reading of manager for a nutrition consult
91% on oxygen at 2 L/m
b. A weight loss of 5 pounds
since the last monthly home
visit
c. The client reports feeling as
tired as at the last visit by the
nurse
d. Upon entering the home, the
PN noticed dirty dishes and
clothing scattered around the
home.
6. The nurse has reinforced in- a. Fruity breath odor
structions to a client with di- b. Rapid, weak pulse
abetes mellitus on how to d. Extreme thirst
self-monitor for symptoms of e. Urinary frequency
diabetic ketoacidosis (DKA).
The nurse realizes the instruc- Diabetic ketoacidosis is caused by a pro-
tions have been effective if found deficiency of insulin. Some com-
the client can list which symp- mon characteristics include a sweet, fruity
toms? (Select all that apply.) breath odor, a rapid weak pulse, extreme
thirst, urinary frequency, and sunken-ap-
a. Fruity breath odor pearing eyeballs.
b. Rapid, weak pulse
c. Cold, clammy skin
d. Extreme thirst
e. Urinary frequency
f. Protruding eyeballs
7.
, HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST EXAM
ACTUAL EXAM TEST BANK 100 QUESTIONS AND CORRECT
DETAILED ANSWERS
A client mentions using garlic a. Monitor the client for signs of bleeding.
daily as an herb to lower cho-
lesterol and triglyceride levels. Garlic inhibits platelet aggregation in the
Which nursing action is a prior- same way that aspirin works, and the
ity? client should be monitored for bleeding.
Garlic can lower the blood pressure, not
a. Monitor the client for signs of raise it. It does not relieve fever. While the
bleeding. client will likely want to avoid garlic odor,
b. Instruct the client that garlic it is not a priority.
tends to cause hypertension.
c. This may relieve fever in the
same way that acetaminophen
does.
d. Remind the patient to use
tooth brushing and mouthwash
to prevent garlic odor.
8. The practical nurse (PN) is re- a. Tobacco use
viewing the health histories of b. Excessive intake of alcohol
assigned clients. Which factors d. Human papillomavirus (HPV)
have a potential for develop-
ment of throat cancer? (Select Rationale:
all that apply.) The most common risk factors for throat
cancer are tobacco use, alcohol abuse,
a. Tobacco use human papillomavirus (HPV), a diet lack-
b. Excessive intake of alcohol ing in fruits and vegetable, and gastroe-
c. Intake of hot and spicy foods sophageal reflux disease (GERD). Foods
d. Human papillomavirus (HPV) seasoned with herbs and spices have
e. Lack of exercise shown to have some health benefits in
f. Lack of dietary fiber decreasing the risk of developing cancer.
9. A client has undergone cran- b. The client became more confused than
iotomy to remove a brain tu- he was upon transfer to the post-surgical
mor. The client spent several unit.
days in the intensive care unit,
and is now on the post-sur- Rationale:
gical unit. The nurse has ur- A change in the level of consciousness
gently contact the surgeon to is most likely the earliest symptom of in-
ACTUAL EXAM TEST BANK 100 QUESTIONS AND CORRECT
DETAILED ANSWERS
1. During a clinic visit, a client re- c. Schedule an appointment with the
ports to the practical nurse (PN) health care provider for evaluation.
that they felt a solid mass in
their breast during self-exami- A painless breast mass is an abnormal
nation, but it was not painful. finding, and the PN should instruct the
What instruction should the PN client to obtain prompt medical evaluation.
reinforce with the client?
A. Continue to monitor the
mass until the next scheduled
annual exam.
B. Notify the PCP if the mass be-
comes soft or painful or starts
to drain.
C. Schedule an appointment
with the PCP for evaluation
D. Breast masses are usually in-
significant if they feel soft or are
easily moveable.
2. The health care provider in- c. Ask the client to explain his understand-
formed a client diagnosed with ing of the term malignancy.
stage 4 liver cancer that the
cancer has spread to their The best initial action is to assess the
spine. The client states to the client's knowledge of the term malignancy
practical nurse, "I have a can- when used to describe cancer. The client
cer, but it is not malignant." appears to have inaccurate knowledge.
What is the best initial nursing Stage 4 cancer means the cancer has
action? spread (metastasized) from where it has
started to another body part.
A. Encourage the client to at-
tend a cancer education pro-
gram
B. Perform a complete history
and physical assessment
C. Ask the client to explain his
understanding of the term ma-
lignancy.
, HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST EXAM
ACTUAL EXAM TEST BANK 100 QUESTIONS AND CORRECT
DETAILED ANSWERS
D. Offer the client emotional
support to deal with the diagno-
sis
Submit
3. A client diagnosed with os- d. Instruct the client to take an analgesic
teoarthritis. Which intervention before walking daily.
should the practical nurse im-
plement to help relieve joint Adequate pain management is important
pain and stiffness? for the success of an exercise program.
Keeping the joints active decreases pain,
a. Encourage the client to per- so taking an analgesic and walking daily
form weight-bearing exercises. is likely to help decrease joint pain and
b. Teach the client how to per- stiffness.
form range-of-motion exercis-
es.
c. Explain the use of ice and
massage for pain relief.
d. Instruct the client to take an
analgesic before walking daily
4. A client diagnosed with a. Follow radiation exposure precautions.
prostate cancer is prescribed
radioactive seed implantation Clients being treated for prostate cancer
(brachytherapy). What is the with brachytherapy (radioactive seeds im-
most important nursing action plant) should be placed on radiation expo-
for the practical nurse (PN) to sure precautions. The PN needs to follow
do? the institution's protocols put in place re-
garding the amount of time and distance
a. Follow radiation exposure needed to prevent excessive exposure
precautions that would pose a hazard to others.
b. Encourage regular meals
c. Collect all urine in sealed
containers
d. Avoid touching the client.
5. A client diagnosed with emphy- b. A weight loss of 5 pounds since the last
sema that is oxygen-dependent monthly home visit
, HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST EXAM
ACTUAL EXAM TEST BANK 100 QUESTIONS AND CORRECT
DETAILED ANSWERS
lives alone at home and man-
ages self-care with no difficul- A weight loss of 5 pounds in 1 month is
ty. Which finding should prompt a concern. Clients with COPD need ad-
the home health practical nurse ditional calorie intake because they are
to consult the registered nurse using up a lot from the energy they are
case manager? using to breath. The practical nurse needs
to consult with the registered nurse case
a. A pulse oximetry reading of manager for a nutrition consult
91% on oxygen at 2 L/m
b. A weight loss of 5 pounds
since the last monthly home
visit
c. The client reports feeling as
tired as at the last visit by the
nurse
d. Upon entering the home, the
PN noticed dirty dishes and
clothing scattered around the
home.
6. The nurse has reinforced in- a. Fruity breath odor
structions to a client with di- b. Rapid, weak pulse
abetes mellitus on how to d. Extreme thirst
self-monitor for symptoms of e. Urinary frequency
diabetic ketoacidosis (DKA).
The nurse realizes the instruc- Diabetic ketoacidosis is caused by a pro-
tions have been effective if found deficiency of insulin. Some com-
the client can list which symp- mon characteristics include a sweet, fruity
toms? (Select all that apply.) breath odor, a rapid weak pulse, extreme
thirst, urinary frequency, and sunken-ap-
a. Fruity breath odor pearing eyeballs.
b. Rapid, weak pulse
c. Cold, clammy skin
d. Extreme thirst
e. Urinary frequency
f. Protruding eyeballs
7.
, HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST EXAM
ACTUAL EXAM TEST BANK 100 QUESTIONS AND CORRECT
DETAILED ANSWERS
A client mentions using garlic a. Monitor the client for signs of bleeding.
daily as an herb to lower cho-
lesterol and triglyceride levels. Garlic inhibits platelet aggregation in the
Which nursing action is a prior- same way that aspirin works, and the
ity? client should be monitored for bleeding.
Garlic can lower the blood pressure, not
a. Monitor the client for signs of raise it. It does not relieve fever. While the
bleeding. client will likely want to avoid garlic odor,
b. Instruct the client that garlic it is not a priority.
tends to cause hypertension.
c. This may relieve fever in the
same way that acetaminophen
does.
d. Remind the patient to use
tooth brushing and mouthwash
to prevent garlic odor.
8. The practical nurse (PN) is re- a. Tobacco use
viewing the health histories of b. Excessive intake of alcohol
assigned clients. Which factors d. Human papillomavirus (HPV)
have a potential for develop-
ment of throat cancer? (Select Rationale:
all that apply.) The most common risk factors for throat
cancer are tobacco use, alcohol abuse,
a. Tobacco use human papillomavirus (HPV), a diet lack-
b. Excessive intake of alcohol ing in fruits and vegetable, and gastroe-
c. Intake of hot and spicy foods sophageal reflux disease (GERD). Foods
d. Human papillomavirus (HPV) seasoned with herbs and spices have
e. Lack of exercise shown to have some health benefits in
f. Lack of dietary fiber decreasing the risk of developing cancer.
9. A client has undergone cran- b. The client became more confused than
iotomy to remove a brain tu- he was upon transfer to the post-surgical
mor. The client spent several unit.
days in the intensive care unit,
and is now on the post-sur- Rationale:
gical unit. The nurse has ur- A change in the level of consciousness
gently contact the surgeon to is most likely the earliest symptom of in-
