HESI EXAM zm
Exam Solution zm
Med Surg Hesi PN*++ 2026 A+ GRADE ASSURED COMP
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LETE SOLUTIONS AND VERIFIED ANSWERS (F3CFE)
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QUESTION 1 zm
A client diagnosed with osteoarthritis. Which intervention should the practical nurse i
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mplement to help relieve joint pain and stiffness?
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a. Encourage the client to perform weight-bearing exercises.
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b. Teach the client how to perform range-of-motion exercises.
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c. Explain the use of ice and massage for pain relief.
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d. Instruct the client to take an analgesic before walking daily
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ANSWER
d. Instruct the client to take an analgesic before walking daily. Adequate pain management is import
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ant for the success of an exercise program. Keeping the joints active decreases pain, so taking an an
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algesic and walking daily is likely to help decrease joint pain and stiffness.
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QUESTION 2 zm
A client diagnosed with prostate cancer is prescribed radioactive seed implantation (b
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rachytherapy). What is the most important nursing action for the practical nurse (PN)
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mto do? zm
a. Follow radiation exposure precautions
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b. Encourage regular meals
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c. Collect all urine in sealed containers
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d. Avoid touching the client.
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ANSWER
a. Follow radiation exposure precautions. Clients being treated for prostate cancer with brachytherap
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y (radioactive seeds implant) should be placed on radiation exposure precautions. The PN needs to f
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ollow the institution's protocols put in place regarding the amount of time and distance needed to p
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revent excessive exposure that would pose a hazard to others.
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QUESTION 3 zm
, The nurse has reinforced instructions to a client with diabetes mellitus on how to self
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-
monitor for symptoms of diabetic ketoacidosis (DKA). The nurse realizes the instructi
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ons have been effective if the client can list which symptoms? (Select all that apply.)
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a. Fruity breath odor
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b. Rapid, weak pulse
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c. Cold, clammy skin
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d. Extreme thirst
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e. Urinary frequency f. Protruding eyeballs
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ANSWER
a. Fruity breath odor
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b. Rapid, weak pulse
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d. Extreme thirst
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e. Urinary frequency Diabetic ketoacidosis is caused by a profound deficiency of insulin. Some comm
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on characteristics include a sweet, fruity breath odor, a rapid weak pulse, extreme thirst, urinary fre
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quency, and sunken-appearing eyeballs.
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QUESTION 4 zm
A client mentions using garlic daily as an herb to lower cholesterol and triglyceride le
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vels. Which nursing action is a priority?
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a. Monitor the client for signs of bleeding.
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b. Instruct the client that garlic tends to cause hypertension.
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c. This may relieve fever in the same way that acetaminophen does.
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d. Remind the patient to use tooth brushing and mouthwash to prevent garlic odor.
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ANSWER
a. Monitor the client for signs of bleeding. Garlic inhibits platelet aggregation in the same way that a
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spirin works, and the client should be monitored for bleeding. Garlic can lower the blood pressure,
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not raise it. It does not relieve fever. While the client will likely want to avoid garlic odor, it is not
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a priority.
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QUESTION 5 zm
The practical nurse (PN) is reviewing the health histories of assigned clients. Which fa
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ctors have a potential for development of throat cancer? (Select all that apply.)
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a. Tobacco use
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b. Excessive intake of alcohol
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c. Intake of hot and spicy foods
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d. Human papillomavirus (HPV)
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e. Lack of exercise f. Lack of dietary fiber
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ANSWER
a. Tobacco use
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b. Excessive intake of alcohol
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Exam Solution zm
Med Surg Hesi PN*++ 2026 A+ GRADE ASSURED COMP
zm zm zm zm zm zm zm zm
LETE SOLUTIONS AND VERIFIED ANSWERS (F3CFE)
zm zm zm zm zm
QUESTION 1 zm
A client diagnosed with osteoarthritis. Which intervention should the practical nurse i
zm zm zm zm zm zm zm zm zm zm zm
mplement to help relieve joint pain and stiffness?
zm zm zm zm zm zm zm
a. Encourage the client to perform weight-bearing exercises.
zm zm zm zm zm zm zm
b. Teach the client how to perform range-of-motion exercises.
zm zm zm zm zm zm zm zm
c. Explain the use of ice and massage for pain relief.
zm zm zm zm zm zm zm zm zm zm
d. Instruct the client to take an analgesic before walking daily
zm zm zm zm zm zm zm zm zm zm
ANSWER
d. Instruct the client to take an analgesic before walking daily. Adequate pain management is import
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ant for the success of an exercise program. Keeping the joints active decreases pain, so taking an an
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
algesic and walking daily is likely to help decrease joint pain and stiffness.
zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 2 zm
A client diagnosed with prostate cancer is prescribed radioactive seed implantation (b
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rachytherapy). What is the most important nursing action for the practical nurse (PN)
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mto do? zm
a. Follow radiation exposure precautions
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b. Encourage regular meals
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c. Collect all urine in sealed containers
zm zm zm zm zm zm
d. Avoid touching the client.
zm zm zm zm
ANSWER
a. Follow radiation exposure precautions. Clients being treated for prostate cancer with brachytherap
zm zm zm zm zm zm zm zm zm zm zm zm
y (radioactive seeds implant) should be placed on radiation exposure precautions. The PN needs to f
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ollow the institution's protocols put in place regarding the amount of time and distance needed to p
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
revent excessive exposure that would pose a hazard to others.
zm zm zm zm zm zm zm zm zm
QUESTION 3 zm
, The nurse has reinforced instructions to a client with diabetes mellitus on how to self
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
-
monitor for symptoms of diabetic ketoacidosis (DKA). The nurse realizes the instructi
zm zm zm zm zm zm zm zm zm zm zm
ons have been effective if the client can list which symptoms? (Select all that apply.)
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
a. Fruity breath odor
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b. Rapid, weak pulse
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c. Cold, clammy skin
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d. Extreme thirst
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e. Urinary frequency f. Protruding eyeballs
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ANSWER
a. Fruity breath odor
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b. Rapid, weak pulse
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d. Extreme thirst
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e. Urinary frequency Diabetic ketoacidosis is caused by a profound deficiency of insulin. Some comm
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on characteristics include a sweet, fruity breath odor, a rapid weak pulse, extreme thirst, urinary fre
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
quency, and sunken-appearing eyeballs.
zm zm zm
QUESTION 4 zm
A client mentions using garlic daily as an herb to lower cholesterol and triglyceride le
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
vels. Which nursing action is a priority?
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a. Monitor the client for signs of bleeding.
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b. Instruct the client that garlic tends to cause hypertension.
zm zm zm zm zm zm zm zm zm
c. This may relieve fever in the same way that acetaminophen does.
zm zm zm zm zm zm zm zm zm zm zm
d. Remind the patient to use tooth brushing and mouthwash to prevent garlic odor.
zm zm zm zm zm zm zm zm zm zm zm zm zm
ANSWER
a. Monitor the client for signs of bleeding. Garlic inhibits platelet aggregation in the same way that a
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
spirin works, and the client should be monitored for bleeding. Garlic can lower the blood pressure,
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
not raise it. It does not relieve fever. While the client will likely want to avoid garlic odor, it is not
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
a priority.
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QUESTION 5 zm
The practical nurse (PN) is reviewing the health histories of assigned clients. Which fa
zm zm zm zm zm zm zm zm zm zm zm zm zm
ctors have a potential for development of throat cancer? (Select all that apply.)
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a. Tobacco use
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b. Excessive intake of alcohol
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c. Intake of hot and spicy foods
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d. Human papillomavirus (HPV)
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e. Lack of exercise f. Lack of dietary fiber
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ANSWER
a. Tobacco use
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b. Excessive intake of alcohol
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