HESI PN Med-Surg Exam 2026 | Actual
Questions and Answers WITH
RATIONALES | Latest Updated Version
| NGN-Style Practice Test
THIS EXAM INCLUDES:
✅ HESI PN Med-Surg Practice Questions
✅ Verified Correct Answers with Detailed Rationales
✅ Next Generation NCLEX (NGN)-Style Case Scenarios
✅ Prioritization, Delegation & Patient Safety Questions
✅ SATA and NGN Question Formats
✅ High-Yield HESI Test-Taking Strategies
✅ Comprehensive Rationales for Every Answer
, HESI PN Med-SURG EXAM 2026
Actual Questions and Answers
QUESTION 1
During a clinic visit, a client reports to the practical nurse (PN) that
they felt a solid mass in their breast during self-examination, but it
was not painful. What instruction should the PN reinforce with the
client?
A. Continue to monitor the mass until the next scheduled annual exam.
B. Notify the PCP if the mass becomes soft or painful or starts to drain.
C. Schedule an appointment with the PCP for evaluation.
D. Breast masses are usually insignificant if they feel soft or are easily
moveable.
Answer: C. Schedule an appointment with the PCP for evaluation.
Rationale: A painless breast mass is an abnormal finding and should be
evaluated promptly. Painless masses are concerning for potential
malignancy. The PN should instruct the client to obtain prompt medical
evaluation rather than waiting or monitoring the mass independently.
QUESTION 2
The health care provider informed a client diagnosed with stage 4 liver
cancer that the cancer has spread to their spine. The client states to the
,practical nurse, "I have a cancer, but it is not malignant." What is the
best initial nursing 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 his understanding of the term malignancy.
D. Offer the client emotional support to deal with the diagnosis.
Answer: C. Ask the client to explain his understanding of the term
malignancy.
Rationale: The best initial action is to assess the client's knowledge of the
term "malignancy" when used to describe cancer. The client appears to
have inaccurate knowledge. Stage 4 cancer means the cancer has spread
(metastasized) from where it started to another body part. Assessment
must precede intervention.
QUESTION 3
A client diagnosed with osteoarthritis. Which intervention should the
practical nurse implement to help relieve joint pain and stiffness?
A. Encourage the client to perform weight-bearing exercises.
B. Teach the client how to perform range-of-motion exercises.
C. Explain the use of ice and massage for pain relief.
D. Instruct the client to take an analgesic before walking daily.
Answer: D. Instruct the client to take an analgesic before walking daily.
Rationale: Taking an analgesic before activity helps manage pain and
allows the client to participate in therapeutic exercises more comfortably.
, Weight-bearing exercises may worsen osteoarthritis. Range-of-motion
exercises are beneficial but taking medication before activity is more
directly related to pain relief during functional activities.
QUESTION 4
A client diagnosed with prostate cancer is prescribed radioactive seed
implantation (brachytherapy). What is the most important nursing
action for the practical nurse (PN) to do?
A. Follow radiation exposure precautions.
B. Encourage regular meals.
C. Collect all urine in sealed containers.
D. Avoid touching the client.
Answer: A. Follow radiation exposure precautions.
Rationale: Clients being treated for prostate cancer with brachytherapy
(radioactive seeds implant) should be placed on radiation exposure
precautions. The PN needs to follow the institution's protocols regarding
the amount of time and distance needed to prevent excessive exposure
that would pose a hazard to others.
QUESTION 5
A client diagnosed with emphysema that is oxygen-dependent lives
alone at home and manages self-care with no difficulty. Which finding
Questions and Answers WITH
RATIONALES | Latest Updated Version
| NGN-Style Practice Test
THIS EXAM INCLUDES:
✅ HESI PN Med-Surg Practice Questions
✅ Verified Correct Answers with Detailed Rationales
✅ Next Generation NCLEX (NGN)-Style Case Scenarios
✅ Prioritization, Delegation & Patient Safety Questions
✅ SATA and NGN Question Formats
✅ High-Yield HESI Test-Taking Strategies
✅ Comprehensive Rationales for Every Answer
, HESI PN Med-SURG EXAM 2026
Actual Questions and Answers
QUESTION 1
During a clinic visit, a client reports to the practical nurse (PN) that
they felt a solid mass in their breast during self-examination, but it
was not painful. What instruction should the PN reinforce with the
client?
A. Continue to monitor the mass until the next scheduled annual exam.
B. Notify the PCP if the mass becomes soft or painful or starts to drain.
C. Schedule an appointment with the PCP for evaluation.
D. Breast masses are usually insignificant if they feel soft or are easily
moveable.
Answer: C. Schedule an appointment with the PCP for evaluation.
Rationale: A painless breast mass is an abnormal finding and should be
evaluated promptly. Painless masses are concerning for potential
malignancy. The PN should instruct the client to obtain prompt medical
evaluation rather than waiting or monitoring the mass independently.
QUESTION 2
The health care provider informed a client diagnosed with stage 4 liver
cancer that the cancer has spread to their spine. The client states to the
,practical nurse, "I have a cancer, but it is not malignant." What is the
best initial nursing 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 his understanding of the term malignancy.
D. Offer the client emotional support to deal with the diagnosis.
Answer: C. Ask the client to explain his understanding of the term
malignancy.
Rationale: The best initial action is to assess the client's knowledge of the
term "malignancy" when used to describe cancer. The client appears to
have inaccurate knowledge. Stage 4 cancer means the cancer has spread
(metastasized) from where it started to another body part. Assessment
must precede intervention.
QUESTION 3
A client diagnosed with osteoarthritis. Which intervention should the
practical nurse implement to help relieve joint pain and stiffness?
A. Encourage the client to perform weight-bearing exercises.
B. Teach the client how to perform range-of-motion exercises.
C. Explain the use of ice and massage for pain relief.
D. Instruct the client to take an analgesic before walking daily.
Answer: D. Instruct the client to take an analgesic before walking daily.
Rationale: Taking an analgesic before activity helps manage pain and
allows the client to participate in therapeutic exercises more comfortably.
, Weight-bearing exercises may worsen osteoarthritis. Range-of-motion
exercises are beneficial but taking medication before activity is more
directly related to pain relief during functional activities.
QUESTION 4
A client diagnosed with prostate cancer is prescribed radioactive seed
implantation (brachytherapy). What is the most important nursing
action for the practical nurse (PN) to do?
A. Follow radiation exposure precautions.
B. Encourage regular meals.
C. Collect all urine in sealed containers.
D. Avoid touching the client.
Answer: A. Follow radiation exposure precautions.
Rationale: Clients being treated for prostate cancer with brachytherapy
(radioactive seeds implant) should be placed on radiation exposure
precautions. The PN needs to follow the institution's protocols regarding
the amount of time and distance needed to prevent excessive exposure
that would pose a hazard to others.
QUESTION 5
A client diagnosed with emphysema that is oxygen-dependent lives
alone at home and manages self-care with no difficulty. Which finding
