HESI PN Medical Surgical Exam z z z z
During a clinic visit, a client reports to the practical nurse (PN) that they felt a solid ma
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ss in their breast during self-
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examination, but it was not painful. What instruction should the PN reinforce with the
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client?
A. Continue to monitor the mass until the next scheduled annual exam.
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B. Notify the PCP if the mass becomes soft or painful or starts to drain.
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C. Schedule an appointment with the PCP for evaluation
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D. Breast masses are usually insignificant if they feel soft or are easily moveable.
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(Ans- c. Schedule an appointment with the health care provider for evaluation.
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A painless breast mass is an abnormal finding, and the PN should instruct the client to
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obtain prompt medical evaluation.
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The health care provider informed a client diagnosed with stage 4 liver cancer that th
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e cancer has spread to their spine. The client states to the practical nurse, "I have a can
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cer, but it is not malignant." What is the best initial nursing action?
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A. Encourage the client to attend a cancer education program z z z z z z z z
B. Perform a complete history and physical assessment
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,C. Ask the client to explain his understanding of the term malignancy.
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D. Offer the client emotional support to deal with the diagnosis S
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ubmit
(Ans- c. Ask the client to explain his understanding of the term malignancy.
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The best initial action is to assess the client's knowledge of the term malignancy when
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used to describe cancer. The client appears to have inaccurate knowledge. Stage 4 ca
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ncer means the cancer has spread (metastasized) from where it has started to another
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body part. z
A client diagnosed with osteoarthritis. Which intervention should the practical nurse
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implement 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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(Ans- d. Instruct the client to take an analgesic before walking daily.
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,Adequate pain management is important for the success of an exercise program. Kee
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ping the joints active decreases pain, so taking an analgesic and walking daily is likel
z z z z z z z z z z z z z z
y to help decrease joint pain and stiffness.
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A client diagnosed with prostate cancer is prescribed radioactive seed implantation (br
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achytherapy). What is the most important nursing action for the practical nurse (PN) t
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o do?
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a. Follow radiation exposure precautions z z z
b. Encourage regular meals z z
c. Collect all urine in sealed containersz z z z z
d. Avoid touching the client. z z z
(Ans- a. Follow radiation exposure precautions.
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Clients being treated for prostate cancer with brachytherapy (radioactive seeds impla
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nt) should be placed on radiation exposure precautions. The PN needs to follow the in
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stitution'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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, A client diagnosed with emphysema that is oxygen-
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dependent lives alone at home and manages self- z z z z z z z
care with no difficulty. Which finding should prompt the home health practical nurse t
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o consult the registered nurse case manager?
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a. A pulse oximetry reading of 91% on oxygen at 2 L/m
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b. A weight loss of 5 pounds since the last monthly home visit
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c. The client reports feeling as tired as at the last visit by the nurse
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d. Upon entering the home, the PN noticed dirty dishes and clothing scattered ar
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ound the home. z z
(Ans- b. A weight loss of 5 pounds since the last monthly home visit
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A weight loss of 5 pounds in 1 month is a concern. Clients with COPD need additional
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z calorie intake because they are using up a lot from the energy they are using to breath.
z z z z z z z z z z z z z z z z z
The practical nurse needs to consult with the registered nurse case manager for a nutrit
z z z z z z z z z z z z z z
ion consult z
The nurse has reinforced instructions to a client with diabetes mellitus on how to self
z z z z z z z z z z z z z z
-
monitor for symptoms of diabetic ketoacidosis (DKA). The nurse realizes the instru
z z z z z z z z z z z
ctions have been effective if the client can list which symptoms? (Select all that appl
z z z z z z z z z z z z z z
y.)
During a clinic visit, a client reports to the practical nurse (PN) that they felt a solid ma
z z z z z z z z z z z z z z z z z
ss in their breast during self-
z z z z z
examination, but it was not painful. What instruction should the PN reinforce with the
z z z z z z z z z z z z z z
client?
A. Continue to monitor the mass until the next scheduled annual exam.
z z z z z z z z z z
B. Notify the PCP if the mass becomes soft or painful or starts to drain.
z z z z z z z z z z z z z
C. Schedule an appointment with the PCP for evaluation
z z z z z z z
D. Breast masses are usually insignificant if they feel soft or are easily moveable.
z z z z z z z z z z z z
(Ans- c. Schedule an appointment with the health care provider for evaluation.
z z z z z z z z z z z
A painless breast mass is an abnormal finding, and the PN should instruct the client to
z z z z z z z z z z z z z z z z
obtain prompt medical evaluation.
z z z
The health care provider informed a client diagnosed with stage 4 liver cancer that th
z z z z z z z z z z z z z z
e cancer has spread to their spine. The client states to the practical nurse, "I have a can
z z z z z z z z z z z z z z z z z
cer, but it is not malignant." What is the best initial nursing action?
z z z z z z z z z z z z
A. Encourage the client to attend a cancer education program z z z z z z z z
B. Perform a complete history and physical assessment
z z z z z z
,C. Ask the client to explain his understanding of the term malignancy.
z z z z z z z z z z
D. Offer the client emotional support to deal with the diagnosis S
z z z z z z z z z z
ubmit
(Ans- c. Ask the client to explain his understanding of the term malignancy.
z z z z z z z z z z z z
The best initial action is to assess the client's knowledge of the term malignancy when
z z z z z z z z z z z z z z
used to describe cancer. The client appears to have inaccurate knowledge. Stage 4 ca
z z z z z z z z z z z z z z
ncer means the cancer has spread (metastasized) from where it has started to another
z z z z z z z z z z z z z z
body part. z
A client diagnosed with osteoarthritis. Which intervention should the practical nurse
z z z z z z z z z z z
implement to help relieve joint pain and stiffness?
z z z z z z z
a. Encourage the client to perform weight-bearing exercises.
z z z z z z
b. Teach the client how to perform range-of-motion exercises.
z z z z z z z
c. Explain the use of ice and massage for pain relief.
z z z z z z z z z
d. Instruct the client to take an analgesic before walking daily
z z z z z z z z z
(Ans- d. Instruct the client to take an analgesic before walking daily.
z z z z z z z z z z z
,Adequate pain management is important for the success of an exercise program. Kee
z z z z z z z z z z z z
ping the joints active decreases pain, so taking an analgesic and walking daily is likel
z z z z z z z z z z z z z z
y to help decrease joint pain and stiffness.
z z z z z z z
A client diagnosed with prostate cancer is prescribed radioactive seed implantation (br
z z z z z z z z z z z
achytherapy). What is the most important nursing action for the practical nurse (PN) t
z z z z z z z z z z z z z
o do?
z
a. Follow radiation exposure precautions z z z
b. Encourage regular meals z z
c. Collect all urine in sealed containersz z z z z
d. Avoid touching the client. z z z
(Ans- a. Follow radiation exposure precautions.
z z z z z
Clients being treated for prostate cancer with brachytherapy (radioactive seeds impla
z z z z z z z z z z
nt) should be placed on radiation exposure precautions. The PN needs to follow the in
z z z z z z z z z z z z z z
stitution's protocols put in place regarding the amount of time and distance needed to p
z z z z z z z z z z z z z z
revent excessive exposure that would pose a hazard to others.
z z z z z z z z z
, A client diagnosed with emphysema that is oxygen-
z z z z z z z
dependent lives alone at home and manages self- z z z z z z z
care with no difficulty. Which finding should prompt the home health practical nurse t
z z z z z z z z z z z z z
o consult the registered nurse case manager?
z z z z z z
a. A pulse oximetry reading of 91% on oxygen at 2 L/m
z z z z z z z z z z
b. A weight loss of 5 pounds since the last monthly home visit
z z z z z z z z z z z
c. The client reports feeling as tired as at the last visit by the nurse
z z z z z z z z z z z z z
d. Upon entering the home, the PN noticed dirty dishes and clothing scattered ar
z z z z z z z z z z z z
ound the home. z z
(Ans- b. A weight loss of 5 pounds since the last monthly home visit
z z z z z z z z z z z z z
A weight loss of 5 pounds in 1 month is a concern. Clients with COPD need additional
z z z z z z z z z z z z z z z z
z calorie intake because they are using up a lot from the energy they are using to breath.
z z z z z z z z z z z z z z z z z
The practical nurse needs to consult with the registered nurse case manager for a nutrit
z z z z z z z z z z z z z z
ion consult z
The nurse has reinforced instructions to a client with diabetes mellitus on how to self
z z z z z z z z z z z z z z
-
monitor for symptoms of diabetic ketoacidosis (DKA). The nurse realizes the instru
z z z z z z z z z z z
ctions have been effective if the client can list which symptoms? (Select all that appl
z z z z z z z z z z z z z z
y.)
