HESI PN MED SURG EXIT EXAM / MED SURG HESI PN
LATEST EXAM 2025-2026 ACTUAL EXAM TEST BANK 100
QUESTIONS AND CORRECT DETAILED ANSWERS
,1. During a clinic visit, a client re- ports c. Schedule an appointment with the health care
to the practical nurse (PN) that they felt provider for evaluation.
a solid mass in their breast during self-
exami- nation, but it was not painful. A painless breast mass is an abnormal finding,
What instruction should the PN and the PN should instruct the client to obtain
reinforce with the client? prompt medical evaluation.
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- formed a
client diagnosed with stage 4 liver
cancer that the cancer has spread to
their spine. The client states to the c. Ask the client to explain his understand- ing of
practical nurse, "I have a can- cer, but the term malignancy.
it is not malignant." What is the best
initial nursing action? The best initial action is to assess the client's
knowledge of the term malignancy when used to
A. Encourage the client to at- tend a describe cancer. The client appears to have
cancer education pro- gram inaccurate knowledge.
B. Perform a complete history and Stage 4 cancer means the cancer has spread
physical assessment (metastasized) from where it has started to
C. Ask the client to explain his another body part.
understanding of the term ma-
lignancy.
, D. Offer the client emotional support that is oxygen-dependent
to deal with the diagno- sis
Submit
3. A client diagnosed with os-
teoarthritis. Which intervention
should the practical nurse im-
plement to help relieve joint pain and
stiffness?
a. Encourage the client to per- form
weight-bearing exercises.
b. Teach the client how to per- 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 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.
5. A client diagnosed with emphy- sema
, b. A weight loss of 5 pounds since the last
monthly home visit
d. Instruct the client to take an analgesic
before walking daily.
Adequate pain management is important for
the success of an exercise program.
Keeping the joints active decreases pain, so
taking an analgesic and walking daily is
likely to help decrease joint pain and
stiffness.
a. Follow radiation exposure precautions.
Clients being treated for prostate cancer
with brachytherapy (radioactive seeds im-
plant) should be placed on radiation expo-
sure precautions. The PN needs to follow the
institution's protocols put in place re-
garding the amount of time and distance
needed to prevent excessive exposure that
would pose a hazard to others.
LATEST EXAM 2025-2026 ACTUAL EXAM TEST BANK 100
QUESTIONS AND CORRECT DETAILED ANSWERS
,1. During a clinic visit, a client re- ports c. Schedule an appointment with the health care
to the practical nurse (PN) that they felt provider for evaluation.
a solid mass in their breast during self-
exami- nation, but it was not painful. A painless breast mass is an abnormal finding,
What instruction should the PN and the PN should instruct the client to obtain
reinforce with the client? prompt medical evaluation.
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- formed a
client diagnosed with stage 4 liver
cancer that the cancer has spread to
their spine. The client states to the c. Ask the client to explain his understand- ing of
practical nurse, "I have a can- cer, but the term malignancy.
it is not malignant." What is the best
initial nursing action? The best initial action is to assess the client's
knowledge of the term malignancy when used to
A. Encourage the client to at- tend a describe cancer. The client appears to have
cancer education pro- gram inaccurate knowledge.
B. Perform a complete history and Stage 4 cancer means the cancer has spread
physical assessment (metastasized) from where it has started to
C. Ask the client to explain his another body part.
understanding of the term ma-
lignancy.
, D. Offer the client emotional support that is oxygen-dependent
to deal with the diagno- sis
Submit
3. A client diagnosed with os-
teoarthritis. Which intervention
should the practical nurse im-
plement to help relieve joint pain and
stiffness?
a. Encourage the client to per- form
weight-bearing exercises.
b. Teach the client how to per- 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 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.
5. A client diagnosed with emphy- sema
, b. A weight loss of 5 pounds since the last
monthly home visit
d. Instruct the client to take an analgesic
before walking daily.
Adequate pain management is important for
the success of an exercise program.
Keeping the joints active decreases pain, so
taking an analgesic and walking daily is
likely to help decrease joint pain and
stiffness.
a. Follow radiation exposure precautions.
Clients being treated for prostate cancer
with brachytherapy (radioactive seeds im-
plant) should be placed on radiation expo-
sure precautions. The PN needs to follow the
institution's protocols put in place re-
garding the amount of time and distance
needed to prevent excessive exposure that
would pose a hazard to others.
