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HESI PN MED SURG II 2025 UPDATED ACTUAL
EXAM WITH CORRECT SOLUTIONS.
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. - correct answer- c. Schedule an appointment
with the health care provider for evaluation.
A painless breast mass is an abnormal finding, and the PN
should instruct the client to obtain prompt medical evaluation.
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
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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
Submit - correct answer- c. Ask the client to explain his
understanding of the term malignancy.
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 has started
to another body part.
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 -
correct answer- 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.
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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. - correct answer- a. Follow
radiation exposure precautions.
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 put in place regarding the amount of time and
distance needed to prevent excessive exposure that would
pose a hazard to others.
A client diagnosed with emphysema that is oxygen-dependent
lives alone at home and manages self-care with no difficulty.
Which finding should prompt the home health practical nurse to
consult the registered nurse case manager?
a. A pulse oximetry reading of 91% on oxygen at 2 L/m
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
d. Upon entering the home, the PN noticed dirty dishes and
clothing scattered around the home. - correct answer- b. A
weight loss of 5 pounds since the last monthly home visit
A weight loss of 5 pounds in 1 month is a concern. Clients with
COPD need additional calorie intake because they are using up
a lot from the energy they are using to breath. The practical
nurse needs to consult with the registered nurse case manager
for a nutrition consult
The nurse has reinforced instructions to a client with diabetes
mellitus on how to self-monitor for symptoms of diabetic
ketoacidosis (DKA). The nurse realizes the instructions have
been effective if the client can list which symptoms? (Select all
that apply.)
a. Fruity breath odor
b. Rapid, weak pulse
c. Cold, clammy skin
d. Extreme thirst
e. Urinary frequency
f. Protruding eyeballs - correct answer- a. Fruity breath odor
b. Rapid, weak pulse
d. Extreme thirst
e. Urinary frequency
HESI PN MED SURG II 2025 UPDATED ACTUAL
EXAM WITH CORRECT SOLUTIONS.
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. - correct answer- c. Schedule an appointment
with the health care provider for evaluation.
A painless breast mass is an abnormal finding, and the PN
should instruct the client to obtain prompt medical evaluation.
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
,2 | Page
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
Submit - correct answer- c. Ask the client to explain his
understanding of the term malignancy.
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 has started
to another body part.
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 -
correct answer- 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.
,3 | Page
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. - correct answer- a. Follow
radiation exposure precautions.
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 put in place regarding the amount of time and
distance needed to prevent excessive exposure that would
pose a hazard to others.
A client diagnosed with emphysema that is oxygen-dependent
lives alone at home and manages self-care with no difficulty.
Which finding should prompt the home health practical nurse to
consult the registered nurse case manager?
a. A pulse oximetry reading of 91% on oxygen at 2 L/m
b. A weight loss of 5 pounds since the last monthly home visit
, 4 | Page
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. - correct answer- b. A
weight loss of 5 pounds since the last monthly home visit
A weight loss of 5 pounds in 1 month is a concern. Clients with
COPD need additional calorie intake because they are using up
a lot from the energy they are using to breath. The practical
nurse needs to consult with the registered nurse case manager
for a nutrition consult
The nurse has reinforced instructions to a client with diabetes
mellitus on how to self-monitor for symptoms of diabetic
ketoacidosis (DKA). The nurse realizes the instructions have
been effective if the client can list which symptoms? (Select all
that apply.)
a. Fruity breath odor
b. Rapid, weak pulse
c. Cold, clammy skin
d. Extreme thirst
e. Urinary frequency
f. Protruding eyeballs - correct answer- a. Fruity breath odor
b. Rapid, weak pulse
d. Extreme thirst
e. Urinary frequency
