PNR206 Med Surg Hesi
Study online at https://quizlet.com/_8hdfvw
1. A client's results for this morning's platelet count is 30,000/mm 3 . What
action should the practical nurse (PN) implement first?: Institute bleeding pre-
cautions.
2. A client is admitted with a C4 spinal cord injury (SCI) after falling from a roof
at a construction site. After returning to the unit for a CT scan to confirm the
vertebral fracture, which assessment by the practical nurse has the highest
priority?: Check the respiratory effort and pulse oximeter reading.
3. A client with cholelithiasis is admitted with jaundice due to obstruction of
the common bile duct. Which finding is most important for the practical nurse
to report to the healthcare provider?: Hard, rigid abdomen.
4. Which actions should the practical nurse implement for a client whose frac-
tured tibia is causing swelling of the lower leg?: Ice application and elevation.
5. A male client with increased intracranial pressure (ICP) due to a skull
fracture is in the supine position with his legs elevated. What should the
practical nurse (PN) do first?: Raise the head 30 degrees and lower the feet.
6. A client with Parkinson's disease asks the practical nurse (PN) to explain
how this disease causes his muscles to malfunction. Which underlying patho-
physiology should the PN use as a basis for the explanation?: Degeneration of
the basal ganglia leads to a decrease in dopamine levels.
7. A client with newly diagnosed essential hypertension is learning to cope
with stressful situations in his life. Which activity should the practical nurse
(PN) implement to help the client learn constructive coping?: Role play a
situation the client identifies as stressful.
8. Which finding should the practical nurse (PN) identify as typical for a client
who is hypoxic?: Hemoglobin of 10 grams/dl
9. Which finding for a client with heart failure (HF) should the practical nurse
(PN) report to the charge nurse?: Distended neck veins while upright.
10. The practical nurse (PN) is caring for a client with chronic obstructive
pulmonary disease (COPD). To reduce carbon dioxide ( CO 2 ) retention in
the lungs, which information should the PN reinforce?: Use pursed-lip and
abdominal breathing.
11. A male client who has been taking a four-drug regimen for tuberculosis
(TB) tells the practical nurse (PN) that he has finished the first drug, isoniazid,
and will start taking rifampin next. How should the PN respond?: The four-drug
protocol should be taken concurrently.
12. The practical nurse (PN) is reviewing the health history of a client with
coronary artery disease (CAD). Which finding should the PN identify that
places the client at risk for stroke?: Atrial fibrillation.
, PNR206 Med Surg Hesi
Study online at https://quizlet.com/_8hdfvw
13. After receiving report, the practical nurse (PN) begins assessment for
a client with chronic obstructive pulmonary disease (COPD) who has just
completed a respiratory treatment. The PN finds the client sitting upright
in bed with oxygen at 6 liters/minute per nasal cannula. Which intervention
is most important for the PN to implement?: Decrease oxygen flow rate to 2
liter/minute and attach pulse oximeter.
14. A male client is having an intraocular pressure (IOP) measurement using
a tonometer for the first time. The client is fearful that the test hurts and may
damage his vision. Which explanation should the practical nurse provide?: A
topical anesthetic will be used on the eye surface.
15. A client with major burns is receiving cimetidine (Tagamet). Which finding
should the practical nurse (PN) obtain to best evaluate the effectiveness of
the medication?: Absense of blood in the stool.
16. A male client with metastatic gastric cancer is being discharged home, but
the client and family members are fearful of managing the client's symptoms
at home. What action should the practical nurse provide?: Suggest a referral for
the client to have hospice care provided in their home.
17. A male client receives the negative results for his recent fecal occult blood
test and calls the clinic to cancel his colonoscopy scheduled for the next day.
Which information should the practical nurse provide?: A negative result for
occult blood does not rule out lesions in the colon.
18. The practical nurse (PN) is evaluating the self-care of a client who is
recovering at home after a laryngectomy. Which finding indicates to the PN
that the client needs additional information?: The salt water solution is dated 3
days ago
19. A client with epilepsy is having bilateral rhythmic jerking movements of
all extremities. After calling for help, which action should the practical nurse
(PN) do next? (Arrange the interventions from first to last.): 1. Maintain the
client's airway2. Apply pads to the bedside rails.3. Avoid stimulation during post-ictal
phase.4. Observe the client for incontinence
20. Which finding for a client who is 1-day postoperative for a partial thyroidec-
tomy requires immediate follow-up by the practical nurse (PN)?: High pitched
expiratory sound.
21. Which behavior demonstrates hopelessness in an older client with a ter-
minal disease?: Failing to follow medical recommendations.
22. What is the priority data that the practical nurse (PN) should obtain for a
client with a cervical spinal cord injury (SCI)?: Respiratory pattern and airway.
23. An older male client with osteoarthritis complains of stiffness and pain in
his hips, knees, and feet each morning and asks the practical nurse (PN) why
Study online at https://quizlet.com/_8hdfvw
1. A client's results for this morning's platelet count is 30,000/mm 3 . What
action should the practical nurse (PN) implement first?: Institute bleeding pre-
cautions.
2. A client is admitted with a C4 spinal cord injury (SCI) after falling from a roof
at a construction site. After returning to the unit for a CT scan to confirm the
vertebral fracture, which assessment by the practical nurse has the highest
priority?: Check the respiratory effort and pulse oximeter reading.
3. A client with cholelithiasis is admitted with jaundice due to obstruction of
the common bile duct. Which finding is most important for the practical nurse
to report to the healthcare provider?: Hard, rigid abdomen.
4. Which actions should the practical nurse implement for a client whose frac-
tured tibia is causing swelling of the lower leg?: Ice application and elevation.
5. A male client with increased intracranial pressure (ICP) due to a skull
fracture is in the supine position with his legs elevated. What should the
practical nurse (PN) do first?: Raise the head 30 degrees and lower the feet.
6. A client with Parkinson's disease asks the practical nurse (PN) to explain
how this disease causes his muscles to malfunction. Which underlying patho-
physiology should the PN use as a basis for the explanation?: Degeneration of
the basal ganglia leads to a decrease in dopamine levels.
7. A client with newly diagnosed essential hypertension is learning to cope
with stressful situations in his life. Which activity should the practical nurse
(PN) implement to help the client learn constructive coping?: Role play a
situation the client identifies as stressful.
8. Which finding should the practical nurse (PN) identify as typical for a client
who is hypoxic?: Hemoglobin of 10 grams/dl
9. Which finding for a client with heart failure (HF) should the practical nurse
(PN) report to the charge nurse?: Distended neck veins while upright.
10. The practical nurse (PN) is caring for a client with chronic obstructive
pulmonary disease (COPD). To reduce carbon dioxide ( CO 2 ) retention in
the lungs, which information should the PN reinforce?: Use pursed-lip and
abdominal breathing.
11. A male client who has been taking a four-drug regimen for tuberculosis
(TB) tells the practical nurse (PN) that he has finished the first drug, isoniazid,
and will start taking rifampin next. How should the PN respond?: The four-drug
protocol should be taken concurrently.
12. The practical nurse (PN) is reviewing the health history of a client with
coronary artery disease (CAD). Which finding should the PN identify that
places the client at risk for stroke?: Atrial fibrillation.
, PNR206 Med Surg Hesi
Study online at https://quizlet.com/_8hdfvw
13. After receiving report, the practical nurse (PN) begins assessment for
a client with chronic obstructive pulmonary disease (COPD) who has just
completed a respiratory treatment. The PN finds the client sitting upright
in bed with oxygen at 6 liters/minute per nasal cannula. Which intervention
is most important for the PN to implement?: Decrease oxygen flow rate to 2
liter/minute and attach pulse oximeter.
14. A male client is having an intraocular pressure (IOP) measurement using
a tonometer for the first time. The client is fearful that the test hurts and may
damage his vision. Which explanation should the practical nurse provide?: A
topical anesthetic will be used on the eye surface.
15. A client with major burns is receiving cimetidine (Tagamet). Which finding
should the practical nurse (PN) obtain to best evaluate the effectiveness of
the medication?: Absense of blood in the stool.
16. A male client with metastatic gastric cancer is being discharged home, but
the client and family members are fearful of managing the client's symptoms
at home. What action should the practical nurse provide?: Suggest a referral for
the client to have hospice care provided in their home.
17. A male client receives the negative results for his recent fecal occult blood
test and calls the clinic to cancel his colonoscopy scheduled for the next day.
Which information should the practical nurse provide?: A negative result for
occult blood does not rule out lesions in the colon.
18. The practical nurse (PN) is evaluating the self-care of a client who is
recovering at home after a laryngectomy. Which finding indicates to the PN
that the client needs additional information?: The salt water solution is dated 3
days ago
19. A client with epilepsy is having bilateral rhythmic jerking movements of
all extremities. After calling for help, which action should the practical nurse
(PN) do next? (Arrange the interventions from first to last.): 1. Maintain the
client's airway2. Apply pads to the bedside rails.3. Avoid stimulation during post-ictal
phase.4. Observe the client for incontinence
20. Which finding for a client who is 1-day postoperative for a partial thyroidec-
tomy requires immediate follow-up by the practical nurse (PN)?: High pitched
expiratory sound.
21. Which behavior demonstrates hopelessness in an older client with a ter-
minal disease?: Failing to follow medical recommendations.
22. What is the priority data that the practical nurse (PN) should obtain for a
client with a cervical spinal cord injury (SCI)?: Respiratory pattern and airway.
23. An older male client with osteoarthritis complains of stiffness and pain in
his hips, knees, and feet each morning and asks the practical nurse (PN) why
