Med-Surg Hesi PN*++
Study online at https://quizlet.com/_9ww89p
1. During a clinic visit, a client re- c. Schedule an appointment with the health care provider
ports to the practical nurse (PN) for evaluation.
that they felt a solid mass in
their breast during self-exami- A painless breast mass is an abnormal finding, and the PN
nation, but it was not painful. should instruct the client to obtain prompt medical evalua-
What instruction should the PN tion.
reinforce with the client?
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- c. Ask the client to explain his understanding of the term
formed a client diagnosed with malignancy.
stage 4 liver cancer that the can-
cer has spread to their spine. The best initial action is to assess the client's knowledge
The client states to the practical of the term malignancy when used to describe cancer.
nurse, "I have a cancer, but it is The client appears to have inaccurate knowledge. Stage 4
not malignant." What is the best cancer means the cancer has spread (metastasized) from
initial nursing action? where it has started to another body part.
A. Encourage the client to at-
tend a cancer education pro-
gram
, Med-Surg Hesi PN*++
Study online at https://quizlet.com/_9ww89p
B. Perform a complete history
and physical assessment
C. Ask the client to explain his
understanding of the term ma-
lignancy.
D. Offer the client emotional
support to deal with the diagno-
sis
Submit
3. A client diagnosed with os- d. Instruct the client to take an analgesic before walking
teoarthritis. Which intervention daily.
should the practical nurse im-
plement to help relieve joint Adequate pain management is important for the success of
pain and stiffness? an exercise program. Keeping the joints active decreases
pain, so taking an analgesic and walking daily is likely to
a. Encourage the client to per- help decrease joint pain and stiffness.
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 a. Follow radiation exposure precautions.
cancer is prescribed radioactive
seed implantation (brachyther- Clients being treated for prostate cancer with brachytherapy
apy). What is the most impor- (radioactive seeds implant) should be placed on radiation
tant nursing action for the prac- exposure precautions. The PN needs to follow the institu-
tical nurse (PN) to do? tion's protocols put in place regarding the amount of time
, Med-Surg Hesi PN*++
Study online at https://quizlet.com/_9ww89p
and distance needed to prevent excessive exposure that
a. Follow radiation exposure would pose a hazard to others.
precautions
b. Encourage regular meals
c. Collect all urine in sealed con-
tainers
d. Avoid touching the client.
5. A client diagnosed with emphy- b. A weight loss of 5 pounds since the last monthly home
sema that is oxygen-dependent visit
lives alone at home and man-
ages self-care with no difficul- A weight loss of 5 pounds in 1 month is a concern. Clients
ty. Which finding should prompt with COPD need additional calorie intake because they are
the home health practical nurse using up a lot from the energy they are using to breath. The
to consult the registered nurse practical nurse needs to consult with the registered nurse
case manager? case manager for a nutrition consult
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 vis-
it
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.
6. The nurse has reinforced in- a. Fruity breath odor
structions to a client with di- b. Rapid, weak pulse
, Med-Surg Hesi PN*++
Study online at https://quizlet.com/_9ww89p
abetes mellitus on how to d. Extreme thirst
self-monitor for symptoms of e. Urinary frequency
diabetic ketoacidosis (DKA). The
nurse realizes the instructions Diabetic ketoacidosis is caused by a profound deficiency of
have been effective if the client insulin. Some common characteristics include a sweet, fruity
can list which symptoms? (Se- breath odor, a rapid weak pulse, extreme thirst, urinary
lect all that apply.) frequency, and sunken-appearing eyeballs.
a. Fruity breath odor
b. Rapid, weak pulse
c. Cold, clammy skin
d. Extreme thirst
e. Urinary frequency
f. Protruding eyeballs
7. A client mentions using garlic a. Monitor the client for signs of bleeding.
daily as an herb to lower cho-
lesterol and triglyceride levels. Garlic inhibits platelet aggregation in the same way that as-
Which nursing action is a priori- pirin works, and the client should be monitored for bleed-
ty? ing. Garlic can lower the blood pressure, not raise it. It does
not relieve fever. While the client will likely want to avoid
a. Monitor the client for signs of garlic odor, it is not a priority.
bleeding.
b. Instruct the client that garlic
tends to cause hypertension.
c. This may relieve fever in the
same way that acetaminophen
does.
d. Remind the patient to use
tooth brushing and mouthwash
to prevent garlic odor.
Study online at https://quizlet.com/_9ww89p
1. During a clinic visit, a client re- c. Schedule an appointment with the health care provider
ports to the practical nurse (PN) for evaluation.
that they felt a solid mass in
their breast during self-exami- A painless breast mass is an abnormal finding, and the PN
nation, but it was not painful. should instruct the client to obtain prompt medical evalua-
What instruction should the PN tion.
reinforce with the client?
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- c. Ask the client to explain his understanding of the term
formed a client diagnosed with malignancy.
stage 4 liver cancer that the can-
cer has spread to their spine. The best initial action is to assess the client's knowledge
The client states to the practical of the term malignancy when used to describe cancer.
nurse, "I have a cancer, but it is The client appears to have inaccurate knowledge. Stage 4
not malignant." What is the best cancer means the cancer has spread (metastasized) from
initial nursing action? where it has started to another body part.
A. Encourage the client to at-
tend a cancer education pro-
gram
, Med-Surg Hesi PN*++
Study online at https://quizlet.com/_9ww89p
B. Perform a complete history
and physical assessment
C. Ask the client to explain his
understanding of the term ma-
lignancy.
D. Offer the client emotional
support to deal with the diagno-
sis
Submit
3. A client diagnosed with os- d. Instruct the client to take an analgesic before walking
teoarthritis. Which intervention daily.
should the practical nurse im-
plement to help relieve joint Adequate pain management is important for the success of
pain and stiffness? an exercise program. Keeping the joints active decreases
pain, so taking an analgesic and walking daily is likely to
a. Encourage the client to per- help decrease joint pain and stiffness.
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 a. Follow radiation exposure precautions.
cancer is prescribed radioactive
seed implantation (brachyther- Clients being treated for prostate cancer with brachytherapy
apy). What is the most impor- (radioactive seeds implant) should be placed on radiation
tant nursing action for the prac- exposure precautions. The PN needs to follow the institu-
tical nurse (PN) to do? tion's protocols put in place regarding the amount of time
, Med-Surg Hesi PN*++
Study online at https://quizlet.com/_9ww89p
and distance needed to prevent excessive exposure that
a. Follow radiation exposure would pose a hazard to others.
precautions
b. Encourage regular meals
c. Collect all urine in sealed con-
tainers
d. Avoid touching the client.
5. A client diagnosed with emphy- b. A weight loss of 5 pounds since the last monthly home
sema that is oxygen-dependent visit
lives alone at home and man-
ages self-care with no difficul- A weight loss of 5 pounds in 1 month is a concern. Clients
ty. Which finding should prompt with COPD need additional calorie intake because they are
the home health practical nurse using up a lot from the energy they are using to breath. The
to consult the registered nurse practical nurse needs to consult with the registered nurse
case manager? case manager for a nutrition consult
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 vis-
it
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.
6. The nurse has reinforced in- a. Fruity breath odor
structions to a client with di- b. Rapid, weak pulse
, Med-Surg Hesi PN*++
Study online at https://quizlet.com/_9ww89p
abetes mellitus on how to d. Extreme thirst
self-monitor for symptoms of e. Urinary frequency
diabetic ketoacidosis (DKA). The
nurse realizes the instructions Diabetic ketoacidosis is caused by a profound deficiency of
have been effective if the client insulin. Some common characteristics include a sweet, fruity
can list which symptoms? (Se- breath odor, a rapid weak pulse, extreme thirst, urinary
lect all that apply.) frequency, and sunken-appearing eyeballs.
a. Fruity breath odor
b. Rapid, weak pulse
c. Cold, clammy skin
d. Extreme thirst
e. Urinary frequency
f. Protruding eyeballs
7. A client mentions using garlic a. Monitor the client for signs of bleeding.
daily as an herb to lower cho-
lesterol and triglyceride levels. Garlic inhibits platelet aggregation in the same way that as-
Which nursing action is a priori- pirin works, and the client should be monitored for bleed-
ty? ing. Garlic can lower the blood pressure, not raise it. It does
not relieve fever. While the client will likely want to avoid
a. Monitor the client for signs of garlic odor, it is not a priority.
bleeding.
b. Instruct the client that garlic
tends to cause hypertension.
c. This may relieve fever in the
same way that acetaminophen
does.
d. Remind the patient to use
tooth brushing and mouthwash
to prevent garlic odor.
