PN Hesi Med Surg Exam 2025
PN Hesi Med Surg Exam 2025 Test Bank 1
With 300 Real Exam Prep Questions And
Correct Answers With Detailed Rationales/
Hesi PN Med Surg Exam/ Pn Hesi Medical
Surgical
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
B. Perform a complete history and physical assessment
C. Ask the client to explain his understanding of the term malignancy.
A+ TEST BANK 1
, PN Hesi Med Surg Exam 2025
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.
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
A+ TEST BANK 2
, PN Hesi Med Surg Exam 2025
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
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+ TEST BANK 3
, PN Hesi Med Surg Exam 2025
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
Diabetic ketoacidosis is caused by a profound deficiency of insulin. Some common
characteristics include a sweet, fruity breath odor, a rapid weak pulse, extreme thirst,
urinary frequency, and sunken-appearing eyeballs.
A client mentions using garlic daily as an herb to lower cholesterol and triglyceride levels.
Which nursing action is a priority?
a. Monitor the client for signs of 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
. - Correct Answer :a. Monitor the client for signs of bleeding.
A+ TEST BANK 4
PN Hesi Med Surg Exam 2025 Test Bank 1
With 300 Real Exam Prep Questions And
Correct Answers With Detailed Rationales/
Hesi PN Med Surg Exam/ Pn Hesi Medical
Surgical
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
B. Perform a complete history and physical assessment
C. Ask the client to explain his understanding of the term malignancy.
A+ TEST BANK 1
, PN Hesi Med Surg Exam 2025
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.
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
A+ TEST BANK 2
, PN Hesi Med Surg Exam 2025
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
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+ TEST BANK 3
, PN Hesi Med Surg Exam 2025
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
Diabetic ketoacidosis is caused by a profound deficiency of insulin. Some common
characteristics include a sweet, fruity breath odor, a rapid weak pulse, extreme thirst,
urinary frequency, and sunken-appearing eyeballs.
A client mentions using garlic daily as an herb to lower cholesterol and triglyceride levels.
Which nursing action is a priority?
a. Monitor the client for signs of 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
. - Correct Answer :a. Monitor the client for signs of bleeding.
A+ TEST BANK 4
