Med-Surg Hesi PN
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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-examina- A painless breast mass is an abnormal finding, and the
tion, but it was not painful. What PN should instruct the client to obtain prompt medical
instruction should the PN rein- evaluation.
force 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 The best initial action is to assess the client's knowledge
client states to the practical nurse, of the term malignancy when used to describe cancer.
"I have a cancer, but it is not ma- The client appears to have inaccurate knowledge. Stage 4
lignant." What is the best initial cancer means the cancer has spread (metastasized) from
nursing action? where it has started to another body part.
A. Encourage the client to attend
a cancer education program
B. Perform a complete history and
, Med-Surg Hesi PN
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physical assessment
C. Ask the client to explain his
understanding of the term malig-
nancy.
D. Offer the client emotional sup-
port to deal with the diagnosis
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 imple-
ment to help relieve joint pain andAdequate pain management is important for the success
stiffness? of an exercise program. Keeping the joints active decreas-
es pain, so taking an analgesic and walking daily is likely
a. Encourage the client to perform to help decrease joint pain and stiffness.
weight-bearing exercises.
b. Teach the client how to perform
range-of-motion exercises.
c. Explain the use of ice and mas-
sage 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 (brachythera- Clients being treated for prostate cancer with brachyther-
py). What is the most important apy (radioactive seeds implant) should be placed on ra-
nursing action for the practical diation exposure precautions. The PN needs to follow the
nurse (PN) to do? institution's protocols put in place regarding the amount
of time and distance needed to prevent excessive expo-
a. Follow radiation exposure pre- sure that would pose a hazard to others.
cautions
, Med-Surg Hesi PN
Study online at https://quizlet.com/_9n05y5
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 manages
self-care with no difficulty. Which A weight loss of 5 pounds in 1 month is a concern. Clients
finding should prompt the home with COPD need additional calorie intake because they are
health practical nurse to consult using up a lot from the energy they are using to breath.
the registered nurse case manag- The practical nurse needs to consult with the registered
er? nurse 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 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 cloth-
ing scattered around the home.
6. The nurse has reinforced instruc- a. Fruity breath odor
tions to a client with diabetes mel- b. Rapid, weak pulse
litus on how to self-monitor for d. Extreme thirst
symptoms of diabetic ketoacido- e. Urinary frequency
sis (DKA). The nurse realizes the
instructions have been effective Diabetic ketoacidosis is caused by a profound deficiency
if the client can list which symp- of insulin. Some common characteristics include a sweet,
, Med-Surg Hesi PN
Study online at https://quizlet.com/_9n05y5
toms? (Select all that apply.) fruity breath odor, a rapid weak pulse, extreme thirst,
urinary 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
Which nursing action is a priori- aspirin works, and the client should be monitored for
ty? bleeding. Garlic can lower the blood pressure, not raise
it. It does not relieve fever. While the client will likely want
a. Monitor the client for signs of to avoid 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 pre-
vent garlic odor.
8. The practical nurse (PN) is review- a. Tobacco use
ing the health histories of as- b. Excessive intake of alcohol
signed clients. Which factors have d. Human papillomavirus (HPV)
a potential for development of Rationale:
throat cancer? (Select all that ap- The most common risk factors for throat cancer are to-
ply.) bacco use, alcohol abuse, human papillomavirus (HPV), a
Study online at https://quizlet.com/_9n05y5
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-examina- A painless breast mass is an abnormal finding, and the
tion, but it was not painful. What PN should instruct the client to obtain prompt medical
instruction should the PN rein- evaluation.
force 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 The best initial action is to assess the client's knowledge
client states to the practical nurse, of the term malignancy when used to describe cancer.
"I have a cancer, but it is not ma- The client appears to have inaccurate knowledge. Stage 4
lignant." What is the best initial cancer means the cancer has spread (metastasized) from
nursing action? where it has started to another body part.
A. Encourage the client to attend
a cancer education program
B. Perform a complete history and
, Med-Surg Hesi PN
Study online at https://quizlet.com/_9n05y5
physical assessment
C. Ask the client to explain his
understanding of the term malig-
nancy.
D. Offer the client emotional sup-
port to deal with the diagnosis
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 imple-
ment to help relieve joint pain andAdequate pain management is important for the success
stiffness? of an exercise program. Keeping the joints active decreas-
es pain, so taking an analgesic and walking daily is likely
a. Encourage the client to perform to help decrease joint pain and stiffness.
weight-bearing exercises.
b. Teach the client how to perform
range-of-motion exercises.
c. Explain the use of ice and mas-
sage 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 (brachythera- Clients being treated for prostate cancer with brachyther-
py). What is the most important apy (radioactive seeds implant) should be placed on ra-
nursing action for the practical diation exposure precautions. The PN needs to follow the
nurse (PN) to do? institution's protocols put in place regarding the amount
of time and distance needed to prevent excessive expo-
a. Follow radiation exposure pre- sure that would pose a hazard to others.
cautions
, Med-Surg Hesi PN
Study online at https://quizlet.com/_9n05y5
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 manages
self-care with no difficulty. Which A weight loss of 5 pounds in 1 month is a concern. Clients
finding should prompt the home with COPD need additional calorie intake because they are
health practical nurse to consult using up a lot from the energy they are using to breath.
the registered nurse case manag- The practical nurse needs to consult with the registered
er? nurse 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 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 cloth-
ing scattered around the home.
6. The nurse has reinforced instruc- a. Fruity breath odor
tions to a client with diabetes mel- b. Rapid, weak pulse
litus on how to self-monitor for d. Extreme thirst
symptoms of diabetic ketoacido- e. Urinary frequency
sis (DKA). The nurse realizes the
instructions have been effective Diabetic ketoacidosis is caused by a profound deficiency
if the client can list which symp- of insulin. Some common characteristics include a sweet,
, Med-Surg Hesi PN
Study online at https://quizlet.com/_9n05y5
toms? (Select all that apply.) fruity breath odor, a rapid weak pulse, extreme thirst,
urinary 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
Which nursing action is a priori- aspirin works, and the client should be monitored for
ty? bleeding. Garlic can lower the blood pressure, not raise
it. It does not relieve fever. While the client will likely want
a. Monitor the client for signs of to avoid 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 pre-
vent garlic odor.
8. The practical nurse (PN) is review- a. Tobacco use
ing the health histories of as- b. Excessive intake of alcohol
signed clients. Which factors have d. Human papillomavirus (HPV)
a potential for development of Rationale:
throat cancer? (Select all that ap- The most common risk factors for throat cancer are to-
ply.) bacco use, alcohol abuse, human papillomavirus (HPV), a
