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PN Medical Surgical HESI Exam 2025 Prep Test
Bank Bundle With Real Exam Practice Questions
and Correct Verified Answers / PN /LPN/LVN Hesi
Med Surg Exam 2025—2026 Bundle / Evolve Med
Surg (PN)
TEST
A nurse is caring for a client who is taking lithium and
reports persistent nausea and vomiting for 2 days. Which
of the following laboratory values should the nurse report
to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L - ...ANSWER...✓✓ D. Sodium 132
mEq/L
Rationale:
The nurse should identify that a sodium level of 132
mEq/L is not within the expected reference range of 136
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to 145 mEq/L. This finding indicates hyponatremia, which
can lead to lithium accumulation and places the client at
risk for lithium toxicity. The nurse should report this
finding to the provider.
A nurse is caring for a client who has cancer and has a
WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy
products. - ...ANSWER...✓✓ A. Cleanse the client's
toothbrush with hydrogen peroxide.
Rationale:
A WBC count of 4,000/mm3 is considered low and is
known as leukopenia. A low WBC count can be caused by
cancer or cancer treatment. The nurse should instruct the
client to cleanse their toothbrush with hydrogen peroxide.
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People with leukemia or leukopenia should avoid using
disposable razors, which can cause cuts and bleeding
that can lead to infections. Instead, they recommend
using an electric razor to reduce the risk of injury.
Encouraging the client to eat unpasteurized dairy
products is not recommended as they can contain
harmful bacteria that can cause infections. Decreasing
the client's protein intake is not recommended as protein
is important for wound healing and immune function
TEST
A nurse enters a client's room and sees smoke coming
from the bathroom. Which of the following actions should
the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom. - ...ANSWER...✓✓ C. Assist the client to a
nearby common area.
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Rationale:
use
Rescue
Alarm
Contain
Extinguish
TEST
A nurse is contributing to the plan of care for a client who
reports difficulty eating due to chronic arthritis. Which of
the following interventions should the nurse include in
the plan?
a) Apply foam handles to the client's eating utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a pureed diet. -
...ANSWER...✓✓ A. Apply foam handles to the client's
eating utensils.
Rationale:
PN Medical Surgical HESI Exam 2025 Prep Test
Bank Bundle With Real Exam Practice Questions
and Correct Verified Answers / PN /LPN/LVN Hesi
Med Surg Exam 2025—2026 Bundle / Evolve Med
Surg (PN)
TEST
A nurse is caring for a client who is taking lithium and
reports persistent nausea and vomiting for 2 days. Which
of the following laboratory values should the nurse report
to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L - ...ANSWER...✓✓ D. Sodium 132
mEq/L
Rationale:
The nurse should identify that a sodium level of 132
mEq/L is not within the expected reference range of 136
,2|Page
to 145 mEq/L. This finding indicates hyponatremia, which
can lead to lithium accumulation and places the client at
risk for lithium toxicity. The nurse should report this
finding to the provider.
A nurse is caring for a client who has cancer and has a
WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy
products. - ...ANSWER...✓✓ A. Cleanse the client's
toothbrush with hydrogen peroxide.
Rationale:
A WBC count of 4,000/mm3 is considered low and is
known as leukopenia. A low WBC count can be caused by
cancer or cancer treatment. The nurse should instruct the
client to cleanse their toothbrush with hydrogen peroxide.
,3|Page
People with leukemia or leukopenia should avoid using
disposable razors, which can cause cuts and bleeding
that can lead to infections. Instead, they recommend
using an electric razor to reduce the risk of injury.
Encouraging the client to eat unpasteurized dairy
products is not recommended as they can contain
harmful bacteria that can cause infections. Decreasing
the client's protein intake is not recommended as protein
is important for wound healing and immune function
TEST
A nurse enters a client's room and sees smoke coming
from the bathroom. Which of the following actions should
the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom. - ...ANSWER...✓✓ C. Assist the client to a
nearby common area.
, 4|Page
Rationale:
use
Rescue
Alarm
Contain
Extinguish
TEST
A nurse is contributing to the plan of care for a client who
reports difficulty eating due to chronic arthritis. Which of
the following interventions should the nurse include in
the plan?
a) Apply foam handles to the client's eating utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a pureed diet. -
...ANSWER...✓✓ A. Apply foam handles to the client's
eating utensils.
Rationale:
