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PN Hesi Med Surg Exam 2025 Test Bank 1: 300 Questions & Rationales

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Prepare for the 2025 PN Hesi Med-Surg with confidence. This test bank features 300 authentic practice questions with verified correct answers and detailed rationales. Master key topics like fluid balance, cardiac care, diabetes, and post-op management to pass your exam on the first try.

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1|Page



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. - ...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.

,2|Page



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.
D. Offer the client emotional support to deal with the
diagnosis
Submit - ...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.

,3|Page



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 - ...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?

, 4|Page



a. Follow radiation exposure precautions
b. Encourage regular meals
c. Collect all urine in sealed containers
d. Avoid touching the client. - ...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

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