1|Page
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)
C. 50-year-old with Prinzmetal's angina. - ...ANSWER...✓✓
Which client should the practical nurse question a PRN
prescription for sumatriptan (Imitrex) for migraine
headaches?
D. A low-dose aspirin given daily. - ...ANSWER...✓✓ The
practical nurse (PN) is reinforcing information to a older
male client with a history of coronary artery disease
about his prescribed daily medication regimen. Which
medication is most likely to reduce the client's risk
factors?
A. Pain relief after ear drainage begins. - ...ANSWER...✓✓
An adult client with otitis media has thick, yellow drainage
from the right ear canal. What additional findings should
the practical nurse (PN) expect to identify?
,2|Page
C. Continue to monitor client's blood pressure. -
...ANSWER...✓✓ The practical nurse is caring for a client
who is admitted with signs of possible acute brain attack
(Stroke) three hours ago. The client's blood pressure is
170/96, regular radial pulse 76 beats/minute, respirations
are nonlabored at 11 breaths/minute, and a Sp02 of 99%.
What action is most important for the PN to implement?
D. Reports the hospital room is an office. -
...ANSWER...✓✓ A client who was hit in the head with a
baseball is admitted to the hospital for observation. Which
finding requires the practical nurse (PN) to follow-up with
further assessment?
D. It is a combination of wear and tear and calcium loss
that causes the change. - ...ANSWER...✓✓ An older
female client with osteoporosis asks the practical nurse
(PN) to explain why she is now 2 inches shorter than
when she was younger. What information is best for the
practical nurse (PN) to provide?
A. 500/mm3. - ...ANSWER...✓✓ A practical nurse (PN) is
coordinating the care of four clients on an oncology unit.
Which neutrophil count should the PN identify as a risk
for a life-threatening infection in one of the clients?
,3|Page
C. Surgery can restore vision with corrective lens
implants or glasses. - ...ANSWER...✓✓ An older client
who has had a cataract in the right eye for several years
tells the practical nurse (PN), "Now I have lost the sight in
my right eye because I waited too long for treatment."
What information should the PN provide?
D. Elevate the arm above the level of the heart. -
...ANSWER...✓✓ The practical nurse (PN) is visiting a
male client with diabetes who has a new cast on his arm.
The client's fingers are pale, cool, slightly swollen, and
the radial pulse is strong. What should the PN do first?
1. Maintain the client's airway
2. Apply pads to the bedside rails.
3. Avoid stimulation during post-ictal phase.
4. Observe the client for incontinence. - ...ANSWER...✓✓
A client with epilepsy is having bilateral rhythmic jerking
movements of all extremities. After calling for help, which
action should the practical nurse (PN) do next?
B. Sitting upright in a tripod position leaning on an
overbed table. - ...ANSWER...✓✓ The practical nurse (PN)
, 4|Page
should place a client in which position for a
thoracentesis?
A. Implement standard precautions with the CSF
specimen. - ...ANSWER...✓✓ Which action should the
practical nurse take when handling a sample of
cerebrospinal fluid (CSF) collected for diagnostic testing
from a client?
C. Avoid using ice packs on the exposed area. -
...ANSWER...✓✓ Which instruction should the practical
nurse (PN) reinforce with a female client about skin care
after her first radiotherapy treatment?
D. Sleeps with two additional pillows. - ...ANSWER...✓✓ A
client with heart failure (HF) takes a daily tablet of
furosemide (Lasix) and lisinopril (Zestril). Which finding
during the clinic visit should indicate to the practical
nurse that the client's condition is worsening?
D. Report the change in condition to the healthcare
provider. - ...ANSWER...✓✓ A client who is 3 days
postoperative after a laminectomy is coughing up thick
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)
C. 50-year-old with Prinzmetal's angina. - ...ANSWER...✓✓
Which client should the practical nurse question a PRN
prescription for sumatriptan (Imitrex) for migraine
headaches?
D. A low-dose aspirin given daily. - ...ANSWER...✓✓ The
practical nurse (PN) is reinforcing information to a older
male client with a history of coronary artery disease
about his prescribed daily medication regimen. Which
medication is most likely to reduce the client's risk
factors?
A. Pain relief after ear drainage begins. - ...ANSWER...✓✓
An adult client with otitis media has thick, yellow drainage
from the right ear canal. What additional findings should
the practical nurse (PN) expect to identify?
,2|Page
C. Continue to monitor client's blood pressure. -
...ANSWER...✓✓ The practical nurse is caring for a client
who is admitted with signs of possible acute brain attack
(Stroke) three hours ago. The client's blood pressure is
170/96, regular radial pulse 76 beats/minute, respirations
are nonlabored at 11 breaths/minute, and a Sp02 of 99%.
What action is most important for the PN to implement?
D. Reports the hospital room is an office. -
...ANSWER...✓✓ A client who was hit in the head with a
baseball is admitted to the hospital for observation. Which
finding requires the practical nurse (PN) to follow-up with
further assessment?
D. It is a combination of wear and tear and calcium loss
that causes the change. - ...ANSWER...✓✓ An older
female client with osteoporosis asks the practical nurse
(PN) to explain why she is now 2 inches shorter than
when she was younger. What information is best for the
practical nurse (PN) to provide?
A. 500/mm3. - ...ANSWER...✓✓ A practical nurse (PN) is
coordinating the care of four clients on an oncology unit.
Which neutrophil count should the PN identify as a risk
for a life-threatening infection in one of the clients?
,3|Page
C. Surgery can restore vision with corrective lens
implants or glasses. - ...ANSWER...✓✓ An older client
who has had a cataract in the right eye for several years
tells the practical nurse (PN), "Now I have lost the sight in
my right eye because I waited too long for treatment."
What information should the PN provide?
D. Elevate the arm above the level of the heart. -
...ANSWER...✓✓ The practical nurse (PN) is visiting a
male client with diabetes who has a new cast on his arm.
The client's fingers are pale, cool, slightly swollen, and
the radial pulse is strong. What should the PN do first?
1. Maintain the client's airway
2. Apply pads to the bedside rails.
3. Avoid stimulation during post-ictal phase.
4. Observe the client for incontinence. - ...ANSWER...✓✓
A client with epilepsy is having bilateral rhythmic jerking
movements of all extremities. After calling for help, which
action should the practical nurse (PN) do next?
B. Sitting upright in a tripod position leaning on an
overbed table. - ...ANSWER...✓✓ The practical nurse (PN)
, 4|Page
should place a client in which position for a
thoracentesis?
A. Implement standard precautions with the CSF
specimen. - ...ANSWER...✓✓ Which action should the
practical nurse take when handling a sample of
cerebrospinal fluid (CSF) collected for diagnostic testing
from a client?
C. Avoid using ice packs on the exposed area. -
...ANSWER...✓✓ Which instruction should the practical
nurse (PN) reinforce with a female client about skin care
after her first radiotherapy treatment?
D. Sleeps with two additional pillows. - ...ANSWER...✓✓ A
client with heart failure (HF) takes a daily tablet of
furosemide (Lasix) and lisinopril (Zestril). Which finding
during the clinic visit should indicate to the practical
nurse that the client's condition is worsening?
D. Report the change in condition to the healthcare
provider. - ...ANSWER...✓✓ A client who is 3 days
postoperative after a laminectomy is coughing up thick
