HESI PN MED SURG EXIT EXAM / MED SURG
HESI PN LATEST EXAM 2024-2025 ACTUAL EXAM
TEST BANK 100 QUESTIONS AND CORRECT
DETAILED ANSWERS
Terms in this set (107)
During a clinic visit, a client c. Schedule an appointment with the health care
reports to the practical provider for evaluation.
nurse (PN) that they felt a
solid mass in their breast A painless breast mass is an abnormal finding, and the
during self-examination, but PN should instruct the client to obtain prompt medical
it was not painful. What evaluation.
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.
,The health care provider c. Ask the client to explain his understanding of the term
informed a client diagnosed malignancy.
with stage 4 liver cancer
that the cancer has spread The best initial action is to assess the client's knowledge
to their spine. The client of the term malignancy when used to describe cancer.
states to the practical nurse, The client appears to have inaccurate knowledge. Stage
"I have a cancer, but it is not 4 cancer means the cancer has spread (metastasized)
malignant." What is the best from where it has started to another body part.
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
,A client diagnosed with d. Instruct the client to take an analgesic before walking
osteoarthritis. Which daily.
intervention should the
practical nurse implement Adequate pain management is important for the success
to help relieve joint pain of an exercise program. Keeping the joints active
and stiffness? decreases pain, so taking an analgesic and walking daily
is likely to help decrease 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
A client diagnosed with a. Follow radiation exposure precautions.
prostate cancer is
prescribed radioactive seed Clients being treated for prostate cancer with
implantation brachytherapy (radioactive seeds implant) should be
(brachytherapy). What is the placed on radiation exposure precautions. The PN needs
most important nursing to follow the institution's protocols put in place
action for the practical regarding the amount of time and distance needed to
nurse (PN) to do? prevent excessive exposure that would pose a hazard to
others.
a. Follow radiation
exposure precautions
b. Encourage regular meals
c. Collect all urine in sealed
containers
d. Avoid touching the client.
, A client diagnosed with b. A weight loss of 5 pounds since the last monthly home
emphysema that is oxygen- visit
dependent lives alone at
home and manages self- A weight loss of 5 pounds in 1 month is a concern.
care with no difficulty. Clients with COPD need additional calorie intake
Which finding should because they are using up a lot from the energy they are
prompt the home health using to breath. The practical nurse needs to consult with
practical nurse to consult the registered nurse case manager for a nutrition 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.
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