2023 HESI PN MED SURGE /MED SURGE PN HESI
EXIT EXAM TEST BANK NEWEST 2023-2024
ACTUAL EXAM 50 QUESTIONS AND CORRECT
DETAILED ANSWERS
Terms in this set (21)
A client comes to the answer: A
clinic and reports the Ask the client if they have had unprotected sex.
presence of a painful Rationale: These are typical signs and symptoms of
lesion in the genital area; herpes simplex virus 2 (HSV2), a sexually transmitted
they described it as a disease (STD), so the PN should ask the client if they
blister 2 days earlier that is had unprotected sex and if the client has exposed
now crusty. Which others to the disease.
intervention should the
practical nurse (PN)
implement first?
A. Ask the client if they
have had unprotected sex.
B. Prepare the client for a
culture and sensitivity test
of the lesion.
C. Inform the client this
occurrence will have to be
reported to the public
health department.
D. Prepare to administer
penicillin intramuscularly
into the dorsogluteal area.
,A client demonstrated answer B:
pupillary constriction Record the finding on the assessment notes.
when a pen light was rationale:
shined in their eyes. Which Pupillary constriction to light is a normal finding and
nursing action should the should be documented in the assessment notes.
practical nurse perform?
A. Report the finding to
the healthcare provider.
B. Record the finding on
the assessment notes.
C. Assess blood pressure
to rule out hypertension.
D. Record that the client
has poor vision.
A client diagnosed with a answer: C
skull hematoma and Answers questions, but is confused.
fractured left (L) clavicle Rationale:
following a six foot fall Confusion following a head injury is usually the first
from a ladder is admitted sign of increased intracranial pressure.
to the unit. Which sign
should the practical nurse
(PN) report immediately?
A. Spontaneously opens
eyes.
B. Obeys commands in
movement and grip.
C. Answers questions, but
is confused.
D. Has abnormal flexion or
extension of (L) arm.
, A client diagnosed with answer: C
diabetic neuropathy has a Ask to look at the pair of shoes they wear.
nonhealing ulcer on the
lateral aspect of their right Rationale:Asking to look at the client's shoes will give
(R) foot. Which question the most objective data. The PN needs to inspect the
should the practical nurse client's shoes inside for any area such as a seam that
(PN) ask to gather may be rubbing against the client foot causing trauma
objective data for the to their feet. Well-fitted shoes are very important to
development of a diabetic prevent the development of foot ulcers for the
foot care teaching plan? diabetic client.
A. Ask the client how they
examine their feet.
B. Ask which
hypoglycemic medication
they take.
C. Ask to look at the pair
of shoes they wear.
D. Ask how long they have
been diagnosed with
diabetes mellitus.
A client diagnosed with answer: a
epilepsy is admitted to the Observe the length and activity of the seizure.
unit. What intervention Rationale: The PN should observe the client as they
should the practical nurse have their seizure. The length of time and movement
(PN) implement if the by the client need to be observed and then
client experiences a documented once the client is stable. The client
seizure? should be placed on their side to help prevent
aspiration.
A. Observe the length and
activity of the seizure.
B. Insert an oral airway.
C. Gently restrain the
client to prevent harm.
D. Call the code team.
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