Excellence is key | 2024/2025 ~Page |1
med surg HESI Questions & 100% Correct
Answers- Latest Test | Graded A+ | Passed
Which nursing intervention should the nurse implement that best confirms the placement
of an endotracheal tube?
A) Use an end-tital CO2 detector.
B) Ascultate for bilateral breath sounds.
C) Obtain pulse oximeter reading.
D) Check symmetrical chest movement.
֎ -:- A) Use an end-tital CO2 detector
The end-tital CO2 detector indicates the presence of CO2 by a color change or a number
(A), which is evidence that the ET is in the trachea, not the esophagus. Other assessments,
such as breathe sounds (B), pulse oximetry (C) and chest movement (D), are methods to
evaluate the effectiveness of ventilation and oxygenation, but do not measure CO2 in
expired air from the ET.
An older female client is admitted with atrophic vaginitis and perineal cutaneous
candidiasis. What is the priority nursing diagnosis for this client?
A) Risk for injury.
B) Impaired comfort.
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, Excellence is key | 2024/2025 ~Page |2
C) Disturbed body image.
D) Ineffective health maintenance.
֎ -:- B) Impaired comfort.
In menopausal women, the vaginal mucous membrane responds to low estrogen levels
causing the vaginal walls to become thinner, drier, and susceptible to infection which leads
to atrophic vaginitis. Perineal cutaneous candidiasis contributes to other manifestations of
vaginal infections, such as vaginal irritation, burning, pruritus, increased leukorrhea,
bleeding, and dyspareunia, and support the primary nursing diagnosis, Impaired comfort
(B). Risk for injury (A), body image (C), and ineffective health maintenance (D) are
secondary and linked to impaired comfort.
A man who smokes two packs of cigarettes a day wants to know if smoking is contributing
to the difficulty that he and his wife are having getting pregnant. What information is best
for the nurse to provide? (Select all that apply.)
A) Only marijuana cigarettes affect sperm count.
B) Smoking can decrease the quantity and quality of sperm.
C) The first semen analysis should be repeated to confirm sperm counts.
D) Cessation of smoking improves general health and fertility.
E) Sperm specimens should be collected in 2 subsequent days.
Correct Answer(s): B, C, D
26/08/2024 | © Copyright- This work may not be copied for profit.
, Excellence is key | 2024/2025 ~Page |3
֎ -:- B) Smoking can decrease the quantity and quality of sperm.
C) The first semen analysis should be repeated to confirm sperm counts.
D) Cessation of smoking improves general health and fertility.
Correct selections are (B, C, and D). Use of tobacco, alcohol, and marijuana may affect
sperm counts (B). Sperm counts vary from day to day and are dependent on emotional and
physical status and sexual activity, so a single analysis may be inconclusive (C). A minimum
of two analyses should be performed several weeks apart to assess male fertility, not (E). (A
and D) contain inaccurate information.
The nurse should explain to a client with lung cancer that pleurodesis is performed to
achieve which expected outcome?
A) Prevent the formation of effusion fluid.
B) Remove fluid from the intrapleural space.
C) Debulk tumor to maintain patency of air passages.
D) Relieve empyema after pneumonectomy.
֎ -:- A) Prevent the formation of effusion fluid.
Instillation of a sclerosing agent to create pleurodesis (adherence of the parietal and
visceral pleura) is aimed at preventing the formation of pleural effusion fluid (A). (B) refers
26/08/2024 | © Copyright- This work may not be copied for profit.
med surg HESI Questions & 100% Correct
Answers- Latest Test | Graded A+ | Passed
Which nursing intervention should the nurse implement that best confirms the placement
of an endotracheal tube?
A) Use an end-tital CO2 detector.
B) Ascultate for bilateral breath sounds.
C) Obtain pulse oximeter reading.
D) Check symmetrical chest movement.
֎ -:- A) Use an end-tital CO2 detector
The end-tital CO2 detector indicates the presence of CO2 by a color change or a number
(A), which is evidence that the ET is in the trachea, not the esophagus. Other assessments,
such as breathe sounds (B), pulse oximetry (C) and chest movement (D), are methods to
evaluate the effectiveness of ventilation and oxygenation, but do not measure CO2 in
expired air from the ET.
An older female client is admitted with atrophic vaginitis and perineal cutaneous
candidiasis. What is the priority nursing diagnosis for this client?
A) Risk for injury.
B) Impaired comfort.
26/08/2024 | © Copyright- This work may not be copied for profit.
, Excellence is key | 2024/2025 ~Page |2
C) Disturbed body image.
D) Ineffective health maintenance.
֎ -:- B) Impaired comfort.
In menopausal women, the vaginal mucous membrane responds to low estrogen levels
causing the vaginal walls to become thinner, drier, and susceptible to infection which leads
to atrophic vaginitis. Perineal cutaneous candidiasis contributes to other manifestations of
vaginal infections, such as vaginal irritation, burning, pruritus, increased leukorrhea,
bleeding, and dyspareunia, and support the primary nursing diagnosis, Impaired comfort
(B). Risk for injury (A), body image (C), and ineffective health maintenance (D) are
secondary and linked to impaired comfort.
A man who smokes two packs of cigarettes a day wants to know if smoking is contributing
to the difficulty that he and his wife are having getting pregnant. What information is best
for the nurse to provide? (Select all that apply.)
A) Only marijuana cigarettes affect sperm count.
B) Smoking can decrease the quantity and quality of sperm.
C) The first semen analysis should be repeated to confirm sperm counts.
D) Cessation of smoking improves general health and fertility.
E) Sperm specimens should be collected in 2 subsequent days.
Correct Answer(s): B, C, D
26/08/2024 | © Copyright- This work may not be copied for profit.
, Excellence is key | 2024/2025 ~Page |3
֎ -:- B) Smoking can decrease the quantity and quality of sperm.
C) The first semen analysis should be repeated to confirm sperm counts.
D) Cessation of smoking improves general health and fertility.
Correct selections are (B, C, and D). Use of tobacco, alcohol, and marijuana may affect
sperm counts (B). Sperm counts vary from day to day and are dependent on emotional and
physical status and sexual activity, so a single analysis may be inconclusive (C). A minimum
of two analyses should be performed several weeks apart to assess male fertility, not (E). (A
and D) contain inaccurate information.
The nurse should explain to a client with lung cancer that pleurodesis is performed to
achieve which expected outcome?
A) Prevent the formation of effusion fluid.
B) Remove fluid from the intrapleural space.
C) Debulk tumor to maintain patency of air passages.
D) Relieve empyema after pneumonectomy.
֎ -:- A) Prevent the formation of effusion fluid.
Instillation of a sclerosing agent to create pleurodesis (adherence of the parietal and
visceral pleura) is aimed at preventing the formation of pleural effusion fluid (A). (B) refers
26/08/2024 | © Copyright- This work may not be copied for profit.
