MED SURG HESI EXAM WITH
CORRECT ANSWERS 2025
GRADED A+
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. ( correct answers ) 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.
C) Disturbed body image.
D) Ineffective health maintenance. ( correct answers ) B) Impaired
comfort.
GRADED A+
, 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 ( correct answers ) 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.
GRADED A+
CORRECT ANSWERS 2025
GRADED A+
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. ( correct answers ) 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.
C) Disturbed body image.
D) Ineffective health maintenance. ( correct answers ) B) Impaired
comfort.
GRADED A+
, 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 ( correct answers ) 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.
GRADED A+
