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2025 HESI MED SURG EXAM | ALL QUESTIONS AND
CORRECT ANSWERS WITH EXPLANATIONS | NEWEST
EXAM | GRADED A+ | VERIFIED ANSWERS (JUST
RELEASED)
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ATI Fundamentals Assessment CNA PROMETRIC ACTUAL EXAM P... NCSBN Practice Que
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The nurse assesses a patient D. The fingernail and its base Clubbing, a sign of long-standing
with shortness of breath for hypoxemia, is evidenced by an increase in the angle between
evidence of long-standing the base of the nail and the fingernail to 180 degrees or more,
hypoxemia by inspecting: usually accompanied by an increase in the depth, bulk, and
A. Chest excursion sponginess of the end of the finger.
B. Spinal curvatures
C. The respiratory pattern
D. The fingernail and its base
See an expert-written answer!
2. The nurse is caring for a B. 5 minutes Following obtaining an arterial blood gas, the nurse
patient with COPD and should hold pressure on the puncture site for 5 minutes by the
pneumonia who has an order for clock to be sure that bleeding has stopped. An artery is an
arterial blood gases to be elastic vessel under higher pressure than veins, and significant
drawn. Which of the following is blood loss or hematoma formation could occur if the time is
the minimum length of time the insufficient.
nurse should plan to hold
pressure on the puncture site?
A. 2 minutes
B. 5 minutes
C. 10 minutes
D. 15 minutes
,3. The nurse notices clear nasal A. test the drainage for the presence of glucose. Clear nasal
drainage in a patient newly drainage suggests leakage of cerebrospinal fluid (CSF). The
admitted with facial trauma, drainage should be tested for the presence of glucose, which
including a nasal fracture. The would indicate the presence of CSF.
nurse should:
A. test the drainage for the
presence of glucose.
B. suction the nose to maintain
airway clearance.
C. document the findings and
continue monitoring.
D. apply a drip pad and reassure
the patient this is normal.
4. When caring for a patient who A. Airway patency Remember ABCs with prioritization. Airway
is 3 hours postoperative patency is always the highest priority and is essential for a patient
laryngectomy, the nurse's undergoing surgery surrounding the upper respiratory system.
highest priority assessment
would be:
A. Airway patency
B. Patient comfort
C. Incisional drainage
D. Blood pressure and heart rate
See an expert-written answer!
5. When initially teaching a A. ColaWhen learning the supraglottic swallow, it may be helpful
patient the supraglottic swallow to start with carbonated beverages because the effervescence
following a radical neck provides clues about the liquid's position. Thin, watery fluids
dissection, with which of the should be avoided because they are difficult to swallow and
following foods should the increase the risk of aspiration. Nonpourable pureed foods, such
nurse begin? as applesauce, would decrease the risk of aspiration, but
A. Cola carbonated beverages are the better choice to start with.
B. Applesauce
C. French fries
D. White grape juice
See an expert-written answer!
6. The nurse is caring for a A. Hyperthermia related to infectious illness Because the patient
patient admitted to the hospital has spiked a temperature and has a diagnosis of pneumonia, the
with pneumonia. Upon logical nursing diagnosis is hyperthermia related to infectious
assessment, the nurse notes a illness. There is no evidence of a chill, and her breathing pattern
temperature of 101.4° F, a is within normal limits at 20 breaths per minute. There is no
productive cough with yellow evidence of ineffective airway clearance from the information
sputum and a respiratory rate of given because the patient is expectorating sputum.
20. Which of the following
nursing diagnosis is most
appropriate based upon this
assessment? A. Hyperthermia
related to infectious illness
B. Ineffective thermoregulation
related to chilling
C. Ineffective breathing pattern
related to pneumonia
D. Ineffective airway clearance
related to thick secretions
,7. Which of the following D. Basilar crackles The presence of adventitious breath sounds
physical assessment findings in a indicates that there is accumulation of secretions in the lower
patient with pneumonia best airways. This would be consistent with a nursing diagnosis of
supports the nursing diagnosis ineffective airway clearance because the patient is retaining
of ineffective airway clearance? secretions.
A. Oxygen saturation of 85%
B. Respiratory rate of 28
C. Presence of greenish sputum
D. Basilar crackles
See an expert-written answer!
8. Which of the following clinical C. Increased vocal fremitus on palpation. A typical physical
manifestations would the nurse examination finding for a patient with pneumonia is increased
expect to find during vocal fremitus on palpation. Other signs of pulmonary
assessment of a patient consolidation include dullness to percussion, bronchial breath
admitted with pneumococcal sounds, and crackles in the affected area.
pneumonia? A. Hyperresonance
on percussion
B. Fine crackles in all lobes on
auscultation
C. Increased vocal fremitus on
palpation D. Vesicular breath
sounds in all lobes
See an expert-written answer!
9. Which of the following nursing B. Increase fluid intake to 3L/day if tolerated. Although several
interventions is of the highest interventions may help the patient expectorate mucus, the
priority in helping a patient highest priority should be on increasing fluid intake, which will
expectorate thick secretions liquefy the secretions so that the patient can expectorate them
related to pneumonia? more easily. Humidifying the oxygen is also helpful, but is not the
A. Humidify the oxygen as able primary intervention. Teaching the patient to splint the affected
B. Increase fluid intake to 3L/day area may also be helpful, but does not liquefy the secretions so
if tolerated. that they can be removed.
C. Administer cough
suppressant q4hr.
D. Teach patient to splint the
affected area.
See an expert-written answer!
10. During discharge teaching C. Pneumococcal The pneumococcal vaccine is important for
for a 65-year-old patient with patients with a history of heart or lung disease, recovering from a
emphysema and pneumonia, severe illness, age 65 or over, or living in a long-term care
which of the following vaccines facility.
should the nurse recommend
the patient receive?
A. S. aureus
B. H. influenzae
C. Pneumococcal
D. Bacille Calmette-Guérin
(BCG)
See an expert-written answer!
, 11. The nurse evaluates that D. "I should continue to do deep-breathing and coughing
discharge teaching for a patient exercises for at least 6 weeks." It is important for the patient to
hospitalized with pneumonia has continue with coughing and deep breathing exercises for 6 to 8
been most effective when the weeks until all of the infection has cleared from the lungs. A
patient states which of the patient should seek medical treatment for upper respiratory
following measures to prevent a infections that persist for more than 7 days. Increased fluid intake,
relapse? not caloric intake, is required to liquefy secretions. Home O2 is
A. "I will increase my food intake not a requirement unless the patient's oxygenation saturation is
to 2400 calories a day to keep below normal.
my immune system well."
B. "I must use home oxygen
therapy for 3 months and then
will have a chest x-ray to
reevaluate."
C. "I will seek immediate medical
treatment for any upper
respiratory infections."
D. "I should continue to do
deep-breathing and coughing
exercises for at least 6 weeks."
12. After admitting a patient to D. Sputum culture and sensitivityThe nurse should ensure that the
the medical unit with a diagnosis sputum for culture and sensitivity was sent to the laboratory
of pneumonia, the nurse will before administering the cefotetan. It is important that the
verify that which of the following organisms are correctly identified (by the culture) before their
physician orders have been numbers are affected by the antibiotic; the test will also
completed before administering determine whether the proper antibiotic has been ordered
a dose of cefotetan (Cefotan) to (sensitivity testing). Although antibiotic administration should not
the patient? be unduly delayed while waiting for the patient to expectorate
A. Serum laboratory studies sputum, all of the other options will not be affected by the
ordered for AM administration of antibiotics.
B. Pulmonary function evaluation
C. Orthostatic blood pressures
D. Sputum culture and sensitivity
See an expert-written answer!
13. Which of the following D. Positioning patient with "good lung down" Therapeutic
nursing interventions is most positioning identifies the best position for the patient assuring
appropriate to enhance stable oxygenation status. Research indicates that positioning the
oxygenation in a patient with patient with the unaffected lung (good lung) dependent best
unilateral malignant lung promotes oxygenation in patients with unilateral lung disease.
disease? For bilateral lung disease, the right lung down has best
A. Positioning patient on right ventilation and perfusion. Increasing fluid intake and performing
side. postural drainage will facilitate airway clearance, but positioning
B. Maintaining adequate fluid is most appropriate to enhance oxygenation.
intake
C. Performing postural drainage
every 4 hours
D. Positioning patient with "good
lung down"
2025 HESI MED SURG EXAM | ALL QUESTIONS AND
CORRECT ANSWERS WITH EXPLANATIONS | NEWEST
EXAM | GRADED A+ | VERIFIED ANSWERS (JUST
RELEASED)
Save
Students also studied
Flashcard sets Study guides
ATI Fundamentals Assessment CNA PROMETRIC ACTUAL EXAM P... NCSBN Practice Que
Teacher 30 terms Teacher 209 terms 149 terms
Koech8 Preview Rowan_Reece Preview Elsy_Kanja
The nurse assesses a patient D. The fingernail and its base Clubbing, a sign of long-standing
with shortness of breath for hypoxemia, is evidenced by an increase in the angle between
evidence of long-standing the base of the nail and the fingernail to 180 degrees or more,
hypoxemia by inspecting: usually accompanied by an increase in the depth, bulk, and
A. Chest excursion sponginess of the end of the finger.
B. Spinal curvatures
C. The respiratory pattern
D. The fingernail and its base
See an expert-written answer!
2. The nurse is caring for a B. 5 minutes Following obtaining an arterial blood gas, the nurse
patient with COPD and should hold pressure on the puncture site for 5 minutes by the
pneumonia who has an order for clock to be sure that bleeding has stopped. An artery is an
arterial blood gases to be elastic vessel under higher pressure than veins, and significant
drawn. Which of the following is blood loss or hematoma formation could occur if the time is
the minimum length of time the insufficient.
nurse should plan to hold
pressure on the puncture site?
A. 2 minutes
B. 5 minutes
C. 10 minutes
D. 15 minutes
,3. The nurse notices clear nasal A. test the drainage for the presence of glucose. Clear nasal
drainage in a patient newly drainage suggests leakage of cerebrospinal fluid (CSF). The
admitted with facial trauma, drainage should be tested for the presence of glucose, which
including a nasal fracture. The would indicate the presence of CSF.
nurse should:
A. test the drainage for the
presence of glucose.
B. suction the nose to maintain
airway clearance.
C. document the findings and
continue monitoring.
D. apply a drip pad and reassure
the patient this is normal.
4. When caring for a patient who A. Airway patency Remember ABCs with prioritization. Airway
is 3 hours postoperative patency is always the highest priority and is essential for a patient
laryngectomy, the nurse's undergoing surgery surrounding the upper respiratory system.
highest priority assessment
would be:
A. Airway patency
B. Patient comfort
C. Incisional drainage
D. Blood pressure and heart rate
See an expert-written answer!
5. When initially teaching a A. ColaWhen learning the supraglottic swallow, it may be helpful
patient the supraglottic swallow to start with carbonated beverages because the effervescence
following a radical neck provides clues about the liquid's position. Thin, watery fluids
dissection, with which of the should be avoided because they are difficult to swallow and
following foods should the increase the risk of aspiration. Nonpourable pureed foods, such
nurse begin? as applesauce, would decrease the risk of aspiration, but
A. Cola carbonated beverages are the better choice to start with.
B. Applesauce
C. French fries
D. White grape juice
See an expert-written answer!
6. The nurse is caring for a A. Hyperthermia related to infectious illness Because the patient
patient admitted to the hospital has spiked a temperature and has a diagnosis of pneumonia, the
with pneumonia. Upon logical nursing diagnosis is hyperthermia related to infectious
assessment, the nurse notes a illness. There is no evidence of a chill, and her breathing pattern
temperature of 101.4° F, a is within normal limits at 20 breaths per minute. There is no
productive cough with yellow evidence of ineffective airway clearance from the information
sputum and a respiratory rate of given because the patient is expectorating sputum.
20. Which of the following
nursing diagnosis is most
appropriate based upon this
assessment? A. Hyperthermia
related to infectious illness
B. Ineffective thermoregulation
related to chilling
C. Ineffective breathing pattern
related to pneumonia
D. Ineffective airway clearance
related to thick secretions
,7. Which of the following D. Basilar crackles The presence of adventitious breath sounds
physical assessment findings in a indicates that there is accumulation of secretions in the lower
patient with pneumonia best airways. This would be consistent with a nursing diagnosis of
supports the nursing diagnosis ineffective airway clearance because the patient is retaining
of ineffective airway clearance? secretions.
A. Oxygen saturation of 85%
B. Respiratory rate of 28
C. Presence of greenish sputum
D. Basilar crackles
See an expert-written answer!
8. Which of the following clinical C. Increased vocal fremitus on palpation. A typical physical
manifestations would the nurse examination finding for a patient with pneumonia is increased
expect to find during vocal fremitus on palpation. Other signs of pulmonary
assessment of a patient consolidation include dullness to percussion, bronchial breath
admitted with pneumococcal sounds, and crackles in the affected area.
pneumonia? A. Hyperresonance
on percussion
B. Fine crackles in all lobes on
auscultation
C. Increased vocal fremitus on
palpation D. Vesicular breath
sounds in all lobes
See an expert-written answer!
9. Which of the following nursing B. Increase fluid intake to 3L/day if tolerated. Although several
interventions is of the highest interventions may help the patient expectorate mucus, the
priority in helping a patient highest priority should be on increasing fluid intake, which will
expectorate thick secretions liquefy the secretions so that the patient can expectorate them
related to pneumonia? more easily. Humidifying the oxygen is also helpful, but is not the
A. Humidify the oxygen as able primary intervention. Teaching the patient to splint the affected
B. Increase fluid intake to 3L/day area may also be helpful, but does not liquefy the secretions so
if tolerated. that they can be removed.
C. Administer cough
suppressant q4hr.
D. Teach patient to splint the
affected area.
See an expert-written answer!
10. During discharge teaching C. Pneumococcal The pneumococcal vaccine is important for
for a 65-year-old patient with patients with a history of heart or lung disease, recovering from a
emphysema and pneumonia, severe illness, age 65 or over, or living in a long-term care
which of the following vaccines facility.
should the nurse recommend
the patient receive?
A. S. aureus
B. H. influenzae
C. Pneumococcal
D. Bacille Calmette-Guérin
(BCG)
See an expert-written answer!
, 11. The nurse evaluates that D. "I should continue to do deep-breathing and coughing
discharge teaching for a patient exercises for at least 6 weeks." It is important for the patient to
hospitalized with pneumonia has continue with coughing and deep breathing exercises for 6 to 8
been most effective when the weeks until all of the infection has cleared from the lungs. A
patient states which of the patient should seek medical treatment for upper respiratory
following measures to prevent a infections that persist for more than 7 days. Increased fluid intake,
relapse? not caloric intake, is required to liquefy secretions. Home O2 is
A. "I will increase my food intake not a requirement unless the patient's oxygenation saturation is
to 2400 calories a day to keep below normal.
my immune system well."
B. "I must use home oxygen
therapy for 3 months and then
will have a chest x-ray to
reevaluate."
C. "I will seek immediate medical
treatment for any upper
respiratory infections."
D. "I should continue to do
deep-breathing and coughing
exercises for at least 6 weeks."
12. After admitting a patient to D. Sputum culture and sensitivityThe nurse should ensure that the
the medical unit with a diagnosis sputum for culture and sensitivity was sent to the laboratory
of pneumonia, the nurse will before administering the cefotetan. It is important that the
verify that which of the following organisms are correctly identified (by the culture) before their
physician orders have been numbers are affected by the antibiotic; the test will also
completed before administering determine whether the proper antibiotic has been ordered
a dose of cefotetan (Cefotan) to (sensitivity testing). Although antibiotic administration should not
the patient? be unduly delayed while waiting for the patient to expectorate
A. Serum laboratory studies sputum, all of the other options will not be affected by the
ordered for AM administration of antibiotics.
B. Pulmonary function evaluation
C. Orthostatic blood pressures
D. Sputum culture and sensitivity
See an expert-written answer!
13. Which of the following D. Positioning patient with "good lung down" Therapeutic
nursing interventions is most positioning identifies the best position for the patient assuring
appropriate to enhance stable oxygenation status. Research indicates that positioning the
oxygenation in a patient with patient with the unaffected lung (good lung) dependent best
unilateral malignant lung promotes oxygenation in patients with unilateral lung disease.
disease? For bilateral lung disease, the right lung down has best
A. Positioning patient on right ventilation and perfusion. Increasing fluid intake and performing
side. postural drainage will facilitate airway clearance, but positioning
B. Maintaining adequate fluid is most appropriate to enhance oxygenation.
intake
C. Performing postural drainage
every 4 hours
D. Positioning patient with "good
lung down"
