9/24/25, 10:45 AM HESI Med Surg
Herzing University NSG 223 Med Surg Exam
Newest 2025/2026 Complete Questions And Correct
Detailed Answers (Verified Answers) |Brand New
Version!!
The nurse assesses a patient D. The fingernail and its base Clubbing, a sign of long-
with shortness of breath for standing hypoxemia, is evidenced by an increase in the
evidence of long-standing angle between the base of the nail and the fingernail to
hypoxemia by inspecting: 180 degrees or more, usually accompanied by an
A. Chest excursion
increase in the depth, bulk, and sponginess of the end
B. Spinal curvatures
of the finger.
C. The respiratory pattern
D. The fingernail and its base
2. The nurse is caring for a B. 5 minutes Following obtaining an arterial blood gas,
patient with COPD and the nurse should hold pressure on the puncture site for
pneumonia who has an 5 minutes by the clock to be sure that bleeding has
order for arterial blood stopped. An artery is an elastic vessel under higher
gases to be drawn. Which of pressure than veins, and significant blood loss or
the following is the hematoma formation could occur if the time is
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
/ 1/81
,9/24/25, 10:45 AM HESI Med Surg
3. The nurse notices clear A. test the drainage for the presence of glucose. Clear
nasal drainage in a patient nasal drainage suggests leakage of cerebrospinal fluid
newly admitted with facial (CSF). The drainage should be tested for the presence
trauma, including a nasal of glucose, which would indicate the presence of CSF.
fracture. The 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 A. Airway patency Remember ABCs with prioritization.
who is 3 hours Airway patency is always the highest priority and is
postoperative essential for a patient undergoing surgery surrounding
laryngectomy, the nurse's the upper respiratory system.
highest priority assessment
would be:
A. Airway patency
B. Patient comfort
C. Incisional drainage
D. Blood pressure and heart
rate
5. When initially teaching a A. ColaWhen learning the supraglottic swallow, it may
patient the supraglottic be helpful to start with carbonated beverages because
swallow following a radical the effervescence provides clues about the liquid's
neck dissection, with which position. Thin, watery fluids should be avoided
of the following foods because they are difficult to swallow and increase the
should the nurse begin? risk of aspiration. Nonpourable pureed foods, such as
A. Cola
applesauce, would decrease the risk of aspiration, but
B. Applesauce
carbonated beverages are the better choice to start
C. French fries
with.
D. White grape juice
/ 2/81
,9/24/25, 10:45 AM HESI Med Surg
6. The nurse is caring for a A. Hyperthermia related to infectious illness Because
patient admitted to the the patient has spiked a temperature and has a
hospital with pneumonia. diagnosis of pneumonia, the logical nursing diagnosis is
Upon assessment, the nurse hyperthermia related to infectious illness. There is no
notes a temperature of evidence of a chill, and her breathing pattern is within
101.4° F, a productive cough normal limits at 20 breaths per minute. There is no
with yellow sputum and a evidence of ineffective airway clearance from the
respiratory rate of 20. Which information given because the patient is expectorating
of the following nursing sputum.
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
/ 3/81
, 9/24/25, 10:45 AM HESI Med Surg
7. Which of the following D. Basilar crackles The presence of adventitious breath
physical assessment sounds indicates that there is accumulation of
findings in a patient with secretions in the lower airways. This would be
pneumonia best supports consistent with a nursing diagnosis of ineffective
the nursing diagnosis of airway clearance because the patient is retaining
ineffective airway secretions.
clearance?
A. Oxygen saturation of 85%
B. Respiratory rate of 28
C. Presence of greenish
sputum
D. Basilar crackles
8. Which of the following C. Increased vocal fremitus on palpation. A typical
clinical manifestations physical examination finding for a patient with
would the nurse expect to pneumonia is increased vocal fremitus on palpation.
find during assessment of Other signs of pulmonary consolidation include
a patient admitted with dullness to percussion, bronchial breath sounds, and
pneumococcal pneumonia? crackles in the affected area.
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
9. Which of the following B. Increase fluid intake to 3L/day if tolerated. Although
nursing interventions is of several interventions may help the patient expectorate
the highest priority in mucus, the highest priority should be on increasing
helping a patient fluid intake, which will liquefy the secretions so that the
expectorate thick patient can expectorate them more easily. Humidifying
secretions related to the oxygen is also helpful, but is not the primary
pneumonia? intervention. Teaching the patient to splint the affected
A. Humidify the oxygen as able
area may also be helpful, but does not liquefy the
B. Increase fluid intake
secretions so that they can be removed.
to 3L/day if tolerated.
C. Administer cough
suppressant q4hr.
D. Teach patient to splint the
affected area.
/ 4/81
Herzing University NSG 223 Med Surg Exam
Newest 2025/2026 Complete Questions And Correct
Detailed Answers (Verified Answers) |Brand New
Version!!
The nurse assesses a patient D. The fingernail and its base Clubbing, a sign of long-
with shortness of breath for standing hypoxemia, is evidenced by an increase in the
evidence of long-standing angle between the base of the nail and the fingernail to
hypoxemia by inspecting: 180 degrees or more, usually accompanied by an
A. Chest excursion
increase in the depth, bulk, and sponginess of the end
B. Spinal curvatures
of the finger.
C. The respiratory pattern
D. The fingernail and its base
2. The nurse is caring for a B. 5 minutes Following obtaining an arterial blood gas,
patient with COPD and the nurse should hold pressure on the puncture site for
pneumonia who has an 5 minutes by the clock to be sure that bleeding has
order for arterial blood stopped. An artery is an elastic vessel under higher
gases to be drawn. Which of pressure than veins, and significant blood loss or
the following is the hematoma formation could occur if the time is
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
/ 1/81
,9/24/25, 10:45 AM HESI Med Surg
3. The nurse notices clear A. test the drainage for the presence of glucose. Clear
nasal drainage in a patient nasal drainage suggests leakage of cerebrospinal fluid
newly admitted with facial (CSF). The drainage should be tested for the presence
trauma, including a nasal of glucose, which would indicate the presence of CSF.
fracture. The 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 A. Airway patency Remember ABCs with prioritization.
who is 3 hours Airway patency is always the highest priority and is
postoperative essential for a patient undergoing surgery surrounding
laryngectomy, the nurse's the upper respiratory system.
highest priority assessment
would be:
A. Airway patency
B. Patient comfort
C. Incisional drainage
D. Blood pressure and heart
rate
5. When initially teaching a A. ColaWhen learning the supraglottic swallow, it may
patient the supraglottic be helpful to start with carbonated beverages because
swallow following a radical the effervescence provides clues about the liquid's
neck dissection, with which position. Thin, watery fluids should be avoided
of the following foods because they are difficult to swallow and increase the
should the nurse begin? risk of aspiration. Nonpourable pureed foods, such as
A. Cola
applesauce, would decrease the risk of aspiration, but
B. Applesauce
carbonated beverages are the better choice to start
C. French fries
with.
D. White grape juice
/ 2/81
,9/24/25, 10:45 AM HESI Med Surg
6. The nurse is caring for a A. Hyperthermia related to infectious illness Because
patient admitted to the the patient has spiked a temperature and has a
hospital with pneumonia. diagnosis of pneumonia, the logical nursing diagnosis is
Upon assessment, the nurse hyperthermia related to infectious illness. There is no
notes a temperature of evidence of a chill, and her breathing pattern is within
101.4° F, a productive cough normal limits at 20 breaths per minute. There is no
with yellow sputum and a evidence of ineffective airway clearance from the
respiratory rate of 20. Which information given because the patient is expectorating
of the following nursing sputum.
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
/ 3/81
, 9/24/25, 10:45 AM HESI Med Surg
7. Which of the following D. Basilar crackles The presence of adventitious breath
physical assessment sounds indicates that there is accumulation of
findings in a patient with secretions in the lower airways. This would be
pneumonia best supports consistent with a nursing diagnosis of ineffective
the nursing diagnosis of airway clearance because the patient is retaining
ineffective airway secretions.
clearance?
A. Oxygen saturation of 85%
B. Respiratory rate of 28
C. Presence of greenish
sputum
D. Basilar crackles
8. Which of the following C. Increased vocal fremitus on palpation. A typical
clinical manifestations physical examination finding for a patient with
would the nurse expect to pneumonia is increased vocal fremitus on palpation.
find during assessment of Other signs of pulmonary consolidation include
a patient admitted with dullness to percussion, bronchial breath sounds, and
pneumococcal pneumonia? crackles in the affected area.
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
9. Which of the following B. Increase fluid intake to 3L/day if tolerated. Although
nursing interventions is of several interventions may help the patient expectorate
the highest priority in mucus, the highest priority should be on increasing
helping a patient fluid intake, which will liquefy the secretions so that the
expectorate thick patient can expectorate them more easily. Humidifying
secretions related to the oxygen is also helpful, but is not the primary
pneumonia? intervention. Teaching the patient to splint the affected
A. Humidify the oxygen as able
area may also be helpful, but does not liquefy the
B. Increase fluid intake
secretions so that they can be removed.
to 3L/day if tolerated.
C. Administer cough
suppressant q4hr.
D. Teach patient to splint the
affected area.
/ 4/81
