1|Page
Med Surg Test bank ( Red HESI Test bank Med-Surg
and other resources) Questions And Answers|
Updated 2026/2027
1. The nurse evaluates that discharge teaching for a patient hospitalized
with pneumonia has been most effective when the patient states which
of the following measures to prevent a relapse?
A. "I will increase my food intake to 2400 calories a day to keep 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." - . . ANSWER ✓✓ D. "I should continue to do
deepbreathing and coughing exercises for at least 6 weeks." It is
important for the patient to continue with coughing and deep breathing
exercises for 6 to 8 weeks until all of the infection has cleared from the
lungs. A patient should seek medical treatment for upper respiratory
infections that persist for more than 7 days. Increased fluid intake, not
caloric intake, is required to liquefy secretions. Home O2 is not a
requirement unless the patient's oxygenation saturation is below normal.
,2|Page
1. When assessing a patient's respiratory status, which of the following
nonrespiratory data are most important for the nurse to obtain?
A. Height and weight
B. Neck circumference
C. Occupation and hobbies
D. Usual daily fluid intake - . . ANSWER ✓✓ C. Occupation and
hobbiesMany respiratory problems occur as a result of chronic
exposure to inhalation irritants. Common occupational sources of
inhalation irritants include mines, granaries, farms, lawn care
companies, paint, plastics and rubber manufacture, and building
remodeling. Hobbies associated with inhalation irritants include
woodworking, metal finishing, furniture refinishing, painting, and
ceramics. Daily fluids, height, and weight are more related to
respiratory problems secondary to cardiac issues.
2. A nurse is providing care to an adult female patient and observes that
the Hb laboratory analysis result is 9 g/dl. Based on this finding, the nurse
should expect to observe A. dyspnea.
B. bradycardia.
C. warm, dry skin.
D. activity tolerance without complaint of fatigue. - . . ANSWER ✓✓
A.
dyspnea.Hb levels are used to determine the severity of anemia.
Patients with moderate anemia (Hb 6 to 10 g/dL) may suffer from
,3|Page
dyspnea, palpitations, diaphoresis with exertion, and chronic fatigue.
Patients who are anemic usually have cool skin related to
compensatory mechanism of mild vasoconstriction. Patients who are
anemic experience tachycardia because of increased demands placed
on the heart to meet overall metabolic requirements. Activity
tolerance without complaint is not correct because patients with
anemic conditions fatigue readily.
2. After admitting a patient to the medical unit with a diagnosis of
pneumonia, the nurse will verify that which of the following physician
orders have been completed before administering a dose of cefotetan
(Cefotan) to the patient?
A. Serum laboratory studies ordered for AM
B. Pulmonary function evaluation
C. Orthostatic blood pressures
D. Sputum culture and sensitivity - . . ANSWER ✓✓ D. Sputum
culture and sensitivityThe nurse should ensure that the sputum for
culture and sensitivity was sent to the laboratory before administering
the cefotetan. It is important that the organisms are correctly
identified (by the culture) before their numbers are affected by the
antibiotic; the test will also determine whether the proper antibiotic
has been ordered (sensitivity testing). Although antibiotic
administration should not be unduly delayed while waiting for the
patient to expectorate sputum, all of the other options will not be
affected by the administration of antibiotics.
, 4|Page
12. If a nurse is assessing a patient whose recent blood gas
determination indicated a pH of 7.32 and respirations are measured at 32
breaths/min, which of the following is the most appropriate nursing
assessment? A. The rapid breathing is causing the low pH.
B. The nurse should sedate the patient to slow down respirations.
C. The rapid breathing is an attempt to compensate for the low pH.
D. The nurse should give the patient a paper bag to breathe into to
correct the low pH. - . . ANSWER ✓✓ C. The rapid breathing is an
attempt to compensate for the low pH. The respiratory system
influences pH (acidity) through control of carbon dioxide exhalation.
Thus, rapid breathing increases the pH. Breathing into a paper bag
aids a patient who is hyperventilating; in respiratory alkalosis, it aids
in lowering the pH. The use of sedation can cause respiratory
depression and hypoventilation, resulting in an even lower pH.
13. If a patient with an uncuffed tracheostomy tube coughs violently
during suctioning and dislodges the tracheostomy tube, a nurse should
first
A. call the physician.
B. attempt to reinsert the tracheostomy tube.
C. position the patient in a lateral position with the neck extended.
D. cover the stoma with a sterile dressing and ventilate the patient with a
manual bag-mask until the physician arrives. - . . ANSWER ✓✓ B.
Med Surg Test bank ( Red HESI Test bank Med-Surg
and other resources) Questions And Answers|
Updated 2026/2027
1. The nurse evaluates that discharge teaching for a patient hospitalized
with pneumonia has been most effective when the patient states which
of the following measures to prevent a relapse?
A. "I will increase my food intake to 2400 calories a day to keep 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." - . . ANSWER ✓✓ D. "I should continue to do
deepbreathing and coughing exercises for at least 6 weeks." It is
important for the patient to continue with coughing and deep breathing
exercises for 6 to 8 weeks until all of the infection has cleared from the
lungs. A patient should seek medical treatment for upper respiratory
infections that persist for more than 7 days. Increased fluid intake, not
caloric intake, is required to liquefy secretions. Home O2 is not a
requirement unless the patient's oxygenation saturation is below normal.
,2|Page
1. When assessing a patient's respiratory status, which of the following
nonrespiratory data are most important for the nurse to obtain?
A. Height and weight
B. Neck circumference
C. Occupation and hobbies
D. Usual daily fluid intake - . . ANSWER ✓✓ C. Occupation and
hobbiesMany respiratory problems occur as a result of chronic
exposure to inhalation irritants. Common occupational sources of
inhalation irritants include mines, granaries, farms, lawn care
companies, paint, plastics and rubber manufacture, and building
remodeling. Hobbies associated with inhalation irritants include
woodworking, metal finishing, furniture refinishing, painting, and
ceramics. Daily fluids, height, and weight are more related to
respiratory problems secondary to cardiac issues.
2. A nurse is providing care to an adult female patient and observes that
the Hb laboratory analysis result is 9 g/dl. Based on this finding, the nurse
should expect to observe A. dyspnea.
B. bradycardia.
C. warm, dry skin.
D. activity tolerance without complaint of fatigue. - . . ANSWER ✓✓
A.
dyspnea.Hb levels are used to determine the severity of anemia.
Patients with moderate anemia (Hb 6 to 10 g/dL) may suffer from
,3|Page
dyspnea, palpitations, diaphoresis with exertion, and chronic fatigue.
Patients who are anemic usually have cool skin related to
compensatory mechanism of mild vasoconstriction. Patients who are
anemic experience tachycardia because of increased demands placed
on the heart to meet overall metabolic requirements. Activity
tolerance without complaint is not correct because patients with
anemic conditions fatigue readily.
2. After admitting a patient to the medical unit with a diagnosis of
pneumonia, the nurse will verify that which of the following physician
orders have been completed before administering a dose of cefotetan
(Cefotan) to the patient?
A. Serum laboratory studies ordered for AM
B. Pulmonary function evaluation
C. Orthostatic blood pressures
D. Sputum culture and sensitivity - . . ANSWER ✓✓ D. Sputum
culture and sensitivityThe nurse should ensure that the sputum for
culture and sensitivity was sent to the laboratory before administering
the cefotetan. It is important that the organisms are correctly
identified (by the culture) before their numbers are affected by the
antibiotic; the test will also determine whether the proper antibiotic
has been ordered (sensitivity testing). Although antibiotic
administration should not be unduly delayed while waiting for the
patient to expectorate sputum, all of the other options will not be
affected by the administration of antibiotics.
, 4|Page
12. If a nurse is assessing a patient whose recent blood gas
determination indicated a pH of 7.32 and respirations are measured at 32
breaths/min, which of the following is the most appropriate nursing
assessment? A. The rapid breathing is causing the low pH.
B. The nurse should sedate the patient to slow down respirations.
C. The rapid breathing is an attempt to compensate for the low pH.
D. The nurse should give the patient a paper bag to breathe into to
correct the low pH. - . . ANSWER ✓✓ C. The rapid breathing is an
attempt to compensate for the low pH. The respiratory system
influences pH (acidity) through control of carbon dioxide exhalation.
Thus, rapid breathing increases the pH. Breathing into a paper bag
aids a patient who is hyperventilating; in respiratory alkalosis, it aids
in lowering the pH. The use of sedation can cause respiratory
depression and hypoventilation, resulting in an even lower pH.
13. If a patient with an uncuffed tracheostomy tube coughs violently
during suctioning and dislodges the tracheostomy tube, a nurse should
first
A. call the physician.
B. attempt to reinsert the tracheostomy tube.
C. position the patient in a lateral position with the neck extended.
D. cover the stoma with a sterile dressing and ventilate the patient with a
manual bag-mask until the physician arrives. - . . ANSWER ✓✓ B.
