HESI-COPD with Pneumonia UPDATED
Actual Exam Questions and CORRECT
Answers
Which assessment is the most important for the nurse to complete next? - CORRECT
ANSWER- ✔✔Auscultate breath sounds
With a diagnosis of pneumonia, which assessment finding warrants immediate intervention
by the nurse? - CORRECT ANSWER- ✔✔Oxygen saturation 90%
The ABG results indicate that the client is experiencing which acid base imbalance? -
CORRECT ANSWER- ✔✔Respiratory acidosis
Which nursing diagnosis has the highest priority when the nurse is planning care for the
client? - CORRECT ANSWER- ✔✔Ineffective airway clearance
Which assessment finding warrants immediate intervention by the nurse? - CORRECT
ANSWER- ✔✔Kussmaul respirations
Which nursing action should be implemented before the prescribe levofloxacin is
administered? - CORRECT ANSWER- ✔✔Obtain a sputum culture
The levofloxacin 500 mg IVPB is supplied in 100 mL of 5% Dextrose to be delivered over 60
minutes. There is no IV pump available so the nurse will infuse the antibiotic by gravity. The
drop factor on the tubing is 20 gtts/mL. The nurse should set the IV IVPB to infuse at how
many gtts per min? - CORRECT ANSWER- ✔✔33
V x gtt factor/time (minutes)
100 mL x 20 min/60 min = 33.33
While the client is undergoing nebulizer treatments with salbutamol, it is most important for
the nurse to perform which assessment? - CORRECT ANSWER- ✔✔Monitor pulse and BP
Actual Exam Questions and CORRECT
Answers
Which assessment is the most important for the nurse to complete next? - CORRECT
ANSWER- ✔✔Auscultate breath sounds
With a diagnosis of pneumonia, which assessment finding warrants immediate intervention
by the nurse? - CORRECT ANSWER- ✔✔Oxygen saturation 90%
The ABG results indicate that the client is experiencing which acid base imbalance? -
CORRECT ANSWER- ✔✔Respiratory acidosis
Which nursing diagnosis has the highest priority when the nurse is planning care for the
client? - CORRECT ANSWER- ✔✔Ineffective airway clearance
Which assessment finding warrants immediate intervention by the nurse? - CORRECT
ANSWER- ✔✔Kussmaul respirations
Which nursing action should be implemented before the prescribe levofloxacin is
administered? - CORRECT ANSWER- ✔✔Obtain a sputum culture
The levofloxacin 500 mg IVPB is supplied in 100 mL of 5% Dextrose to be delivered over 60
minutes. There is no IV pump available so the nurse will infuse the antibiotic by gravity. The
drop factor on the tubing is 20 gtts/mL. The nurse should set the IV IVPB to infuse at how
many gtts per min? - CORRECT ANSWER- ✔✔33
V x gtt factor/time (minutes)
100 mL x 20 min/60 min = 33.33
While the client is undergoing nebulizer treatments with salbutamol, it is most important for
the nurse to perform which assessment? - CORRECT ANSWER- ✔✔Monitor pulse and BP
