MBOFFIN
HESI MED SURG 1 FINAL EXAM TEST BANK LATEST 2025
ACTUAL EXAM 350 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
The nurse assesses a patient with shortness of breath for evidence of long-standing hypoxemia by
inspecting:
A. Chest excursion
B. Spinal curvatures
C. The respiratory pattern
D. The fingernail and its base - answer-D. The fingernail and its base Clubbing, a sign of long-standing
hypoxemia, is evidenced by an increase in the angle between the base of the nail and the fingernail to
180 degrees or more, usually accompanied by an increase in the depth, bulk, and sponginess of the end
of the finger.
2. The nurse is caring for a patient with COPD and pneumonia who has an order for arterial blood gases
to be drawn. Which of the following is the minimum length of time the nurse should plan to hold
pressure on the puncture site?
A. 2 minutes
B. 5 minutes
C. 10 minutes
D. 15 minutes - answer-B. 5 minutes Following obtaining an arterial blood gas, the nurse should hold
pressure on the puncture site for 5 minutes by the clock to be sure that bleeding has stopped. An artery
is an elastic vessel under higher pressure than veins, and significant blood loss or hematoma formation
could occur if the time is insufficient.
3. The nurse notices clear nasal drainage in a patient newly admitted with facial trauma, including a
nasal 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. - answer-A. test the drainage for the
presence of glucose. Clear nasal drainage suggests leakage of cerebrospinal fluid (CSF). The drainage
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should be tested for the presence of glucose, which would indicate the presence of CSF.
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4. When Bcaring Bfor Ba Bpatient Bwho Bis B3 Bhours Bpostoperative Blaryngectomy, Bthe Bnurse's Bhighest
Bpriority Bassessment Bwould Bbe:
A. Airway Bpatency
B. Patient Bcomfort
C. Incisional Bdrainage
D. Blood Bpressure Band Bheart Brate B- Banswer-A. BAirway Bpatency BRemember BABCs Bwith Bprioritization.
BAirway Bpatency Bis Balways Bthe Bhighest Bpriority Band Bis Bessential Bfor Ba Bpatient Bundergoing Bsurgery
Bsurrounding Bthe Bupper Brespiratory Bsystem.
5. When Binitially Bteaching Ba Bpatient Bthe Bsupraglottic Bswallow Bfollowing Ba Bradical Bneck Bdissection,
Bwith Bwhich Bof Bthe Bfollowing Bfoods Bshould Bthe Bnurse Bbegin?
A. Cola
B. Applesauce
C. French Bfries
D. White Bgrape Bjuice B- Banswer-A. BColaWhen Blearning Bthe Bsupraglottic Bswallow, Bit Bmay Bbe Bhelpful Bto
Bstart Bwith Bcarbonated Bbeverages Bbecause Bthe Beffervescence Bprovides Bclues Babout Bthe Bliquid's
Bposition. BThin, Bwatery Bfluids Bshould Bbe Bavoided Bbecause Bthey Bare Bdifficult Bto Bswallow Band Bincrease
Bthe Brisk Bof Baspiration. BNonpourable Bpureed Bfoods, Bsuch Bas Bapplesauce, Bwould Bdecrease Bthe Brisk Bof
Baspiration, Bbut Bcarbonated Bbeverages Bare Bthe Bbetter Bchoice Bto Bstart Bwith.
6. The Bnurse Bis Bcaring Bfor Ba Bpatient Badmitted Bto Bthe Bhospital Bwith Bpneumonia. BUpon Bassessment,
Bthe Bnurse Bnotes Ba Btemperature Bof B101.4° BF, Ba Bproductive Bcough Bwith Byellow Bsputum Band Ba
Brespiratory Brate Bof
20. BWhich Bof Bthe Bfollowing Bnursing Bdiagnosis Bis Bmost Bappropriate Bbased Bupon Bthis Bassessment? BA.
BHyperthermia Brelated Bto Binfectious Billness
B. BIneffective Bthermoregulation Brelated Bto Bchilling
C. BIneffective Bbreathing Bpattern Brelated Bto Bpneumonia
D. BIneffective Bairway Bclearance Brelated Bto Bthick Bsecretions B- Banswer-A. BHyperthermia Brelated Bto
Binfectious Billness BBecause Bthe Bpatient Bhas Bspiked Ba Btemperature Band Bhas Ba Bdiagnosis Bof Bpneumonia,
Bthe Blogical Bnursing Bdiagnosis Bis Bhyperthermia Brelated Bto Binfectious Billness. BThere Bis Bno Bevidence Bof Ba
Bchill, Band Bher Bbreathing Bpattern Bis Bwithin Bnormal Blimits Bat B20 Bbreaths Bper Bminute. BThere Bis Bno
Bevidence Bof Bineffective Bairway Bclearance Bfrom Bthe Binformation Bgiven Bbecause Bthe Bpatient Bis
Bexpectorating Bsputum.
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7. Which Bof Bthe Bfollowing Bphysical Bassessment Bfindings Bin Ba Bpatient Bwith Bpneumonia Bbest Bsupports
Bthe Bnursing Bdiagnosis Bof Bineffective Bairway Bclearance? BA. BOxygen Bsaturation Bof B85%
B. BRespiratory Brate Bof B28
C. BPresence Bof Bgreenish Bsputum
D. BBasilar Bcrackles B- Banswer-D. BBasilar Bcrackles BThe Bpresence Bof Badventitious Bbreath Bsounds Bindicates
Bthat Bthere Bis Baccumulation Bof Bsecretions Bin Bthe Blower Bairways. BThis Bwould Bbe Bconsistent Bwith Ba
Bnursing Bdiagnosis Bof Bineffective Bairway Bclearance Bbecause Bthe Bpatient Bis Bretaining Bsecretions.
8. Which Bof Bthe Bfollowing Bclinical Bmanifestations Bwould Bthe Bnurse Bexpect Bto Bfind Bduring Bassessment
Bof Ba Bpatient Badmitted Bwith Bpneumococcal Bpneumonia? BA. BHyperresonance Bon Bpercussion
B. BFine Bcrackles Bin Ball Blobes Bon Bauscultation
C. BIncreased Bvocal Bfremitus Bon Bpalpation BD. BVesicular Bbreath Bsounds Bin Ball Blobes B- Banswer-C.
BIncreased Bvocal Bfremitus Bon Bpalpation. BA Btypical Bphysical Bexamination Bfinding Bfor Ba Bpatient Bwith
Bpneumonia Bis Bincreased Bvocal Bfremitus Bon Bpalpation. BOther Bsigns Bof Bpulmonary Bconsolidation
Binclude Bdullness Bto Bpercussion, Bbronchial Bbreath Bsounds, Band Bcrackles Bin Bthe Baffected Barea.
9. Which Bof Bthe Bfollowing Bnursing Binterventions Bis Bof Bthe Bhighest Bpriority Bin Bhelping Ba Bpatient
Bexpectorate Bthick Bsecretions Brelated Bto Bpneumonia?
A. Humidify Bthe Boxygen Bas Bable
B. Increase Bfluid Bintake Bto B3L/day Bif Btolerated.
C. Administer Bcough Bsuppressant Bq4hr.
D. Teach Bpatient Bto Bsplint Bthe Baffected Barea. B- Banswer-B. BIncrease Bfluid Bintake Bto B3L/day Bif
Btolerated. BAlthough Bseveral Binterventions Bmay Bhelp Bthe Bpatient Bexpectorate Bmucus, Bthe Bhighest
Bpriority Bshould Bbe Bon Bincreasing Bfluid Bintake, Bwhich Bwill Bliquefy Bthe Bsecretions Bso Bthat Bthe Bpatient
Bcan Bexpectorate Bthem Bmore Beasily. BHumidifying Bthe Boxygen Bis Balso Bhelpful, Bbut Bis Bnot Bthe Bprimary
Bintervention. BTeaching Bthe Bpatient Bto Bsplint Bthe Baffected Barea Bmay Balso Bbe Bhelpful, Bbut Bdoes Bnot
Bliquefy Bthe Bsecretions Bso Bthat Bthey Bcan Bbe Bremoved.
10. During Bdischarge Bteaching Bfor Ba B65-year-old Bpatient Bwith Bemphysema Band Bpneumonia, Bwhich Bof
Bthe Bfollowing Bvaccines Bshould Bthe Bnurse Brecommend Bthe Bpatient Breceive?
A. S. Baureus
B. H. Binfluenzae
C. Pneumococcal
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HESI MED SURG 1 FINAL EXAM TEST BANK LATEST 2025
ACTUAL EXAM 350 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
The nurse assesses a patient with shortness of breath for evidence of long-standing hypoxemia by
inspecting:
A. Chest excursion
B. Spinal curvatures
C. The respiratory pattern
D. The fingernail and its base - answer-D. The fingernail and its base Clubbing, a sign of long-standing
hypoxemia, is evidenced by an increase in the angle between the base of the nail and the fingernail to
180 degrees or more, usually accompanied by an increase in the depth, bulk, and sponginess of the end
of the finger.
2. The nurse is caring for a patient with COPD and pneumonia who has an order for arterial blood gases
to be drawn. Which of the following is the minimum length of time the nurse should plan to hold
pressure on the puncture site?
A. 2 minutes
B. 5 minutes
C. 10 minutes
D. 15 minutes - answer-B. 5 minutes Following obtaining an arterial blood gas, the nurse should hold
pressure on the puncture site for 5 minutes by the clock to be sure that bleeding has stopped. An artery
is an elastic vessel under higher pressure than veins, and significant blood loss or hematoma formation
could occur if the time is insufficient.
3. The nurse notices clear nasal drainage in a patient newly admitted with facial trauma, including a
nasal 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. - answer-A. test the drainage for the
presence of glucose. Clear nasal drainage suggests leakage of cerebrospinal fluid (CSF). The drainage
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,MBOFFIN
should be tested for the presence of glucose, which would indicate the presence of CSF.
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,MBOFFIN
4. When Bcaring Bfor Ba Bpatient Bwho Bis B3 Bhours Bpostoperative Blaryngectomy, Bthe Bnurse's Bhighest
Bpriority Bassessment Bwould Bbe:
A. Airway Bpatency
B. Patient Bcomfort
C. Incisional Bdrainage
D. Blood Bpressure Band Bheart Brate B- Banswer-A. BAirway Bpatency BRemember BABCs Bwith Bprioritization.
BAirway Bpatency Bis Balways Bthe Bhighest Bpriority Band Bis Bessential Bfor Ba Bpatient Bundergoing Bsurgery
Bsurrounding Bthe Bupper Brespiratory Bsystem.
5. When Binitially Bteaching Ba Bpatient Bthe Bsupraglottic Bswallow Bfollowing Ba Bradical Bneck Bdissection,
Bwith Bwhich Bof Bthe Bfollowing Bfoods Bshould Bthe Bnurse Bbegin?
A. Cola
B. Applesauce
C. French Bfries
D. White Bgrape Bjuice B- Banswer-A. BColaWhen Blearning Bthe Bsupraglottic Bswallow, Bit Bmay Bbe Bhelpful Bto
Bstart Bwith Bcarbonated Bbeverages Bbecause Bthe Beffervescence Bprovides Bclues Babout Bthe Bliquid's
Bposition. BThin, Bwatery Bfluids Bshould Bbe Bavoided Bbecause Bthey Bare Bdifficult Bto Bswallow Band Bincrease
Bthe Brisk Bof Baspiration. BNonpourable Bpureed Bfoods, Bsuch Bas Bapplesauce, Bwould Bdecrease Bthe Brisk Bof
Baspiration, Bbut Bcarbonated Bbeverages Bare Bthe Bbetter Bchoice Bto Bstart Bwith.
6. The Bnurse Bis Bcaring Bfor Ba Bpatient Badmitted Bto Bthe Bhospital Bwith Bpneumonia. BUpon Bassessment,
Bthe Bnurse Bnotes Ba Btemperature Bof B101.4° BF, Ba Bproductive Bcough Bwith Byellow Bsputum Band Ba
Brespiratory Brate Bof
20. BWhich Bof Bthe Bfollowing Bnursing Bdiagnosis Bis Bmost Bappropriate Bbased Bupon Bthis Bassessment? BA.
BHyperthermia Brelated Bto Binfectious Billness
B. BIneffective Bthermoregulation Brelated Bto Bchilling
C. BIneffective Bbreathing Bpattern Brelated Bto Bpneumonia
D. BIneffective Bairway Bclearance Brelated Bto Bthick Bsecretions B- Banswer-A. BHyperthermia Brelated Bto
Binfectious Billness BBecause Bthe Bpatient Bhas Bspiked Ba Btemperature Band Bhas Ba Bdiagnosis Bof Bpneumonia,
Bthe Blogical Bnursing Bdiagnosis Bis Bhyperthermia Brelated Bto Binfectious Billness. BThere Bis Bno Bevidence Bof Ba
Bchill, Band Bher Bbreathing Bpattern Bis Bwithin Bnormal Blimits Bat B20 Bbreaths Bper Bminute. BThere Bis Bno
Bevidence Bof Bineffective Bairway Bclearance Bfrom Bthe Binformation Bgiven Bbecause Bthe Bpatient Bis
Bexpectorating Bsputum.
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7. Which Bof Bthe Bfollowing Bphysical Bassessment Bfindings Bin Ba Bpatient Bwith Bpneumonia Bbest Bsupports
Bthe Bnursing Bdiagnosis Bof Bineffective Bairway Bclearance? BA. BOxygen Bsaturation Bof B85%
B. BRespiratory Brate Bof B28
C. BPresence Bof Bgreenish Bsputum
D. BBasilar Bcrackles B- Banswer-D. BBasilar Bcrackles BThe Bpresence Bof Badventitious Bbreath Bsounds Bindicates
Bthat Bthere Bis Baccumulation Bof Bsecretions Bin Bthe Blower Bairways. BThis Bwould Bbe Bconsistent Bwith Ba
Bnursing Bdiagnosis Bof Bineffective Bairway Bclearance Bbecause Bthe Bpatient Bis Bretaining Bsecretions.
8. Which Bof Bthe Bfollowing Bclinical Bmanifestations Bwould Bthe Bnurse Bexpect Bto Bfind Bduring Bassessment
Bof Ba Bpatient Badmitted Bwith Bpneumococcal Bpneumonia? BA. BHyperresonance Bon Bpercussion
B. BFine Bcrackles Bin Ball Blobes Bon Bauscultation
C. BIncreased Bvocal Bfremitus Bon Bpalpation BD. BVesicular Bbreath Bsounds Bin Ball Blobes B- Banswer-C.
BIncreased Bvocal Bfremitus Bon Bpalpation. BA Btypical Bphysical Bexamination Bfinding Bfor Ba Bpatient Bwith
Bpneumonia Bis Bincreased Bvocal Bfremitus Bon Bpalpation. BOther Bsigns Bof Bpulmonary Bconsolidation
Binclude Bdullness Bto Bpercussion, Bbronchial Bbreath Bsounds, Band Bcrackles Bin Bthe Baffected Barea.
9. Which Bof Bthe Bfollowing Bnursing Binterventions Bis Bof Bthe Bhighest Bpriority Bin Bhelping Ba Bpatient
Bexpectorate Bthick Bsecretions Brelated Bto Bpneumonia?
A. Humidify Bthe Boxygen Bas Bable
B. Increase Bfluid Bintake Bto B3L/day Bif Btolerated.
C. Administer Bcough Bsuppressant Bq4hr.
D. Teach Bpatient Bto Bsplint Bthe Baffected Barea. B- Banswer-B. BIncrease Bfluid Bintake Bto B3L/day Bif
Btolerated. BAlthough Bseveral Binterventions Bmay Bhelp Bthe Bpatient Bexpectorate Bmucus, Bthe Bhighest
Bpriority Bshould Bbe Bon Bincreasing Bfluid Bintake, Bwhich Bwill Bliquefy Bthe Bsecretions Bso Bthat Bthe Bpatient
Bcan Bexpectorate Bthem Bmore Beasily. BHumidifying Bthe Boxygen Bis Balso Bhelpful, Bbut Bis Bnot Bthe Bprimary
Bintervention. BTeaching Bthe Bpatient Bto Bsplint Bthe Baffected Barea Bmay Balso Bbe Bhelpful, Bbut Bdoes Bnot
Bliquefy Bthe Bsecretions Bso Bthat Bthey Bcan Bbe Bremoved.
10. During Bdischarge Bteaching Bfor Ba B65-year-old Bpatient Bwith Bemphysema Band Bpneumonia, Bwhich Bof
Bthe Bfollowing Bvaccines Bshould Bthe Bnurse Brecommend Bthe Bpatient Breceive?
A. S. Baureus
B. H. Binfluenzae
C. Pneumococcal
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