PN Hesi Med Surg Exam 2025
PN Hesi Med Surg Exam 2025 Test Bank
With 300 Real Exam Prep Questions And
Correct Answers With Detailed Rationales/
Hesi PN Med Surg Exam/ Pn Hesi Medical
Surgical
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 –
Correct 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
A+ TEST BANK 1
, PN Hesi Med Surg Exam 2025
D. 15 minutes –
Correct 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. –
Correct Answer :A
. test the drainage for the presence of glucose. Clear nasal drainage suggests leakage of
cerebrospinal fluid (CSF). The drainage should be tested for the presence of glucose, which
would indicate the presence of CSF.
4. When caring for a patient who is 3 hours postoperative laryngectomy, the nurse's highest
priority assessment would be:
A. Airway patency
B. Patient comfort
C. Incisional drainage
D. Blood pressure and heart rate –
A+ TEST BANK 2
, PN Hesi Med Surg Exam 2025
Correct Answer :A.
Airway patency Remember ABCs with prioritization. Airway patency is always the highest
priority and is essential for a patient undergoing surgery surrounding the upper respiratory
system.
5. When initially teaching a patient the supraglottic swallow following a radical neck
dissection, with which of the following foods should the nurse begin?
A. Cola
B. Applesauce
C. French fries
D. White grape juice –
Correct Answer :A.
ColaWhen learning the supraglottic swallow, it may be helpful to start with carbonated
beverages because the effervescence provides clues about the liquid's position. Thin, watery
fluids should be avoided because they are difficult to swallow and increase the risk of
aspiration. Nonpourable pureed foods, such as applesauce, would decrease the risk of
aspiration, but carbonated beverages are the better choice to start with.
6. The nurse is caring for a patient admitted to the hospital with pneumonia. Upon
assessment, the nurse notes a temperature of 101.4° F, a productive cough with yellow
sputum and a respiratory rate of 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 –
A+ TEST BANK 3
, PN Hesi Med Surg Exam 2025
Correct Answer :A.
Hyperthermia related to infectious illness Because the patient has spiked a temperature and
has a diagnosis of pneumonia, the logical nursing diagnosis is hyperthermia related to
infectious illness. There is no evidence of a chill, and her breathing pattern is within normal
limits at 20 breaths per minute. There is no evidence of ineffective airway clearance from the
information given because the patient is expectorating sputum.
7. Which of the following physical assessment findings in a patient with pneumonia best
supports the nursing diagnosis of ineffective airway clearance? A. Oxygen saturation of 85%
B. Respiratory rate of 28
C. Presence of greenish sputum
D. Basilar crackles –
Correct Answer :D.
Basilar crackles The presence of adventitious breath sounds indicates that there is
accumulation of secretions in the lower airways. This would be consistent with a nursing
diagnosis of ineffective airway clearance because the patient is retaining secretions.
8. Which of the following clinical manifestations would the nurse expect to find during
assessment of a patient admitted with pneumococcal 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 –
Correct Answer :C.
Increased vocal fremitus on palpation. A typical physical examination finding for a patient
with pneumonia is increased vocal fremitus on palpation. Other signs of pulmonary
A+ TEST BANK 4
PN Hesi Med Surg Exam 2025 Test Bank
With 300 Real Exam Prep Questions And
Correct Answers With Detailed Rationales/
Hesi PN Med Surg Exam/ Pn Hesi Medical
Surgical
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 –
Correct 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
A+ TEST BANK 1
, PN Hesi Med Surg Exam 2025
D. 15 minutes –
Correct 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. –
Correct Answer :A
. test the drainage for the presence of glucose. Clear nasal drainage suggests leakage of
cerebrospinal fluid (CSF). The drainage should be tested for the presence of glucose, which
would indicate the presence of CSF.
4. When caring for a patient who is 3 hours postoperative laryngectomy, the nurse's highest
priority assessment would be:
A. Airway patency
B. Patient comfort
C. Incisional drainage
D. Blood pressure and heart rate –
A+ TEST BANK 2
, PN Hesi Med Surg Exam 2025
Correct Answer :A.
Airway patency Remember ABCs with prioritization. Airway patency is always the highest
priority and is essential for a patient undergoing surgery surrounding the upper respiratory
system.
5. When initially teaching a patient the supraglottic swallow following a radical neck
dissection, with which of the following foods should the nurse begin?
A. Cola
B. Applesauce
C. French fries
D. White grape juice –
Correct Answer :A.
ColaWhen learning the supraglottic swallow, it may be helpful to start with carbonated
beverages because the effervescence provides clues about the liquid's position. Thin, watery
fluids should be avoided because they are difficult to swallow and increase the risk of
aspiration. Nonpourable pureed foods, such as applesauce, would decrease the risk of
aspiration, but carbonated beverages are the better choice to start with.
6. The nurse is caring for a patient admitted to the hospital with pneumonia. Upon
assessment, the nurse notes a temperature of 101.4° F, a productive cough with yellow
sputum and a respiratory rate of 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 –
A+ TEST BANK 3
, PN Hesi Med Surg Exam 2025
Correct Answer :A.
Hyperthermia related to infectious illness Because the patient has spiked a temperature and
has a diagnosis of pneumonia, the logical nursing diagnosis is hyperthermia related to
infectious illness. There is no evidence of a chill, and her breathing pattern is within normal
limits at 20 breaths per minute. There is no evidence of ineffective airway clearance from the
information given because the patient is expectorating sputum.
7. Which of the following physical assessment findings in a patient with pneumonia best
supports the nursing diagnosis of ineffective airway clearance? A. Oxygen saturation of 85%
B. Respiratory rate of 28
C. Presence of greenish sputum
D. Basilar crackles –
Correct Answer :D.
Basilar crackles The presence of adventitious breath sounds indicates that there is
accumulation of secretions in the lower airways. This would be consistent with a nursing
diagnosis of ineffective airway clearance because the patient is retaining secretions.
8. Which of the following clinical manifestations would the nurse expect to find during
assessment of a patient admitted with pneumococcal 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 –
Correct Answer :C.
Increased vocal fremitus on palpation. A typical physical examination finding for a patient
with pneumonia is increased vocal fremitus on palpation. Other signs of pulmonary
A+ TEST BANK 4
