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EVOLVE ELSEVIER HESI MED SURG EXIT EXAM
VERSION 4 / MED SURG HESI EVOLVE ELSEVIER
NEWEST 2025/2026 COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES||VERIFIED
EXAM!! (VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION!!!
The nurse is instructing a hospitalized client with a
diagnosis of emphysema about measures that will
enhance the effectiveness of breathing during dyspneic
periods. Which position should the nurse instruct the client
to assume?
Sitting up in bed
Side-lying in bed
Sitting up and leaning on an overbed table
Sitting up in a recliner chair - ANSWER-Sitting up and
leaning on an overbed table
The nurse has given instructions on pursed-lip breathing
to a client with COPD. Which statement by the client
would indicate effective teaching?
"I should tighten my abdominal muscles with exhalation."
"I should inhale through my mouth very deeply."
"I should make inhalation twice as long as exhalation."
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"I should tighten my abdominal muscles with inhalation." -
ANSWER-"I should tighten my abdominal muscles with
exhalation."
Which assessment finding in a client with COPD indicates
to the nurse that the client's respiratory problem is
chronic?
Wheezing on exhalation
Productive cough
Generalized cyanosis
Clubbing in fingers - ANSWER-Clubbing in fingers
A nurse instructs a COPD client to use the pursed-lip
method of breathing and evaluates the teaching by asking
that client about the purpose of this type of breathing. The
nurse determines that the client understands if the client
states that the primary purpose of pursed-lip breathing is
to promote which outcome?
Promote oxygen intake
Strengthen the diaphragm
Strengthen the intercostal muscles
Promote carbon dioxide elimination - ANSWER-Promote
carbon dioxide elimination
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The clinical manifestations in a 'pink puffer' patient include
all of the following except:
Barrel chest
Pink skin
Sitting in a 'tripod' position
Blue Skin-'cyanotic' - ANSWER-Blue Skin-'cyanotic'
The #1 risk factor for COPD is cigarette smoking. True or
False?
True
False - ANSWER-True
A COPD patient exhibits peripheral edema, jugular vein
distention and weight gain. They may be experiencing
right sided heart failure.
True
False - ANSWER-True
A COPD patient has a GOLD 2, moderate level of severity.
The patients FEV1 results are:
Greater than or equal to 80%
30% - 50%
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50% - 80%
Less than 30% - ANSWER-50% - 80%
Gold initiative for Chronic Obstructive Lung Disease are
classified as:
GOLD 1: Mild > or equal to 80%
GOLD 2: Moderate 50% - 80%
GOLD 3: Severe 30% - 50%
GOLD 4: Very Severe < 30% - ANSWER-Gold initiative for
Chronic Obstructive Lung Disease are classified as:
GOLD 1: Mild > or equal to 80%
GOLD 2: Moderate 50% - 80%
GOLD 3: Severe 30% - 50%
GOLD 4: Very Severe < 30%
What are some energy saving tips for a patient with
COPD? - ANSWER-As found on page 575 of the Lewis
Med-Surg. textbook, some energy saving tips for a patient
with COPD include avoiding exercise one hour prior to
eating meal to avoid exhaustion, performing exercise
training (which leads to energy conservation), assuming
tripod position while shaving, doing hair and makeup, etc.,
EVOLVE ELSEVIER HESI MED SURG EXIT EXAM
VERSION 4 / MED SURG HESI EVOLVE ELSEVIER
NEWEST 2025/2026 COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES||VERIFIED
EXAM!! (VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION!!!
The nurse is instructing a hospitalized client with a
diagnosis of emphysema about measures that will
enhance the effectiveness of breathing during dyspneic
periods. Which position should the nurse instruct the client
to assume?
Sitting up in bed
Side-lying in bed
Sitting up and leaning on an overbed table
Sitting up in a recliner chair - ANSWER-Sitting up and
leaning on an overbed table
The nurse has given instructions on pursed-lip breathing
to a client with COPD. Which statement by the client
would indicate effective teaching?
"I should tighten my abdominal muscles with exhalation."
"I should inhale through my mouth very deeply."
"I should make inhalation twice as long as exhalation."
,2|Page
"I should tighten my abdominal muscles with inhalation." -
ANSWER-"I should tighten my abdominal muscles with
exhalation."
Which assessment finding in a client with COPD indicates
to the nurse that the client's respiratory problem is
chronic?
Wheezing on exhalation
Productive cough
Generalized cyanosis
Clubbing in fingers - ANSWER-Clubbing in fingers
A nurse instructs a COPD client to use the pursed-lip
method of breathing and evaluates the teaching by asking
that client about the purpose of this type of breathing. The
nurse determines that the client understands if the client
states that the primary purpose of pursed-lip breathing is
to promote which outcome?
Promote oxygen intake
Strengthen the diaphragm
Strengthen the intercostal muscles
Promote carbon dioxide elimination - ANSWER-Promote
carbon dioxide elimination
,3|Page
The clinical manifestations in a 'pink puffer' patient include
all of the following except:
Barrel chest
Pink skin
Sitting in a 'tripod' position
Blue Skin-'cyanotic' - ANSWER-Blue Skin-'cyanotic'
The #1 risk factor for COPD is cigarette smoking. True or
False?
True
False - ANSWER-True
A COPD patient exhibits peripheral edema, jugular vein
distention and weight gain. They may be experiencing
right sided heart failure.
True
False - ANSWER-True
A COPD patient has a GOLD 2, moderate level of severity.
The patients FEV1 results are:
Greater than or equal to 80%
30% - 50%
, 4|Page
50% - 80%
Less than 30% - ANSWER-50% - 80%
Gold initiative for Chronic Obstructive Lung Disease are
classified as:
GOLD 1: Mild > or equal to 80%
GOLD 2: Moderate 50% - 80%
GOLD 3: Severe 30% - 50%
GOLD 4: Very Severe < 30% - ANSWER-Gold initiative for
Chronic Obstructive Lung Disease are classified as:
GOLD 1: Mild > or equal to 80%
GOLD 2: Moderate 50% - 80%
GOLD 3: Severe 30% - 50%
GOLD 4: Very Severe < 30%
What are some energy saving tips for a patient with
COPD? - ANSWER-As found on page 575 of the Lewis
Med-Surg. textbook, some energy saving tips for a patient
with COPD include avoiding exercise one hour prior to
eating meal to avoid exhaustion, performing exercise
training (which leads to energy conservation), assuming
tripod position while shaving, doing hair and makeup, etc.,
