Medical surgical HESI Latest 2024 -2025 Complete Exam/ 150 Actual Exa
Questions with Correct Detailed Answers (Verified Answers) Graded A+
1. common symptoms of pneumonia? Tachycardia
fevers with chills
productive cough
bronchial breath
sounds
2. 4 nursing interventions assessing the client to Deep breathing,
cough productively? fluid intake increased
to 3liters/day,
use humidifier to
loosen secretions,
suction airway to stim-
ulate coughing.
3. symptoms of pneumonia in an older client? Confusion,
lethargy,
anorexia,
rapid respiration rate
4. What should the O2 flow rate be for the client with The flow rate should
COPD? be 1 to 2 liter per nasal
cannula;
to much O2 may elimi-
nate the COPD clients
stimulus to breathe.
COPD client has a hy-
poxia drive to breathe
5. How does the nurse prevent hypoxia during suc- Deliver 100% of oxy-
tioning? gen (hyperinflating)
before and after endo-
tracheal suctioning
6. what are three major nursing interventions for Monitor clients respi-
mechanical ventilation ratory status and se-
cure connections,
establish a commu-
nication mechanism
with the client,
, Medical surgical HESI Latest 2024 -2025
keep airway clear by
coughing and suction-
ing
7. what physical findings is the nurse Likely to see Barrel chest,
with emphysema? dry or productive
cough,
decreased Breath
sounds,
dyspnea,
crackles in the lung
field
8. What is the most common risk factor for lung Smoking
cancer?
9. Describe the preoperative nursing care for a client Involve family/client in
undergoing a laryngectomy? manipulation of tra-
cheostomy equipment
before surgery,
plan acceptable com-
munication method,
refer to speech pathol-
ogist,
discuss rehabilitation
program
10. List five nursing interventions to implement after Maintain dry occlusive
chest tube insertion? dressings to chest
tube site at all times,
keeping all tubing con-
nections tight and
taped, monitor clients
clinical status,
encourage the client
to breathe deeply pe-
riodically,
monitor the fluid
drainage and mark the
, Medical surgical HESI Latest 2024 -2025
time of measurement
and of fluid level
11. What immediate action should the nurse take Place end of tube in
when a chest tube becomes disconnected from sterile water container
a bottle or suction apparatus? What should the at a 2cm level.
nurse do if a chest tube is accidentally removed Apply occlusive dress-
from the client? ing and notify health
care provider STAT
12. What instructions should be given to a client after DO NOT WASH OFF
radiation therapy? LINES,
wear soft Cotton gar-
ments,
avoid use of pow-
ders/creams on radia-
tion site
13. What precautions are required for a client with TB Mask for everyone en-
when placed on a respiratory isolation? tering room,
privacy room,
client must wear mask
if leaving room
14. List four components of teaching for the client Cough into tissues
with tuberculosis? and dispose immedi-
ately into special bag,
long term need for dai-
ly medication,
good hand washing
technique,
report symptoms of
deterioration,
such as blood in se-
cretions
15. differentiate between acute renal failure and Acute is often re-
chronic renal failure? versible,
abrupt deterioration of
kidney function.
Questions with Correct Detailed Answers (Verified Answers) Graded A+
1. common symptoms of pneumonia? Tachycardia
fevers with chills
productive cough
bronchial breath
sounds
2. 4 nursing interventions assessing the client to Deep breathing,
cough productively? fluid intake increased
to 3liters/day,
use humidifier to
loosen secretions,
suction airway to stim-
ulate coughing.
3. symptoms of pneumonia in an older client? Confusion,
lethargy,
anorexia,
rapid respiration rate
4. What should the O2 flow rate be for the client with The flow rate should
COPD? be 1 to 2 liter per nasal
cannula;
to much O2 may elimi-
nate the COPD clients
stimulus to breathe.
COPD client has a hy-
poxia drive to breathe
5. How does the nurse prevent hypoxia during suc- Deliver 100% of oxy-
tioning? gen (hyperinflating)
before and after endo-
tracheal suctioning
6. what are three major nursing interventions for Monitor clients respi-
mechanical ventilation ratory status and se-
cure connections,
establish a commu-
nication mechanism
with the client,
, Medical surgical HESI Latest 2024 -2025
keep airway clear by
coughing and suction-
ing
7. what physical findings is the nurse Likely to see Barrel chest,
with emphysema? dry or productive
cough,
decreased Breath
sounds,
dyspnea,
crackles in the lung
field
8. What is the most common risk factor for lung Smoking
cancer?
9. Describe the preoperative nursing care for a client Involve family/client in
undergoing a laryngectomy? manipulation of tra-
cheostomy equipment
before surgery,
plan acceptable com-
munication method,
refer to speech pathol-
ogist,
discuss rehabilitation
program
10. List five nursing interventions to implement after Maintain dry occlusive
chest tube insertion? dressings to chest
tube site at all times,
keeping all tubing con-
nections tight and
taped, monitor clients
clinical status,
encourage the client
to breathe deeply pe-
riodically,
monitor the fluid
drainage and mark the
, Medical surgical HESI Latest 2024 -2025
time of measurement
and of fluid level
11. What immediate action should the nurse take Place end of tube in
when a chest tube becomes disconnected from sterile water container
a bottle or suction apparatus? What should the at a 2cm level.
nurse do if a chest tube is accidentally removed Apply occlusive dress-
from the client? ing and notify health
care provider STAT
12. What instructions should be given to a client after DO NOT WASH OFF
radiation therapy? LINES,
wear soft Cotton gar-
ments,
avoid use of pow-
ders/creams on radia-
tion site
13. What precautions are required for a client with TB Mask for everyone en-
when placed on a respiratory isolation? tering room,
privacy room,
client must wear mask
if leaving room
14. List four components of teaching for the client Cough into tissues
with tuberculosis? and dispose immedi-
ately into special bag,
long term need for dai-
ly medication,
good hand washing
technique,
report symptoms of
deterioration,
such as blood in se-
cretions
15. differentiate between acute renal failure and Acute is often re-
chronic renal failure? versible,
abrupt deterioration of
kidney function.
