HESI RN MED SURG EXAM PACK-EXAM
MERGED FROM 2021|2022|2023|2024|2025
ACTUAL EXAM.NEXT GEN-ACTUAL EXAM
REVIEW MED SURG EXAM PACK BEST FOR
2025
(Thoracentesis) What Position you going to place them in? - CORRECT
ANSWER-Upright leaning over table to increase lung expansion
Metabolic Acidosis Respirations - - CORRECT ANSWER-Kussmaul respirations
Wheezing - CORRECT ANSWER-are short high pitched sounds made on
expiratory
Abnormal Breathe sounds - - CORRECT ANSWER-used to describe bronchial
or bronchovesicular sounds heard in the peripheral lung fields.
Adventitous sounds - - CORRECT ANSWER-are extra breath sounds that are
abnormal
The presence of bronchovesicular breath sounds in the peripheral lung fields is
described as? - - CORRECT ANSWER-abnormal lung sounds
,To prepare the patient for a thoracentesis, the nurse positions the patient - -
CORRECT ANSWER-sitting upright with the elbows on an over-the-bed table.
Bronchoscopy - CORRECT ANSWER-After procedure keep the patient NPO
until gag reflux returns.
Hypoxemia - - CORRECT ANSWER-PaO2 is at 55% and SpO2 is 88
What test do you use to verify pulmonary embolus? - - CORRECT ANSWER-CT
scan
A patient with an SaO2 of 85% has a PaO2 of 50mm Hg. This indicates? - -
CORRECT ANSWER-shift to the left in the oxygen-hemoglobin dissociation
curve that could be caused by hypothermia.
Normal Arterial Blood Gases - - CORRECT ANSWER-pH 7.35-7.45, PaO2 80-
100mm Hg, SaO2 >95%, PaCO2 32-48 mm Hg, HCO3- 22-26 mEq/L
To determine when the patient with a tracheostomy tube can be effectively
swallow, the nurse deflates the cuff and? - - CORRECT ANSWER-has the
patient drink a small amount of blue-colored water, observing for coughing and
colored secretions.
When obtaining a health history from a patient with possible cancer of the
mouth, the nurse would expect the patient to report? - - CORRECT ANSWER-
Heavy tobacco and alcohol use.
The most normal functioning method of speech restoration in the patient with
a total larynectomy is - - CORRECT ANSWER-a voice presthesis
,A patients tracheostomy tube becomes dislodged with vigorous coughing. The
first action by the nurse is to? - - CORRECT ANSWER-attempt to replace the
tube
What will the nurse teach a patient with pneumonia? - - CORRECT ANSWER-
Deep breathing and coughing
Fine Crackles - - CORRECT ANSWER-short-duration, discontinuous, high
pitched sounds heard just before the end of inspiration. In pneumonia or heart
failure.
Coarse Crackles - - CORRECT ANSWER-long duration, discontinuous, low
pitched sounds caused by air passing through airway intermittently occluded
by mucus, unstable bronchial wall, or fold of mucosa; evident with inspiration.
COPD, heart failure, and pneumonia.
Absent breath sounds - - CORRECT ANSWER-no sound evident over entire
lung or area of lung. Pleural effusion or lobectomy
Peritonsillar abscess - - CORRECT ANSWER-is a complication of acute
pharyngitis or acute tonsillitis when bacterial infection invades one or both
tonsils. The tonsil may enlarge sufficiently to threaten airway patency. Also
known as the hot potato voice. The patient experience a high fever,
leukocytosis, and chills.
Sputum Test for TB - - CORRECT ANSWER-3 seperate sputum test over 3 days.
Airborne precautions until 3 negative sputum samples. HEPA mask required.
INH - - CORRECT ANSWER-latent TB and treat 6 to 9 months.
, Rifampin side effects and considerations - - CORRECT ANSWER-Hepatitis,
thrombocytopenia, orange discoloration of bodily fluids (Sputum, urine, sweat,
tears).
BCG or Bacille Calmette-Guerin - CORRECT ANSWER-Immigrants have been
vaccinate in parts of the world with high TB. Do not give TB test only chest x-
ray.
A patient with pneumonia has a nursing diagnosis pf ineffective airway
clearance related to pain, fatigue, and thick secretions. An appropriate nursing
intervention for the patient is to - - CORRECT ANSWER-Encourage fluid intake
of 3L/day
Diagnose Pulmonary Emboli - CORRECT ANSWER-with at CAT scan or MRI
Hypothermia - - CORRECT ANSWER-SPO2 96%. What is the nurse going to
do? Turn oxygen up.
Symptom of primary pulmonary hypertension - - CORRECT ANSWER-dyspnea
with exertion
Sepsis - - CORRECT ANSWER-2 blood draws from 2 different sites before start
ABT
Pseudomonis - - CORRECT ANSWER-thick green mucous
MERGED FROM 2021|2022|2023|2024|2025
ACTUAL EXAM.NEXT GEN-ACTUAL EXAM
REVIEW MED SURG EXAM PACK BEST FOR
2025
(Thoracentesis) What Position you going to place them in? - CORRECT
ANSWER-Upright leaning over table to increase lung expansion
Metabolic Acidosis Respirations - - CORRECT ANSWER-Kussmaul respirations
Wheezing - CORRECT ANSWER-are short high pitched sounds made on
expiratory
Abnormal Breathe sounds - - CORRECT ANSWER-used to describe bronchial
or bronchovesicular sounds heard in the peripheral lung fields.
Adventitous sounds - - CORRECT ANSWER-are extra breath sounds that are
abnormal
The presence of bronchovesicular breath sounds in the peripheral lung fields is
described as? - - CORRECT ANSWER-abnormal lung sounds
,To prepare the patient for a thoracentesis, the nurse positions the patient - -
CORRECT ANSWER-sitting upright with the elbows on an over-the-bed table.
Bronchoscopy - CORRECT ANSWER-After procedure keep the patient NPO
until gag reflux returns.
Hypoxemia - - CORRECT ANSWER-PaO2 is at 55% and SpO2 is 88
What test do you use to verify pulmonary embolus? - - CORRECT ANSWER-CT
scan
A patient with an SaO2 of 85% has a PaO2 of 50mm Hg. This indicates? - -
CORRECT ANSWER-shift to the left in the oxygen-hemoglobin dissociation
curve that could be caused by hypothermia.
Normal Arterial Blood Gases - - CORRECT ANSWER-pH 7.35-7.45, PaO2 80-
100mm Hg, SaO2 >95%, PaCO2 32-48 mm Hg, HCO3- 22-26 mEq/L
To determine when the patient with a tracheostomy tube can be effectively
swallow, the nurse deflates the cuff and? - - CORRECT ANSWER-has the
patient drink a small amount of blue-colored water, observing for coughing and
colored secretions.
When obtaining a health history from a patient with possible cancer of the
mouth, the nurse would expect the patient to report? - - CORRECT ANSWER-
Heavy tobacco and alcohol use.
The most normal functioning method of speech restoration in the patient with
a total larynectomy is - - CORRECT ANSWER-a voice presthesis
,A patients tracheostomy tube becomes dislodged with vigorous coughing. The
first action by the nurse is to? - - CORRECT ANSWER-attempt to replace the
tube
What will the nurse teach a patient with pneumonia? - - CORRECT ANSWER-
Deep breathing and coughing
Fine Crackles - - CORRECT ANSWER-short-duration, discontinuous, high
pitched sounds heard just before the end of inspiration. In pneumonia or heart
failure.
Coarse Crackles - - CORRECT ANSWER-long duration, discontinuous, low
pitched sounds caused by air passing through airway intermittently occluded
by mucus, unstable bronchial wall, or fold of mucosa; evident with inspiration.
COPD, heart failure, and pneumonia.
Absent breath sounds - - CORRECT ANSWER-no sound evident over entire
lung or area of lung. Pleural effusion or lobectomy
Peritonsillar abscess - - CORRECT ANSWER-is a complication of acute
pharyngitis or acute tonsillitis when bacterial infection invades one or both
tonsils. The tonsil may enlarge sufficiently to threaten airway patency. Also
known as the hot potato voice. The patient experience a high fever,
leukocytosis, and chills.
Sputum Test for TB - - CORRECT ANSWER-3 seperate sputum test over 3 days.
Airborne precautions until 3 negative sputum samples. HEPA mask required.
INH - - CORRECT ANSWER-latent TB and treat 6 to 9 months.
, Rifampin side effects and considerations - - CORRECT ANSWER-Hepatitis,
thrombocytopenia, orange discoloration of bodily fluids (Sputum, urine, sweat,
tears).
BCG or Bacille Calmette-Guerin - CORRECT ANSWER-Immigrants have been
vaccinate in parts of the world with high TB. Do not give TB test only chest x-
ray.
A patient with pneumonia has a nursing diagnosis pf ineffective airway
clearance related to pain, fatigue, and thick secretions. An appropriate nursing
intervention for the patient is to - - CORRECT ANSWER-Encourage fluid intake
of 3L/day
Diagnose Pulmonary Emboli - CORRECT ANSWER-with at CAT scan or MRI
Hypothermia - - CORRECT ANSWER-SPO2 96%. What is the nurse going to
do? Turn oxygen up.
Symptom of primary pulmonary hypertension - - CORRECT ANSWER-dyspnea
with exertion
Sepsis - - CORRECT ANSWER-2 blood draws from 2 different sites before start
ABT
Pseudomonis - - CORRECT ANSWER-thick green mucous
