age 1 of 240
HESI MED SURG FINAL EXAM STUDY GUIDE
2025/2026 COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES || 100%
GUARANTEED PASS <RECENT VERSION>
Maintain chest tube bottle in an upright position and below the
level of the chest .....Answer.....Ensure a pair of hemostats are at
the bedside
Monitor pulse oximetry readings
Assess lungs as directed by the physician or as the client's
condition warrants
Maintain chest tube bottle in an upright position and below the
level of the chest
,age 2 of 240
If the tube becomes dislodged from the child's chest, the nurse
must apply Vaseline gauze and an occlusive dressing to prevent
air leakage into the pleural space. A pair of hemostats should
be kept at the bedside to clamp the tube should it become
dislodged from the drainage container. Pulse oximetry and lung
assessments help ensure proper placement of the chest tube. To
maintain proper drainage, the bottle must be kept upright and
below the level of the chest.
The nurse has received a change-of-shift report. The nurse should
assess which client first?
a 72-year-old admitted 2 days ago with a blood alcohol level
of 0.08
a 36-year-old with chest tube due to spontaneous pneumothorax
with current respiratory rate 18 breaths/min, oxygen saturation
,age 3 of 240
95% on oxygen at 2 L per nasal cannula a 28-year-old who is
2 days postappendectomy with discharge prescriptions written
and whose husband is waiting to take her home
a 62-year-old admitted with a recent gastrointestinal (GI)
bleeding whose hemoglobin is 13.8 g/dL (138 g/L)
.....Answer.....a 72-year-old admitted 2 days ago with a blood
alcohol level of 0.08
A client with unresolved hemothorax is febrile, with chills and
sweating. He has a nonproductive cough and chest pain. His
chest tube drainage is turbid. What should the nurse request in
SBAR communication with the health care provider?
Portable chest X-ray
Antibiotic therapy
, age 4 of 240
Intubation and mechanical ventilation
Arterial blood gasses .....Answer.....Antibiotic therapy
Any condition that produces fluid accumulation or sequestration
of fluid with infective properties can lead to empyema, an
accumulation of pus in a body cavity, especially the pleural
space, as a result of bacterial infection. An infected chest tube
site, lobar pneumonia, and P. carinii pneumonia can lead to
fever, chills, and sweating associated with infection. With the
symptoms of infection, antibiotic therapy would be
recommended. Nothing in the question demonstrates a need for
chest X-ray, intubation, or ABGs.
A client has a chest tube inserted for the treatment of a
pneumothorax. While turning in the bed, the client dislodges the
tube and it is found in the bed. As the registered nurse is
HESI MED SURG FINAL EXAM STUDY GUIDE
2025/2026 COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES || 100%
GUARANTEED PASS <RECENT VERSION>
Maintain chest tube bottle in an upright position and below the
level of the chest .....Answer.....Ensure a pair of hemostats are at
the bedside
Monitor pulse oximetry readings
Assess lungs as directed by the physician or as the client's
condition warrants
Maintain chest tube bottle in an upright position and below the
level of the chest
,age 2 of 240
If the tube becomes dislodged from the child's chest, the nurse
must apply Vaseline gauze and an occlusive dressing to prevent
air leakage into the pleural space. A pair of hemostats should
be kept at the bedside to clamp the tube should it become
dislodged from the drainage container. Pulse oximetry and lung
assessments help ensure proper placement of the chest tube. To
maintain proper drainage, the bottle must be kept upright and
below the level of the chest.
The nurse has received a change-of-shift report. The nurse should
assess which client first?
a 72-year-old admitted 2 days ago with a blood alcohol level
of 0.08
a 36-year-old with chest tube due to spontaneous pneumothorax
with current respiratory rate 18 breaths/min, oxygen saturation
,age 3 of 240
95% on oxygen at 2 L per nasal cannula a 28-year-old who is
2 days postappendectomy with discharge prescriptions written
and whose husband is waiting to take her home
a 62-year-old admitted with a recent gastrointestinal (GI)
bleeding whose hemoglobin is 13.8 g/dL (138 g/L)
.....Answer.....a 72-year-old admitted 2 days ago with a blood
alcohol level of 0.08
A client with unresolved hemothorax is febrile, with chills and
sweating. He has a nonproductive cough and chest pain. His
chest tube drainage is turbid. What should the nurse request in
SBAR communication with the health care provider?
Portable chest X-ray
Antibiotic therapy
, age 4 of 240
Intubation and mechanical ventilation
Arterial blood gasses .....Answer.....Antibiotic therapy
Any condition that produces fluid accumulation or sequestration
of fluid with infective properties can lead to empyema, an
accumulation of pus in a body cavity, especially the pleural
space, as a result of bacterial infection. An infected chest tube
site, lobar pneumonia, and P. carinii pneumonia can lead to
fever, chills, and sweating associated with infection. With the
symptoms of infection, antibiotic therapy would be
recommended. Nothing in the question demonstrates a need for
chest X-ray, intubation, or ABGs.
A client has a chest tube inserted for the treatment of a
pneumothorax. While turning in the bed, the client dislodges the
tube and it is found in the bed. As the registered nurse is
