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HESI MED SURG EXAM 2025 NEWEST TEST BANK
WITH 500 REAL EXAM PREP QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (100%
CORRECT ANSWERS) HESI MED SURG EVOLVE
ELSEVIER EXAM 2025 (NEW)
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 - ..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
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B. 5 minutes
C. 10 minutes
D. 15 minutes - ..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. - ..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.
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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 - ..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 - ..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.
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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
- ..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.
HESI MED SURG EXAM 2025 NEWEST TEST BANK
WITH 500 REAL EXAM PREP QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (100%
CORRECT ANSWERS) HESI MED SURG EVOLVE
ELSEVIER EXAM 2025 (NEW)
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 - ..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
,2|Page
B. 5 minutes
C. 10 minutes
D. 15 minutes - ..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. - ..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.
,3|Page
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 - ..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 - ..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.
, 4|Page
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
- ..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.
