HESI RN MED SURG EXIT EXAM ACTUAL (COMPLETE ALL 55 QUESTIONS AND CORRECT ANSWERS) |ALREADY GRADED A+
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Course
HESI RN MED SURG EXIT 2024
Institution
HESI RN MED SURG EXIT 2024
HESI RN MED SURG EXIT EXAM
ACTUAL (COMPLETE ALL 55 QUESTIONS AND CORRECT ANSWERS) |ALREADY GRADED A+
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 ...
HESI RN MED SURG EXIT EXAM 2024-2025
ACTUAL (COMPLETE ALL 55 QUESTIONS AND CORRECT
ANSWERS) |ALREADY GRADED A+
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 - Correct ANSWER: D.
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
B. 5 minutes
C. 10 minutes
D. 15 minutes - Correct ANSWER: B.
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. - Correct ANSWER: A.
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 - Correct ANSWER: A.
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 - Correct ANSWER: A.
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 - Correct ANSWER: A.
Which of the following physical assessment findings in a patient with pneumonia best supports
the nursing diagnosis of ineffective airway clearance?
A. Oxygen saturation of 85%
B. Respiratory rate of 28
C. Presence of greenish sputum
D. Basilar crackles - Correct ANSWER: D.
Which of the following clinical manifestations would the nurse expect to find during
assessment of a patient admitted with pneumococcal pneumonia?
A. Hyperresonance on percussion
B. Fine crackles in all lobes on auscultation
C. Increased vocal fremitus on palpation
D. Vesicular breath sounds in all lobes - Correct ANSWER: C. Increased vocal fremitus
on palpation.
Which of the following nursing interventions is of the highest priority in helping a patient
expectorate thick secretions related to pneumonia?
A. Humidify the oxygen as able
B. Increase fluid intake to 3L/day if tolerated.
C. Administer cough suppressant q4hr.
D. Teach patient to splint the affected area. - Correct ANSWER: B. Increase fluid intake to
3L/day if tolerated.
During discharge teaching for a 65-year-old patient with emphysema and pneumonia, which of
the following vaccines should the nurse recommend the patient receive?
A. S. aureus
B. H. influenzae
C. Pneumococcal
D. Bacille Calmette-Guérin (BCG) - Correct ANSWER: C. Pneumococcal
The nurse evaluates that discharge teaching for a patient hospitalized with pneumonia has been
most effective when the patient states which of the following measures to prevent a relapse?
A. "I will increase my food intake to 2400 calories a day to keep my immune system well."
B. "I must use home oxygen therapy for 3 months and then will have a chest x-ray to
reevaluate."
C. "I will seek immediate medical treatment for any upper respiratory infections."
D. "I should continue to do deep-breathing and coughing exercises for at least 6 weeks." -
Correct ANSWER: D.
After admitting a patient to the medical unit with a diagnosis of pneumonia, the nurse will
verify that which of the following physician orders have been completed before administering a
dose of cefotetan (Cefotan) to the patient?
A. Serum laboratory studies ordered for AM
B. Pulmonary function evaluation
, C. Orthostatic blood pressures
D. Sputum culture and sensitivity - Correct ANSWER: D. Sputum culture and sensitivity
Which of the following nursing interventions is most appropriate to enhance oxygenation in a
patient with unilateral malignant lung disease?
A. Positioning patient on right side.
B. Maintaining adequate fluid intake
C. Performing postural drainage every 4 hours
D. Positioning patient with "good lung down" - Correct ANSWER: D. Positioning patient
with "good lung down"
A 71-year-old patient is admitted with acute respiratory distress related to cor pulmonale.
Which of the following nursing interventions is most appropriate during admission of this
patient?
A. Delay any physical assessment of the patient and review with the family the patient's
history of respiratory problems.
B. Perform a comprehensive health history with the patient to review prior respiratory
problems.
C. Perform a physical assessment of the respiratory system and ask specific questions
related to this episode of respiratory distress.
D. Complete a full physical examination to determine the effect of the respiratory distress
on other body functions. - Correct ANSWER: C. Perform a physical assessment of the
respiratory system and ask specific questions related to this episode of respiratory
distress.
When planning appropriate nursing interventions for a patient with metastatic lung cancer and a
60- pack-year history of cigarette smoking, the nurse recognizes that the smoking has most
likely decreased the patient's underlying respiratory defenses because of impairment of which
of the following?
A. Reflex bronchoconstriction
B. Ability to filter particles from the air
C. Cough reflex
D. Mucociliary clearance - Correct ANSWER: D. Mucociliary clearance
While ambulating a patient with metastatic lung cancer, the nurse observes a drop in oxygen
saturation from 93% to 86%. Which of the following nursing interventions is most appropriate
based upon these findings?
A. Continue with ambulation as this is a normal response to activity.
B. Move the oximetry probe from the finger to the earlobe for more accurate monitoring
during activity.
C. Obtain a physician's order for supplemental oxygen to be used during ambulation and
other activity.
D. Obtain a physician's order for arterial blood gas determinations to verify the oxygen
saturation. - Correct ANSWER: C. Obtain a physician's order for supplemental oxygen
to be used during ambulation and other activity.
The nurse is caring for a 73-year-old patient who underwent a left total knee arthroplasty. On
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