{"id":112261,"date":"2023-08-15T12:14:06","date_gmt":"2023-08-15T12:14:06","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=112261"},"modified":"2023-08-15T12:14:08","modified_gmt":"2023-08-15T12:14:08","slug":"2023-hesi-med-surg-test-bank-real-exam-450-questions-and-correct-detailed-answers-100-correct-and-verified-answers-already-graded-a-latest-test-bank","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/15\/2023-hesi-med-surg-test-bank-real-exam-450-questions-and-correct-detailed-answers-100-correct-and-verified-answers-already-graded-a-latest-test-bank\/","title":{"rendered":"2023 HESI MED-SURG TEST BANK REAL EXAM 450 QUESTIONS AND CORRECT DETAILED ANSWERS (100% CORRECT AND VERIFIED ANSWERS) |ALREADY GRADED A+ (LATEST TEST BANK!!)"},"content":{"rendered":"\n

2023 HESI MED-SURG TEST BANK REAL EXAM 450
QUESTIONS AND CORRECT DETAILED ANSWERS (100%
CORRECT AND VERIFIED ANSWERS) |ALREADY GRADED
A+ (LATEST TEST BANK!!)<\/p>\n\n\n\n

    \n
  1. Which of the following statements made by a patient with COPD indicates a
    need for further education regarding the use of an ipratropium inhaler?
    A. “I should rinse my mouth following the two puffs to get rid of the bad taste.”
    B. “I should wait at least 1 to 2 minutes between each puff of the inhaler.”
    C. “If my breathing gets worse, I should keep taking extra puffs of the inhaler until
    I can breathe more easily.”
    D. “Because this medication is not fast-acting, I cannot use it in an emergency if
    my breathing gets worse. – ANSWER- C. “If my breathing gets worse, I should
    keep taking extra puffs of the inhaler until I can breathe more easily.” The patient
    should not take extra puffs of the inhaler at will to make breathing easier.
    Excessive treatment could trigger paradoxical bronchospasm, which would worsen
    the patient’s respiratory status.<\/li>\n\n\n\n
  2. When assessing a patient’s sleep-rest pattern related to respiratory health, the
    nurse would ask if the patient: (Select all that apply.)
    A. Has trouble falling asleep
    B. Awakens abruptly during the night
    C. Sleeps more than 8 hours per night
    D. Has to sleep with the head elevated – ANSWER- A,B,D The patient with sleep
    apnea may have insomnia and\/or abrupt awakenings. Patients with cardiovascular
    disease (e.g., heart failure that may affect respiratory health) may need to sleep
    with the head elevated on several pillows (orthopnea). Sleeping more than 8 hours
    per night is not indicative of impaired respiratory health.<\/li>\n\n\n\n
  3. A patient is being discharged from the emergency department after being treated
    for epistaxis. In teaching the family first aid measures in the event the epistaxis
    would recur, which of the following measures would the nurse suggest? (Select all
    that apply.)
    A. Tilt patients head backwards
    B. Apply ice compresses to the nose
    C. Pinch the entire soft lower portion of the nose
    D. Partially insert a small gauze pad into the bleeding nostril – ANSWER- B,C,D
    First aid measures to control epistaxis includes placing the patient in a sitting<\/li>\n<\/ol>\n\n\n\n

    position, leaning forward. Tilting the head back does not stop the bleeding, but
    rather allows the blood to enter the nasopharynx, which could result in aspiration
    or nausea\/vomiting from swallowing blood. All of the other options are appropriate
    first aid treatment of epistaxis.<\/p>\n\n\n\n

      \n
    1. To promote airway clearance in a patient with pneumonia, the nurse instructs the
      patient to do which of the following? (Select all that apply.)
      A. Splint the chest when coughing
      B. Maintain a semi-Fowler’s position
      C. Maintain adequate fluid intake
      D. Instruct patient to cough at end of exhalation – ANSWER- A,C,D The nurse
      should instruct the patient to splint the chest while coughing. This will reduce
      discomfort and allow for a more effective cough. Maintaining adequate fluid intake
      liquefies secretions, allowing easier expectoration. Coughing at the end of
      exhalation promotes a more effective cough. The patient should be positioned in an
      upright sitting position (high-Fowler’s) with head slightly flexed.<\/li>\n\n\n\n
    2. During admission of a patient diagnosed with non-small cell carcinoma of the
      lung, the nurse questions the patient related to a history of which of the following
      risk factors for this type of cancer? (Select all that apply.)
      A. Asbestos exposure
      B. Cigarette smoking
      C. Exposure to uranium
      D. Chronic interstitial fibrosis – ANSWER- A,B,C Non-small carcinoma is
      associated with cigarette smoking and exposure to environmental carcinogens,
      including asbestos and uranium. Chronic interstitial fibrosis is associated with the
      development of adenocarcinoma of the lung.<\/li>\n\n\n\n
    3. When admitting a 45-year-old female with a diagnosis of pulmonary embolism,
      the nurse will assess the patient for which of the following risk factors? (Select all
      that apply.)
      A. Obesity
      B. Pneumonia
      C. Hypertension
      D. Cigarette smoking – ANSWER- A,C,D Research has demonstrated an increased
      risk of pulmonary embolism in women associated with obesity, heavy cigarette
      smoking, and hypertension. Other risk factors include immobilization, surgery
      within the last 3 months, stroke, history of DVT, and malignancy.<\/li>\n\n\n\n
    4. When admitting a patient with the diagnosis of asthma exacerbation, the nurse
      will assess for which of the following potential triggers? (Select all that apply.)
      A. Exercise
      B. Allergies
      C. Emotional stress
      D. Decreased humidity – ANSWER- A,B,C Although the exact mechanism of
      asthma is unknown, there are several triggers that may precipitate an attack. These
      include allergens, exercise, air pollutants, respiratory infections, drug and food
      additives, psychologic factors, and GERD.<\/li>\n\n\n\n
    5. A person complains of fatigue and malaise and has a slight temperature
      elevation for 2 days before symptoms of influenza (fever, chest congestion, and
      productive cough) become noticeable. During the time immediately before the
      illness is diagnosed, the patient
      A. could avoid contracting the disease if treatment is begun with antibiotics.
      B. is unable to spread the disease because it is still in the incubation period.
      C. is in the prodromal stage and is highly contagious and able to spread the disease.
      D. has a nosocomial infection, which affects approximately two million individuals
      a year. – ANSWER- C. is in the prodromal stage and is highly contagious and able
      to spread the disease. The prodromal stage is a short period of time (hours to
      several days) immediately preceding the onset of an illness during which the
      patient is very contagious. Antibiotics are not effective against viral illnesses. The
      incubation period is the time from entry of the organism to the onset of symptoms
      and, in some viral illnesses, may be contagious. Nosocomial infections are those
      acquired in a hospital, and this scenario does not suggest the source of the
      infection.<\/li>\n\n\n\n
    6. In older adults, infection after exposure to respiratory illness is most likely to
      A. result in similar rates of infection as in the younger adult.
      B. be easily prevented with the use of antibiotics after being exposed.
      C. result in serious lower respiratory infection related to weakened respiratory
      muscles and fewer cilia.
      D. be less serious because the older adult has less contact with younger children
      who are most likely to carry serious infections. – ANSWER- C. result in serious
      lower respiratory infection related to weakened respiratory muscles and fewer cilia.
      Changes in the older adult respiratory system make older adults more susceptible
      to infections that can be very serious and life threatening. Use of antibiotics to
      “prevent” lung infections is not recommended and is ineffective for viral
      infections.<\/li>\n\n\n\n
    7. If a nurse is caring for an 80-year-old patient with a temperature of 100.4\u00b0 F,
      crackles at the right lung base, pain with deep inspiration, and dyspnea, which of
      the following orders is the nurse’s priority?
      A. Sputum specimen for culture and sensitivity
      B. Codeine 15 mg orally every 6 hours as needed
      C. Incentive spirometer every 2 hours while awake
      D. Amoxicillin (Amoxil) 500 mg orally 4 times a day – ANSWER- A. Sputum
      specimen for culture and sensitivity The patient presents with signs of a respiratory
      infection. To initiate the most effective therapy, the health care prescriber must
      know the pathogen causing the infection. Therefore, the sputum specimen is the
      nurse’s priority. If the antibiotic is administered before the specimen is obtained,
      the results of the culture might not be as accurate and could impair the
      effectiveness of therapy. After the specimen is obtained, the nurse can administer
      codeine for coughing and begin the incentive spirometry to mobilize secretions and
      improve the patient’s ability to expectorate the secretions.<\/li>\n\n\n\n
    8. When assessing a patient’s respiratory status, which of the following
      nonrespiratory data are most important for the nurse to obtain?
      A. Height and weight
      B. Neck circumference
      C. Occupation and hobbies
      D. Usual daily fluid intake – ANSWER- C. Occupation and hobbiesMany
      respiratory problems occur as a result of chronic exposure to inhalation irritants.
      Common occupational sources of inhalation irritants include mines, granaries,
      farms, lawn care companies, paint, plastics and rubber manufacture, and building
      remodeling. Hobbies associated with inhalation irritants include woodworking,
      metal finishing, furniture refinishing, painting, and ceramics. Daily fluids, height,
      and weight are more related to respiratory problems secondary to cardiac issues.<\/li>\n\n\n\n
    9. If a nurse is assessing a patient whose recent blood gas determination indicated
      a pH of 7.32 and respirations are measured at 32 breaths\/min, which of the
      following is the most appropriate nursing assessment?
      A. The rapid breathing is causing the low pH.
      B. The nurse should sedate the patient to slow down respirations.
      C. The rapid breathing is an attempt to compensate for the low pH.
      D. The nurse should give the patient a paper bag to breathe into to correct the low
      pH. – ANSWER- C. The rapid breathing is an attempt to compensate for the low
      pH. The respiratory system influences pH (acidity) through control of carbon
      dioxide exhalation. Thus, rapid breathing increases the pH. Breathing into a paper
      <\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

      2023 HESI MED-SURG TEST BANK REAL EXAM 450QUESTIONS AND CORRECT DETAILED ANSWERS (100%CORRECT AND VERIFIED ANSWERS) |ALREADY GRADEDA+ (LATEST TEST BANK!!) position, leaning forward. Tilting the head back does not stop the bleeding, butrather allows the blood to enter the nasopharynx, which could result in aspirationor nausea\/vomiting from swallowing blood. All of the other options […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-112261","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112261","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=112261"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112261\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=112261"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=112261"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=112261"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}