HESI MEDICAL SURGERY FINAL EXAM
1. Thoracentesis What Position you going to place them in?
Answer Upright leaning over table to increase lung expansion
2. Metabolic Acidosis Respirations
Answer Kussmaul respirations
3. Wheezing
Answer are short high pitched sounds made on expiratory
4. Abnormal Breathe sounds
Answer used to describe bronchial or bronchovesicular sounds heard in the peripheral lung fields.
5. Adventitous sounds
Answer are extra breath sounds that are abnormal.
6. The presence of bronchovesicular breath sounds in the peripheral lung fields
is described as?
Answer abnormal lung sounds
7. To prepare the patient for a thoracentesis, the nurse positions the patient
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, Answer -
sitting upright with the elbows on an over-the-bed table.
8. Bronchoscopy
Answer After procedure keep the patient NPO until gag reflux returns.
9. Hypoxemia
Answer PaO2 is at 55% and SpO2 is 88
10. What test do you use to verify pulmonary embolus?
Answer CT scan
11. A patient with an SaO2 of 85% has a PaO2 of 50mm Hg. This indicates?
Answer shift to the left in the oxygen-hemoglobin dissociation curve that could be caused by hypothermia.
12. Normal Arterial Blood Gases
Answer pH 7.35-7.45, PaO2 80-100mm Hg, SaO2 >95%, PaCO2 32-48 mm Hg, HCO3- 22-26 mEq/L
13. To determine when the patient with a tracheostomy tube can be effectively
swallow, the nurse deflates the cuff and?
Answer has the patient drink a small amount of blue-colored water, observing for coughing and
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, colored secretions.
14. When obtaining a health history from a patient with possible cancer of the
mouth, the nurse would expect the patient to report?
Answer Heavy tobacco and alcohol use.
15. The most normal functioning method of speech restoration in the patient
with a total larynectomy is
Answer a voice presthesis
16. A patients tracheostomy tube becomes dislodged with vigorous coughing.
The first action by the nurse is to?
Answer attempt to replace the tube
17. What will the nurse teach a patient with pneumonia?
Answer Deep breathing and coughing
18. Fine Crackles
Answer short-duration, discontinuous, high pitched sounds heard just before the end of inspiration. In
pneumonia or heart failure.
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1. Thoracentesis What Position you going to place them in?
Answer Upright leaning over table to increase lung expansion
2. Metabolic Acidosis Respirations
Answer Kussmaul respirations
3. Wheezing
Answer are short high pitched sounds made on expiratory
4. Abnormal Breathe sounds
Answer used to describe bronchial or bronchovesicular sounds heard in the peripheral lung fields.
5. Adventitous sounds
Answer are extra breath sounds that are abnormal.
6. The presence of bronchovesicular breath sounds in the peripheral lung fields
is described as?
Answer abnormal lung sounds
7. To prepare the patient for a thoracentesis, the nurse positions the patient
1/
20
, Answer -
sitting upright with the elbows on an over-the-bed table.
8. Bronchoscopy
Answer After procedure keep the patient NPO until gag reflux returns.
9. Hypoxemia
Answer PaO2 is at 55% and SpO2 is 88
10. What test do you use to verify pulmonary embolus?
Answer CT scan
11. A patient with an SaO2 of 85% has a PaO2 of 50mm Hg. This indicates?
Answer shift to the left in the oxygen-hemoglobin dissociation curve that could be caused by hypothermia.
12. Normal Arterial Blood Gases
Answer pH 7.35-7.45, PaO2 80-100mm Hg, SaO2 >95%, PaCO2 32-48 mm Hg, HCO3- 22-26 mEq/L
13. To determine when the patient with a tracheostomy tube can be effectively
swallow, the nurse deflates the cuff and?
Answer has the patient drink a small amount of blue-colored water, observing for coughing and
2/
20
, colored secretions.
14. When obtaining a health history from a patient with possible cancer of the
mouth, the nurse would expect the patient to report?
Answer Heavy tobacco and alcohol use.
15. The most normal functioning method of speech restoration in the patient
with a total larynectomy is
Answer a voice presthesis
16. A patients tracheostomy tube becomes dislodged with vigorous coughing.
The first action by the nurse is to?
Answer attempt to replace the tube
17. What will the nurse teach a patient with pneumonia?
Answer Deep breathing and coughing
18. Fine Crackles
Answer short-duration, discontinuous, high pitched sounds heard just before the end of inspiration. In
pneumonia or heart failure.
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20
