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HESI Case Study: Respiratory Questions And
Correct Detailed Answers (Verified Answers)
Already Graded A+
Context: Mr. Winston Winchell is a 70-year-old Black man. He has a history of emphysema
and has been admitted to an inpatient medical unit with an acute respiratory infection. The
nurse prepares to complete the client's admission assessment after Mr. Winchell's transfer
from the emergency department (ED).
Question 1: To ensure the client's respiratory status is stable upon his arrival on the
medical unit, the nurse should complete which assessment first?
A. Breath sounds
B. Oxygen Saturation
C. Level of Fatigue
D. Chest Excursion
Correct Answer: B. Oxygen Saturation
Context: The initial assessment of Mr. Winchell continues. The nurse measure the client's
vital signs. Mr. Winchell's respiratory rate is 32 breaths per minute.
Question 2: What follow-up assessment data should the nurse obtain first?
A. Cigarette smoking history.
B. Use of accessory muscles
C. Cultural health beliefs
D. Color of sputum
Correct Answer: B. Use of accessory muscles
, 2
Context: The nurse applies oxygen at 2 liters per minute via nasal cannula and ensures that
the client is comfortable. His oxygen saturation is stable at 95%, and his respiratory rate
decreases to 24 breaths per minute. Mr. Winchell reports that he feels able to continue with
the admission interview and assessment. After answering a few questions, the client
begins to cough.
Question 3: What assessment should the nurse perform?
A. Assess for the presence of nail bed clubbing
B. Review oral fluid intake for the last 24 hours
C. Observe for dryness of the oral mucosa
D. Note the amount and appearance of any sputum
Correct Answer: D. Note the amount and appearance of any sputum
Context: Mr. Winchell's cough is non-productive. After Mr. Winchell stops coughing, the
nurse continues the interview.
Question 4: To assess the client's history related to dyspnea on exertion (DOE), what
question should the nurse ask Mr. Winchell?
A. "Do you become short of breath while lying flat?"
B. "What activities cause you to feel short of breath?"
C. "How frequently do you experience difficulty breathing?"
D "Are you having trouble catching your breath now?"
Correct Answer: B. "What activities cause you to feel short of breath?"
Context: The nurse asks Mr. Winchell about his history of cigarette smoking. Mr. Wichell
tells the nurse that he smoked two packs of cigarettes per day for more than 40 years, but
then he quit smoking 10 years ago. He then looks away and remarks that he is very fatigued
from answering all the interview questions.
Question 5: How should the nurse respond?
A. Continue the interview and assessment, avoid further questions related to cigarette
smoking.
HESI Case Study: Respiratory Questions And
Correct Detailed Answers (Verified Answers)
Already Graded A+
Context: Mr. Winston Winchell is a 70-year-old Black man. He has a history of emphysema
and has been admitted to an inpatient medical unit with an acute respiratory infection. The
nurse prepares to complete the client's admission assessment after Mr. Winchell's transfer
from the emergency department (ED).
Question 1: To ensure the client's respiratory status is stable upon his arrival on the
medical unit, the nurse should complete which assessment first?
A. Breath sounds
B. Oxygen Saturation
C. Level of Fatigue
D. Chest Excursion
Correct Answer: B. Oxygen Saturation
Context: The initial assessment of Mr. Winchell continues. The nurse measure the client's
vital signs. Mr. Winchell's respiratory rate is 32 breaths per minute.
Question 2: What follow-up assessment data should the nurse obtain first?
A. Cigarette smoking history.
B. Use of accessory muscles
C. Cultural health beliefs
D. Color of sputum
Correct Answer: B. Use of accessory muscles
, 2
Context: The nurse applies oxygen at 2 liters per minute via nasal cannula and ensures that
the client is comfortable. His oxygen saturation is stable at 95%, and his respiratory rate
decreases to 24 breaths per minute. Mr. Winchell reports that he feels able to continue with
the admission interview and assessment. After answering a few questions, the client
begins to cough.
Question 3: What assessment should the nurse perform?
A. Assess for the presence of nail bed clubbing
B. Review oral fluid intake for the last 24 hours
C. Observe for dryness of the oral mucosa
D. Note the amount and appearance of any sputum
Correct Answer: D. Note the amount and appearance of any sputum
Context: Mr. Winchell's cough is non-productive. After Mr. Winchell stops coughing, the
nurse continues the interview.
Question 4: To assess the client's history related to dyspnea on exertion (DOE), what
question should the nurse ask Mr. Winchell?
A. "Do you become short of breath while lying flat?"
B. "What activities cause you to feel short of breath?"
C. "How frequently do you experience difficulty breathing?"
D "Are you having trouble catching your breath now?"
Correct Answer: B. "What activities cause you to feel short of breath?"
Context: The nurse asks Mr. Winchell about his history of cigarette smoking. Mr. Wichell
tells the nurse that he smoked two packs of cigarettes per day for more than 40 years, but
then he quit smoking 10 years ago. He then looks away and remarks that he is very fatigued
from answering all the interview questions.
Question 5: How should the nurse respond?
A. Continue the interview and assessment, avoid further questions related to cigarette
smoking.
