Exam Coverage
Exam coverage for HESI RN Med-Surg Version A & Version B includes
comprehensive medical-surgical nursing concepts for adult patients
across major body systems. It focuses on assessment,
pathophysiology, pharmacology, nursing interventions, and
management of common acute and chronic conditions affecting
cardiovascular, respiratory, neurological, endocrine, renal, and
gastrointestinal systems. The exam also evaluates understanding of
patient safety, priority setting, complication prevention, fluid and
electrolyte balance, oxygenation, infection control, and perioperative
care. Emphasis is placed on clinical judgment, evidence-based
,practice, critical thinking, and applying the nursing process to provide
safe and effective medical-surgical patient care
,A 55-year-old male client has been admitted to the hospital with a
medical diagnosis of chronic obstructive pulmonary disease (COPD).
Which risk factor is the most significant in the development of this
client's COPD?
A.
The client's father was diagnosed with COPD in his 50s.
B.
A close family member contracted tuberculosis last year.
C.
The client smokes one to two packs of cigarettes per day.
D.
The client has been 40 pounds overweight for 15 years.
C
Rationale:Smoking, considered to be a modifiable risk factor, is the
, most significant risk factor for the development of COPD. The exact
mechanism of genetic and hereditary implications for the
development of COPD is still under investigation, although exposure
to similar predisposing factors (e.g., smoking or inhaling secondhand
smoke) may increase the likelihood of COPD incidence among family
members. Options B and D do not exceed the risks associated with
cigarette smoking in the development of COPD.