ADVANCED MED SURG HESI FINAL RN V2
EXAM SCRIPT 2026 FULL SOLUTIONS AND
CORRECT ANSWERS ALREADY PASSED
◉ 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.
◉ 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
◉ 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 colored secretions.
◉ 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.
◉ The most normal functioning method of speech restoration in the
patient with a total larynectomy is Answer: a voice presthesis
, ◉ A patients tracheostomy tube becomes dislodged with vigorous
coughing. The first action by the nurse is to? Answer: attempt to
replace the tube
◉ What will the nurse teach a patient with pneumonia? Answer:
Deep breathing and coughing
◉ Fine Crackles Answer: short-duration, discontinuous, high pitched
sounds heard just before the end of inspiration. In pneumonia or
heart failure.
◉ Coarse Crackles Answer: long duration, discontinuous, low
pitched sounds caused by air passing through airway intermittently
occluded by mucus, unstable bronchial wall, or fold of mucosa;
evident with inspiration. COPD, heart failure, and pneumonia.
◉ Absent breath sounds Answer: no sound evident over entire lung
or area of lung. Pleural effusion or lobectomy
◉ Peritonsillar abscess Answer: is a complication of acute
pharyngitis or acute tonsillitis when bacterial infection invades one
or both tonsils. The tonsil may enlarge sufficiently to threaten
airway patency. Also known as the hot potato voice. The patient
experience a high fever, leukocytosis, and chills.
EXAM SCRIPT 2026 FULL SOLUTIONS AND
CORRECT ANSWERS ALREADY PASSED
◉ 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.
◉ 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
◉ 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 colored secretions.
◉ 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.
◉ The most normal functioning method of speech restoration in the
patient with a total larynectomy is Answer: a voice presthesis
, ◉ A patients tracheostomy tube becomes dislodged with vigorous
coughing. The first action by the nurse is to? Answer: attempt to
replace the tube
◉ What will the nurse teach a patient with pneumonia? Answer:
Deep breathing and coughing
◉ Fine Crackles Answer: short-duration, discontinuous, high pitched
sounds heard just before the end of inspiration. In pneumonia or
heart failure.
◉ Coarse Crackles Answer: long duration, discontinuous, low
pitched sounds caused by air passing through airway intermittently
occluded by mucus, unstable bronchial wall, or fold of mucosa;
evident with inspiration. COPD, heart failure, and pneumonia.
◉ Absent breath sounds Answer: no sound evident over entire lung
or area of lung. Pleural effusion or lobectomy
◉ Peritonsillar abscess Answer: is a complication of acute
pharyngitis or acute tonsillitis when bacterial infection invades one
or both tonsils. The tonsil may enlarge sufficiently to threaten
airway patency. Also known as the hot potato voice. The patient
experience a high fever, leukocytosis, and chills.
