ADVANCED MED SURG HESI FINAL RN V2
EXAMINATION TEST 2026 COMPLETE
QUESTIONS AND SOLUTIONS GRADED A+
◉ Metabolic Acidosis Respirations. Answer: Kussmaul respirations
◉ Wheezing. Answer: are short high pitched sounds made on
expiratory
◉ Abnormal Breathe sounds Answer: used to describe bronchial or
bronchovesicular sounds heard in the peripheral lung fields.
◉ Adventitous sounds Answer: are extra breath sounds that are
abnormal.
◉ The presence of bronchovesicular breath sounds in the peripheral
lung fields is described as? Answer: abnormal lung sounds
◉ To prepare the patient for a thoracentesis, the nurse positions the
patient Answer: sitting upright with the elbows on an over-the-bed
table.
,◉ Bronchoscopy Answer: After procedure keep the patient NPO
until gag reflux returns.
◉ Hypoxemia Answer: PaO2 is at 55% and SpO2 is 88
◉ What test do you use to verify pulmonary embolus? Answer: CT
scan
◉ 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
EXAMINATION TEST 2026 COMPLETE
QUESTIONS AND SOLUTIONS GRADED A+
◉ Metabolic Acidosis Respirations. Answer: Kussmaul respirations
◉ Wheezing. Answer: are short high pitched sounds made on
expiratory
◉ Abnormal Breathe sounds Answer: used to describe bronchial or
bronchovesicular sounds heard in the peripheral lung fields.
◉ Adventitous sounds Answer: are extra breath sounds that are
abnormal.
◉ The presence of bronchovesicular breath sounds in the peripheral
lung fields is described as? Answer: abnormal lung sounds
◉ To prepare the patient for a thoracentesis, the nurse positions the
patient Answer: sitting upright with the elbows on an over-the-bed
table.
,◉ Bronchoscopy Answer: After procedure keep the patient NPO
until gag reflux returns.
◉ Hypoxemia Answer: PaO2 is at 55% and SpO2 is 88
◉ What test do you use to verify pulmonary embolus? Answer: CT
scan
◉ 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
