BSN 266 – MED-SURG I NIGHTINGALE HESI EXAM 2
|QUESTIONS AND ANSWERS|GRADED A+|2026
UPDATE|100% CORRECT
1. A patient with COPD is receiving oxygen. Which prescription is most appropriate?
A. 1–2 L/min via nasal cannula
B. 6–8 L/min via face mask
C. 10–12 L/min nonrebreather
D. Room air only
A
COPD patients are at risk for CO₂ retention; low-flow oxygen is safest.
2. A client with pneumonia has a respiratory rate of 32/min and cyanosis. Priority action:
A. Give antipyretic
B. Administer oxygen
C. Encourage fluids
D. Obtain sputum sample
B
Airway and breathing come first.
3. A patient with heart failure should be positioned:
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Prone
B
Improves lung expansion and decreases preload.
4. Crackles in heart failure are caused by:
A. Infection
B. Fluid in alveoli
C. Bronchospasm
, D. Mucus only
B
Pulmonary congestion.
5. A patient with pulmonary edema should receive:
A. IV fluids
B. Oxygen and diuretics
C. High sodium diet
D. Bed rest only
B
Remove excess fluid and improve oxygenation.
6. Chest pain radiating to left arm suggests:
A. GERD
B. Myocardial infarction
C. Pneumonia
D. Asthma
B
Classic ischemic pain.
7. First cardiac enzyme to rise in MI:
A. Troponin
B. CK-MB
C. Myoglobin
D. AST
C
Myoglobin rises earliest.
8. Priority medication in acute MI:
A. Antibiotics
B. Aspirin
C. Diuretics
D. Insulin
, B
Prevents platelet aggregation.
9. A patient with angina should take:
A. Antibiotic
B. Nitroglycerin
C. Insulin
D. Steroid
B
Relieves coronary vasospasm.
10. Nitroglycerin common side effect:
A. Hypertension
B. Headache
C. Bradycardia
D. Hyperglycemia
B
Vasodilation of cerebral vessels.
11. A patient with stroke has facial droop. Priority:
A. Oral fluids
B. Airway protection
C. Ambulation
D. Discharge
B
Risk of aspiration.
12. Ischemic stroke is treated with:
A. Heparin only
B. tPA (if eligible)
C. Aspirin only
D. Antibiotics
B
Dissolves clot.
|QUESTIONS AND ANSWERS|GRADED A+|2026
UPDATE|100% CORRECT
1. A patient with COPD is receiving oxygen. Which prescription is most appropriate?
A. 1–2 L/min via nasal cannula
B. 6–8 L/min via face mask
C. 10–12 L/min nonrebreather
D. Room air only
A
COPD patients are at risk for CO₂ retention; low-flow oxygen is safest.
2. A client with pneumonia has a respiratory rate of 32/min and cyanosis. Priority action:
A. Give antipyretic
B. Administer oxygen
C. Encourage fluids
D. Obtain sputum sample
B
Airway and breathing come first.
3. A patient with heart failure should be positioned:
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Prone
B
Improves lung expansion and decreases preload.
4. Crackles in heart failure are caused by:
A. Infection
B. Fluid in alveoli
C. Bronchospasm
, D. Mucus only
B
Pulmonary congestion.
5. A patient with pulmonary edema should receive:
A. IV fluids
B. Oxygen and diuretics
C. High sodium diet
D. Bed rest only
B
Remove excess fluid and improve oxygenation.
6. Chest pain radiating to left arm suggests:
A. GERD
B. Myocardial infarction
C. Pneumonia
D. Asthma
B
Classic ischemic pain.
7. First cardiac enzyme to rise in MI:
A. Troponin
B. CK-MB
C. Myoglobin
D. AST
C
Myoglobin rises earliest.
8. Priority medication in acute MI:
A. Antibiotics
B. Aspirin
C. Diuretics
D. Insulin
, B
Prevents platelet aggregation.
9. A patient with angina should take:
A. Antibiotic
B. Nitroglycerin
C. Insulin
D. Steroid
B
Relieves coronary vasospasm.
10. Nitroglycerin common side effect:
A. Hypertension
B. Headache
C. Bradycardia
D. Hyperglycemia
B
Vasodilation of cerebral vessels.
11. A patient with stroke has facial droop. Priority:
A. Oral fluids
B. Airway protection
C. Ambulation
D. Discharge
B
Risk of aspiration.
12. Ischemic stroke is treated with:
A. Heparin only
B. tPA (if eligible)
C. Aspirin only
D. Antibiotics
B
Dissolves clot.
