BSN 266 – MED-SURG I NIGHTINGALE HESI EXAM
3|QUESTIONS AND ANSWERS|GRADED A+|2026
UPDATE|100% CORRECT
1. A patient with COPD is using accessory muscles and has SpO₂ 84%. Priority action:
A. Encourage coughing
B. Apply oxygen
C. Give sedative
D. Place supine
B
Hypoxemia is life-threatening; oxygen is priority.
2. A COPD patient should receive oxygen at:
A. 10 L nonrebreather
B. 1–2 L nasal cannula
C. Room air
D. 15 L mask always
B
Low-flow oxygen prevents CO₂ retention.
3. A patient with asthma wheezing is best treated with:
A. Beta-blocker
B. Bronchodilator
C. Diuretic
D. Insulin
B
Relaxes airway smooth muscle.
4. Severe asthma attack sign:
A. Loud wheezing
B. Silent chest
C. Bradycardia
D. Rash
, B
No air movement = severe obstruction.
5. Pneumonia most common finding:
A. Clear lungs
B. Crackles and fever
C. Bradycardia
D. Hypoglycemia
B
Infection and fluid in alveoli.
6. Tuberculosis transmission is:
A. Contact
B. Airborne
C. Blood
D. Food
B
Inhaled droplets.
7. First-line TB treatment includes:
A. One antibiotic
B. Multiple antibiotics
C. Steroids
D. Surgery
B
Prevents resistance.
8. Pulmonary embolism symptom:
A. Slow breathing
B. Sudden dyspnea and chest pain
C. Rash
D. Fever only
B
Blocked pulmonary circulation.
, 9. DVT prevention includes:
A. Bed rest
B. Ambulation
C. High fat diet
D. No fluids
B
Improves venous return.
10. Heart failure sign:
A. Weight gain and edema
B. Weight loss only
C. Rash
D. Cough only
A
Fluid overload.
11. Left-sided heart failure causes:
A. Peripheral edema only
B. Pulmonary congestion
C. Liver failure
D. Kidney stones
B
Backflow into lungs.
12. Right-sided heart failure causes:
A. Lung edema
B. Peripheral edema
C. Brain bleeding
D. MI
B
Systemic venous congestion.
3|QUESTIONS AND ANSWERS|GRADED A+|2026
UPDATE|100% CORRECT
1. A patient with COPD is using accessory muscles and has SpO₂ 84%. Priority action:
A. Encourage coughing
B. Apply oxygen
C. Give sedative
D. Place supine
B
Hypoxemia is life-threatening; oxygen is priority.
2. A COPD patient should receive oxygen at:
A. 10 L nonrebreather
B. 1–2 L nasal cannula
C. Room air
D. 15 L mask always
B
Low-flow oxygen prevents CO₂ retention.
3. A patient with asthma wheezing is best treated with:
A. Beta-blocker
B. Bronchodilator
C. Diuretic
D. Insulin
B
Relaxes airway smooth muscle.
4. Severe asthma attack sign:
A. Loud wheezing
B. Silent chest
C. Bradycardia
D. Rash
, B
No air movement = severe obstruction.
5. Pneumonia most common finding:
A. Clear lungs
B. Crackles and fever
C. Bradycardia
D. Hypoglycemia
B
Infection and fluid in alveoli.
6. Tuberculosis transmission is:
A. Contact
B. Airborne
C. Blood
D. Food
B
Inhaled droplets.
7. First-line TB treatment includes:
A. One antibiotic
B. Multiple antibiotics
C. Steroids
D. Surgery
B
Prevents resistance.
8. Pulmonary embolism symptom:
A. Slow breathing
B. Sudden dyspnea and chest pain
C. Rash
D. Fever only
B
Blocked pulmonary circulation.
, 9. DVT prevention includes:
A. Bed rest
B. Ambulation
C. High fat diet
D. No fluids
B
Improves venous return.
10. Heart failure sign:
A. Weight gain and edema
B. Weight loss only
C. Rash
D. Cough only
A
Fluid overload.
11. Left-sided heart failure causes:
A. Peripheral edema only
B. Pulmonary congestion
C. Liver failure
D. Kidney stones
B
Backflow into lungs.
12. Right-sided heart failure causes:
A. Lung edema
B. Peripheral edema
C. Brain bleeding
D. MI
B
Systemic venous congestion.
