BSN 266 – MED-SURG I NIGHTINGALE HESI EXAM
4|QUESTION AND ANSWERS|GRADED A+|100%
CORRECT|2026 UPDATE
1. A COPD patient presents with SpO₂ 82% and cyanosis. Priority intervention:
A. Encourage fluids
B. Apply oxygen
C. Give sedative
D. Place supine
B
Hypoxemia is life-threatening; oxygen is the priority.
2. Oxygen therapy in COPD should be:
A. 10–15 L nonrebreather
B. 1–2 L nasal cannula
C. Room air
D. No oxygen ever
B
Low-flow oxygen prevents CO₂ retention.
3. A patient with asthma has audible wheezing. First-line treatment:
A. Bronchodilator
B. Diuretic
C. Insulin
D. Antibiotic
A
Bronchodilators relax airway smooth muscle.
4. Silent chest in asthma indicates:
A. Improvement
B. Severe airway obstruction
C. Mild asthma
D. Infection
, B
No air movement = life-threatening obstruction.
5. Pneumonia is most commonly characterized by:
A. Clear lungs
B. Crackles and fever
C. Bradycardia
D. Hypoglycemia
B
Fluid and infection in alveoli.
6. Tuberculosis is transmitted via:
A. Contact
B. Airborne droplets
C. Blood
D. Food
B
Airborne transmission.
7. TB treatment requires:
A. Single antibiotic
B. Multi-drug therapy
C. Steroids only
D. Surgery
B
Prevents resistance.
8. Pulmonary embolism presents with:
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. Early ambulation
C. High fat diet
D. Fluid restriction
B
Prevents venous stasis.
10. CHF left-sided failure causes:
A. Peripheral edema only
B. Pulmonary congestion
C. Liver failure
D. Kidney stones
B
Backflow into lungs.
11. Right-sided heart failure causes:
A. Pulmonary edema
B. Peripheral edema
C. MI
D. Stroke
B
Systemic venous congestion.
12. MI hallmark symptom:
A. Chest pain radiating to arm
B. Rash
C. Cough
D. Fever
A
Classic ischemic pain pattern.
4|QUESTION AND ANSWERS|GRADED A+|100%
CORRECT|2026 UPDATE
1. A COPD patient presents with SpO₂ 82% and cyanosis. Priority intervention:
A. Encourage fluids
B. Apply oxygen
C. Give sedative
D. Place supine
B
Hypoxemia is life-threatening; oxygen is the priority.
2. Oxygen therapy in COPD should be:
A. 10–15 L nonrebreather
B. 1–2 L nasal cannula
C. Room air
D. No oxygen ever
B
Low-flow oxygen prevents CO₂ retention.
3. A patient with asthma has audible wheezing. First-line treatment:
A. Bronchodilator
B. Diuretic
C. Insulin
D. Antibiotic
A
Bronchodilators relax airway smooth muscle.
4. Silent chest in asthma indicates:
A. Improvement
B. Severe airway obstruction
C. Mild asthma
D. Infection
, B
No air movement = life-threatening obstruction.
5. Pneumonia is most commonly characterized by:
A. Clear lungs
B. Crackles and fever
C. Bradycardia
D. Hypoglycemia
B
Fluid and infection in alveoli.
6. Tuberculosis is transmitted via:
A. Contact
B. Airborne droplets
C. Blood
D. Food
B
Airborne transmission.
7. TB treatment requires:
A. Single antibiotic
B. Multi-drug therapy
C. Steroids only
D. Surgery
B
Prevents resistance.
8. Pulmonary embolism presents with:
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. Early ambulation
C. High fat diet
D. Fluid restriction
B
Prevents venous stasis.
10. CHF left-sided failure causes:
A. Peripheral edema only
B. Pulmonary congestion
C. Liver failure
D. Kidney stones
B
Backflow into lungs.
11. Right-sided heart failure causes:
A. Pulmonary edema
B. Peripheral edema
C. MI
D. Stroke
B
Systemic venous congestion.
12. MI hallmark symptom:
A. Chest pain radiating to arm
B. Rash
C. Cough
D. Fever
A
Classic ischemic pain pattern.
