NIGHTINGALE BSN 346 MED-SURG II HESI EXAM
3|QUESTIONS AND ANSWERS|GRADED A+|2026
UPDATE|100% CORRECT
1. A client with COPD is becoming drowsy and confused. What is the priority action?
A. Increase oxygen to 6 L
B. Check oxygen saturation and ABGs
C. Encourage coughing
D. Give sedative
Answer: B
Rationale: Confusion and drowsiness may indicate CO2 retention or hypoxia requiring
assessment first.
2. SATA: Signs of hypoxia include:
A. Restlessness
B. Bradycardia
C. Cyanosis
D. Confusion
E. Hypertension
Answer: A, C, D
Rationale: Early hypoxia causes restlessness; late signs include cyanosis and confusion.
3. A post-op patient suddenly has chest pain and dyspnea. First action?
A. Administer oxygen
B. Call provider
C. Obtain ECG
D. Give pain meds
Answer: A
Rationale: Airway and oxygenation are priority in suspected PE.
4. Which lab indicates renal failure?
,A. Creatinine 0.9
B. BUN 12
C. Creatinine 4.0
D. Sodium 140
Answer: C
Rationale: Elevated creatinine indicates impaired kidney function.
5. SATA: Fluid overload findings:
A. Crackles
B. Edema
C. JVD
D. Dry mucosa
E. Weight gain
Answer: A, B, C, E
Rationale: Fluid retention increases vascular and pulmonary congestion.
6. Priority in DKA?
A. Insulin
B. Fluids
C. Potassium replacement
D. Antibiotics
Answer: B
Rationale: Fluid resuscitation is first to correct dehydration.
7. ECG sign of hyperkalemia?
A. U waves
B. Peaked T waves
C. ST depression
D. Flat T waves
Answer: B
Rationale: Peaked T waves are classic hyperkalemia sign.
8. COPD patient best position?
, A. Supine
B. High Fowler’s
C. Trendelenburg
D. Prone
Answer: B
Rationale: Upright position improves lung expansion.
9. SATA: Stroke symptoms include:
A. Facial droop
B. Arm weakness
C. Slurred speech
D. Chronic headache
E. Sudden vision loss
Answer: A, B, C, E
Rationale: FAST symptoms indicate acute stroke.
10. First-line for anaphylaxis?
A. Diphenhydramine
B. Epinephrine IM
C. Albuterol
D. Steroids
Answer: B
Rationale: Epinephrine reverses airway swelling and shock.
11. Normal urine output?
A. 10 mL/hr
B. 20 mL/hr
C. 30 mL/hr
D. 60 mL/hr
Answer: C
Rationale: Minimum adequate urine output is 30 mL/hr.
12. SATA: Hypoglycemia signs:
3|QUESTIONS AND ANSWERS|GRADED A+|2026
UPDATE|100% CORRECT
1. A client with COPD is becoming drowsy and confused. What is the priority action?
A. Increase oxygen to 6 L
B. Check oxygen saturation and ABGs
C. Encourage coughing
D. Give sedative
Answer: B
Rationale: Confusion and drowsiness may indicate CO2 retention or hypoxia requiring
assessment first.
2. SATA: Signs of hypoxia include:
A. Restlessness
B. Bradycardia
C. Cyanosis
D. Confusion
E. Hypertension
Answer: A, C, D
Rationale: Early hypoxia causes restlessness; late signs include cyanosis and confusion.
3. A post-op patient suddenly has chest pain and dyspnea. First action?
A. Administer oxygen
B. Call provider
C. Obtain ECG
D. Give pain meds
Answer: A
Rationale: Airway and oxygenation are priority in suspected PE.
4. Which lab indicates renal failure?
,A. Creatinine 0.9
B. BUN 12
C. Creatinine 4.0
D. Sodium 140
Answer: C
Rationale: Elevated creatinine indicates impaired kidney function.
5. SATA: Fluid overload findings:
A. Crackles
B. Edema
C. JVD
D. Dry mucosa
E. Weight gain
Answer: A, B, C, E
Rationale: Fluid retention increases vascular and pulmonary congestion.
6. Priority in DKA?
A. Insulin
B. Fluids
C. Potassium replacement
D. Antibiotics
Answer: B
Rationale: Fluid resuscitation is first to correct dehydration.
7. ECG sign of hyperkalemia?
A. U waves
B. Peaked T waves
C. ST depression
D. Flat T waves
Answer: B
Rationale: Peaked T waves are classic hyperkalemia sign.
8. COPD patient best position?
, A. Supine
B. High Fowler’s
C. Trendelenburg
D. Prone
Answer: B
Rationale: Upright position improves lung expansion.
9. SATA: Stroke symptoms include:
A. Facial droop
B. Arm weakness
C. Slurred speech
D. Chronic headache
E. Sudden vision loss
Answer: A, B, C, E
Rationale: FAST symptoms indicate acute stroke.
10. First-line for anaphylaxis?
A. Diphenhydramine
B. Epinephrine IM
C. Albuterol
D. Steroids
Answer: B
Rationale: Epinephrine reverses airway swelling and shock.
11. Normal urine output?
A. 10 mL/hr
B. 20 mL/hr
C. 30 mL/hr
D. 60 mL/hr
Answer: C
Rationale: Minimum adequate urine output is 30 mL/hr.
12. SATA: Hypoglycemia signs:
