HESI/NCLEX REVIEW NEW 2022 PRACTICE QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTION
PPD 10 mm or more is considered as _____ - ANS IS positive
3 sputum cultures are negative - ANS IS - Pt is considered noninfectious at this point
- it is performed 2-4 weeks after TB therapy
TB private room description - ANS IS -at least 6 air exchange per hour
-venting to the outside
- have contravention lights installed
Tracheostamy wall suction maintained between _________ mm hg of pressure - ANS IS 120-180
(one question said 100-150)
80-100 for infants
100-120 for children
Tracheostomy care - ANS IS insert catheter until pt coughs or resistance is felt then withdraw 1
cm to move away from mucosa
-hyperoxygenate the client before and after suctioning
-use intermittent suction in the airway ( not constant) for 10-15 sec
Bell of the stetoscope - ANS IS should not be used in auscultating lung sounds
chronic airflow limitation (cal) - ANS IS -should alternate periods of activity with rest periods to
conserve energy
-sit when performing activities
-limit activities that involve arm movements
-avoid raising the arms above the head
,incentive spirometry - ANS IS dont breath through nose
Pleurisy - ANS IS splint the chest during coughing and deep breathing to prevent atelectasis
-lie on the affected side to minimize movement on the affected chest wall
silicosis - ANS IS avoid exposure to sands, quarzes, flints and many other stones.. also soaps,
polishes and filters may contant silica
CPT or chest physicay therapy - ANS IS assist in mobilizing secretions to enhance more effective
breathing
-will indirectly assist the pt with coughing
a client being weaned from a mechanical ventilator - ANS IS antianxiety medications and opioid
analgesics
western blot - ANS IS test to conform HIV
psychosocial needs - ANS IS helping the client deal with his or her own feelings
client with endotracheal tube - ANS IS cannot talk so use 'pictures or word board' to
communicate
peak flow meter for asthma - ANS IS record the final position of the indicator
wall sunction pressure :
Adults
children - ANS IS adults: 80-120
,children: 60-110
... - ANS IS always remove the oxygen just before the ABG levels are drawn
pulmonary embolism symptoms - ANS IS CHEST PAIN, dyspnea, tachypnea
others: tachycardia, diaphoresis, cough, hemopytosis,fever, andsyncope
WBC with a shift to the left - ANS IS proliferation of WBCs
complication of empysema - ANS IS carbon monoxide narcosis: s/s occipital headache,
drowsiness and inability to concentrate, bounding pulse, co2 of >75 mm hg, confusion, coma,
asterixis
flail chest - ANS IS multiple chest fractures
-apply firm but gentle pressure
inward in inspiration, outward in expiration
nasal polyp - ANS IS nasal obstruction
1 toxoplasmosis
2 cryptosporydiosis
3 malignant lymphoma
4 pneumocystis pneumonia - ANS IS 1 changes in mental status, neurological deficits,
headaches, fever
2 mild diarrhea to cholera-like syndrome with body wasting and electrolyte imbalances (15-20
L/day)
, 3 weight loss, fever and night sweats
4 fungal infection of the lung (usually seen with HIV) fever, dyspnea, tachypnea, persistent dry
cough, crackles
drainage system bubbling - ANS IS continous bubbling in the water seal chamber
X suction control chamber
spacer - ANS IS -reduces the incidence of yeast infections
-dispensed more deeply and uniformly than whan w/o it
-there is less need to coordinate the effort of inhalation with pressing on the canister of the
inhaler
-decrease either the no. or volume of puffs taken
-abnormal condution of the pulmonary system, overinfiltration and destructive changes in
alveolar wall
-dyspnea , late cough (after the onset of dyspnea), scant mucus production, weight loss - ANS IS
Emphysema
early onset of cough (before dyspnea), copious, purulent mucus production, minimal weight
loss, milder severity of dyspnea - ANS IS Chronic bronchitis
pneumonectomy - ANS IS -removal of the entire lung
temporary numbless and tendernes in the surgical sight
chest physiotherapy - ANS IS mobilizing secretions to make them easier to expectorate
SOLUTION
PPD 10 mm or more is considered as _____ - ANS IS positive
3 sputum cultures are negative - ANS IS - Pt is considered noninfectious at this point
- it is performed 2-4 weeks after TB therapy
TB private room description - ANS IS -at least 6 air exchange per hour
-venting to the outside
- have contravention lights installed
Tracheostamy wall suction maintained between _________ mm hg of pressure - ANS IS 120-180
(one question said 100-150)
80-100 for infants
100-120 for children
Tracheostomy care - ANS IS insert catheter until pt coughs or resistance is felt then withdraw 1
cm to move away from mucosa
-hyperoxygenate the client before and after suctioning
-use intermittent suction in the airway ( not constant) for 10-15 sec
Bell of the stetoscope - ANS IS should not be used in auscultating lung sounds
chronic airflow limitation (cal) - ANS IS -should alternate periods of activity with rest periods to
conserve energy
-sit when performing activities
-limit activities that involve arm movements
-avoid raising the arms above the head
,incentive spirometry - ANS IS dont breath through nose
Pleurisy - ANS IS splint the chest during coughing and deep breathing to prevent atelectasis
-lie on the affected side to minimize movement on the affected chest wall
silicosis - ANS IS avoid exposure to sands, quarzes, flints and many other stones.. also soaps,
polishes and filters may contant silica
CPT or chest physicay therapy - ANS IS assist in mobilizing secretions to enhance more effective
breathing
-will indirectly assist the pt with coughing
a client being weaned from a mechanical ventilator - ANS IS antianxiety medications and opioid
analgesics
western blot - ANS IS test to conform HIV
psychosocial needs - ANS IS helping the client deal with his or her own feelings
client with endotracheal tube - ANS IS cannot talk so use 'pictures or word board' to
communicate
peak flow meter for asthma - ANS IS record the final position of the indicator
wall sunction pressure :
Adults
children - ANS IS adults: 80-120
,children: 60-110
... - ANS IS always remove the oxygen just before the ABG levels are drawn
pulmonary embolism symptoms - ANS IS CHEST PAIN, dyspnea, tachypnea
others: tachycardia, diaphoresis, cough, hemopytosis,fever, andsyncope
WBC with a shift to the left - ANS IS proliferation of WBCs
complication of empysema - ANS IS carbon monoxide narcosis: s/s occipital headache,
drowsiness and inability to concentrate, bounding pulse, co2 of >75 mm hg, confusion, coma,
asterixis
flail chest - ANS IS multiple chest fractures
-apply firm but gentle pressure
inward in inspiration, outward in expiration
nasal polyp - ANS IS nasal obstruction
1 toxoplasmosis
2 cryptosporydiosis
3 malignant lymphoma
4 pneumocystis pneumonia - ANS IS 1 changes in mental status, neurological deficits,
headaches, fever
2 mild diarrhea to cholera-like syndrome with body wasting and electrolyte imbalances (15-20
L/day)
, 3 weight loss, fever and night sweats
4 fungal infection of the lung (usually seen with HIV) fever, dyspnea, tachypnea, persistent dry
cough, crackles
drainage system bubbling - ANS IS continous bubbling in the water seal chamber
X suction control chamber
spacer - ANS IS -reduces the incidence of yeast infections
-dispensed more deeply and uniformly than whan w/o it
-there is less need to coordinate the effort of inhalation with pressing on the canister of the
inhaler
-decrease either the no. or volume of puffs taken
-abnormal condution of the pulmonary system, overinfiltration and destructive changes in
alveolar wall
-dyspnea , late cough (after the onset of dyspnea), scant mucus production, weight loss - ANS IS
Emphysema
early onset of cough (before dyspnea), copious, purulent mucus production, minimal weight
loss, milder severity of dyspnea - ANS IS Chronic bronchitis
pneumonectomy - ANS IS -removal of the entire lung
temporary numbless and tendernes in the surgical sight
chest physiotherapy - ANS IS mobilizing secretions to make them easier to expectorate
