EVOLVE ELSEVIER HESI MED SURG ACTUAL
EXAM WITH 150 REAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH WELL-ELABORATED
RATIONALES/ EVOLVE HESI MEDICAL SURGICAL
LATEST EXAM 2024 (BRAND NEW!!)
A patient with chronic obstructive pulmonary disease (COPD) reports having off-and-on
symptoms of dyspnea, coughing, and sputum production. The patient's FEV1/FVC is
65% of predicted value and the FEV1 is 55% of predicted value. Which level of COPD
severity does this patient have? - ANSWER moderate
Which signs/symptoms are indicators of an asthma attack? Select all that apply.
Audible wheeze, especially on exhalation
Muscle retraction between the ribs
Decreased forced expiratory volume in the first second (FEV1) on flowmeter
Eosinophils in the sputum
Increased, then decreased arterial carbon dioxide (PaCO2) level - ANSWER Audible
wheeze, especially on exhalation
Muscle retraction between the ribs
Decreased forced expiratory volume in the first second (FEV1) on flowmeter
Eosinophils in the sputum
Which disorders are lung diseases that cause chronic airflow limitation? Select all that
apply.
Upper lobe lung cancer
Subcutaneous emphysema
Chronic bronchitis
Inflammatory bronchospasm
Intermittent asthma - ANSWER Chronic bronchitis
Intermittent asthma
, Which statements are correct regarding the drug management of asthma? Select all
that apply.
1
Long-acting beta agonists are indicated to relieve acute attack symptoms.
Control therapy medications are used to prevent asthma attacks from occurring.
Control therapy medications are used to reduce airway responsiveness.
Reliever medications are used to stop an asthma attack once it has started.
Anti-inflammatory medications are used to cause bronchodilation - ANSWER Control
therapy medications are used to prevent asthma attacks from occurring.
Control therapy medications are used to reduce airway responsiveness.
Reliever medications are used to stop an asthma attack once it has started.
The nurse has been teaching improved airflow techniques to the patient, who has
continued to have restrictive breathing problems. Which is the best indicator of
success?
Peak flowmeter readings that are yellow after the third
reading
Productive cough
Spo2 level of 92% after ambulating 50 feet
Stable arterial blood gases (ABGs - ANSWER Spo2 level of 92% after ambulating 50
feet
What are the two major categories of asthma medications? - ANSWER Control and
reliever
The patient is a marathon runner who has asthma. Which category of medication is
used as a rescue inhaler? - ANSWER Short-acting beta agonists
The nurse is assisting a patient who has severe emphysema with meal and snack
choices for the next day. Which selection is appropriate for this patient? - ANSWER Ice
cream with fudge topping
Which assessment finding is associated with obstructive lung disease and not with
interstitial lung disease? - ANSWER Barrel chest
EXAM WITH 150 REAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH WELL-ELABORATED
RATIONALES/ EVOLVE HESI MEDICAL SURGICAL
LATEST EXAM 2024 (BRAND NEW!!)
A patient with chronic obstructive pulmonary disease (COPD) reports having off-and-on
symptoms of dyspnea, coughing, and sputum production. The patient's FEV1/FVC is
65% of predicted value and the FEV1 is 55% of predicted value. Which level of COPD
severity does this patient have? - ANSWER moderate
Which signs/symptoms are indicators of an asthma attack? Select all that apply.
Audible wheeze, especially on exhalation
Muscle retraction between the ribs
Decreased forced expiratory volume in the first second (FEV1) on flowmeter
Eosinophils in the sputum
Increased, then decreased arterial carbon dioxide (PaCO2) level - ANSWER Audible
wheeze, especially on exhalation
Muscle retraction between the ribs
Decreased forced expiratory volume in the first second (FEV1) on flowmeter
Eosinophils in the sputum
Which disorders are lung diseases that cause chronic airflow limitation? Select all that
apply.
Upper lobe lung cancer
Subcutaneous emphysema
Chronic bronchitis
Inflammatory bronchospasm
Intermittent asthma - ANSWER Chronic bronchitis
Intermittent asthma
, Which statements are correct regarding the drug management of asthma? Select all
that apply.
1
Long-acting beta agonists are indicated to relieve acute attack symptoms.
Control therapy medications are used to prevent asthma attacks from occurring.
Control therapy medications are used to reduce airway responsiveness.
Reliever medications are used to stop an asthma attack once it has started.
Anti-inflammatory medications are used to cause bronchodilation - ANSWER Control
therapy medications are used to prevent asthma attacks from occurring.
Control therapy medications are used to reduce airway responsiveness.
Reliever medications are used to stop an asthma attack once it has started.
The nurse has been teaching improved airflow techniques to the patient, who has
continued to have restrictive breathing problems. Which is the best indicator of
success?
Peak flowmeter readings that are yellow after the third
reading
Productive cough
Spo2 level of 92% after ambulating 50 feet
Stable arterial blood gases (ABGs - ANSWER Spo2 level of 92% after ambulating 50
feet
What are the two major categories of asthma medications? - ANSWER Control and
reliever
The patient is a marathon runner who has asthma. Which category of medication is
used as a rescue inhaler? - ANSWER Short-acting beta agonists
The nurse is assisting a patient who has severe emphysema with meal and snack
choices for the next day. Which selection is appropriate for this patient? - ANSWER Ice
cream with fudge topping
Which assessment finding is associated with obstructive lung disease and not with
interstitial lung disease? - ANSWER Barrel chest
