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EVOLVE ELSEVIER HESI MED SURG EXIT EXAM
VERSION 4 / MED SURG HESI EVOLVE ELSEVIER
NEWEST 2025/2026 COMPLETE QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
A patient has been receiving oxygen per nasal cannula while hospitalized for chronic obstructive pulmonary disease (COPD). The patient asks the nurse whether oxygen use will be needed at home.What is the mostappropriate response by the nurse?"Long-term home oxygen therapy should be used to prevent respiratory failure." "Oxygen will not be needed until or unless you are in the terminal stages of this disease." "Long-term home oxygen therapy should be used to prevent heart problems related to COPD." "You will not need oxygen until your oxygen saturation drops to 88% and you have symptoms of hypoxia." - ANSWER-"You will not need oxygen until your oxygen saturation drops to 88% and you have symptoms of hypoxia."
Before discharge, the nurse discusses activity levels with a 61-yr-old patient with chronic obstructive pulmonary disease (COPD) and 1 / 4
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pneumonia. Which exercise goal is most appropriate once the patient is fully recovered from this episode of illness?Slightly increase activity over the current level.Swim for 10 min/day, gradually increasing to 30 min/day.Limit exercise to activities of daily living to conserve energy.Walk for 20 min/day, keeping the pulse rate less than 130 beats/min. - ANSWER-Walk for 20 min/day, keeping the pulse rate less than 130 beats/min.
The nurse evaluates that a patient is experiencing the expected beneficial effects of ipratropium after noting which assessment finding?Decreased respiratory rate Increased respiratory rate Increased peak flow readings Decreased sputum production - ANSWER-Increased peak flow readings
The nurse is teaching a patient how to self-administer ipratropium via a metered-dose inhaler (MDI). Which instruction given by the nurse is most appropriate to help the patient learn the proper inhalation technique?"Avoid shaking the inhaler before use." "Breathe out slowly before positioning the inhaler." "Using a spacer should be avoided for this type of medication." 2 / 4
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"After taking a puff, hold the breath for 30 seconds before exhaling." - ANSWER-"Breathe out slowly before positioning the inhaler."
Which statement made by the patient with chronic obstructive pulmonary disease (COPD) indicates a need for further teaching regarding the use of an ipratropium inhaler?"I can rinse my mouth following the two puffs to get rid of the bad taste." "I should wait at least 1 to 2 minutes between each puff of the inhaler." "Because this medication is not fast acting, I cannot use it in an emergency if my breathing gets worse." "If my breathing gets worse, I should keep taking extra puffs of the inhaler until I can breathe more easily." - ANSWER-"If my breathing gets worse, I should keep taking extra puffs of the inhaler until I can breathe more easily."
When teaching the patient with chronic obstructive pulmonary disease (COPD) about smoking cessation, what information should be included related to the effects of smoking on the lungs and the increased incidence of pulmonary infections?Smoking causes a hoarse voice.Cough will become nonproductive.Decreased alveolar macrophage function 3 / 4
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Sense of smell is decreased with smoking. - ANSWER-Decreased alveolar macrophage function
When teaching the patient with cystic fibrosis about the diet and medications, what is the priority information to be included in the discussion?Fat soluble vitamins and dietary salt should be avoided.Insulin may be needed with a diabetic diet if diabetes mellitus develops.Pancreatic enzymes and adequate fat, calories, protein, and vitamins are needed.Distal intestinal obstruction syndrome (DIOS) can be treated with increased water. - ANSWER-Pancreatic enzymes and adequate fat, calories, protein, and vitamins are needed.
When teaching the patient with bronchiectasis about manifestations to report to the health care provider, which manifestation should be included?Increasing dyspnea Temperature below 98.6°F Decreased sputum production Unable to drink 3 L of low-sodium fluids - ANSWER-Increasing dyspnea
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