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HESI Medical-Surgical (HesiMedSurg) Practice Tests & Test Prep by Exam Edge - Review



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HESI Medical-Surgical - Reviews


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Based on 145 reviews

Jill


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See why our users from 154 countries love us for their exam prep! Including 145 reviews for the HESI Medical-Surgical exam.

Exam Edge is an industry leader in online test prep. We work with institutional partners to offer a wide array of practice tests that will help you prepare for your big exam. No matter how niche your field of interest might be, we're here to help you prepare for test day.

   Excellent -- Based on 145 reviews

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HESI Medical-Surgical - Test Reviews Sample Questions

You have a patient who has left-sided heart failure. This patient develops tachycardia and tachypnea, has a distended jugular vein, and has begun to cough up pink frothy sputum. You suspect which of the following conditions?





Correct Answer:
pulmonary edema
the correct answer to the question is pulmonary edema. let's expand on why this is the appropriate diagnosis given the symptoms described.

pulmonary edema refers to the accumulation of excess fluid in the alveoli (the air sacs) and the interstitial spaces of the lungs. this condition primarily stems from issues related to cardiac function, particularly conditions that affect the left side of the heart, such as left-sided heart failure. in left-sided heart failure, the heart's left ventricle loses its ability to pump blood effectively. this inefficiency leads to an increase in pressure in the left atrium and subsequently in the pulmonary veins and capillaries.

this increased pressure in the pulmonary circulation forces fluid out of the blood vessels and into the lung tissue and air sacs. when this fluid accumulates in the alveoli, it interferes with the normal gas exchange process, whereby oxygen enters the blood and carbon dioxide is removed. the presence of fluid in the alveoli manifests clinically as pulmonary edema.

the symptoms described in the question are classic indicators of pulmonary edema. tachycardia (increased heart rate) and tachypnea (rapid breathing) are compensatory responses by the body to maintain adequate oxygenation when the lungs' capacity to exchange gases is compromised. the distended jugular vein suggests an increased central venous pressure, commonly seen in heart conditions that affect the right side of the heart but can also be present in severe left-sided heart failure due to a backup of fluid.

one of the hallmark symptoms of pulmonary edema is the production of pink frothy sputum. this occurs as the fluid that has accumulated in the alveoli gets mixed with air and is expelled through coughing. the pink color is due to the presence of red blood cells that have leaked into the alveoli along with the fluid.

given these clinical manifestations—tachycardia, tachypnea, jugular vein distension, and pink frothy sputum in the context of known left-sided heart failure—pulmonary edema is the most likely diagnosis. this condition requires urgent medical attention to improve the heart's function and remove excess fluid from the lungs, often using medications that help strengthen heart contraction and diuretics to reduce fluid overload.