NUR 201/ NUR201 HESI – Medical-Surgical Nursing I Review V1| Fortis (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A

NUR 201/ NUR201 HESI – Medical-Surgical Nursing I Review V1| Fortis (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A QUESTION Point of maximal impulse (PMI) Location on the chest wall where the heartbeat can be felt most strongly during palpation. It reflects the apical impulse of the heart. QUESTION Where is the PMI located? Answer: Fifth intercostal space at the midclavicular line QUESTION How will you position a patient when assessing their PMI? Answer: Have PT turn onto left & lean forward, so it moves the heart apex closer to the chest wall. QUESTION Fainting or a temporary loss of consciousness. Answer: Syncope; PT may feel dizzy or lightheaded just before passing out. QUESTION What typically causes syncope? Answer: Low blood flow to the brain. QUESTION When caring for a PT with syncope, it is especially important to monitor which two vitals? Answer: BP and orthostatic vital signs. QUESTION How do you check orthostatic vital signs? Answer: 1) Measure BP and HR lying down after 5 minutes rest. 2) Measure BP and HR sitting or standing within 1-3 minutes of position change. Significant change: Drop in SBP ≥20 mmHg Drop in DBP ≥10 mmHg HR increase ≥20 bpm QUESTION When should orthostatic vital signs be checked? Answer: You suspect volume depletion. The patient has known hypertension. The patient reports fainting or syncope. QUESTION What does cyanosis indicate? Answer: Hypoxia (low O2 in the blood) QUESTION When can cyanosis occur? Answer: With shock, cardiac arrest, heart failure, and respiratory conditions. QUESTION Why is cyanosis high priority? Answer: Because it is always a late sign of hypoxemia and indicates severe oxygen deprivation. QUESTION Where should cyanosis be assessed in a light skinned PT? Answer: Lips Tongue Nail beds Earlobes QUESTION Where should cyanosis be assessed in a dark skinned PT? Answer: Oral mucosa Tongue Nail beds QUESTION What are lymph nodes? Answer: Small, oval clumps of lymphatic tissue along vessels that filter lymph fluid and remove harmful organisms before returning it to the bloodstream. QUESTION How do lymph nodes appear with acute infections? Answer: Bilateral enlargement Warm, tender, firm Freely movable QUESTION How do lymph nodes appear with cancer (lymphoma)? Answer: Hard Unilateral Non-tender, painless Fixed (not movable) QUESTION What skin changes may occur with frequent hair dye or aging? Answer: Skin may become smooth, shiny, dry, thin, and pale (pallor).