Med Surg Hesi Rn Latest Exam And Study Guide 2025/26, Questions And Correct Answers (Verified Answers) ||Complete A+ Guide

Med Surg Hesi Rn Latest Exam And Study Guide 2024/25,

Questions And Correct Answers (Verified Answers) ||Complete

A+ Guide




1. The nurse assesses a patient with shortness of breath for evidence of
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m long-standing hypoxemia by inspecting:
m m m




A. Chest excursion m




B. Spinal curvatures m




C. The respiratory pattern
m m




D. The fingernail and its base
m m m m




…Ans>> D. The fingernail and its base Clubbing, a sign of long-standing
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m hypoxemia, is evidenced by an increase in the angle between the base of the nail and
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the fingernail to 180 degrees or more, usually accompanied by an increase in the
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m depth, bulk, and sponginess of the end of the finger.
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2. 2. The nurse is caring for a patient with COPD and pneumonia who
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1 m/ m
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,m has an order for arterial blood gases to be drawn. Which of the following
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m is the minimum length of time the nurse should plan to hold pressure on
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m the puncture site?
m m




A. 2 minutes
m




B. 5 minutes
m




C. 10 minutes m




D. 15 minutes m




…Ans>> B. 5 minutes Following obtaining an arterial blood gas, the nurse should
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hold pressure on the puncture site for 5 minutes by the clock to be sure that bleeding
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m has stopped. An artery is an elastic vessel under higher pressure than veins, and
m m m m m m m m m m m m m




m significant blood loss or hematoma formation could occur if the time is insufficient.
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3. 3. The nurse notices clear nasal drainage in a patient newly admitted with
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m facial trauma, including a nasal fracture. The nurse should:
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A. test the drainage for the presence of glucose.
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B. suction the nose to maintain airway clearance.
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C. document the findings and continue monitoring. m m m m m




D. apply a drip pad and reassure the patient this is normal.
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…Ans>> A. test the drainage for the presence of glucose. Clear nasal drainage suggests
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leakage of cerebrospinal fluid (CSF). The drainage should be tested for the presence of
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glucose, which would indicate the presence of CSF.
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4. 4. When caring for a patient who is 3 hours postoperative laryngectomy, the
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2 m/ m
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,m nurse's highest priority assessment would be:
m m m m m




A. Airway patency m




B. Patient comfort m




C. Incisional drainage m




D. Blood pressure and heart rate
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…Ans>> A. Airway patency Remember ABCs with prioritization. Airway
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patency is always the highest priority and is essential for a patient undergoing
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m surgery surrounding the upper respiratory system.
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3 m/ m
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, 5. 5. When initially teaching a patient the supraglottic swallow following a
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m radical neck dissection, with which of the following foods should the nurse
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m begin?
A. Cola
B. Applesauce
C. French fries m




D. White grape juice m m




…Ans>> A. Cola When learning the supraglottic swallow, it may be helpful to start
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m with carbonated beverages because the effervescence provides clues about the
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m liquid's position. Thin, watery fluids should be avoided because they are difficult to
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m swallow and increase the risk of aspiration. Nonpourable pureed foods, such as
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m applesauce, would decrease the risk of aspiration, but carbonated beverages are the
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m better choice to start with.
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6. 6. The nurse is caring for a patient admitted to the hospital with pneumonia.
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m Upon assessment, the nurse notes a temperature of 101.4° F, a productive
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m cough with yellow sputum and a respiratory rate of 20. Which of the
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m following nursing diagnosis is most appropriate based upon this
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m assessment? A. Hy- perthermia related to infectious illness m m m m m m m




B. Ineffective thermoregulation related to chilling
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C. Ineffective breathing pattern related to pneumonia
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D. Ineffective airway clearance related to thick secretions
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…Ans>> A. Hyperthermia related to infectious illness Because the patient has
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4 m/ m
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