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EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM
WITH REAL EXAM QUESTIONS AND CORRECT
ANSWERS WITH WELL-ELABORATED RATIONALES/
EVOLVE HESI MEDICAL SURGICAL LATEST EXAM
2024 (latest) ACE YOUR EXAM
The nurse assesses a patient with shortness of breath for evidence of
long-standing hypoxemia by inspecting:
A. Chest excursion
B. Spinal curvatures
C. The respiratory pattern
D. The fingernail and its base
- Correct Answer-D.
The fingernail and its base Clubbing, a sign of long-standing hypoxemia, is
evidenced by an increase in the angle between the base of the nail and the
fingernail to 180 degrees or more, usually accompanied by an increase in
the depth, bulk, and sponginess of the end of the finger.
2. The nurse is caring for a patient with COPD and pneumonia who has an
order for arterial blood gases to be drawn. Which of the following is the
minimum length of time the nurse should plan to hold pressure on the
puncture site?
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A. 2 minutes
B. 5 minutes
C. 10 minutes
D. 15 minutes
- Correct Answer-B.
5 minutes Following obtaining an arterial blood gas, the nurse should hold
pressure on the puncture site for 5 minutes by the clock to be sure that
bleeding has stopped. An artery is an elastic vessel under higher
pressure than veins, and significant blood loss or hematoma formation
could occur if the time is insufficient.
3. The nurse notices clear nasal drainage in a patient newly admitted with
facial trauma, including a nasal fracture. The nurse should:
A. test the drainage for the presence of glucose.
B. suction the nose to maintain airway clearance.
C. document the findings and continue monitoring.
D. apply a drip pad and reassure the patient this is normal.
- Correct Answer-A.
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test the drainage for the presence of glucose. Clear nasal drainage
suggests leakage of cerebrospinal fluid (CSF). The drainage should be
tested for the presence of glucose, which would indicate the presence of
CSF.
4. When caring for a patient who is 3 hours postoperative laryngectomy,
the nurse's highest priority assessment would be:
A. Airway patency
B. Patient comfort
C. Incisional drainage
D. Blood pressure and heart rate
- Correct Answer-A
. Airway patency Remember ABCs with prioritization. Airway patency is
always the highest priority and is essential for a patient undergoing
surgery surrounding the upper respiratory system.
5. When initially teaching a patient the supraglottic swallow following a
radical neck dissection, with which of the following foods should the nurse
begin?
A. Cola
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B. Applesauce
C. French fries
D. White grape juice
- Correct Answer-A.
ColaWhen learning the supraglottic swallow, it may be helpful to start with
carbonated beverages because the effervescence provides clues about
the liquid's position. Thin, watery fluids should be avoided because they
are difficult to swallow and increase the risk of aspiration. Nonpourable
pureed foods, such as applesauce, would decrease the risk of aspiration,
but carbonated beverages are the better choice to start with.
6. The nurse is caring for a patient admitted to the hospital with
pneumonia. Upon assessment, the nurse notes a temperature of 101.4° F, a
productive cough with yellow sputum and a respiratory rate of 20. Which
of the following nursing diagnosis is most appropriate based upon this
assessment? A. Hyperthermia related to infectious illness
B. Ineffective thermoregulation related to chilling
C. Ineffective breathing pattern related to pneumonia
D. Ineffective airway clearance related to thick secretions
- Correct Answer-A.
EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM
WITH REAL EXAM QUESTIONS AND CORRECT
ANSWERS WITH WELL-ELABORATED RATIONALES/
EVOLVE HESI MEDICAL SURGICAL LATEST EXAM
2024 (latest) ACE YOUR EXAM
The nurse assesses a patient with shortness of breath for evidence of
long-standing hypoxemia by inspecting:
A. Chest excursion
B. Spinal curvatures
C. The respiratory pattern
D. The fingernail and its base
- Correct Answer-D.
The fingernail and its base Clubbing, a sign of long-standing hypoxemia, is
evidenced by an increase in the angle between the base of the nail and the
fingernail to 180 degrees or more, usually accompanied by an increase in
the depth, bulk, and sponginess of the end of the finger.
2. The nurse is caring for a patient with COPD and pneumonia who has an
order for arterial blood gases to be drawn. Which of the following is the
minimum length of time the nurse should plan to hold pressure on the
puncture site?
,2|Page
A. 2 minutes
B. 5 minutes
C. 10 minutes
D. 15 minutes
- Correct Answer-B.
5 minutes Following obtaining an arterial blood gas, the nurse should hold
pressure on the puncture site for 5 minutes by the clock to be sure that
bleeding has stopped. An artery is an elastic vessel under higher
pressure than veins, and significant blood loss or hematoma formation
could occur if the time is insufficient.
3. The nurse notices clear nasal drainage in a patient newly admitted with
facial trauma, including a nasal fracture. The nurse should:
A. test the drainage for the presence of glucose.
B. suction the nose to maintain airway clearance.
C. document the findings and continue monitoring.
D. apply a drip pad and reassure the patient this is normal.
- Correct Answer-A.
,3|Page
test the drainage for the presence of glucose. Clear nasal drainage
suggests leakage of cerebrospinal fluid (CSF). The drainage should be
tested for the presence of glucose, which would indicate the presence of
CSF.
4. When caring for a patient who is 3 hours postoperative laryngectomy,
the nurse's highest priority assessment would be:
A. Airway patency
B. Patient comfort
C. Incisional drainage
D. Blood pressure and heart rate
- Correct Answer-A
. Airway patency Remember ABCs with prioritization. Airway patency is
always the highest priority and is essential for a patient undergoing
surgery surrounding the upper respiratory system.
5. When initially teaching a patient the supraglottic swallow following a
radical neck dissection, with which of the following foods should the nurse
begin?
A. Cola
, 4|Page
B. Applesauce
C. French fries
D. White grape juice
- Correct Answer-A.
ColaWhen learning the supraglottic swallow, it may be helpful to start with
carbonated beverages because the effervescence provides clues about
the liquid's position. Thin, watery fluids should be avoided because they
are difficult to swallow and increase the risk of aspiration. Nonpourable
pureed foods, such as applesauce, would decrease the risk of aspiration,
but carbonated beverages are the better choice to start with.
6. The nurse is caring for a patient admitted to the hospital with
pneumonia. Upon assessment, the nurse notes a temperature of 101.4° F, a
productive cough with yellow sputum and a respiratory rate of 20. Which
of the following nursing diagnosis is most appropriate based upon this
assessment? A. Hyperthermia related to infectious illness
B. Ineffective thermoregulation related to chilling
C. Ineffective breathing pattern related to pneumonia
D. Ineffective airway clearance related to thick secretions
- Correct Answer-A.
