HESI Med Surg Proctored Exam (34 Latest
Versions) / HESI Proctored Med Surg Exam /
HESI Medical Surgical Proctored Exam | Best
Document for HESI 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 - ANSWERS-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?
A. 2 minutes
B. 5 minutes
C. 10 minutes
D. 15 minutes - ANSWERS-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. - ANSWERS-A. 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 - ANSWERS-
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
B. Applesauce
C. French fries
D. White grape juice - ANSWERS-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.
Versions) / HESI Proctored Med Surg Exam /
HESI Medical Surgical Proctored Exam | Best
Document for HESI 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 - ANSWERS-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?
A. 2 minutes
B. 5 minutes
C. 10 minutes
D. 15 minutes - ANSWERS-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. - ANSWERS-A. 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 - ANSWERS-
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
B. Applesauce
C. French fries
D. White grape juice - ANSWERS-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.
