MED SURG RN HESI EXIT EXAM 2024 VERSION 1 AND 2 /HESI RN MED SURG EXIT EXAM VERSION 1 AND 2 COMPLETE ALL 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

MED SURG RN HESI EXIT EXAM 2024 VERSION 1
AND 2 /HESI RN MED SURG EXIT EXAM VERSION
1 AND 2 COMPLETE ALL 55 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
1. 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 - ...ANSWER...D.
RATIONALE: 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 - ...ANSWER...B.
RATIONALE: 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. - ...ANSWER...A.
RATIONALE: 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 - ...ANSWER...A.
RATIONALE: 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 - ...ANSWER...A.
RATIONALE: 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.