MED SURG RN HESI EXIT EXAM 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.