HESI RN Medical Surgical Exam I | Nurselytic

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HESI RN Medical Surgical Exam I Questions

Extract:

Nurse's Notes
History and Physical
Initial Assessment
Temperature: 98.9°F
Heart rate: 112 beats per minute
Respirations: 28 breaths per minute
Blood pressure: 130/86 mmHg
Oxygen saturation: 88%
Lung sounds reveal expiratory wheezes
Capillary refill time: 2 seconds
Exhibits
The nurse has completed a client history and initial assessment and is now planning on prioritizing care of the client.
Complete the following sentences by choosing from the list of corresponding options
Based on the history and assessment data, the nurse should prioritize AnxietyImpaired gas exchangeIneffective airway clearanceActivity intolerance as the priority problem for this client, as evidenced by the client's statement, "I was jogging when it started.""I used my rescue inhaler three times, but I couldn’t catch my breath.""My symptoms are worse when outdoors and when exercising.""I noticed my inhaler was expired and was worried the medication was not working."


Question 1 of 5

Based on the history and assessment data, the nurse should prioritize [dropdown] as the priority problem for this client, as evidenced by the client's statement, [dropdown].

Correct Answer: B

Rationale: Impaired gas exchange is prioritized due to low oxygen saturation and ineffective inhaler use.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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