HESI RN
HESI RN Med Surg Exam Questions
Extract:
Question 1 of 5
While measuring vital signs, the nurse observes that a client is using accessory neck muscles during respirations. Which follow-up action should the nurse take first?
Correct Answer: C
Rationale: Accessory muscle use indicates increased respiratory effort, possibly due to hypoxemia. Measuring oxygen saturation is the priority to assess oxygenation status.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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