HESI PN FUNDAMENTALS PRACTICE EXAM QUESTIONS AND CORRECT DETAILED ANSWERS ALREADY GRADED A+ 100%

HESI PN FUNDAMENTALS PRACTICE EXAM QUESTIONS AND CORRECT DETAILED ANSWERS ALREADY GRADED A+ 100%
The nurse is assessing a client with dark skin who is in
Respiratory Distress. Which client response should the nurse
evaluate to determine cyanosis in this particular client?
A. Cyanosis in a client with dark skin is seen in the sclera
B. Abnormal skin color changes in a client with dark skin cannot
be determined
C. The lips and mucus membranes of a client with dark skin are
dusky in color
D. Blanching the soles of the feet in a client with dark skin reveals
cyanosis - ANSWER>>>C. The lips and mucus membranes of a
client with dark skin are dusky in color
Causes of cyanosis include hypoxemia and decreased cardiac
output, which provides clues to respiratory status with changes in
skin color and mucous membranes. Cyanosis, a late sign of
hypoxemia, is best observed in tissue that has superficial capillary
supply, such as mucous membranes, the conjunctiva, lips, palms,
and under the tongue, which is readily visible in dark skin
Which technique should the PN use to most accurately assess a
client's baseline BP during a routine health exam?
A. Measure the pressure in each arm while the client sits with
both arms supported at heart level
B. Calculate avg BP using readings obtained in both arms
C. Obtain BP first with client lying supine and then when standing
D. Take additional measurements for readings with a 10 mm Hg
difference - ANSWER>>>A. Measure the pressure in each arm
while the client sits with both arms supported at heart level

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