HESI RN
HESI Med Surg Hematological system Questions
Question 1 of 5
Which instruction would the nurse include in the teaching plan for a patient newly diagnosed with microcytic hypochromic anemia?
Correct Answer: C
Rationale: Taking iron with orange juice 1 hour before meals enhances absorption due to vitamin C, optimal for treating microcytic hypochromic anemia.
Question 2 of 5
Which information would the nurse include when discussing pain due to chronic stable angina with the patient?
Correct Answer: D
Rationale: Chronic stable angina follows a predictable pattern, occurring intermittently with exertion and subsiding with rest, not typically at rest.
Question 3 of 5
Which treatment is likely to be planned for a patient who develops pernicious anemia after a gastrectomy?
Correct Answer: D
Rationale: Cobalamin replacement therapy is the standard treatment for pernicious anemia caused by vitamin B12 deficiency due to lack of intrinsic factor post-gastrectomy.
Question 4 of 5
After noting that a patient with leukemia has thrombocytopenia, which action will the nurse plan to take?
Correct Answer: C
Rationale: Inspecting the skin for bruising or petechiae is specific to thrombocytopenia, as petechiae are small, red or purple dots that appear on the skin when platelet count is low, indicating a bleeding tendency.
Question 5 of 5
Which laboratory report finding would support the nurse's conclusion that a patient has thalassemia major? Select all that apply.
Correct Answer: A,B,D
Rationale: Increased bilirubin, reticulocyte levels, and total iron-binding capacity are seen in thalassemia major due to hemolysis, bone marrow response, and increased iron absorption.