ATI RN
Pediatric HESI Test Bank Questions
Question 1 of 5
After a transsphenoidal adenohypophysectomy, a client is likely to undergo hormone replacement therapy. A transsphenoidal adenohypophysectomy is performed to treat which type of cancer?
Correct Answer: C
Rationale: A transsphenoidal adenohypophysectomy is a surgical procedure performed to remove benign or malignant tumors located in the pituitary gland. Pituitary carcinoma refers to a type of cancer that originates in the pituitary gland. Therefore, this surgery is indicated for treating pituitary carcinoma by removing the tumor from the pituitary gland. After the surgery, hormone replacement therapy may be necessary to replace the hormones that were previously produced by the removed adenohypophysis (anterior pituitary gland).
Question 2 of 5
When the patient's signature is witnessed by the nurse on the surgical consent, which of the following does the nurse's signature indicate?
Correct Answer: D
Rationale: The nurse's signature on the surgical consent form indicates that the nurse has verified and confirmed that the patient has signed the consent form. This step is crucial to ensure that the patient has voluntarily given their consent for the surgical procedure. It does not mean that the nurse obtained or provided informed consent, answered all surgical procedure questions, or made decisions on behalf of the patient. The nurse's role is to act as a witness to the patient's signature on the consent form to acknowledge that the patient has agreed to the procedure and signed the document.
Question 3 of 5
The multilumen pulmonary artery catheter allows the nurse to measure hemodynamic pressures at different points in the heart. When the tip enters the small branches of the pulmonary artery, the nurse can assess all of the following except:
Correct Answer: C
Rationale: The multilumen pulmonary artery catheter, when positioned in the small branches of the pulmonary artery, allows the nurse to measure various hemodynamic pressures. Central venous pressure (CVP), Pulmonary artery capillary pressure (PACP), and Pulmonary artery wedge pressure (PAWP) can be measured accurately at this point. However, "Pulmonary artery obstructive pressure" is not a valid or recognized hemodynamic pressure parameter. Instead, the correct term for this measurement that can be assessed using the catheter is the Pulmonary artery occlusion pressure (PAOP) or Pulmonary artery wedge pressure (PAWP), which reflects the left atrial pressure.
Question 4 of 5
Which of the ff dietary recommendations should a nurse give to a client taking diuretics?
Correct Answer: A
Rationale: Diuretics are medications that help the body get rid of excess sodium and water through increased urine output. One common side effect of diuretics is the loss of potassium from the body. Therefore, it is important for clients taking diuretics to include potassium-rich foods in their diet to help maintain a healthy potassium level. Some examples of potassium-rich foods include bananas, oranges, potatoes, spinach, avocados, and tomatoes. By including these foods in their diet, clients taking diuretics can help prevent potassium deficiency and maintain overall health.
Question 5 of 5
What instruction should the nurse give to then patient taking propan0lol (Inderal) for hypertension?
Correct Answer: B
Rationale: The nurse should instruct the patient taking propranolol (Inderal) for hypertension to not stop the medication abruptly. Suddenly stopping propranolol can lead to rebound hypertension and potentially dangerous side effects. It is important for the patient to gradually taper off the medication under the guidance of a healthcare provider to avoid complications. Therefore, advising the patient not to stop the medication abruptly is a crucial instruction to ensure their safety and well-being.