HESI RN
HESI Med Surg Hematological system Questions
Extract:
Question 1 of 5
A female patient with chronic hypertension is admitted to the emergency department with a sudden rise in blood pressure (BP). Which question is the priority for the nurse to ask the patient?
Correct Answer: C
Rationale: A sudden rise in blood pressure can indicate a hypertensive crisis, and assessing for neurological symptoms like headache or confusion is crucial to identify potential target organ damage.
Question 2 of 5
The nurse provides education to a patient about the symptoms of uncontrolled hypertension. Which symptom would the nurse include? Select all that apply.
Correct Answer: A,B,C
Rationale: Fatigue, dizziness, and palpitations are symptoms of uncontrolled hypertension due to cardiovascular strain and vascular effects; cluster headaches are not directly related.
Question 3 of 5
The nurse notes that a patient has a smooth and shiny tongue surface. The nurse would attribute these findings to which condition?
Correct Answer: C
Rationale: Pernicious anemia causes glossitis, leading to a smooth and shiny tongue surface due to vitamin B12 deficiency.
Question 4 of 5
A healthy 70-year-old patient has low hemoglobin levels and no signs of gastrointestinal bleeding. The nurse recognizes which item is an effect of aging that could be the reason for the low hemoglobin level?
Correct Answer: C
Rationale: Aging often leads to a decrease in the efficiency of nutrient absorption, including iron. This decrease in intestinal absorption of iron can result in low hemoglobin levels in elderly individuals. It's a common cause of anemia in the elderly population.
Question 5 of 5
Which erythrocyte characteristic would the nurse expect to see in the laboratory findings for a patient who has experienced acute blood loss?
Correct Answer: B
Rationale: Normocytic erythrocytes, or normal-sized red blood cells, are usually seen in acute blood loss as the body's initial response doesn't alter the size of red blood cells.