HESI RN
HESI Med Surg Hematological system Questions
Extract:
Question 1 of 5
A patient is diagnosed with primary hypertension and asks the nurse what caused the condition. Which response would the nurse give?
Correct Answer: A
Rationale: Primary hypertension, or essential hypertension, has no identifiable cause in most cases, distinguishing it from secondary hypertension.
Question 2 of 5
A patient who smokes reports chest pain while at rest. Which condition would the nurse suspect the patient is experiencing?
Correct Answer: C
Rationale: Prinzmetal angina, also known as variant angina, typically occurs at rest due to coronary artery spasms, which aligns with the patient's symptoms of chest pain at rest.
Question 3 of 5
Which change occurs first, making patients susceptible to coronary artery disease?
Correct Answer: D
Rationale: Development of fatty streaks in the endothelium is the initial change in atherosclerosis, predisposing patients to coronary artery disease.
Question 4 of 5
Which rationale supports the nurse's assessment of a patient's magnesium level?
Correct Answer: C
Rationale: Magnesium plays a crucial role in neuromuscular excitability and contractility. Abnormal magnesium levels can lead to neuromuscular symptoms such as muscle weakness, tremors, and spasms, and affect cardiac function.
Question 5 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.