HESI RN
HESI Med Surg Hematological system Questions
Extract:
Question 1 of 5
A patient's arterial blood gas (ABG) results include a pH of 7.32, a PaCO2 of 56 mm Hg, and an HCO3 of 24 mEq/L. Which acid-base imbalance would the nurse use when developing the patient's plan of care?
Correct Answer: C
Rationale: Respiratory acidosis is characterized by low pH (7.32) and high PaCO2 (56 mm Hg), with normal HCO3 indicating no metabolic compensation.
Question 2 of 5
The nurse provides education to a patient with thrombocytopenia about precautions to be taken at home. The nurse identifies that further teaching is needed when the patient performs which action?
Correct Answer: C
Rationale: Alcohol-based mouthwash can cause mucosal irritation and bleeding, inappropriate for thrombocytopenia, suggesting further education is needed.
Question 3 of 5
The nurse suspects that a patient has polycythemia vera based on which finding in the patient's laboratory reports? Select all that apply.
Correct Answer: C,D
Rationale: Increased hemoglobin and red blood cell levels are hallmark features of polycythemia vera, characterized by excessive red blood cell production.
Question 4 of 5
Which manifestation is related to target organ disease from hypertension? Select all that apply.
Correct Answer: B,C
Rationale: Aneurysm and proteinuria are manifestations of target organ damage from hypertension, affecting arteries and kidneys, respectively.
Question 5 of 5
Which finding would the nurse expect to see in a patient with a hemoglobin level of 8 g/dL? Select all that apply.
Correct Answer: B,D
Rationale: Conjunctival pallor and tachycardia (heart rate of 104 beats/min) are common in anemia, reflecting reduced hemoglobin and compensatory mechanisms.