HESI RN
HESI Med Surg Hematological system Questions
Extract:
Question 1 of 5
A patient with thalassemia major who is receiving a blood transfusion shows signs of hemochromatosis. The nurse anticipates a prescription for which medication?
Correct Answer: B
Rationale: Deferoxamine is an iron chelating agent used to treat iron overload conditions like hemochromatosis. It binds to excess iron and promotes its excretion from the body, preventing complications such as organ damage.
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: Using alcohol-based mouthwash can irritate oral mucosa and cause bleeding in thrombocytopenia, indicating a need for further teaching.
Question 3 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 occurs intermittently in a predictable pattern, triggered by exertion and relieved by rest or nitroglycerin.
Question 4 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 5 of 5
Which arterial blood gas (ABG) data corresponds with a patient's clinical manifestations of respiratory alkalosis?
Correct Answer: D
Rationale: Respiratory alkalosis is indicated by a high pH (7.52) and low PaCO2 (24 mm Hg), as seen in option D, with normal HCO3 indicating no metabolic compensation.