HESI RN
HESI Med Surg Hematological system Questions
Extract:
Question 1 of 5
After noting that a patient with leukemia has thrombocytopenia, which action will the nurse plan to take?
Correct Answer: C
Rationale: Inspecting the skin for bruising or petechiae is specific to thrombocytopenia, as petechiae are small, red or purple dots that appear on the skin when platelet count is low, indicating a bleeding tendency.
Question 2 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 characterized by a high pH (>7.45) and a low PaCO2 (<35 mm Hg). The data in option D (pH = 7.52, PaCO2 = 24 mm Hg) indicates respiratory alkalosis.
Question 3 of 5
Which laboratory report finding would support the nurse's conclusion that a patient has thalassemia major? Select all that apply.
Correct Answer: A,B,D
Rationale: Increased bilirubin, reticulocyte levels, and total iron-binding capacity are seen in thalassemia major due to hemolysis, bone marrow response, and increased iron absorption.
Question 4 of 5
The nurse is teaching a patient about the administration of liquid iron supplements. Which response by the patient indicates the need for additional teaching?
Correct Answer: C
Rationale: Taking iron supplements with meals decreases absorption, indicating a need for further teaching; iron should be taken on an empty stomach or with vitamin C.
Question 5 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.