HESI RN Patho Pharmacology | Nurselytic

Questions 54

HESI RN

Home > HESI RN > HESI Pharmacology > HESI RN Patho Pharmacology
HESI RN Test Bank

HESI RN Patho Pharmacology Questions

Extract:


Question 1 of 5

The nurse is caring for a young adult who reports uncontrolled acne vulgaris. Which pathological findings should the nurse observe on inspection of skin areas commonly affected in acne vulgaris?

Correct Answer: C

Rationale: Acne vulgaris involves hyperactive sebaceous glands causing comedones, papules, and pustules on the face, neck, and upper back (
C). Skin tags (
A) are benign growths. Hyperpigmentation (
B) may follow acne but isn’t primary. Scaling plaques (
D) indicate psoriasis.

Question 2 of 5

The nurse is caring for an older client who is on complete bed rest. The nurse notes hematuria when the client suddenly reports excruciating pain that radiates from the back to the groin. Which pathological process has contributed to the client’s clinical presentation of a possible renal calculi?

Correct Answer: C

Rationale: Increased calcium reabsorption (
C) causes hypercalciuria, promoting calcium stone formation, leading to pain and hematuria. Excessive urine output (
A) or fluid intake (
B) prevents stones. Serum alkalinity (
D) affects uric acid stones, not calcium.

Question 3 of 5

After brain surgery, a male client is lethargic and is having difficulty talking. His blood pressure is 146/122 mm Hg and his urine specific gravity is 1.055. These findings are consistent with which pathophysiological response to intracranial surgery?

Correct Answer: B

Rationale: SIADH (
B) causes water retention, concentrated urine (high specific gravity, 1.055), and hyponatremia, leading to lethargy, speech difficulty, and hypertension from cerebral edema. ADH hyposecretion (
A) causes dilute urine. Hypopituitarism (
C) affects multiple hormones. Septic shock (
D) involves hypotension.

Question 4 of 5

The nurse is caring for a client with intestinal obstruction who presents with severe, colicky abdominal pain, nausea, vomiting, and abdominal distention. Which pathophysiologic mechanism supports the client’s clinical presentation?

Correct Answer: B

Rationale: Volvulus (
B), intestinal twisting post-appendectomy, causes obstruction, leading to colicky pain, nausea, vomiting, and distention. Nerve degeneration (
A) relates to GERD. Esophagitis (
C) causes heartburn. H. pylori (
D) causes ulcers, not obstruction.

Question 5 of 5

A postmenopausal client presenting to the clinic with describing abdominal pain and an episode of unexplained vaginal Nearing receives a Pap smear (Papanicolaou test). Which medical history information should the nurse expect places the client at most risk for developing cervical cancer?

Correct Answer: C

Rationale: HPV (
C), especially high-risk strains (16, 18), is the primary risk factor for cervical cancer, causing cellular changes in the cervix. HSV (
A) may increase HPV acquisition risk but isn’t directly causative. Vulvovaginitis (
B) and yeast infections (
D) cause inflammation but lack a direct link to cervical cancer.

Similar Questions

The nurse is caring for a young adult who reports uncontrolled acne vulgaris. Which pathological findings should the nurse observe on inspection of skin areas commonly affected in acne vulgaris?
The nurse is explaining the underlying cause of bruising with a client who is recently diagnosed with acute leukemia. Which pathophysiology is a result of the myeloblastic dysfunction of leukemia?
A client reports experiencing blurry central vision that has recently worsened. Which pathological process supports the client’s subjective report?
The nurse is caring for a school-aged child with Burkitt lymphoma. A review of the child’s laboratory results reveal serum calcium 8.1 mg/dL (1.9 mmol/L), serum potassium 6.1 mEq/L (6.1 mmol/L), and serum phosphorus 5.9 mg/dL (3.6 mmol/L). Which pathophysiological process is associated with the child’s laboratory results?
The nurse is caring for a client who experienced multiple invasive trauma from a motor vehicle collision and has developed systemic inflammatory response syndrome (SIRS). Which pathophysiological process is most likely associated with the development of SIRS in this client?

Access More Questions!

HESI RN Basic

$89/ 30 days

 

HESI RN Premium

$150/ 90 days