HESI RN
HESI Med Surg Hematological system Questions
Extract:
Question 1 of 5
The nurse notes that a patient has a smooth and shiny tongue surface. The nurse would attribute these findings to which condition?
Correct Answer: C
Rationale: Pernicious anemia causes glossitis, leading to a smooth and shiny tongue surface due to vitamin B12 deficiency.
Question 2 of 5
Which finding will the nurse expect in a patient who is hospitalized with stage I Hodgkin lymphoma?
Correct Answer: B
Rationale: Enlarged lymph nodes are a characteristic feature of stage I Hodgkin lymphoma, where the disease is localized to one group of lymph nodes.
Question 3 of 5
Which fluid replacement therapy would the nurse prepare to administer for a patient who is exhibiting clinical manifestations of hypovolemic shock?
Correct Answer: B
Rationale: 0.9% NaCl (normal saline) is an isotonic solution ideal for hypovolemic shock, expanding intravascular volume without causing fluid shifts.
Question 4 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 5 of 5
The nurse notes that a patient has a smooth and shiny tongue surface. The nurse would attribute these findings to which condition?
Correct Answer: C
Rationale: Pernicious anemia causes glossitis, leading to a smooth and shiny tongue surface due to vitamin B12 deficiency.