HESI RN
HESI Med Surg Hematological system Questions
Extract:
Question 1 of 5
The nurse provides discharge teaching to a patient with venous leg ulcers. Which statement made by the patient indicates the need for further education?
Correct Answer: D
Rationale: Not wearing tight knee-high socks is correct, as tight clothing can impede circulation; the statement suggests misunderstanding, indicating a need for further education.
Question 2 of 5
Which treatment is likely to be planned for a patient who develops pernicious anemia after a gastrectomy?
Correct Answer: D
Rationale: Cobalamin replacement therapy is the standard treatment for pernicious anemia caused by vitamin B12 deficiency due to lack of intrinsic factor post-gastrectomy.
Question 3 of 5
A patient reports episodic chest pain lasting a few minutes that is provoked by exertion and relieved within 10 minutes upon resting. Which cause of the patient's symptoms would the nurse suspect?
Correct Answer: C
Rationale: Myocardial ischemia due to coronary artery disease causes chest pain provoked by exertion and relieved by rest, characteristic of stable angina.
Question 4 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.
Question 5 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.