HESI RN
HESI Med Surg Hematological system Questions
Extract:
Question 1 of 5
The nurse provides education to a patient about the symptoms of uncontrolled hypertension. Which symptom would the nurse include? Select all that apply.
Correct Answer: A,B,C
Rationale: Fatigue, dizziness, and palpitations are symptoms of uncontrolled hypertension due to cardiovascular strain and vascular effects; cluster headaches are not directly related.
Question 2 of 5
The nurse suspects that which condition associated with chronic heart failure is the cause of a patient's inability to sleep well due to frequent urination?
Correct Answer: D
Rationale: Increased renal perfusion in the supine position causes nocturia in heart failure due to fluid redistribution from the lower extremities to the kidneys when lying down.
Question 3 of 5
The nurse recognizes that patients with von Willebrand disease are at risk for prolonged bleeding times for which reason?
Correct Answer: D
Rationale: Von Willebrand disease involves variable factor VIII deficiencies and platelet dysfunction, leading to prolonged bleeding times due to impaired clot formation.
Question 4 of 5
Which explanation will the nurse give a patient with non-Hodgkin lymphoma about the purpose of a planned lumbar puncture?
Correct Answer: D
Rationale: A lumbar puncture in non-Hodgkin lymphoma is used to detect central nervous system involvement by examining cerebrospinal fluid for lymphoma cells.
Question 5 of 5
Which finding would the nurse expect to see in a patient with a hemoglobin level of 8 g/dL? Select all that apply.
Correct Answer: B,D
Rationale: Conjunctival pallor and increased heart rate (104 beats/min) are expected in anemia due to reduced oxygen-carrying capacity and compensatory tachycardia.