HESI RN
HESI Med Surg Hematological system Questions
Extract:
Question 1 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 indicated by a high pH (7.52) and low PaCO2 (24 mm Hg), as seen in option D, with normal HCO3 indicating no metabolic compensation.
Question 2 of 5
The nurse provides education to a patient with thrombocytopenia about precautions to be taken at home. The nurse identifies that further teaching is needed when the patient performs which action?
Correct Answer: C
Rationale: Alcohol-based mouthwash can cause mucosal irritation and bleeding, inappropriate for thrombocytopenia, suggesting further education is needed.
Question 3 of 5
The arterial blood gas (ABG) results for a patient who overdosed on barbiturates are pH = 7.32, PaCO2 = 52, and HCO3 = 23. Which interpretation would the nurse rely on when planning the patient's care?
Correct Answer: C
Rationale: The given ABG results indicate a low pH (acidosis), an elevated PaCO2 (respiratory component), and a normal HCO3 (metabolic component). The low pH and increased PaCO2 suggest respiratory acidosis.
Question 4 of 5
Which information would the nurse include when discussing pain due to chronic stable angina with the patient?
Correct Answer: D
Rationale: Chronic stable angina occurs intermittently in a predictable pattern, triggered by exertion and relieved by rest or nitroglycerin.
Question 5 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.