HESI RN
HESI Med Surg Hematological system Questions
Extract:
Question 1 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 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
Which erythrocyte characteristic would the nurse expect to see in the laboratory findings for a patient who has experienced acute blood loss?
Correct Answer: B
Rationale: Normocytic erythrocytes, or normal-sized red blood cells, are usually seen in acute blood loss as the body's initial response doesn't alter the size of red blood cells.
Question 4 of 5
Which statement is true regarding hemophilia?
Correct Answer: B
Rationale: Hemophilia is a hereditary bleeding disorder treated by replacement therapy with clotting factor concentrates, making option B correct.
Question 5 of 5
Which acid-base mechanism would the kidney use to buffer a patient's acidosis (serum pH <7.35)? Select all that apply.
Correct Answer: A,D
Rationale: The kidneys buffer acidosis by eliminating excess hydrogen ions (H+) and reabsorbing additional bicarbonate ions (HCO3-) to neutralize acid and raise pH.