HESI RN
HESI Med Surg Hematological system Questions
Extract:
Question 1 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.
Question 2 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 3 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: Using alcohol-based mouthwash can irritate oral mucosa and cause bleeding in thrombocytopenia, indicating a need for further teaching.
Question 4 of 5
After noting that a patient with leukemia has thrombocytopenia, which action will the nurse plan to take?
Correct Answer: C
Rationale: Inspecting the skin for bruising or petechiae is specific to thrombocytopenia, as petechiae are small, red or purple dots that appear on the skin when platelet count is low, indicating a bleeding tendency.
Question 5 of 5
Which component forms an adhesive bridge between platelets and vascular subendothelial structures in the clotting process?
Correct Answer: C
Rationale: Von Willebrand factor forms an adhesive bridge between platelets and vascular subendothelial structures, crucial for hemostasis at sites of vascular injury.