HESI RN
HESI Med Surg Hematological system Questions
Extract:
Question 1 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 2 of 5
With which term will the nurse document the finding after noting multiple 1-mm red macules when assessing the skin of a patient with leukemia and thrombocytopenia?
Correct Answer: C
Rationale: Petechiae are small, red or purple 1-mm macules due to minor bleeding from broken capillaries, common in thrombocytopenia.
Question 3 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.
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 change occurs first, making patients susceptible to coronary artery disease?
Correct Answer: D
Rationale: Development of fatty streaks in the endothelium is the initial change in atherosclerosis, predisposing patients to coronary artery disease.