HESI MIDTERM REVIEW QUESTIONS WITH CORRECT ANSWERS

HESI MIDTERM REVIEW QUESTIONS WITH
CORRECT ANSWERS



When a client its admitted to the emergency department with a possible spinal cord injury, t
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he nurse would monitor for which clinical manifestations? Select all that apply.
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a) Bradycardia
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b) hypotension
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c) spastic paralysis
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d) urinary retention
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d) increased pulse - ans-a, b, d
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How would the nurse explain cardiogenic shock when a family member of a client asks mor
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e about their condition?
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a) an irreversible phenomenon
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b) A failure of the circulatory pump
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c) usually a fleeting reaction to tissue injury
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d) generally caused by decreased blood volume - ans-b
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Which type of shock is associated with an abdominal aneurysm ?
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a) vasogenic shock
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b) neurogenic shock
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c) caridogenic shock
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d) hypovolemic shock - ans-d
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A client who sustained serious burns, now has a stress ulcer. if complications occur, which
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clinical indicators of shock would the nurse report to the primary health care provider?
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select all that apply.
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a) weaknessxz




b) diaphoresis
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c) tachycardia
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d) cold extremities
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e) flushed skin tone - ans-a, b, c, d
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A client receiving a blood transfusion reports itching and difficulty breathing. Upon assessm
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ent the nurse notes an increased heart rate and low BP. Which type of shock would the nurs
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e suspect?
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, a) septic shock
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b) cariogenic shock
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c) neurogenic shock
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d) anaphylactic shock - ans-d
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Which finding will the nurse expect when caring for a client who is in hypovolemic shock?
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a) slow HR
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b) cool skin temp
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c) bounding radial pulses
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d) increased urine output - ans-b
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Which acid- xz




base imbalance would the nurse expect. in a client in the progressive stage of shock?
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a) metabolic acidosis
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b) metabolic alkalosis
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c) respiratory acidosis
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d) respiratory alkalosis - ans-a
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in the ER, the nurse assessed a client who is unconscious, experiencing severe bleeding d
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ue to a MVA, and in hypovolemic shock. At which site would the nurse obtain a pulse rate?
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Select all that. apply.
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a) apical
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b) carotid
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c) brachial
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d) femoral
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e) popliteal - ans-b, d
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Which likely cause would a nurse suspect is responsible for a drop in BP after a client sustai
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ns multiple internal injuries in a MVA and the BP suddenly drops from 134/90 to 80/60 mmH
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g?

a) reduction in circulating blood volume
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b) diminished vasomotor stimulation to the arterial wall
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c) vasodilation resulting from diminished vasoconstrictor tone
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d) cardiac decomposition resulting from electrolyte imbalance - ans-a
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Which condition would the nurse suspect in an ED client with C8 tetraplegia, BP of 80/40 m
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mHg, pulse of 48, RR of 18?
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a) autonomic dysreflexia
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b) hemorrhagic shock
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c) neurogenic shock
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d) pulmonary embolism - ans-c
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