Evolve HESI-RN Pathophysiology Practice Tests:
High-Yield Questions, Comprehensive Exam Review &
Detailed Rationales
Terms in this set (50)
,After talking with the healthcare A. As the prostate gland enlarges, its cells
provider, a male client continues contribute more PSA in the circulating blood.
to have questions about the
results of a prostatic surface Rationale: PSA is a glycoprotein found in prostatic
antigen (PSA)
epithelial cells, and elevations are used as a specific
screening test and asks the nurse tumor markers. Elevations in PSA are related to gland
how the PSA levels become volume, i.e., benign prostatic hypertrophy, prostatitis,
elevated. The nurse should explain and cancer of the prostate, indicating (tumor) cell
which pathophysiological
load (A). PSA levels are also used to monitor response
mechanism?
to therapy. (B, C, and D) provide incorrect information.
A. As the prostate gland enlarges,
its cells contribute more PSA in
the
circulating blood.
B. The PSA levels normally rise
and fall, so multiple testings over
time are
necessary.
C. Low PSA levels indicate that
the prostate gland is not
functioning properly.
D.The PSA blood test is used to
determine dosage for Viagra
prescriptions.
, A 26-year-old male client with C. Permanent sterility occurs in male clients who
Hodgkin's disease is scheduled to receive radiation.
undergo radiation therapy. The
client expresses concern about the Rationale: Low sperm count and loss of motility are
effect of radiation on his ability to have seen in males with Hodgkin's disease before any
children.
therapy. Radiotherapy often results in permanent
What information should the nurse
aspermia, or sterility (C). (A, B, and D) are inaccurate.
provide?
A. The radiation therapy causes
the inability to have an erection.
B.Radiation therapy with
chemotherapy causes temporary
infertility.
C. Permanent sterility occurs in
male clients who receive
radiation.
D.The client should restrict
sexual activity during
radiotherapy.
The nurse hears short, high-pitched B.Crackles in the right and left lower lobes.
sounds just before the end of
inspiration in the right and left
Fine crackles (B) are short, high-pitched sounds heard
lower lobes when auscultating a
just before the end of inspiration that are the result
client's lungs. How should this
of rapid equalization of pressure when collapsed
finding be
alveoli or terminal bronchioles suddenly snap
recorded?
open.
Wheezing (A) is a continuous high-pitched squeaking
A. Inspiratory wheezes in both lungs. or musical sound caused by rapid vibration of
B.Crackles in the right and left bronchial walls that are first evident on expiration
lower lobes. and may be audible. Although (C) describes an
C. Abnormal lung sounds in the bases adventitious lung sound, this documentation is vague.
of both lungs. (D) is a creaking or grating sound from
D.Pleural friction rub in the right roughened, inflamed surfaces of the pleura
and left lower lobes. rubbing together heard during inspiration,
expiration, and with no change during
coughing.
High-Yield Questions, Comprehensive Exam Review &
Detailed Rationales
Terms in this set (50)
,After talking with the healthcare A. As the prostate gland enlarges, its cells
provider, a male client continues contribute more PSA in the circulating blood.
to have questions about the
results of a prostatic surface Rationale: PSA is a glycoprotein found in prostatic
antigen (PSA)
epithelial cells, and elevations are used as a specific
screening test and asks the nurse tumor markers. Elevations in PSA are related to gland
how the PSA levels become volume, i.e., benign prostatic hypertrophy, prostatitis,
elevated. The nurse should explain and cancer of the prostate, indicating (tumor) cell
which pathophysiological
load (A). PSA levels are also used to monitor response
mechanism?
to therapy. (B, C, and D) provide incorrect information.
A. As the prostate gland enlarges,
its cells contribute more PSA in
the
circulating blood.
B. The PSA levels normally rise
and fall, so multiple testings over
time are
necessary.
C. Low PSA levels indicate that
the prostate gland is not
functioning properly.
D.The PSA blood test is used to
determine dosage for Viagra
prescriptions.
, A 26-year-old male client with C. Permanent sterility occurs in male clients who
Hodgkin's disease is scheduled to receive radiation.
undergo radiation therapy. The
client expresses concern about the Rationale: Low sperm count and loss of motility are
effect of radiation on his ability to have seen in males with Hodgkin's disease before any
children.
therapy. Radiotherapy often results in permanent
What information should the nurse
aspermia, or sterility (C). (A, B, and D) are inaccurate.
provide?
A. The radiation therapy causes
the inability to have an erection.
B.Radiation therapy with
chemotherapy causes temporary
infertility.
C. Permanent sterility occurs in
male clients who receive
radiation.
D.The client should restrict
sexual activity during
radiotherapy.
The nurse hears short, high-pitched B.Crackles in the right and left lower lobes.
sounds just before the end of
inspiration in the right and left
Fine crackles (B) are short, high-pitched sounds heard
lower lobes when auscultating a
just before the end of inspiration that are the result
client's lungs. How should this
of rapid equalization of pressure when collapsed
finding be
alveoli or terminal bronchioles suddenly snap
recorded?
open.
Wheezing (A) is a continuous high-pitched squeaking
A. Inspiratory wheezes in both lungs. or musical sound caused by rapid vibration of
B.Crackles in the right and left bronchial walls that are first evident on expiration
lower lobes. and may be audible. Although (C) describes an
C. Abnormal lung sounds in the bases adventitious lung sound, this documentation is vague.
of both lungs. (D) is a creaking or grating sound from
D.Pleural friction rub in the right roughened, inflamed surfaces of the pleura
and left lower lobes. rubbing together heard during inspiration,
expiration, and with no change during
coughing.
