Medical-Surgical HESI Practice Test questions and answers well illustrated.
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Medical-Surgical HESI Practice
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Medical-Surgical HESI Practice
Medical-Surgical HESI Practice Test questions and answers well illustrated.
A client is admitted to the medical intensive care unit with a diagnosis of myocardial infarction. The client's history indicates the infarction occurred ten hours ago. Which laboratory test result wo...
Medical -Surgical HESI Practice Test questions and answers well illustrated. A client is admitted to the medical intensive care unit with a diagnosis of myocardial infarction. The client's history indicates the infarction occurred ten hours ago. Which laboratory test result would the nurse expect this client to exhibit? A. Elevated LDH B. Elevated serum amylase C. Elevated CK -MB D. Elevated hematocrit - correct answers.C. Elevated CK -MB Rationale: The cardiac isoenzyme CK -MB (C) is the one of the cardiac markers to indicate myocardial damage in the presence of MI symptoms and after a positive troponin. The troponin levels will el evate within 2 -3 hours indicating myocardial ischemia, followed by the CK -MB cardiac markers within 6 -9 hours, peaking within 12 to 20 hours after myocardial infarction (MI). A client has a staging procedure for cancer of the breast and ask the nurse whic h type of breast cancer has the poorest prognosis. Which information should the nurse offer the client? A. Stage II B. Invasive infiltrating ductal carcinoma C. T1N0M0 D. Inflammatory with peau d'orange - correct answers.D. Inflammatory with peau d'orange Rationale: Inflammatory breast cancer onset is very rapid and a very rare form of breast cancer and is considered the most aggressive form of breast malignancies. It is often mistaken for a breast infection because it has a thickened appearance like an o range peel (peau d'orange), causing the breast to become swollen and tender. A middle -aged male client with diabetes continues to eat an abundance of foods that are high in sugar and fat. According to the Health Belief Model, which event is most likely to increase the client's willingness to become compliant with the prescribed diet? A. He visits his diabetic brother who just had surgery to amputate an infected foot B. He is provided with the most current information about the dangers of untreated diabete s C. He comments on the community service announcements about preventing complications associated with diabetes D. His wife expresses a sincere willingness to prepare meals that are within his prescribed diet - correct answers.A. He visits his diabetic bro ther who just had surgery to amputate an infected foot Rationale: The loss of a limb due to diabetes by a family member should be the strongest event or "cue to action" and is most likely to increase the client's perceived seriousness of the disease. A client is admitted for further testing to confirm sarcoidosis. Which diagnostic test provides definitive information that the nurse should report to the healthcare provider? A. Lung tissue biopsy B. Positive blood cultures C. Magnetic resonance imaging (MRI) D. Computerized tomography (CT) of the thorax - correct answers.A. Lung tissue biopsy Rationale: Sarcoidosis is an inflammatory condition that is characterized by the formation of widespread granulomatous lesions involv ing a pulmonary primary site. Although chest radiography identifies sarcoidosis, lung tissue biopsy obtained by bronchoscopy or bronchoalveolar lavage provides definitive confirmation. A client with a completed ischemic stroke has a blood pressure of 180/ 90 mm Hg. Which action should the nurse implement? A. Position the head of the bed (HOB) flat B. Withhold intravenous fluids
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