Medical-Surgical HESI Practice Test (100% correct answers)

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 elevate 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 which 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 orange 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 diabetes 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 brother who just had surgery to amputate an infected foot Rationale: