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RNSG 2231 HESI EXTRA CREDIT MODULE 9 EXAM
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QUESTIONS AND ANSWERS RATED A+
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1. Questions ne
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1. 1.ID: 9477047208
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A nurse is caring for a client who has lost a significant
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amount of blood as a result of complications during a
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surgical procedure. Which parameter does the nurse
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recognize as the earliest indication of new decreases in
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fluid volume?
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A. Pulse rate Correct
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Blood pressure
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B.
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Pulmonary artery systolic pressure
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C.
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D. Pulmonary artery end-diastolic pressure
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Rationale: Cardiac output is determined by the volume of the circulating blood,
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the pumping action of the heart, and the tone of the vascular bed. Early
decreases in fluid volume are compensated for by an increase in the pulse
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rate. Remember that pulse rate multiplied by stroke volume equals cardiac
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output. An increase in pulse is often sufficient with small amounts of volume
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depletion to maintain the blood pressure. Pulmonary artery systolic pressure
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and pulmonary artery end-diastolic pressure, measurements obtained with the
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use of a pulmonary artery catheter, provide information about the pressures in
the pulmonary artery and in the left ventricle at the end of diastole.
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Test-Taking Strategy: Note the strategic word “earliest.” Pulmonary artery
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systolic pressure and pulmonary artery end-diastolic pressure can be
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eliminated first, because these measurements are obtained with the use of a
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pulmonary artery catheter. To select from the remaining options, focus on the
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strategic word, which will direct you to the correct option. Review the
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physiology of the cardiovascular system and the means of compensation
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inherent in that system.
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Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
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Integrated Process: Nursing Process/Assessment
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Content Area: Adult Health/Cardiovascular
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Giddens Concepts: Clinical Judgment, Fluid and Electrolyte Balance
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HESI Concepts: Clinical Decision Making/Clinical Judgment, Fluid and
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Electroytes
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Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L.
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(2014). Medical-surgical nursing: Assessment and management of clinical
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problems (9th ed., p. 292). St. Louis: Mosby.
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Awarded 1.0 points out of 1.0 possible points.
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2. 2.ID: 9477054249
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A nurse is reviewing the results of serum laboratory
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studies of a client with suspected hepatitis. Which
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increased parameter is interpreted by the nurse as the
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most specific indicator of this disease?
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A. Hemoglobin
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B. Serum bilirubin Correct
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Blood urea nitrogen (BUN)
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Rationale: Laboratory indicators of hepatitis include increased liver enzymes,
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indicates the presence of inflammation somewhere in the body. An increased
BUN may indicate renal dysfunction. The hemoglobin level is unrelated to this
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diagnosis.
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Test-Taking Strategy: Note the strategic word, most. Focusing on the client’s
diagnosis and recalling that the liver is the organ involved in this disease
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process will direct you to the correct option. Review the expected findings in
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hepatitis.
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Level of Cognitive Ability: Analyzing
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Client Needs: Physiological Integrity
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Integrated Process: Nursing Process/Assessment
Content Area: Adult Health/Gastrointestinal
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Giddens Concepts: Cellular Regulation, Evidence
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HESI Concepts:Cellular Regulation, Evidence Based Practice/Evidence
Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L.
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(2014). Medical-surgical nursing: Assessment and management of clinical
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problems (9th ed., pp. 1010-1011). St. Louis: Mosby.
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Awarded 1.0 points out of 1.0 possible points.
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3. 3.ID: 9477051455
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A client who has just undergone surgery suddenly sh
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experiences chest pain, dyspnea, and tachypnea. The
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nurse suspects that the client has a pulmonary embolism
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and immediately sets about to take which action?
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A. Preparing the client for a perfusion scan
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Attaching the client to a cardiac monitor
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B.
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Administering oxygen by way of nasal cannula
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C.
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RNSG 2231 HESI EXTRA CREDIT MODULE 9 EXAM
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QUESTIONS AND ANSWERS RATED A+
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Sp
1. Questions ne
la
sh
1. 1.ID: 9477047208
Sp
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A nurse is caring for a client who has lost a significant
la
tz
amount of blood as a result of complications during a
sh
Sp
surgical procedure. Which parameter does the nurse
ne
recognize as the earliest indication of new decreases in
la
fluid volume?
sh
Sp
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A. Pulse rate Correct
la
Blood pressure
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B.
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Pulmonary artery systolic pressure
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C.
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D. Pulmonary artery end-diastolic pressure
sh
Rationale: Cardiac output is determined by the volume of the circulating blood,
Sp
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the pumping action of the heart, and the tone of the vascular bed. Early
decreases in fluid volume are compensated for by an increase in the pulse
la
rate. Remember that pulse rate multiplied by stroke volume equals cardiac
tz
sh
output. An increase in pulse is often sufficient with small amounts of volume
Sp
ne
la
sh
Sp
ne
a
tz
l
sh
Sp
ne
la
sh
Sp
la
Sp
, ne
sh
ne
la
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depletion to maintain the blood pressure. Pulmonary artery systolic pressure
sh
and pulmonary artery end-diastolic pressure, measurements obtained with the
Sp
ne
use of a pulmonary artery catheter, provide information about the pressures in
the pulmonary artery and in the left ventricle at the end of diastole.
la
Test-Taking Strategy: Note the strategic word “earliest.” Pulmonary artery
sh
systolic pressure and pulmonary artery end-diastolic pressure can be
Sp
eliminated first, because these measurements are obtained with the use of a
ne
pulmonary artery catheter. To select from the remaining options, focus on the
la
strategic word, which will direct you to the correct option. Review the
tz
physiology of the cardiovascular system and the means of compensation
sh
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inherent in that system.
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Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
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Integrated Process: Nursing Process/Assessment
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Content Area: Adult Health/Cardiovascular
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Giddens Concepts: Clinical Judgment, Fluid and Electrolyte Balance
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HESI Concepts: Clinical Decision Making/Clinical Judgment, Fluid and
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Electroytes
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Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L.
sh
Sp
(2014). Medical-surgical nursing: Assessment and management of clinical
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problems (9th ed., p. 292). St. Louis: Mosby.
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Awarded 1.0 points out of 1.0 possible points.
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ne
la
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Sp
ne
la
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2. 2.ID: 9477054249
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A nurse is reviewing the results of serum laboratory
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studies of a client with suspected hepatitis. Which
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increased parameter is interpreted by the nurse as the
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most specific indicator of this disease?
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A. Hemoglobin
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B. Serum bilirubin Correct
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Blood urea nitrogen (BUN)
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Rationale: Laboratory indicators of hepatitis include increased liver enzymes,
ne serum bilirubin level, and ESR. However, ESR is a nonspecific test that
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indicates the presence of inflammation somewhere in the body. An increased
BUN may indicate renal dysfunction. The hemoglobin level is unrelated to this
sh
diagnosis.
Sp
ne
Test-Taking Strategy: Note the strategic word, most. Focusing on the client’s
diagnosis and recalling that the liver is the organ involved in this disease
la
process will direct you to the correct option. Review the expected findings in
tz
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hepatitis.
Sp
Level of Cognitive Ability: Analyzing
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Client Needs: Physiological Integrity
la
Integrated Process: Nursing Process/Assessment
Content Area: Adult Health/Gastrointestinal
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Sp
Giddens Concepts: Cellular Regulation, Evidence
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HESI Concepts:Cellular Regulation, Evidence Based Practice/Evidence
Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L.
la
(2014). Medical-surgical nursing: Assessment and management of clinical
tz
sh
problems (9th ed., pp. 1010-1011). St. Louis: Mosby.
Sp
ne
Awarded 1.0 points out of 1.0 possible points.
la
sh
Sp
ne
3. 3.ID: 9477051455
la
tz
A client who has just undergone surgery suddenly sh
Sp
experiences chest pain, dyspnea, and tachypnea. The
ne
nurse suspects that the client has a pulmonary embolism
la
and immediately sets about to take which action?
sh
Sp
ne
A. Preparing the client for a perfusion scan
a
Attaching the client to a cardiac monitor
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B.
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Administering oxygen by way of nasal cannula
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C.
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