EACH VERSION WITH 155 QUESTIONS AND CORRECT
ANSWERS/MED SURG HESI EXIT LATEST VERSIONS 1-5
QUESTIONS AND ANSWERS
Terms in this set (201)
A nurse is reviewing the B. has fewer red blood cells than normal. The Hct is the
hematologic test results for measure of the volume of red blood cells in whole blood
expressed as a percentage. This test is useful in the
a patient in whom the
diagnosis of anemia, polycythemia, and abnormal hydration
hematocrit (Hct) is reported states. Patients who are susceptible to bleeding disorders
at a reading of 30%. Based likely will have a low platelet count. The inflammatory
on this result, the nurse response may best be evaluated by examination of results
that include the white blood cell count with differential
should interpret that the
analysis. Acute hemolytic crisis develops in patients
patient receiving blood components in which incompatibility occurs
A. is susceptible to bleeding or in patients with bleeding disorders or conditions that
disorders. promote cellular damage, such as damage associated with
B. has fewer red blood cells shock.
than normal.
C. is experiencing an
inflammatory response.
D. is experiencing an acute
hemolytic crisis.
,1. The arterial blood gas D. 50 mm Hg and bicarbonate level of 30 mEq/L. If
(ABG) readings that indicate compensation is present, carbon dioxide and bicarbonate are
abnormal (or nearly so) in opposite directions (e.g., one is
compensated respiratory
acidotic and the other alkalotic).
acidosis are a
PaCO2 of
A. 30 mm Hg and
bicarbonate level of 24
mEq/L.
B. 30 mm Hg and
bicarbonate level of 30
mEq/L.
C. 50 mm Hg and
bicarbonate level of 20
mEq/L.
D. 50 mm Hg and
bicarbonate level of 30
mEq/L.
A. Inspect the skin for petechiae. Any changes in the skin's
1. When assessing a patient's texture or color should be explored when assessing the
patient's nutritional-metabolic pattern related to hematologic
nutritional metabolic pattern
health. The presences of petechiae or ecchymotic areas could
related to hematologic be indicative of hematologic deficiencies related to poor
health, the nurse would: nutritional intake or related causes.
A. Inspect the skin for
petechiae.
B. Ask the patient about
joint pain.
C. Assess for vitamin
Deficiency.
D. Determine if the
patient can perform ADLs.
,2. A patient admitted to the B. severe hypotension. Mediastinal shift may cause
emergency department compression of the lung in the direction of the shift and
compression, traction, torsion, or kinking of the great
with tension
vessels. Blood return to the heart is dangerously impaired
pneumothorax and and causes a subsequent decrease in cardiac output and
mediastinal shift following an blood pressure. Tachycardia is a clinical manifestation of
automobile crash is most tension pneumothorax. An uncovered opened
pneumothorax is associated with a sucking chest wound and
likely to exhibit
mediastinal flutter.
A. bradycardia.
B. severe hypotension.
C. mediastinal flutter.
D. a sucking chest wound.
B. 5 minutes Following obtaining an arterial blood gas, the
2. The nurse is caring for a nurse should hold pressure on the puncture site for 5
patient with COPD and minutes by the clock to be sure that bleeding has stopped.
An artery is an elastic vessel under higher pressure than
pneumonia who has an order
veins, and significant blood loss or hematoma formation
for arterial blood gases to be could occur if the time is insufficient.
drawn. Which of the
following is the minimum
length of time the nurse
should plan to hold pressure
on the puncture site?
A. 2 minutes
B. 5 minutes
C. 10 minutes
D. 15 minutes
, 2. When assessing lab values D. Increased bands in the WBC differential (shift to the left)
on a patient admitted with When infections are severe, such as in septicemia, more
granulocytes are released from the bone marrow as a
septicemia, the nurse would
compensatory mechanism. To meet the increased demand,
expect to find: many young, immature polymorphonuclear neutrophils
A. Increased platelets (bands) are released into circulation. WBCs are usually
B. Decreased red blood reported in order of maturity, with the less mature forms on
the left side of a written report. Hence, the term "shift to the
cells
left" is used to denote an increase in the number of bands.
C. Decreased erythrocyte
sedimentation rate (ESR)
D. Increased bands in the
WBC differential (shift to the
left)
2. Which of the following is a B. Large hemorrhoids Gastrointestinal (GI) tract bleeding is
factor significant in the a common etiologic factor in men and may result from
peptic ulcers, hiatal hernia, gastritis, cancer, hemorrhoids,
development of anemia in
diverticula, ulcerative colitis, or salicylate poisoning.
men?
A. Condom use
B. Large hemorrhoids
C. C. A diet high in
cholesterol
D. Smoking one pack of
cigarettes daily