Questions – Comprehensive Q&A Study Guide,
Nursing Program, Academic Year Unknown –
practice questions with answers
Introduction:
This document contains an extensive collection of
pathophysiology review questions with clear answers,
designed to prepare nursing students for the HESI exam.
Topics include cardiovascular, respiratory, neurological,
endocrine, immune, gastrointestinal, renal, hematologic, and
integumentary disorders, as well as shock states, acid–base
balance, fluids and electrolytes, and emergency nursing
priorities. The material is well suited for exam revision,
concept reinforcement, and clinical reasoning practice.
Exam Questions and Answers:
A patient is going through childbirth when she suddenly
screams in pain and her placenta ruptures. Later on you notice
her platelet count is at 65000 and she has petechiae on her
lower extremities, your action as a nurse is based on the
knowledge that?
A. This is a normal finding for childbirth and post-hemorrhage
,B. This is a medical emergency that needs immediate
intervention
C. She will need post-op checks every 15 minutes until her
platelets begin to rise
D. She will need synthetic erythopoetin (epogen) immediately -
Answer:-B. This is DIC (placental emboli)
A patient comes in with a rbc count of 4.4 million, wbc- 4.8
thousand, and platelets- 150,100. this patient is diagnosed
with? Pancytopenia, anemia, neutropenia, thrombocytopenia. -
Answer:-Neutropenia- because the WBC count is low
A patient comes in with acute gastritis. He complains for the
past week he hasn't been able to exercise properly because he
runs out of breath so easily. Your first intervention would be
to?
A. Get chest x-ray stat to check for pleural effusion
B. Check WBC count
C. Check amounts of pepsin being secreted
D. Check amounts of intrinsic factor being secreted -Answer:-
D. Acute gastritis- can get pernicious anemia b/c he doesn't
have enough intrinsic factor
,The part of the EKG which corresponds with ventricular
repolarization is? -Answer:-T wave
A patients RBC count is 4.8 million and his hemoglobin count is
8.3 this is consistent with what disease? -Answer:-
Thalassemia (Lack of normal hemoglobin)
Normal RBC count, with abnormal hemoglobin
A patients RBC count is at 7.2 million, hemoglobin is 17, and
his hematocrit is at 65. these are consistent with?
A. Polycythemia
B. Thalassemia
C. Anemia
D. Aplastic anemia -Answer:-A. Super elevated lab values
Universal blood donor? -Answer:-O-
Universal blood recipient? -Answer:-AB+
Can rh positive receive rh negative blood? -Answer:-yes
, What are the four mechanisms used to treat an injury to the
ACL? -Answer:-Rest, ice, compression, elevation (RICE)
A patient is infected with an oppurtunistic infection 10 years
after he was diagnosed with HIV, which of the following
describes this individual?
A. Has become hypersensitive to the antigens of viruses
B. Is now classified as an autoimmune individual
C. Most likely has a WBC count of 5,000
D. Can be classified as immunodeficient -Answer:-D.
What cell is the primary cell affected by HIV?
A. T8 cell
B. T4 Cell
C. NK cells
D. Neutrophils -Answer:-B
A patient comes into the physician's office complaining of
feeling as if she has no energy, has gained 20 pounds in the
last two months and feels as if she's "always cold" which of
these hormones would you suspect the patient is lacking?
A. Epinephrine