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Hesi Pathophysiology Practice Exam
Questions and Correct Answers/ Latest
Update / Already Graded
After talking w/ the HCP, a male pt continues to have questions
about the results of a prostatic surface antigen (PSA) screening test
and asks the nurse how the PSA levels become elevated. The nurse
should explain which pathophysiological mechanism?
Ans: As the prostate gland enlarges, its cells contribute more PSA in the
circulating blood
PSA is a glycoprotein found in prostatic epithelial cells, and elevations are
used as a specific tumor markers. Elevations in PSA are r/t gland volume,
ie. benign BPH, prostatitis, and cancer of the prostate, indicating tumor
cell load. PSA levels are also used to monitor response to therapy
A 26 yr old male client w/ Hodgkin's disease is scheduled to undergo
radiation therapy. The clinet expresses concern about the effect of
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radiation on his ability to have children. What info should the nurse
provide?
Ans: Permanent sterility occurs in the male client who receive radiation
Low sperm count and loss of motility are seen in males w/ Hodgkin's
disease b/f any therapy. Radiotherapy often results in permanent
aspermia, or sterility
The nurse hears short, high-pitched sounds just b/f the end of
inspiration in the right and left lower lobes when auscultating a
client's lungs. How should this finding be recorded?
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Ans: Crackles in the right and left lower lobes
Fine crackles - short, high-pitched sounds heard just b/f the end of
inspiration that are the result of rapid equalization of pressure when
collaped alveoli or terminal bronchioles suddenly snap open
Wheezing is a continuous high-pitched squeaking or musical sound
caused by rapid vibration of bronchial walls that are 1st evident on
expiration and may be audible
A client is admitted to the ER w/ a tension pneumothorax. Which
assessment should the nurse expect to ID?
Hesi Pathophysiology Practice Exam
Questions and Correct Answers/ Latest
Update / Already Graded
After talking w/ the HCP, a male pt continues to have questions
about the results of a prostatic surface antigen (PSA) screening test
and asks the nurse how the PSA levels become elevated. The nurse
should explain which pathophysiological mechanism?
Ans: As the prostate gland enlarges, its cells contribute more PSA in the
circulating blood
PSA is a glycoprotein found in prostatic epithelial cells, and elevations are
used as a specific tumor markers. Elevations in PSA are r/t gland volume,
ie. benign BPH, prostatitis, and cancer of the prostate, indicating tumor
cell load. PSA levels are also used to monitor response to therapy
A 26 yr old male client w/ Hodgkin's disease is scheduled to undergo
radiation therapy. The clinet expresses concern about the effect of
,2 | Page
radiation on his ability to have children. What info should the nurse
provide?
Ans: Permanent sterility occurs in the male client who receive radiation
Low sperm count and loss of motility are seen in males w/ Hodgkin's
disease b/f any therapy. Radiotherapy often results in permanent
aspermia, or sterility
The nurse hears short, high-pitched sounds just b/f the end of
inspiration in the right and left lower lobes when auscultating a
client's lungs. How should this finding be recorded?
, 3 | Page
Ans: Crackles in the right and left lower lobes
Fine crackles - short, high-pitched sounds heard just b/f the end of
inspiration that are the result of rapid equalization of pressure when
collaped alveoli or terminal bronchioles suddenly snap open
Wheezing is a continuous high-pitched squeaking or musical sound
caused by rapid vibration of bronchial walls that are 1st evident on
expiration and may be audible
A client is admitted to the ER w/ a tension pneumothorax. Which
assessment should the nurse expect to ID?
