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1. The nurse is teaching a client with maple syrup C. Both genes of a pair must be
urine disease (MSUD), an autosomal recessive dis- abnormal for the disorder to oc-
order, about the inheritance pattern. Which infor- cur.
mation should the nurse provide?
Rationale: Maple syrup urine
A. This recessive disorder is carried only on the X disease (MSUD) is a type of
chromosome. autosomal recessive inheritance
B. Occurrences mainly affect males and heterozy- disorder in which both genes of
gous females. a pair must be abnormal for the
C. Both genes of a pair must be abnormal for the disorder to be expressed.
disorder to occur.
D. One copy of the abnormal gene is required for
this disorder.
2. The nurse hears short, high-pitched sounds just B. Crackles in the right and left
before the end of inspiration in the right and left lower lobes.
lower lobes when auscultating a client's lungs. How
should this finding be recorded? Rationale: Fine crackles are
short, high-pitched sounds
A. Inspiratory wheezes in both lungs. heard just before the end of in-
B. Crackles in the right and left lower lobes. spiration that are the result of
C. Abnormal lung sounds in the bases of both rapid equalization of pressure
lungs. when collapsed alveoli or termi-
D. Pleural friction rub in the right and left lower nal bronchioles suddenly snap
lobes. open.
3. A client with a fractured right radius reports severe, A. Acute compartment syn-
diffuse pain that has not responded to the pre- drome.
scribed analgesics. The pain is greater with passive
movement of the limb than with active movement Rationale: These signs are spe-
by the client. The nurse recognizes that the client cific indications of Acute Com-
is most likely exhibiting symptoms of which condi- partment Syndrome and should
, HESI Practice Quiz
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tion? be treated as an emergency sit-
uation.
A. Acute compartment syndrome.
B. Fat embolism syndrome.
C. Venous thromboembolism.
D. Aseptic ischemic necrosis.
4. A male client who has never smoked but has had A. Adenocarcinoma
COPD for the past 5 years is now being assessed
for cancer of the lung. The nurse knows that he is Rationale: Adenocarcinoma is
most likely to develop which type of lung cancer? the only lung cancer not related
to cigarette smoking. It has been
A. Adenocarcinoma. found to be directly related to
B. Oat-cell carcinoma. lung scarring and fibrosis from
C. Malignant melanoma. preexisting pulmonary disease
D. Squamous-cell carcinoma. such as TB or COPD.
5. When observing a client for symptoms of a large A. Distention of the lower ab-
bowel obstruction, the nurse should assess for domen
which finding?
Rationale: Among findings char-
A. Distention of the lower abdomen. acteristic of a large bowel ob-
B. Nausea with profuse vomiting. struction is the distention of
C. Upper abdominal discomfort. the lower abdomen.The other
D. Fluid and electrolyte imbalances. options are findings associated
with small bowel obstruction.
6. Which pathophysiological response supports a C. Spasmodic reflex of respi-
client's vomiting experience? ratory and gastric movements
results from stimulation of the
A. Sensory input of noxious stimuli relayed to the chemoreceptor trigger zone.
cognitive centers is associated with disgust and
illicits vomiting. Rationale: Vomiting is a reflex