Hesi Pathophysiology Practice Exam
Study online at https://quizlet.com/_90viem
1. After talking w/ the HCP, a As the prostate gland enlarges, its cells contribute more PSA in
male pt continues to have the circulating blood
questions about the results
of a prostatic surface antigen PSA is a glycoprotein found in prostatic epithelial cells, and
(PSA) screening test and asks elevations are used as a specific tumor markers. Elevations in
the nurse how the PSA levels PSA are r/t gland volume, ie. benign BPH, prostatitis, and cancer
become elevated. The nurse of the prostate, indicating tumor cell load. PSA levels are also
should explain which patho- used to monitor response to therapy
physiological mechanism?
2. A 26 yr old male client w/ Permanent sterility occurs in the male client who receive radia-
Hodgkin's disease is sched- tion
uled to undergo radiation
therapy. The clinet expresses Low sperm count and loss of motility are seen in males w/
concern about the effect of ra- Hodgkin's disease b/f any therapy. Radiotherapy often results
diation on his ability to have in permanent aspermia, or sterility
children. What info should the
nurse provide?
3. The nurse hears short, Crackles in the right and left lower lobes
high-pitched sounds just b/f
the end of inspiration in the Fine crackles - short, high-pitched sounds heard just b/f the end
right and left lower lobes of inspiration that are the result of rapid equalization of pressure
when auscultating a client's when collaped alveoli or terminal bronchioles suddenly snap
lungs. How should this finding open
be recorded?
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
4. A client is admitted to the ER A deviation of the trachea toward the side opposite of the
w/ a tension pneumothorax. pneumothorax
, Hesi Pathophysiology Practice Exam
Study online at https://quizlet.com/_90viem
Which assessment should the Tension pneumothorax is caused by rapid accumulation of air in
nurse expect to ID? the pleural space, causing severely high intrapleural pressure.
This results in collapse of the lung, and the mediastinum shifts
toward the unaffected side, which is subsequently compressed
5. A client who is receiving a A febrile transfusion reaction
whole blood transfusion dv's
chills, fever, and a HA 30 min Sx of a febrile reaction include sudden chills, fever, HA, flushing,
after the transfusion is start- and muscle pain.
ed. The nurse shold recognize
An allergic rxn is the response of histamine release which is
these sx as characteristic of
characterized by flushing, itching, and urticaria. It exhibits an
what rxn?
exaggerated allergic response that progresses to shock and
possible cardiac arrest
an acute hemolytic reaction presents w/ fever, chills, but is
hallmarked by the onset of low back pain, tachycardia, tachyp-
nea, vascular collapse, hemoglobinuria, dark urine, ARF, shock,
cardiac arrest, and even death
6. The nurse is analyzing the QRS interval of 0.14 second
waveforms of a client's ECG.
What finding indicates a dis- the normal duration of the QRS is 0.04 - 0.12 sec
turbance in electrical conduc-
T wave is 0.16 sec;
tion in the ventricles?
PR is 0.12 - 0.20 sec;
QT is 0.31-0.38 sec
7. Several hrs after surgical re- Renal artery embolization
pair of an AAA, the client dvps
left flank pain. the nurse de- Post-op complications of surgical repair of AAA are r/t the lo-
termines the client's urinary cation of resection, graft, or stent placement along the abd'l
output is 20 m.;hr for the past aorta. Embolization of a fragment of thrombus or plaque from
the aorta into a renal artery can compromise blood flow in 1 of
Study online at https://quizlet.com/_90viem
1. After talking w/ the HCP, a As the prostate gland enlarges, its cells contribute more PSA in
male pt continues to have the circulating blood
questions about the results
of a prostatic surface antigen PSA is a glycoprotein found in prostatic epithelial cells, and
(PSA) screening test and asks elevations are used as a specific tumor markers. Elevations in
the nurse how the PSA levels PSA are r/t gland volume, ie. benign BPH, prostatitis, and cancer
become elevated. The nurse of the prostate, indicating tumor cell load. PSA levels are also
should explain which patho- used to monitor response to therapy
physiological mechanism?
2. A 26 yr old male client w/ Permanent sterility occurs in the male client who receive radia-
Hodgkin's disease is sched- tion
uled to undergo radiation
therapy. The clinet expresses Low sperm count and loss of motility are seen in males w/
concern about the effect of ra- Hodgkin's disease b/f any therapy. Radiotherapy often results
diation on his ability to have in permanent aspermia, or sterility
children. What info should the
nurse provide?
3. The nurse hears short, Crackles in the right and left lower lobes
high-pitched sounds just b/f
the end of inspiration in the Fine crackles - short, high-pitched sounds heard just b/f the end
right and left lower lobes of inspiration that are the result of rapid equalization of pressure
when auscultating a client's when collaped alveoli or terminal bronchioles suddenly snap
lungs. How should this finding open
be recorded?
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
4. A client is admitted to the ER A deviation of the trachea toward the side opposite of the
w/ a tension pneumothorax. pneumothorax
, Hesi Pathophysiology Practice Exam
Study online at https://quizlet.com/_90viem
Which assessment should the Tension pneumothorax is caused by rapid accumulation of air in
nurse expect to ID? the pleural space, causing severely high intrapleural pressure.
This results in collapse of the lung, and the mediastinum shifts
toward the unaffected side, which is subsequently compressed
5. A client who is receiving a A febrile transfusion reaction
whole blood transfusion dv's
chills, fever, and a HA 30 min Sx of a febrile reaction include sudden chills, fever, HA, flushing,
after the transfusion is start- and muscle pain.
ed. The nurse shold recognize
An allergic rxn is the response of histamine release which is
these sx as characteristic of
characterized by flushing, itching, and urticaria. It exhibits an
what rxn?
exaggerated allergic response that progresses to shock and
possible cardiac arrest
an acute hemolytic reaction presents w/ fever, chills, but is
hallmarked by the onset of low back pain, tachycardia, tachyp-
nea, vascular collapse, hemoglobinuria, dark urine, ARF, shock,
cardiac arrest, and even death
6. The nurse is analyzing the QRS interval of 0.14 second
waveforms of a client's ECG.
What finding indicates a dis- the normal duration of the QRS is 0.04 - 0.12 sec
turbance in electrical conduc-
T wave is 0.16 sec;
tion in the ventricles?
PR is 0.12 - 0.20 sec;
QT is 0.31-0.38 sec
7. Several hrs after surgical re- Renal artery embolization
pair of an AAA, the client dvps
left flank pain. the nurse de- Post-op complications of surgical repair of AAA are r/t the lo-
termines the client's urinary cation of resection, graft, or stent placement along the abd'l
output is 20 m.;hr for the past aorta. Embolization of a fragment of thrombus or plaque from
the aorta into a renal artery can compromise blood flow in 1 of
