HESI Case Study - Pernicious Anemia
Exam Questions and Answers 100% Pass
Introduction - ANSWER-The client is a 45-year-old male who was admitted to
the medical-surgical unit 6 hours ago from the Emergency Department (ED) due
to nausea, vomiting, shortness of breath, pallor, weakness, and severe fatigue. He
also has had a medical history of chronic gastric ulcers.
The nurse receives shift report and proceeds to the client's room, bringing
equipment to measure his vital signs. Which vital sign should concern the nurse the
most?
A. Blood pressure is 142/80 mmHg.
B. Respiration rate of 24 breaths/minute.
C. Heart rate of 98 beats/minute.
D. Pulse oxygenation of 94%. - ANSWER-A
This elevated blood pressure could indicate an underlying issue that should be
addressed.
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,The nurse asks the client how he is feeling. He reports that he does not have time
for this hospitalization. The nurse notes that he seems annoyed. He coughs as he
tries to sit up. He turns on the television, focuses on a news station, and ignores
the nurse.
Which type of assessment should the nurse perform on the client?
A. A focused assessment.
B. A comprehensive assessment.
C. An emergency assessment.
D. A psychosocial assessment. - ANSWER-A
This assessment is for evaluating the status of specific previously identified
problems and any symptoms of new problems developing.
The nurse performs a focused assessment. Which systems should the nurse
evaluate? (Select all that apply. One, some, or all options may be correct.) Select all
that apply.
A. Neurological system.
B. Cardiovascular system.
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, C. Respiratory system.
D. Integumentary system.
E. Gastrointestinal system. - ANSWER-B, C, E
The client has hypertension and an elevated heart rate.
The client has a cough.
The client has a history of having gastric ulcers and he currently has nausea and
vomiting symptoms.
The nurse finds that the client has a weak, irregular, and rapid pulse and his tongue
is inflamed. The nurse decides to perform a neurological assessment because of
mild tremoring. His unexpected neurological findings include hyperactive deep
tendon reflexes and mild burning and prickling sensations on his feet and hands.
He also appears to startle easily, and he has lost about 15% of his weight compared
to his last visit, which was four months ago.
During the assessment, the nurse suspects that the client may have pernicious
anemia. Which pathophysiological process promotes this condition?
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Exam Questions and Answers 100% Pass
Introduction - ANSWER-The client is a 45-year-old male who was admitted to
the medical-surgical unit 6 hours ago from the Emergency Department (ED) due
to nausea, vomiting, shortness of breath, pallor, weakness, and severe fatigue. He
also has had a medical history of chronic gastric ulcers.
The nurse receives shift report and proceeds to the client's room, bringing
equipment to measure his vital signs. Which vital sign should concern the nurse the
most?
A. Blood pressure is 142/80 mmHg.
B. Respiration rate of 24 breaths/minute.
C. Heart rate of 98 beats/minute.
D. Pulse oxygenation of 94%. - ANSWER-A
This elevated blood pressure could indicate an underlying issue that should be
addressed.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
,The nurse asks the client how he is feeling. He reports that he does not have time
for this hospitalization. The nurse notes that he seems annoyed. He coughs as he
tries to sit up. He turns on the television, focuses on a news station, and ignores
the nurse.
Which type of assessment should the nurse perform on the client?
A. A focused assessment.
B. A comprehensive assessment.
C. An emergency assessment.
D. A psychosocial assessment. - ANSWER-A
This assessment is for evaluating the status of specific previously identified
problems and any symptoms of new problems developing.
The nurse performs a focused assessment. Which systems should the nurse
evaluate? (Select all that apply. One, some, or all options may be correct.) Select all
that apply.
A. Neurological system.
B. Cardiovascular system.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
, C. Respiratory system.
D. Integumentary system.
E. Gastrointestinal system. - ANSWER-B, C, E
The client has hypertension and an elevated heart rate.
The client has a cough.
The client has a history of having gastric ulcers and he currently has nausea and
vomiting symptoms.
The nurse finds that the client has a weak, irregular, and rapid pulse and his tongue
is inflamed. The nurse decides to perform a neurological assessment because of
mild tremoring. His unexpected neurological findings include hyperactive deep
tendon reflexes and mild burning and prickling sensations on his feet and hands.
He also appears to startle easily, and he has lost about 15% of his weight compared
to his last visit, which was four months ago.
During the assessment, the nurse suspects that the client may have pernicious
anemia. Which pathophysiological process promotes this condition?
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
