Hesi RN Pathophysiology Practice Exam Latest
Update 2024-2025 Actual Exam Questions and
100% Correct Answers Guaranteed A+
A 26 yr old male client w/ Hodgkin's disease is scheduled to undergo radiation therapy.
The clinet expresses concern about the effect of radiation on his ability to have children.
What info should the nurse provide? - CORRECT ANSWER: 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
A client is admitted to the ER w/ a tension pneumothorax. Which assessment should the
nurse expect to ID? - CORRECT ANSWER: A deviation of the trachea toward the side
opposite of the pneumothorax
Tension pneumothorax is caused by rapid accumulation of air in 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
A client is brought to the ER after a snow skiing accident. Which intervention is most
important for the nurse to implement? - CORRECT ANSWER: Review the ECG tracing
Airway, Breathing, and Circulation are priorities in client assessment and tx. Continuous
cardiac monitoring is indicated because hypothermic clients have an increased risk for
dysrhythmias
A client reports unprotected sex 1 wk ago and is worried about HIV exposure. An initial
HIV antibody screen (ELISA) is obtained. The nurse teaches the client that
seroconversion to HIV positive relies on antibody production by B lymphocytes after
exposure to the virus. When should the nurse recommend the client return for repeat
blood testing? - CORRECT ANSWER: 6-12 wks
, although the HIV antigen is detectable appx 2 wks after exposure, seroconversion to
HIV positive may take up to 6-12 wks after exposure
a client w/ a fx'd right radius reports severe, diffuse pain that has not responded to the
prescribed analgesics. The pain is greater w/ passive mvmt of the limb than w/ active
mvmt by the client. The nurse recognizes that the client is most likely exhibiting sx of
which condition? - CORRECT ANSWER: Acute compartment syndrome
A client w/ aortic valve stenosis dvps HF. Which pathophys finding occurs in the
myocardial cells as a result of the increased cardiac workload? - CORRECT ANSWER:
Increase in size
HTN and incompetent or stenotic heart valves cause an increase in the workload of the
heart by increasing afterload which requires an increase in the force of cxn to pump
blood out of the heart. Myocardial hypertrophy results because the cells increase in
surface area or size by increasing the amt of contractile proteins, but the quantity of
fibers remain constant. As myocardial hypertrophy progresses, the heart becomes
ineffective as a pump because the ventricular wall cannot dvp enough tension to cause
effective contraction, which causes myocardial irritability due to hypoxia
A client w/ asthma receives a prescription for high BP during a clinic visit. Which
prescription should the nurse anticipate the client to receive that is least likely to
exacerbate asthma? - CORRECT ANSWER: Metoprolol
A client w/ markedly distended bladder is dx w/ hydronephroosis and left hydroureter
after an IV pyelogram. The nurse catheterizes the client and obtains a residual urine vol
of 1650 ml. this finding supports which pathophysiological cause of the client's urinary
tract obstruction? - CORRECT ANSWER: Obstruction at the urinary bladder neck
Hydroureter (dilation of the renal pelvis), vesicoureteral reflux (backward mvmt of urine
from the lower to upper urinary tracts), and hydronephrosis (dilation or enlargement of
the renal pelvis and calyces) result from post-renal obstruction which can consequently
result in chronic pyelonephritis and renal atrophy. Ascending urinary reflux occurs when
normal ureteral peristaltic pressure is met w/ an increase in urinary pressure occurring
during bladder filling if the urinary bladder neck is obstructed
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