HESI RN ADVANCED PATHOPHYSIOLOGY FINAL EXAM QUESTIONS WITH 100% CORRECT
SOLUTIONS | GUARANTEED SUCCESS.
Which assessment finding should most concern the nurse who is monitoring a client two hours after a
thoracentesis?
New onset of coughing.
Low resting heart rate.
Distended neck veins.
Decreased shallow respirations. - (answer)New onset of coughing.
A pneumothorax (partial or complete lung collapse) is the potential complication of a thoracentesis.
Manifestations of a pneumothorax include new onset of a nagging cough, tachycardia, and an increased
shallow respiration rate.
Which assessment is most important for the nurse to perform on a client who is hospitalized for
Guillain-Barre syndrome that is rapidly progressing?
Respiratory effort.
Unsteady gait.
Intensity of pain.
Ability to eat. - (answer)Respiratory effort.
Guillain-Barre syndrome causes paralysis or weakness that typically starts at the feet and progresses
upwards. As the condition progresses, the nurse must ensure that the client is able to breathe
effectively.
What is the primary nursing problem for a client with asymptomatic primary syphilis?
Acute pain.
Risk for injury.
, HESI RN ADVANCED PATHOPHYSIOLOGY FINAL EXAM QUESTIONS WITH 100% CORRECT
SOLUTIONS | GUARANTEED SUCCESS.
Sexual dysfunction.
Deficient knowledge - (answer)Deficient knowledge
An asymptomatic client with primary syphilis is most likely unaware of this disease, so to prevent
transmission to others and recurrence in the client, the priority nursing diagnosis is deficient knowledge
of the disease pathophysiology.
A client with heart failure is prescribed digoxin 0.125 mg PO. The client's apical heart rate is70 beats per
minute, blood pressure is 125/75 mmHg, and respirations are 18 breaths per minute. Which action
should the nurse implement next?
Administer the medication.
Inform the healthcare provider.
Review the vital sign flowsheet.
Reassess the apical heart rate. - (answer)Administer the medication.
Obtaining the apical heart rate is a common parameter prior to administering digoxin, which may
indicate early digoxin toxicity if the heart rate is less than 60 beats per minute, so the dose should be
administered since the client is not demonstrating any signs of toxicity.
A nurse is preparing to insert an IV catheter after applying an eutectic mixture of lidocaine and
prilocaine (EMLA), a topical anesthetic cream. What action should the nurse take to maximize its
therapeutic effect?
-Rub a liberal amount of cream into the skin thoroughly. Incorrect
-Cover the skin with a gauze dressing after applying the cream.
-Leave the cream on the skin for 1 to 2 hours before the procedure.
-Use the smallest amount of cream necessary to numb the skin surface. - (answer)Leave the cream on
the skin for 1 to 2 hours before the procedure.
SOLUTIONS | GUARANTEED SUCCESS.
Which assessment finding should most concern the nurse who is monitoring a client two hours after a
thoracentesis?
New onset of coughing.
Low resting heart rate.
Distended neck veins.
Decreased shallow respirations. - (answer)New onset of coughing.
A pneumothorax (partial or complete lung collapse) is the potential complication of a thoracentesis.
Manifestations of a pneumothorax include new onset of a nagging cough, tachycardia, and an increased
shallow respiration rate.
Which assessment is most important for the nurse to perform on a client who is hospitalized for
Guillain-Barre syndrome that is rapidly progressing?
Respiratory effort.
Unsteady gait.
Intensity of pain.
Ability to eat. - (answer)Respiratory effort.
Guillain-Barre syndrome causes paralysis or weakness that typically starts at the feet and progresses
upwards. As the condition progresses, the nurse must ensure that the client is able to breathe
effectively.
What is the primary nursing problem for a client with asymptomatic primary syphilis?
Acute pain.
Risk for injury.
, HESI RN ADVANCED PATHOPHYSIOLOGY FINAL EXAM QUESTIONS WITH 100% CORRECT
SOLUTIONS | GUARANTEED SUCCESS.
Sexual dysfunction.
Deficient knowledge - (answer)Deficient knowledge
An asymptomatic client with primary syphilis is most likely unaware of this disease, so to prevent
transmission to others and recurrence in the client, the priority nursing diagnosis is deficient knowledge
of the disease pathophysiology.
A client with heart failure is prescribed digoxin 0.125 mg PO. The client's apical heart rate is70 beats per
minute, blood pressure is 125/75 mmHg, and respirations are 18 breaths per minute. Which action
should the nurse implement next?
Administer the medication.
Inform the healthcare provider.
Review the vital sign flowsheet.
Reassess the apical heart rate. - (answer)Administer the medication.
Obtaining the apical heart rate is a common parameter prior to administering digoxin, which may
indicate early digoxin toxicity if the heart rate is less than 60 beats per minute, so the dose should be
administered since the client is not demonstrating any signs of toxicity.
A nurse is preparing to insert an IV catheter after applying an eutectic mixture of lidocaine and
prilocaine (EMLA), a topical anesthetic cream. What action should the nurse take to maximize its
therapeutic effect?
-Rub a liberal amount of cream into the skin thoroughly. Incorrect
-Cover the skin with a gauze dressing after applying the cream.
-Leave the cream on the skin for 1 to 2 hours before the procedure.
-Use the smallest amount of cream necessary to numb the skin surface. - (answer)Leave the cream on
the skin for 1 to 2 hours before the procedure.
