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Hesi Pathophysiology Practice Exam ||Verified
Exam!!|| Most Recent Exam Actual Complete Real
Exam Questions And Correct Answers (Verified
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A client is admitted to the ER w/ a tension pneumothorax.
Which assessment should the nurse expect to ID? -
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 who is receiving a whole blood transfusion dv's
chills, fever, and a HA 30 min after the transfusion is
started. The nurse shold recognize these sx as
characteristic of what rxn? - Answer-A febrile transfusion
reaction
Sx of a febrile reaction include sudden chills, fever, HA,
flushing, and muscle pain.
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An allergic rxn is the response of histamine release which
is characterized by flushing, itching, and urticaria. It
exhibits an 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,
tachypnea, vascular collapse, hemoglobinuria, dark urine,
ARF, shock, cardiac arrest, and even death
The nurse is analyzing the waveforms of a client's ECG.
What finding indicates a disturbance in electrical
conduction in the ventricles? - Answer-QRS interval of
0.14 second
the normal duration of the QRS is 0.04 - 0.12 sec
T wave is 0.16 sec;
PR is 0.12 - 0.20 sec;
QT is 0.31-0.38 sec
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Several hrs after surgical repair of an AAA, the client dvps
left flank pain. the nurse determines the client's urinary
output is 20 m.;hr for the past 2 hrs. The nurse should
conclude that these findings support which complication? -
Answer-Renal artery embolization
Post-op complications of surgical repair of AAA are r/t the
location of resection, graft, or stent placement along the
abd'l aorta. Embolization of a fragment of thrombus or
plaque from the aorta into a renal artery can compromise
blood flow in 1 of the renal arteries, resulting in renal
ischemia that precipitates unilateral flank pain
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? - 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
Hesi Pathophysiology Practice Exam ||Verified
Exam!!|| Most Recent Exam Actual Complete Real
Exam Questions And Correct Answers (Verified
Answers) Already Graded A+|| Newest Exam!!!
A client is admitted to the ER w/ a tension pneumothorax.
Which assessment should the nurse expect to ID? -
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 who is receiving a whole blood transfusion dv's
chills, fever, and a HA 30 min after the transfusion is
started. The nurse shold recognize these sx as
characteristic of what rxn? - Answer-A febrile transfusion
reaction
Sx of a febrile reaction include sudden chills, fever, HA,
flushing, and muscle pain.
,2|Page
An allergic rxn is the response of histamine release which
is characterized by flushing, itching, and urticaria. It
exhibits an 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,
tachypnea, vascular collapse, hemoglobinuria, dark urine,
ARF, shock, cardiac arrest, and even death
The nurse is analyzing the waveforms of a client's ECG.
What finding indicates a disturbance in electrical
conduction in the ventricles? - Answer-QRS interval of
0.14 second
the normal duration of the QRS is 0.04 - 0.12 sec
T wave is 0.16 sec;
PR is 0.12 - 0.20 sec;
QT is 0.31-0.38 sec
, 3|Page
Several hrs after surgical repair of an AAA, the client dvps
left flank pain. the nurse determines the client's urinary
output is 20 m.;hr for the past 2 hrs. The nurse should
conclude that these findings support which complication? -
Answer-Renal artery embolization
Post-op complications of surgical repair of AAA are r/t the
location of resection, graft, or stent placement along the
abd'l aorta. Embolization of a fragment of thrombus or
plaque from the aorta into a renal artery can compromise
blood flow in 1 of the renal arteries, resulting in renal
ischemia that precipitates unilateral flank pain
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? - 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
