HESI RN ADVANCED PATHOPHYSIOLOGY
2024 ACTUAL EXAM 160 QUESTIONS AND
CORRECT DETAILED ALREADY GRADED A+
A child has been diagnosed with marasmus due to the fact that the parents have both lost their jobs and have very limited funds for food.Which of the following clinical manifestations would the school nurse assess that would confirm this diagnosis? Select all that apply. - ANSWER>> -Bradycardia -Stunted growth pattern A school nurse has identified a student with noticeable loss of lean tissues and muscle mass. More than likely, this is caused by protein- calorie malnutrition. The nurse should ask the student if he is experiencing which of the following clinical manifestations that helps confirm this diagnosis? - ANSWER>> Diarrhea A homeless client asks, "Why can't I get this wound on my foot to heal?" Knowing that the client is not receiving good nutrition on a regular basis,
the nurse will reply: - ANSWER>> "Right now your immune system is
decreased because you are not eating a balanced diet." A frail, 87-year-old female client has been admitted to a hospital after a fall and has been diagnosed with failure to thrive. Which of the following laboratory values would suggest that the client may be experiencing malnutrition? - ANSWER>> Low prealbumin Similarities between girls or women with anorexia nervosa and bulimia nervosa include: - ANSWER>> Electrolyte imbalances 1 / 3
Which of the following assessments should be the priority when caring for a client with anorexia nervosa? - ANSWER>> Serum electrolyte levels While assessing a teenage girl suspected of having bulimia nervosa, the health care provider may find which of the following clinical manifestations that would confirm the diagnosis? Select all that apply. - ANSWER>> -Large number of teeth with dental caries -Eroded tooth enamel leading to sensitive teeth -Painless parotid gland enlargement Knowing that both binge-eating and bulimia nervosa clients consume excessive amounts of foods secretively, which assessment data lead the high school nurse to suspect the student is a binge eater? - ANSWER>> Remain overweight Which of the following clients would be an example of cellular atrophy? - ANSWER>> A middle-aged female experiencing menopause due to loss of estrogen stimulation A client has experienced significant decreases in mobility and stamina during a 3-week hospital stay for the treatment of a femoral head fracture. Which of the following phenomena most likely accounts for the client's decrease in muscle function? - ANSWER>> Disuse atrophy of muscle cells during a prolonged period of immobility The client is found to have liver disease, resulting in the removal of a lobe of his liver. Adaptation to the reduced size of the liver leads to which phenomenon in the remaining liver cells? - ANSWER>> Compensatory hyperplasia 2 / 3
A client presents for a scheduled Papanicolaou (Pap) smear. The clinician who will interpret the smear will examine cell samples for
evidence of: - ANSWER>> Changes in cell shape, size, and
organization When performing an assessment on a school-aged child, the nurse notes that the mucous membranes along the gum margins have a noticeable blue-colored line. At this point, the nurse should ask the
parents about possible: - ANSWER>> Exposure to lead
An elderly client asks her health care provider if the reason she has developed aortic stenosis is because she drank so much milk as a child growing up on a farm. Which of the following responses is most accurate? - ANSWER>> "Atherosclerosis is a long process that eventually results in calcification of heart valves." Which of the following pathophysiologic processes is most likely to result in metastatic calcification? - ANSWER>> Hyperparathyroidism Despite the low levels of radiation used in contemporary radiologic imaging, a radiology technician is aware of the need to minimize her exposure to ionizing radiation. What is the primary rationale for the
technician's precautions? Radiation: - ANSWER>> Interferes with DNA
synthesis and mitosis A mother rushes her 4-year-old child to the emergency department after she found an empty Tylenol (acetaminophen) bottle beside her child.The nurse is trying to explain why it is so important to give the child
Ipecac to induce vomiting in order to prevent: - ANSWER>> Liver failure
The parents of a 4-year-old girl have sought care because their daughter has admitted to chewing and swallowing imported toy figurines that have
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