- | Page
ADVANCED PATHOPHYSIO LOGY HESI
FINAL EXAM. QUESTION S & ANSWERS
Question :The nurse hears short, high-pitched sounds just
before the end of inspiration in the right and left lower lobes when auscultating a client's lungs. How should this finding be recorded?
Correct answer:Fine crackles are short, high pitched sounds
heard just before the end of inspiration that are the result of rapid equalization of pressure when collapsed alveoli or terminal bronchioles suddenly snap open.
Question :The nurse is assessing an older client and
determines that the client's left upper eyelid droops, covering more of the iris than the right eyelid. Which description should the nurse use to document this finding?
Correct answer:Ptosis is the term used to describe an eyelid
droop that covers a large portion of the iris, which may result from oculomotor nerve or eyelid muscle disorder.
Question :A client's family asks why their mother with heart
failure needs a pulmonary artery catheter now that she is in
- | Page
the ICU. What information should the nurse include in the explanation to the family?
Correct answer:Pulmonary artery catheters are used to
measure central pressures and fluid balance. Even though all clients in the ICU require close monitoring, they do not all need a PA catheter
Question :Several hours after surgical repair of an abdominal
aortic aneurysm, the client develops left flank pain. The nurse determines the client's urinary output is 20 mL/hr for the past
- hours.
Correct answer:Postoperative complications of surgical repair
of AAA are related to the location of resection, graft, or stent placement along the abdominal aorta. Embolization of a fragment of thrombus or plaque from the aorta into a renal artery can compromise blood flow in one of the renal arteries, resulting in renal ischemia that precipitates unilateral flank pain.
Question :The nurse should conclude that these findings
support which complication?
- | Page
Correct answer:Intraoperative blood loss or rupture of the
aorta anastomosis can cause acute renal failure related to hypovolemia.
Question :The nurse is assessing a postmenopausal woman
who is complaining of urinary urgency and frequency and stress incontinence. She also reports difficulty emptying her bladder. These complaints are most likely due to which condition?
Correct answer:This constellation of signs in a
postmenopausal woman are characteristic of cystocele.
Question :A male client who has never smoked by has had
COPD is now being assessed for cancer of the lung. The nurse knows that he is most likely to develop which type of lung cancer?
Correct answer:Adenocarcinoma is the only lung cancer not
related to cigarette smoking. It has been found to be directly related to lung scarring and fibrosis from preexisting pulmonary disease such as TB or COPD.
- | Page
Question :Muscular Dystrophy is characterized by which
pathophysiological condition?
Correct answer:Skeletal muscle degeneration is a classic
symptom of muscular dystrophy.
Question :The nurse is preparing to administer atropine, an
anticholinergic, to a client who is scheduled for a cholecystectomy. The client asks the nurse to explain the reason for the prescribed medication. What is the best response for the nurse to provide?
Correct answer:Atropine may be prescribed to increase the
automaticity of the SA node and prevent a dangerous reduction in HR during surgical anesthesia.
Question :What information should the nurse include in a
teaching plan about the onset of menopause?
Correct answer:Smoking, Oophorectomy and hysterotomy,
Early menarche, Genetic influence and Chemotherapy exposure.