Exam (elaborations)
HESI MEDSURG 4 EXAM
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Exam of 78 pages for the course MEDSURG_4 at MEDSURG_4 (HESI MEDSURG 4 EXAM)
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HESI MEDSURG 4 EXAMQuiz1
Question 1
pts
A client presents with red, inflamed skin covered with papules, vesicles, and bullae from
a type IV hypersensitivity reaction. Which condition/disease will the nurse most likely
observe written in the client’s electronic medical record?
Allergic rhinitis
Correct!
Contact dermatitis
Goodpasture syndrome
Systemic lupus erythematosus (SLE)
Question 2
pts
A client is admitted to the emergency department with allergic rhinitis and asthma. The
laboratory report shows histamines and prostaglandins. Which type of hypersensitivity
reaction may have occurred?
Correct!
Type I
Type II
Type III
,Type IV
Question 3
pts
A client is admitted with systemic lupus erythematosus (SLE). The laboratory report
shows the presence of neutrophils and monocytes as mediators of injury. Which type of
hypersensitivity reaction most likely occurred in the client?
Type I
Type II
Correct!
Type III
Type IV
Question 4
pts
Which conditions may result from immunoglobulin IgE antibodies on mast cells reacting
with antigens? Select all that apply.
Correct!
Asthma
Correct!
Hayfever
Sarcoidosis
,Myasthenia gravis
Rheumatoid arthritis
Question 5
pts
An arterial blood gas report indicates the client's pH is 7.25, PCO 2 is 35 mm Hg, and
HCO 3 is 20 mEq/L. Which disturbance should the nurse identify based on these results?
Correct!
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
Question 6
pts
A nurse is caring for a client with severe dehydration and its associated acid-base
imbalance. What compensatory mechanism within the body is activated to counteract
the effects of the client's acid-base imbalance?
Profuse diaphoresis
Increased temperature
Correct!
, Increased respiratory rate
Renal retention of hydrogen ions
Question 7
pts
During the progressive stage of shock, anaerobic metabolism occurs. Which
complication should the nurse anticipate in this client?
Correct!
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
Question 8
pts
A nurse is caring for a client after abdominal surgery and encourages the client to turn
from side to side and to engage in deep-breathing exercises. What complication is the
nurse trying to prevent?
Metabolic acidosis
Metabolic alkalosis
Correct Answer
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