2020 HESI Advanced Pathophysiology Practice Exam With Answers (100 Solved Questions)

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HESI ADVANCED PATHOPHYSIOLOGY V2( 100PRACTICE QUESTIONS ANDANSWERS)ALL CORRECT.1.Upon admission assessment, the nurse hears amurmur located at the fifth intercostal space,midclavicularline.Theclientasks,“Whatdoesthatmean?”Thenursewillbase her answer on whichof the following physiologicprinciples?A)“Youhavebeenexposedtoaninfectionthatwentintoyour bloodstream.”B)“Youhaveaheartvalvethatisdiseased.”C)“Youhearthasbeenpumpingyourbloodsohard,thatthe pressurehas damagedyourvalves.”D)“Yourhearthasenlarged,sonaturallyyourvalveshadtoenlarge as well.”Ans:BFeedback:Turbulence is oftenaccompanied byvibrations of the blood and surroundingcardiovascularstructures.Someofthesevibrationsareintheaudiblerangeand can be heard using astethoscope. For example, a heartmurmur results from turbulent flow through a diseasedheartvalve.The otherdistractors arenotfeasible.2.Aclientisdiagnosedwithanabdominalaorticaneurysmthatthephysicianjustwantsto“watch”fornow.When teaching the client aboutsigns/symptoms to watchfor, the nurse will base the teaching on whichof thefollowingphysiologicalprinciples?A)Smalldiameterofthisvesselwillcauseittorupturemore readily.B)Thelargertheaneurysm,thelesstensionplacedonthe vessel.C)Astheaneurysmgrows,moretensionisplacedonthevesselwall,whichincreases therisk forrupture.D)Theprimarycauseforrupturerelatestoincreasein abdominal pressure such as straining tohave a bowelmovement.Ans:CFeedback:Because the pressure is equalthroughout, the tension in the part of the balloon withthesmallerradiusisless thanthetension inthesectionwiththelarger radius. The same holds truefor an arterial aneurysmin which the tension and risk of rupture increase as theaneurysm grows insize. Walltension is inversely related towallthickness, such that the thicker the vessel wall, thelower the tension, and vice versa. Although arteries have athicker muscular wall than veins, theirdistensibility allowsthem to store some of the blood that is ejected from theheart during systole,providing for continuous flow throughthecapillariesas theheart relaxesduring diastole.

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2020 HESI Advanced Pathophysiology Practice Exam With Answers (100 Solved Questions)

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