HESI RN
Biology Practice Test
1. Which of the following processes produces nicotinamide adenine dinucleotide (NADH) and flavin adenine dinucleotide (FADH2) for the electron transport chain during cellular respiration?
- A. Electron transport chain
- B. Glycolysis
- C. Citric acid cycle (the Krebs cycle)
- D. None of these
Correct answer: C
Rationale: The correct answer is C, the citric acid cycle (the Krebs cycle). This cycle generates NADH and FADH2, which play a crucial role in providing electrons to the electron transport chain during cellular respiration. Choice A, the electron transport chain itself, is where NADH and FADH2 donate their electrons, not where they are produced. Choice B, glycolysis, produces NADH but not FADH2. Choice D, 'None of these,' is incorrect as the citric acid cycle specifically produces NADH and FADH2.
2. An 11-year-old client admitted to the mental health unit after threatening self-harm. What is the best activity to establish rapport and promote coping?
- A. Bring the client to the team meeting to discuss the treatment plan.
- B. Play a board game with the client and start discussing stressors.
- C. Explain the purpose of each medication the client is taking.
- D. Ask the client to write feelings in a journal and review together.
Correct answer: B
Rationale: Playing a board game with the client is an effective way to establish rapport in a relaxed setting, allowing the client to open up about stressors. This activity promotes coping by creating a safe and engaging environment for the client to express their feelings. Choices A, C, and D may not be suitable initially as they involve more formal or intrusive approaches that may not be suitable for building rapport with a client experiencing emotional distress.
3. The client has begun medication therapy with pancrelipase (Pancrease MT). The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed?
- A. Weight loss
- B. Relief of heartburn
- C. Reduction of steatorrhea
- D. Absence of abdominal pain
Correct answer: C
Rationale: Pancrelipase (Pancrease MT) is a pancreatic enzyme replacement therapy used to aid digestion in clients with pancreatic insufficiency. One of the key goals of pancrelipase therapy is to reduce the amount of undigested fat in the stool, known as steatorrhea. Therefore, the nurse should evaluate the effectiveness of pancrelipase by looking for a reduction in steatorrhea, indicating improved digestion and absorption of fats.
4. A client with acute kidney injury (AKI) is experiencing hyperkalemia. What intervention should the nurse prioritize?
- A. Administer IV calcium gluconate.
- B. Administer sodium polystyrene sulfonate (Kayexalate).
- C. Administer insulin with dextrose.
- D. Restrict potassium intake in the client's diet.
Correct answer: A
Rationale: The correct intervention for a client with acute kidney injury (AKI) experiencing hyperkalemia is to administer IV calcium gluconate. Calcium gluconate helps stabilize the myocardium and prevent life-threatening arrhythmias in hyperkalemia by antagonizing the cardiac effects of high potassium levels. Choice B, administering sodium polystyrene sulfonate (Kayexalate), is used to lower potassium levels in the gastrointestinal tract but is not the priority in acute severe hyperkalemia. Choice C, administering insulin with dextrose, helps drive potassium into cells but is not the priority in a client at risk for arrhythmias due to hyperkalemia. Choice D, restricting potassium intake in the client's diet, is a long-term strategy but is not the immediate priority in managing acute hyperkalemia.
5. Which of the following terms is used to represent two alleles that are the same type?
- A. Homosynchronous
- B. Hypersynchronous
- C. Heterozygous
- D. Homozygous
Correct answer: D
Rationale: The correct answer is D, 'Homozygous.' Homozygous refers to having two identical alleles for a particular gene. In this context, 'Homosynchronous' (choice A) is not a recognized genetic term. 'Hypersynchronous' (choice B) is not a term used in genetics. 'Heterozygous' (choice C) refers to having two different alleles for a particular gene, which is the opposite of homozygous.