MSN 570 HESI Questions and
Answers Latest 2026
Romberg test Ans: used to evaluate cerebellar function
and balance
mitral valve prolapse Ans: systolic click heard at apical
area, pt asymptomatic, need echo w/ doppler to confirm
dx
Treatment for patient w/ HF Ans: ACE & ARBS in
combination w/ beta blocker & diuretic
paroxysmal atrial tachycardia Ans: rapid, regular
contractions of the atria that begins and ends quickly
Side effect of Calcium Channel Blockers Ans: headache,
heart blocks, bradycardia
apical pulse difference Ans: done when both radial and
apical pulses are checked at same time
For pt w/ emphysema Ans: do not give beta blockers
because it decreases response to bronchodilators
pluses paradoxus Ans: Decrease in systolic blood
pressure (by 10mmHG) during inspiration
S2 sounds Ans: caused by closure of semilunar valve
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aortic stenosis murmur Ans: harsh and high pitched, best
heard at the 2nd right intercostal space w/ radiation to
carotid arteries
Addisson's disease Ans: findings: hyperpigmentation ,
hyperkalemia, hyponatremia and decrease serum cortisol
levels
Hashimoto's disease Ans: an autoimmune disease in
which the body's own antibodies attack and destroy the
cells of the thyroid gland; an enlarged thyroid is first sign
of disease
Somogyi phenomenon Ans: A rebound phenomenon that
occurs in clients with type 1 diabetes mellitus. Normal or
elevated blood glucose levels are present at bedtime;
hypoglycemia occurs at about 2 to 3 am.
Counterregulatory hormones, glucagon (converted to
glucose )produced to prevent further hypoglycemia,
result in hyperglycemia Treatment includes decreasing
the evening (predinner or bedtime) dose of intermediate
acting insulin or increasing the bedtime snack.
Regular insulin Ans: short acting; onset 15-20 mins peak
1.5 hrs duration 3-4 hours
NPH insulin Ans: intermediate acting insulin; onset 1.5-3
hrs, peak 4-12 hours, duration 18-24 hours
low free T4 Ans: requires start of Synthroid
TSH (thyroid stimulating hormone) Ans: stimulates
thyroid gland; best screening for hypothyroidism
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