HESI 799 RN EXIT EXAM TERMINAL
CERTIFICATION EVALUATION COMPLETE
QUESTIONS WITH FULL SOLUTION
ALREADY PASSED
⩥ Nasal cavity Inspection and Palpation.
Answer: - View each nasal cavity with person's head erect and then with
head tilted back.
- Inspect nasal mucosa, noting its normal red color and smooth moist
surface.
- Note any swelling, discharge, bleeding, or foreign body.
⩥ Nasal septum Inspection and Palpation.
Answer: - Observe nasal septum for deviation; deviated septum is
common and is not significant unless air flow is obstructed.
- If present in hospitalized patient, document deviated septum in event
that person needs nasal suctioning or a nasogastric tube
- Note any perforation or bleeding in septum.
⩥ Palpation of Sinus Areas.
Answer: - Using thumbs, press frontal sinuses by pressing up and under
the eyebrows and over maxillary sinuses below cheekbones.
- Transillumination
,You may use this technique when you suspect sinus inflammation,
although it is of limited usefulness.
A diffuse red glow is a normal response; comes from light shining
through air in the healthy sinus.
⩥ Inspection of Teeth and Gums.
Answer: Condition of teeth is an index of person's general health.
⩥ Tonsil Grade.
Answer: 1+ Visible
2+ Halfway between tonsillar pillars and uvula
3+ Touching uvula
4+ Touching each other
⩥ Tonsils in healthy people, and children.
Answer: You may normally see 1+ or 2+ tonsils in healthy people,
especially in children, because lymphoid tissue is proportionately
enlarged until puberty
⩥ Cooper's ligaments.
Answer: - Suspensory ligaments
- Fibrous bands extending vertically from surface to attach on chest wall
muscles
,- Support breast tissue
- Become contracted in cancer of breast
- Create a dimple in overlying skin
⩥ 5 segments of the breast.
Answer: - Divided into 5 segments
- 4 Quadrants
1) Upper Inner Quadrant
2) Lower Inner Quadrant
3) Upper Outer Quadrant
4) Lower Outer Quadrant
- Axillary tail of Spence
⩥ Breast Lymphatic Drainage.
Answer: - Breast has extensive lymphatic drainage
- More than 75%, drains into ipsilateral axillary nodes
⩥ Four Groups of Axillary Nodes.
Answer: 1) Central axillary nodes: high up in middle of axilla, over ribs
and serratus anterior muscle; receive lymph from other three groups of
nodes
2) Pectoral (anterior): along lateral edge of pectoralis major muscle, just
inside anterior axillary fold
, 3) Subscapular (posterior): along lateral edge of scapula, deep in
posterior axillary fold
4) Lateral: along the humerus, inside upper arm
⩥ Gynecomastia.
Answer: - During adolescence, it is common for breast tissue to
temporarily enlarge
- Condition is usually unilateral and temporary
- Reassurance is necessary for adolescent male, whose attention is
riveted on his body image
- Gynecomastia may reappear in aging male and may be due to
testosterone deficiency
⩥ Adolescents Breast Growth.
Answer: - Beginning of breast development precedes menarche by about
2 years
- Menarche occurs in breast development stage 3 or 4, usually just after
peak of adolescent growth spurt around age 12
- Breasts of nonpregnant woman change with ebb and flow of hormones
during monthly menstrual cycle
- Nodularity increases from midcycle up to menstruation
- During the 3 to 4 days before menstruation, breasts feel full, tight,
heavy, and occasionally sore; breast volume is smallest on days 4 to 7 of
menstrual cycle
CERTIFICATION EVALUATION COMPLETE
QUESTIONS WITH FULL SOLUTION
ALREADY PASSED
⩥ Nasal cavity Inspection and Palpation.
Answer: - View each nasal cavity with person's head erect and then with
head tilted back.
- Inspect nasal mucosa, noting its normal red color and smooth moist
surface.
- Note any swelling, discharge, bleeding, or foreign body.
⩥ Nasal septum Inspection and Palpation.
Answer: - Observe nasal septum for deviation; deviated septum is
common and is not significant unless air flow is obstructed.
- If present in hospitalized patient, document deviated septum in event
that person needs nasal suctioning or a nasogastric tube
- Note any perforation or bleeding in septum.
⩥ Palpation of Sinus Areas.
Answer: - Using thumbs, press frontal sinuses by pressing up and under
the eyebrows and over maxillary sinuses below cheekbones.
- Transillumination
,You may use this technique when you suspect sinus inflammation,
although it is of limited usefulness.
A diffuse red glow is a normal response; comes from light shining
through air in the healthy sinus.
⩥ Inspection of Teeth and Gums.
Answer: Condition of teeth is an index of person's general health.
⩥ Tonsil Grade.
Answer: 1+ Visible
2+ Halfway between tonsillar pillars and uvula
3+ Touching uvula
4+ Touching each other
⩥ Tonsils in healthy people, and children.
Answer: You may normally see 1+ or 2+ tonsils in healthy people,
especially in children, because lymphoid tissue is proportionately
enlarged until puberty
⩥ Cooper's ligaments.
Answer: - Suspensory ligaments
- Fibrous bands extending vertically from surface to attach on chest wall
muscles
,- Support breast tissue
- Become contracted in cancer of breast
- Create a dimple in overlying skin
⩥ 5 segments of the breast.
Answer: - Divided into 5 segments
- 4 Quadrants
1) Upper Inner Quadrant
2) Lower Inner Quadrant
3) Upper Outer Quadrant
4) Lower Outer Quadrant
- Axillary tail of Spence
⩥ Breast Lymphatic Drainage.
Answer: - Breast has extensive lymphatic drainage
- More than 75%, drains into ipsilateral axillary nodes
⩥ Four Groups of Axillary Nodes.
Answer: 1) Central axillary nodes: high up in middle of axilla, over ribs
and serratus anterior muscle; receive lymph from other three groups of
nodes
2) Pectoral (anterior): along lateral edge of pectoralis major muscle, just
inside anterior axillary fold
, 3) Subscapular (posterior): along lateral edge of scapula, deep in
posterior axillary fold
4) Lateral: along the humerus, inside upper arm
⩥ Gynecomastia.
Answer: - During adolescence, it is common for breast tissue to
temporarily enlarge
- Condition is usually unilateral and temporary
- Reassurance is necessary for adolescent male, whose attention is
riveted on his body image
- Gynecomastia may reappear in aging male and may be due to
testosterone deficiency
⩥ Adolescents Breast Growth.
Answer: - Beginning of breast development precedes menarche by about
2 years
- Menarche occurs in breast development stage 3 or 4, usually just after
peak of adolescent growth spurt around age 12
- Breasts of nonpregnant woman change with ebb and flow of hormones
during monthly menstrual cycle
- Nodularity increases from midcycle up to menstruation
- During the 3 to 4 days before menstruation, breasts feel full, tight,
heavy, and occasionally sore; breast volume is smallest on days 4 to 7 of
menstrual cycle
