BSN 246 HESI Health Assessment V1
REAL EXAM 193 QUESTIONS AND
100% CORRECT ANSWERS
(NIGHTINGALE COLLEGE)
Discontinuing an NG tube
have patient take a deep breath and hold while pulled out slowly (prevents
aspiration)
ABG low pH, low pCO2, and low HCO3
metabolic acidosis with resp compensation
diabetic ketoacidosis
acidity of the blood caused by the presence of ketone bodies produced when
the body is unable to burn sugar; thus, it must burn fat for energy.
precipitating factors- infection
ABG- all low- metabolic acidosis
signs and symptoms of DKA
fatigue, polydipsia, polyuria, N/V, change in LOC, dehydration, fruity breath,
hypotension, tachycardia, tachypnea, ketones in urine, potassium imbalance
(high)
,C-reactive protein
A nonspecific protein, produced in the liver, that becomes elevated during
episodes of acute inflammation or infection. (elevated with infection- like
covid)
D-dimer
blood clot test (increased= risk of clots- happens with covid)
hypothyroidism if super low could cause
myxedema coma- fever, ams, body swelling
positive for HIV, acquired PCP, CD4 count below 200
patient has developed AIDS
Normal CD4 count
800-1200
prophylactic measures for HIV
pneumococcal vaccine, flu vaccine, hep b vaccine
NOT varicella zoster immune globulin (live vaccine) or any antibiotics (like
trimethoprim sulfamethoxazole)
,enlarged cervical lymph nodes with HIV
expected finding
acute infection lab results
increased band neutrophils (immature)
MRSA
community acquires is worse, resistant to methicillin and penicillin
Incompetent valve- heart murmur heard as
blowing or swooshing sound
pericardial friction rub
scratchy leathery heart sound
pulmonary edema- pink frothy sputum leads to what breathsounds
crackles
normal sinus rhythm
60-100bpm
, PR 0.12-0.20
QRS 0.04-0.10
hx of headaches
auscultate carotid artery sounds
patient in MVA, severe abdominal pain, suspected arterial damage. What
assessment?
auscultate bruits- identifies turbulent blood flow indicates arterial damage
hyperthyroidism complications
fever, nausea, tremors, confusion
Thyroid storm
a relatively rare, life-threatening condition caused by exaggerated
hyperthyroidism. elevated temp, HR, nausea, tremors, confusion,
restlessness, anxiousness,
S&S of hyperthyroidism
tachy, hypertension, hair loss, weight loss,
GCS
REAL EXAM 193 QUESTIONS AND
100% CORRECT ANSWERS
(NIGHTINGALE COLLEGE)
Discontinuing an NG tube
have patient take a deep breath and hold while pulled out slowly (prevents
aspiration)
ABG low pH, low pCO2, and low HCO3
metabolic acidosis with resp compensation
diabetic ketoacidosis
acidity of the blood caused by the presence of ketone bodies produced when
the body is unable to burn sugar; thus, it must burn fat for energy.
precipitating factors- infection
ABG- all low- metabolic acidosis
signs and symptoms of DKA
fatigue, polydipsia, polyuria, N/V, change in LOC, dehydration, fruity breath,
hypotension, tachycardia, tachypnea, ketones in urine, potassium imbalance
(high)
,C-reactive protein
A nonspecific protein, produced in the liver, that becomes elevated during
episodes of acute inflammation or infection. (elevated with infection- like
covid)
D-dimer
blood clot test (increased= risk of clots- happens with covid)
hypothyroidism if super low could cause
myxedema coma- fever, ams, body swelling
positive for HIV, acquired PCP, CD4 count below 200
patient has developed AIDS
Normal CD4 count
800-1200
prophylactic measures for HIV
pneumococcal vaccine, flu vaccine, hep b vaccine
NOT varicella zoster immune globulin (live vaccine) or any antibiotics (like
trimethoprim sulfamethoxazole)
,enlarged cervical lymph nodes with HIV
expected finding
acute infection lab results
increased band neutrophils (immature)
MRSA
community acquires is worse, resistant to methicillin and penicillin
Incompetent valve- heart murmur heard as
blowing or swooshing sound
pericardial friction rub
scratchy leathery heart sound
pulmonary edema- pink frothy sputum leads to what breathsounds
crackles
normal sinus rhythm
60-100bpm
, PR 0.12-0.20
QRS 0.04-0.10
hx of headaches
auscultate carotid artery sounds
patient in MVA, severe abdominal pain, suspected arterial damage. What
assessment?
auscultate bruits- identifies turbulent blood flow indicates arterial damage
hyperthyroidism complications
fever, nausea, tremors, confusion
Thyroid storm
a relatively rare, life-threatening condition caused by exaggerated
hyperthyroidism. elevated temp, HR, nausea, tremors, confusion,
restlessness, anxiousness,
S&S of hyperthyroidism
tachy, hypertension, hair loss, weight loss,
GCS
