FORTIS COLLEGE NUR 210 HESI RN EXIT
EXAM FINAL STUDY GUIDE 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ What is sleep deprivation? Answer: decrease in the amount,
consistency, or quality of sleep
⩥ How do you do a breast exam? Answer: 1) Inspection- should be
symmetric, nipples should not be inverted/dimpled or creased, skin
should be smooth not peel d' orange present.
2) Palpate- one side at a time, be sure to include the tail of spence, use
the circular, wedged or vertical strip methods, then palpate the nipple
last
-If you find a lump, document location in terms of a clock, document
characteristics:
Size: in cm
Shape: round, discoid, regular, irregular
Consistency: Soft, firm, or hard
Mobility
Degree of tenderness
Location
,⩥ When should a female examine her breasts for early detection of
breast cancer? Answer: Once a month, 7 days after her period
⩥ What are lymph nodes? Answer: Filter interstitial fluid. Swollen
glands mean you are fighting an infection.
⩥ What is strep pharyngitis? Answer: infection of the pharynx, aka strep
throat
⩥ What is pupil accommodation? Answer: the coordinated changes that
occur when the eye adapts itself to near vision; constriction of the pupil,
convergence of the eyes, and increased convexity of the lens.
⩥ What is a tuning fork used for? Answer: to assess auditory function
and sensation of vibration.
⩥ What does a chronic ear infection look like? Answer: Ear Perforation,
hole in the tympanic membrane
⩥ How do you assess EOM? Answer: Cardinal positions of gaze, Ask pt
to fallow pen light without moving their head. Move the penlight to the
six cardinal positions returning to the mid point after each movement.
This tests CN 3,4,6 and EOM
, ⩥ What is the apical impulse? Answer: pulse felt at point of maximal
impulse
⩥ cyanosis Answer: a bluish discoloration of the skin resulting from
poor circulation or inadequate oxygenation of the blood.
⩥ Where do you hear the tricuspid valve? Answer: 4th intercostal space
near the sternum on the pts left side (your right side)
⩥ Where do you percuss the heart? Answer: @ the anterior axillary line
and continue toward the sternum along the 5th intercostal space. the
sound changes from resonance to dullness over the left border of the
heart, normally at the midclavicular line. The right border of the heart is
usually aligned with the sternum and can't be percussed.
⩥ How do you assess JVD? Answer: -Place pt in supine positon
-Elevate head 45degrees
-Turn head to one side
-Look for pulsations
-If greater than 3cm distention, positive jugular vein distention
⩥ How do you assess grade 4 systolic murmur? Answer: It would be
during the first heart sound, then determine quality: blowing, musical
harsh or rumbling. Then the pitch High, Low? Then location, where is
the sound the loudest? grade on a 6 level grading scale.
EXAM FINAL STUDY GUIDE 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ What is sleep deprivation? Answer: decrease in the amount,
consistency, or quality of sleep
⩥ How do you do a breast exam? Answer: 1) Inspection- should be
symmetric, nipples should not be inverted/dimpled or creased, skin
should be smooth not peel d' orange present.
2) Palpate- one side at a time, be sure to include the tail of spence, use
the circular, wedged or vertical strip methods, then palpate the nipple
last
-If you find a lump, document location in terms of a clock, document
characteristics:
Size: in cm
Shape: round, discoid, regular, irregular
Consistency: Soft, firm, or hard
Mobility
Degree of tenderness
Location
,⩥ When should a female examine her breasts for early detection of
breast cancer? Answer: Once a month, 7 days after her period
⩥ What are lymph nodes? Answer: Filter interstitial fluid. Swollen
glands mean you are fighting an infection.
⩥ What is strep pharyngitis? Answer: infection of the pharynx, aka strep
throat
⩥ What is pupil accommodation? Answer: the coordinated changes that
occur when the eye adapts itself to near vision; constriction of the pupil,
convergence of the eyes, and increased convexity of the lens.
⩥ What is a tuning fork used for? Answer: to assess auditory function
and sensation of vibration.
⩥ What does a chronic ear infection look like? Answer: Ear Perforation,
hole in the tympanic membrane
⩥ How do you assess EOM? Answer: Cardinal positions of gaze, Ask pt
to fallow pen light without moving their head. Move the penlight to the
six cardinal positions returning to the mid point after each movement.
This tests CN 3,4,6 and EOM
, ⩥ What is the apical impulse? Answer: pulse felt at point of maximal
impulse
⩥ cyanosis Answer: a bluish discoloration of the skin resulting from
poor circulation or inadequate oxygenation of the blood.
⩥ Where do you hear the tricuspid valve? Answer: 4th intercostal space
near the sternum on the pts left side (your right side)
⩥ Where do you percuss the heart? Answer: @ the anterior axillary line
and continue toward the sternum along the 5th intercostal space. the
sound changes from resonance to dullness over the left border of the
heart, normally at the midclavicular line. The right border of the heart is
usually aligned with the sternum and can't be percussed.
⩥ How do you assess JVD? Answer: -Place pt in supine positon
-Elevate head 45degrees
-Turn head to one side
-Look for pulsations
-If greater than 3cm distention, positive jugular vein distention
⩥ How do you assess grade 4 systolic murmur? Answer: It would be
during the first heart sound, then determine quality: blowing, musical
harsh or rumbling. Then the pitch High, Low? Then location, where is
the sound the loudest? grade on a 6 level grading scale.
