Health Assessment Hesi Version 2 Exam Complete Questions With Verified Correct Answers || Graded A+

HEALTH ASSESSMENT HESI VERSION 2 EXAM COMPLETE QUESTIONS WITH VERIFIED CORRECT ANSWERS || GRADED A+ Risk Factors for Breast Cancer - ANSWER - Age - Gender - Personal and Family History - Benign Breast Disease - Genetic mutations of BRAC1 and BRAC2 - Increased tissue density - Early Menarche & Late Menopause - Nullparity - HRT after menopause - Late age when giving birth - Radiation exposure - DES exposure in utero - Alcohol use - Diet Age to begin mammograms - ANSWER 45 (get them annually until 55) Breast Self Exam - ANSWER Timing 7 to 10 days after LMP date Pregnant and postmenopausal women should choose specific date Technique Multiple positions Look in mirror, while moving arms Entire breast tissue examined Use pads of fingers Folder towel under shoulder Peau d'orange - ANSWER - When breast has a spotty, orange texture to it - Sign of breast cancer Palpation of Breast - ANSWER - If woman reports a problem, begin with unaffected side first - Gently palpate with 3/4 pads of fingers - Do not lift fingers from breast - Gently compress nipple between index finger and thumb - 1 or 2 hands Breast Cancer Mass Symptoms - ANSWER - Usually unilateral mass - Irregular shape - Poorly delineated from surrounding tissues - Limited mobility, fixed to surrounding tissues - Usually nontender - Hard consistency - Edema (peau d'orange) - Skin erythemic, dimpling, retraction, ulceration - Axillary lymphadenopathy - Nipple discharge: bloody, clear Endometrial Cancer Risk Factors - ANSWER - Age: over 40 - Early menarche/ late menopause - Infertility (pg is protective) - Personal history of ovarian or breast cancer - Family hx of endometrial or breast cancer - Obesity/ high fat diet - Taking tamoxifen Endometrial Cancer Symptoms - ANSWER - Abnormal uterine bleeding/ spotting - Post-menopause - Pelvic mass - Weight loss without trying Cervical Cancer Risk Factors - ANSWER - Human papilloma virus (HPV) - Never or rarely screened for cervical cancer - Early age of 1st intercourse - Multiple lifetime partners/ partners with multiple partners - Smoking - Low SES - FH - DES exposure - Long-term use OCPs - More than 3 term pregnancies - Diet low in fruits/veggies Cervical Cancer Signs and Symptoms - ANSWER - Abnormal vaginal bleeding/ discharge - Lesion on cervix - Post-coital bleeding - Dyspareunia - Pelvic pain Gardasil and Cervarix vaccines - ANSWER Cervical Cancer Prevention HPV - Human Papillomavirus - ANSWER - Common STI - Most people never even know they have HPV because virus usually does not cause any symptoms and body is able to fight it off - However, sometimes virus lingers in a woman's cervix and can cause changes that may eventually lead to cervical cancer - Remind women that obtaining vaccine does not mean they can forget about routine pelvic examinations and Pap tests Ovarian Cancer Risk Factors - ANSWER - Age: after menopause - Early menarche/ late menopause - Infertility drugs - Personal history/ - BRCA1 BRCA2 - Family history of ovarian or breast cancer - Obesity Variations in the Aging Patient - ANSWER - Calcified costal cartilages - Decreased mobility - Muscle strength decreased - Alveoli become less elastic (oxygen exchange decreases) - Mucus membranes become drier - Changes in anatomy lead to decreased vital capacity (amount of air you can breathe in), and increased residual volume (air left in your lungs, cant expire air out completely) - Skeletal muscle changes that signal increased work of breathing Kyphosis - ANSWER Back curved out Lordosis - ANSWER Back Curved in Pectus Excavatum - ANSWER - Caved in Ribs - Congenital Paectus Carinatum - ANSWER Extended Rib Cage Stridor - ANSWER - When obstruction is in larynx, bronchi, trachea (large airways) - Inflammation or an object - Can hear when walking into the room Wheezing - ANSWER - When obstruction is in smaller airway - Sound on Expiration - Normal heard in asthmatics Kussmaul - ANSWER - Fast and deep breathing - When in metabolic acidosis - Happens in DKA Cheyne-Stokes - ANSWER - Not good at all - If brain damage or patient over dose - Not compatible with long term of life - Changing rates and depths with periods of apnea Biot/ ataxic - ANSWER - Irregular episodes of tachypnea and apnea - Not compatible with long term of life Respiratory Distress - ANSWER - Patient has trouble breathing - Sitting up - Lip pursing - Nasal flaring - Kids will grunt to help with pressures - Rapid rise and fall - Shallow breaths - Use more muscles to breathe rather than just the diaphragm Crepitus - ANSWER - Crunchy - Air is trapped in subcutaneous tissue - After abdominal surgery or c section