HESI ( health assessment) FINAL EXAM
COMPLETE QUESTIONS AND ANSWERS
A+ GRADED SOLUTIONS
What is the goal of a screening tool? - ANSWER ✔ To find out if the
problem exists
Three questions to detect partner violence - ANSWER ✔ - Have you
ever been hit, kicked, punched, or otherwise hurt by someone within the
past year?
- Do you feel safe in your current relationship?
- Is there a partner from a previous relationship who is making you feel
unsafe now?
HITS questionnaire - ANSWER ✔ The wording of the question is "In
the last year how often did your partner:
1) Hurt you physically?"
2) Insult or talk down to you?"
3) Threaten you with physical harm?"
4) Scream or curse at you?"
FICA - ANSWER ✔ Faith
Importance and Influence
Community
Address/action in care
Format of interview - ANSWER ✔ CC
HPI
PMH
PSH
FH
SH
ROS
,Is pain subjective or objective - ANSWER ✔ Subjective
PMH - ANSWER ✔ 1) Allergies
2) Childhood and adult illnesses
3) Immunizations
4) Diagnostic and lab results
Symptom analysis tool - ANSWER ✔ OLDCARTS
Complete history - ANSWER ✔ Most often recorded the first time you
see the patient
Inventory history - ANSWER ✔ - Related to but does not replace the
complete history
- Touches on major points without complete detail
- Entire history will be completed in more than one session
Problem (or focused) history - ANSWER ✔ Taken when a problem is
acute so that only the need of the moment is given full attention
Interim history - ANSWER ✔ - Designed to chronicle events that have
occurred since your last meeting with the patient
- Substance determined by nature of problem and need of the moment
- Should always be complemented by the patient's previous medical
record
Transduction of pain - ANSWER ✔ Action potential moves to the
spinal cord
Transmission of pain - ANSWER ✔ Pain impulse moves from spinal
cord to the brain
,Modulation of pain - ANSWER ✔ Neurons from the brain stem release
neurotransmitters that block the pain impulse
Steps in pain - ANSWER ✔ 1) Noxious stimuli and transduction
2) Transmission
3) Perception of pain
4) Modulation
A nursing student informs you that the examination revealed
ecchymoses on the face, breasts, and buttocks of a 14-year-old patient.
Your best response is to inform the student that these findings are most
likely related to which of the following?
a.
liver dysfunction
c.
trauma from physical abuse
b.
heparin or Coumadin use
d.
familial blood condition - ANSWER ✔ ANS: C
Ecchymosis is a bruise or superficial bleeding under the skin or mucous
membranes. Areas of ecchymosis are often signs of trauma that could be
the result of physical abuse. In a 14-year-old, such a finding on the face,
breasts, and buttocks would most likely be caused by physical abuse.
Ecchymosis can also occur with heparin or Coumadin use or liver
dysfunction; however, these would not typically be located on the
breasts and buttocks.
Your patient complains of hoarseness yet denies smoking, alcohol use,
and recent upper respiratory infection. Which question is appropriate to
examine the aggravating factors?
a.
"Does drinking fluids or warm drinks help alleviate the hoarseness?"
b.
"Do you have any pain in your neck or throat?"
, c.
"Have you been singing, yelling, or talking excessively recently?"
d.
"Is your hoarseness continuous, or does it come and go?" - ANSWER ✔
ANS: C
Aggravating factors related to hoarseness include inhalation of
chemicals or noxious fumes, smoking, overuse of voice, alcohol use,
recent upper respiratory infections, recent head and neck surgery,
intubation, and neck trauma; therefore, the appropriate question to ask is
option "c." Manifestations associated with hoarseness include fever, sore
throat, malaise, reflux, and vocal cord mass. Option "b" examines for
associated manifestations. Option "a" is appropriate to examine for
alleviating factors. The question in option "d" is related to the timing of
the hoarseness.
An enlargement of the head without enlargement of the facial structures
is known as
a.
acromegaly.
c.
craniotabes.
b.
craniosynostosis.
d.
hydrocephalus. - ANSWER ✔ ANS: D
Hydrocephalus is an enlargement of the head without enlargement of the
facial structures and is caused by an abnormal accumulation of
cerebrospinal fluid within the ventricles of the brain.
Acromegaly is an abnormal enlargement of the skull and bony facial
structures resulting from an excessive secretion of growth hormone from
the pituitary gland. Craniosynostosis is characterized by abnormal shape
of the skull or bone growth at right angles to suture lines, exophthalmos,
and drooping eyelids. It is caused by premature closure of one or more
sutures of the skull in children before brain growth is complete.
COMPLETE QUESTIONS AND ANSWERS
A+ GRADED SOLUTIONS
What is the goal of a screening tool? - ANSWER ✔ To find out if the
problem exists
Three questions to detect partner violence - ANSWER ✔ - Have you
ever been hit, kicked, punched, or otherwise hurt by someone within the
past year?
- Do you feel safe in your current relationship?
- Is there a partner from a previous relationship who is making you feel
unsafe now?
HITS questionnaire - ANSWER ✔ The wording of the question is "In
the last year how often did your partner:
1) Hurt you physically?"
2) Insult or talk down to you?"
3) Threaten you with physical harm?"
4) Scream or curse at you?"
FICA - ANSWER ✔ Faith
Importance and Influence
Community
Address/action in care
Format of interview - ANSWER ✔ CC
HPI
PMH
PSH
FH
SH
ROS
,Is pain subjective or objective - ANSWER ✔ Subjective
PMH - ANSWER ✔ 1) Allergies
2) Childhood and adult illnesses
3) Immunizations
4) Diagnostic and lab results
Symptom analysis tool - ANSWER ✔ OLDCARTS
Complete history - ANSWER ✔ Most often recorded the first time you
see the patient
Inventory history - ANSWER ✔ - Related to but does not replace the
complete history
- Touches on major points without complete detail
- Entire history will be completed in more than one session
Problem (or focused) history - ANSWER ✔ Taken when a problem is
acute so that only the need of the moment is given full attention
Interim history - ANSWER ✔ - Designed to chronicle events that have
occurred since your last meeting with the patient
- Substance determined by nature of problem and need of the moment
- Should always be complemented by the patient's previous medical
record
Transduction of pain - ANSWER ✔ Action potential moves to the
spinal cord
Transmission of pain - ANSWER ✔ Pain impulse moves from spinal
cord to the brain
,Modulation of pain - ANSWER ✔ Neurons from the brain stem release
neurotransmitters that block the pain impulse
Steps in pain - ANSWER ✔ 1) Noxious stimuli and transduction
2) Transmission
3) Perception of pain
4) Modulation
A nursing student informs you that the examination revealed
ecchymoses on the face, breasts, and buttocks of a 14-year-old patient.
Your best response is to inform the student that these findings are most
likely related to which of the following?
a.
liver dysfunction
c.
trauma from physical abuse
b.
heparin or Coumadin use
d.
familial blood condition - ANSWER ✔ ANS: C
Ecchymosis is a bruise or superficial bleeding under the skin or mucous
membranes. Areas of ecchymosis are often signs of trauma that could be
the result of physical abuse. In a 14-year-old, such a finding on the face,
breasts, and buttocks would most likely be caused by physical abuse.
Ecchymosis can also occur with heparin or Coumadin use or liver
dysfunction; however, these would not typically be located on the
breasts and buttocks.
Your patient complains of hoarseness yet denies smoking, alcohol use,
and recent upper respiratory infection. Which question is appropriate to
examine the aggravating factors?
a.
"Does drinking fluids or warm drinks help alleviate the hoarseness?"
b.
"Do you have any pain in your neck or throat?"
, c.
"Have you been singing, yelling, or talking excessively recently?"
d.
"Is your hoarseness continuous, or does it come and go?" - ANSWER ✔
ANS: C
Aggravating factors related to hoarseness include inhalation of
chemicals or noxious fumes, smoking, overuse of voice, alcohol use,
recent upper respiratory infections, recent head and neck surgery,
intubation, and neck trauma; therefore, the appropriate question to ask is
option "c." Manifestations associated with hoarseness include fever, sore
throat, malaise, reflux, and vocal cord mass. Option "b" examines for
associated manifestations. Option "a" is appropriate to examine for
alleviating factors. The question in option "d" is related to the timing of
the hoarseness.
An enlargement of the head without enlargement of the facial structures
is known as
a.
acromegaly.
c.
craniotabes.
b.
craniosynostosis.
d.
hydrocephalus. - ANSWER ✔ ANS: D
Hydrocephalus is an enlargement of the head without enlargement of the
facial structures and is caused by an abnormal accumulation of
cerebrospinal fluid within the ventricles of the brain.
Acromegaly is an abnormal enlargement of the skull and bony facial
structures resulting from an excessive secretion of growth hormone from
the pituitary gland. Craniosynostosis is characterized by abnormal shape
of the skull or bone growth at right angles to suture lines, exophthalmos,
and drooping eyelids. It is caused by premature closure of one or more
sutures of the skull in children before brain growth is complete.
