MedSurg HESI Practice Exam 2 2024

MedSurg HESI Practice Exam 2
x x x x x




x
2024 x




nursing xprocess x-x assessx
diagnosex
outcome/planningx
implementx x
evaluatex
x

techniques xof xphysical xassessment-xxinspection x
palpationx
percussionx
auscultationx
x

start xphysical xassessment xwith-x general xsurvey xassess xforx
-appearancex
-behaviorx
-height/weight/BMIx
-nutritional xstatusx
-waist xcircumference xwhich xcan xindicate xobesity
x

x

when xassessing xthe xintegumentary xsystem xyou xare xlooking xfor
-x erythema
x x-x indicating x

fever/inflammationx
cyanosis x-x indicating xO2 xlossx
jaundice x-x ^ xbillirubenx
pallor x-x low xon xbloodx
ecchymosisx
petechiaex
lesionsx
x

integumentary xassessment x- xpalpate xfor xtemperature, xmoisture, xturgor,
xedema
x
and
xinspect
x

adventitious xbreath xsounds x- xwheeze x- xhigh xpitch xindicating xairway
xobstruction
x
crackles x- xbubbling xon
xin/ex
x
stridor x- xharsh xhigh xpitch xsound xon
xinhale
x
ronchi x- xsonourus x, xcoarse xlow
xpitch
x
friction
xrub
x

,extra xheart xsounds x- xs3-normal x in
xchildren
x
s4- xnormal xin xolder
xadults
x
x
order xto xlisten xto xheart xsounds x-
xAPETM


aortic, xpulmonic, xerbs xpoint, xtricuspid,
xmitral
x

assessing xthe xabdomen xwhat xorder x-
xinspect x
x
auscultate
percussion
x
palpate
x

bowel xsounds xshould xoccur x- xevery x5-35
xseconds x
x
gurgling
x
if xno xsounds xfor x5 xminutes x= xsilent
xileus
x

bruits x- xabnormal xbowel xsound xauscultated xduring xabdominal xassessment
xsounds x
x
like xa xswishing xnoise xand xindicates
xobstruction
x

neurovascular xassessment x- x6 xP's x
1. pain x
2. pallor x
3. peripheral xpulses x
4. paresthesia x
5. paralysis x
6. pressure x
x

cranial xnerve x 5 x -
xtrigeminal
x
-motor/sensation
x
CHEWING
x

cranial xnerve x 7 x -
xfacial x
x
SMILE
x

cranial xnerve 9
x -
x

xglossopharyngeal
x
SWALLOWING
x
x x
cranial x nerve 12
x -
x

xtongue

, STICK xYOUR xTONGUE xOUT xAT
xME
x

when xto xassess xVS x- xon
xadmission xbased xon xpolicy xwith

xCHANGE xin xcondition xloss xof

xconsciousness xbefore/after

xinvasive xprocedure x

before/after xmed xadmin x
x

heat xproduction xmeasures xthe xbody xtakes x -
xshivering
x
piloerection
x
vasoconstriction
x
increased
xmetabolism
x

heat xlosing xmeasures xthe xbody xtakes x-
xsweating
x
vasodilation
x
increased
xrespirations
x

jellinek xcurve x- xphase x1 x- xpre xalcoholic x- xusing xto xrelieve xevery xday xstress x
xphase x2 x- xearly xalcoholic x- xblackouts/needs xit, xsecretive xabout xit xgulps x1st

xdrink xphase x3 x- xcrucial xphase x- xlost xcontrol xand xgets xdefensive x

phase x4 x- xchronic xphase x- x
x

greatest xrisk xfor xseizures xin xalcohol xwithdrawal xis x- xwithin x7-48 xhours xof xlast xdrink
x
x

CIWA-AR x- xmonitors xpt xresponse xto xtx; xdetermines xneed xfor xmedication,
xprevents x
x
seizures. xuse xciwa-ar xevery x2 xhours xthen x4
xhours
x

alcoholism xmedications xthat xpromote xsobriety x- x- xDisulfiram x(antabuse) x- xcauses
xsevere xneg. xreaction xto xalcohol xcan xlead xto xdeath xeven xif xonly xaround xpaint

xfumes. x-Naltrexone x(ReVia) x- xreduces xcravings xby xblocking xthe xeffects xof xalcohol

xPRN xor xmonthly xinj. x

-acamprosate x(campral) x- xreduces xwant/craving xcan't xbe xused xfor xpt xwith xrenal
xfailure x(2 xtab x3x/day) x
x

3 xgroups xof xlaxatives xand xtheir xfunctions x- x1. xchemical x laxatives
x(stimulate/irritate x
x x
lining xof
xGI
x
2. xbulk xlaxatives x(causes xfeces xto x^ xin xbulk xby x^ xwater
xcontent)
x
3. xlubricant x(move xmore

xsmoothly)
x