NR 304 Final HESI Review – Questions With Answers
Arterial circulation Correct Answer - oxygenated blood on the way to
organs or extremities
Venous circulation Correct Answer - deoxygenated blood on the way
back to the heart
Arterial ulcer Correct Answer - dry, clean, down to perfuse, carries
oxygen, can relate to ischemia which is lack of blood flow that could turn into
gang green which affects BP and pulses
Venous ulcer Correct Answer - brawny edema, does not affect the pulses,
sloppy unoxygenated blood, thrombus formation, increased risk of pulmonary
embolism and deep vein thrombouious
Explain the allen test Correct Answer - to access the patency of the ulnar
and radial arteries commonly used for an ABG drawn from the radial artery,
press firmly on both the radial and ulnar arteries then release the ulnar
artery, watch blood flow rerun to the hand
Neuro assessement stair steps Correct Answer - 1 is mental status
(speech), 2 is cranial nerves, 3 is motor and cerebellular, 4 is sensory, and 5 is
reflexes (DTR, primitive)
What is included in the sensory neurological assessment Correct Answer -
all assess the parital lobe , light touch, sharp and dull, vibration, position,
stereognosis, graphesthesia, and two point discrimination, all with eyes closed
Light touch is done by Correct Answer - wisp of cotton
Sharp and dull Correct Answer - safety pin ends or tongue blade bent in
half
Vibration, position Correct Answer - tuning fork on bony prominence,
especially with people who have peripheral neuropathy
2 point discrimination Correct Answer - most distal should be able to
distinguish between 2 mm
, Stereognosis Correct Answer - recognize object with eyes closed
Graphesthesia Correct Answer - recognize letter or number with eyes
closed
During the inital interview a female pt. reports a lesion on the perineum,
inspection reveals a small painful blister, the RN is aware that the most likely
source of the lesion is Correct Answer - herpes
Syphilis Correct Answer - cancker sore
Gonorrhea Correct Answer - drainage, not a lesion
HPV Correct Answer - papule lesion, clusters
vesicle Correct Answer - small blister, group and keep their borders
bula Correct Answer - large blister
peptichae Correct Answer - do no group
wheel/hive Correct Answer - confluence
purpura Correct Answer - confluent group of peptichae, decreased
platelets, thrombocytopenia
the rn is assessing the neurological status of a pt., the nurse would like to
assess for new memort by asking the pt Correct Answer - to repeat 3
unrelated words immediately and after 3-5 minutes, part of the first stair step,
called the MMSE (mini mental status exam)
abstract thinking is tested by Correct Answer - interpretation of a
proverb
recent memory is tested by Correct Answer - what transportation was
used to get to appointment today
Arterial circulation Correct Answer - oxygenated blood on the way to
organs or extremities
Venous circulation Correct Answer - deoxygenated blood on the way
back to the heart
Arterial ulcer Correct Answer - dry, clean, down to perfuse, carries
oxygen, can relate to ischemia which is lack of blood flow that could turn into
gang green which affects BP and pulses
Venous ulcer Correct Answer - brawny edema, does not affect the pulses,
sloppy unoxygenated blood, thrombus formation, increased risk of pulmonary
embolism and deep vein thrombouious
Explain the allen test Correct Answer - to access the patency of the ulnar
and radial arteries commonly used for an ABG drawn from the radial artery,
press firmly on both the radial and ulnar arteries then release the ulnar
artery, watch blood flow rerun to the hand
Neuro assessement stair steps Correct Answer - 1 is mental status
(speech), 2 is cranial nerves, 3 is motor and cerebellular, 4 is sensory, and 5 is
reflexes (DTR, primitive)
What is included in the sensory neurological assessment Correct Answer -
all assess the parital lobe , light touch, sharp and dull, vibration, position,
stereognosis, graphesthesia, and two point discrimination, all with eyes closed
Light touch is done by Correct Answer - wisp of cotton
Sharp and dull Correct Answer - safety pin ends or tongue blade bent in
half
Vibration, position Correct Answer - tuning fork on bony prominence,
especially with people who have peripheral neuropathy
2 point discrimination Correct Answer - most distal should be able to
distinguish between 2 mm
, Stereognosis Correct Answer - recognize object with eyes closed
Graphesthesia Correct Answer - recognize letter or number with eyes
closed
During the inital interview a female pt. reports a lesion on the perineum,
inspection reveals a small painful blister, the RN is aware that the most likely
source of the lesion is Correct Answer - herpes
Syphilis Correct Answer - cancker sore
Gonorrhea Correct Answer - drainage, not a lesion
HPV Correct Answer - papule lesion, clusters
vesicle Correct Answer - small blister, group and keep their borders
bula Correct Answer - large blister
peptichae Correct Answer - do no group
wheel/hive Correct Answer - confluence
purpura Correct Answer - confluent group of peptichae, decreased
platelets, thrombocytopenia
the rn is assessing the neurological status of a pt., the nurse would like to
assess for new memort by asking the pt Correct Answer - to repeat 3
unrelated words immediately and after 3-5 minutes, part of the first stair step,
called the MMSE (mini mental status exam)
abstract thinking is tested by Correct Answer - interpretation of a
proverb
recent memory is tested by Correct Answer - what transportation was
used to get to appointment today
