HESI HEALTH ASSESSMENT TEST EXAM COMPLETE QUESTIONS WITH VERIFIED ANSWERS

HESI HEALTH ASSESSMENT TEST EXAM COMPLETE QUESTIONS WITH VERIFIED ANSWERS .5 segments of the breast - Answer-- Divided into 5 segments - 4 Quadrants 1) Upper Inner Quadrant 2) Lower Inner Quadrant 3) Upper Outer Quadrant 4) Lower Outer Quadrant - Axillary tail of Spence .A palpable rushing vibration over the base of the heart is called a: - Answer-Thrill; Rationale: A thrill is a fine, palpable, rushing vibration; a palpable murmur. .ABCDE - Answer-A - Asymmetry B - Border irregularity C - Color nonuniform D - Diameter greater than 6 mm E - Evolving size and shape .Abdomen Physical Exam - Answer-- Empty bladder! - Inspect - Auscultate - Palpate - Percuss - Assess tender areas last .Accommodation - Answer-- Adaptation of eye for near vision - Although lens cannot be observed directly, the following components of accommodation can be observed: - Convergence (motion toward) of the axes of the eyeballs - Pupillary constriction .Acromegaly - Answer-Head enlargement .Acute pain - Answer-- Less than 6 mos .Adolescents - Answer-- Secretions from apocrine sweat glands increase - Subcutaneous fat deposits increase - Secondary sex characteristics .Adolescents Breast Growth - Answer-- Beginning of breast development precedes menarche by about 2 years - Menarche occurs in breast development stage 3 or 4, usually just after peak of adolescent growth spurt around age 12 - Breasts of nonpregnant woman change with ebb and flow of hormones during monthly menstrual cycle - Nodularity increases from midcycle up to menstruation - During the 3 to 4 days before menstruation, breasts feel full, tight, heavy, and occasionally sore; breast volume is smallest on days 4 to 7 of menstrual cycle .Afebrile - Answer-Without fever .Age to begin mammograms - Answer-45 (get them annually until 55) .Aging adult skin inspection - Answer-- Pale (deceased melanin), thin skin, less elasticity - Senile Lentigines often called "Liver Spots" - Keratoses rough, crusty, elevated, often on dorsal surface of hand or on face. .Allen Test - Answer-- Constrict blood in arm - Release ulnar artery first to see if blood flow returns- avoid radial cannulation .Anasarca - Answer-heart failure, organ failure .Annular or circular lesions - Answer-Round .AP/T diameter - Answer-- Normal is 1:2 - AP should be less than T or lateral diameter - If AP becomes larger than T it could mean long standing lung problems .Approaching Sensitive Issues - Answer-- Use language that is understandable. - Do not apologize for broaching the issue. - Ensure privacy. - Be direct and firm. - Do not preach. - Do not push too hard. .Assessing Neck Alignment - Answer-- Midline - Ask patient to swallow - Movement of thyroid cartilage /gland - Palpate with thumbs bilaterally .Assessment of Thyroid gland - Answer-- Posterior approach - Anterior approach - Auscultate thyroid for bruit, if enlarged .Atrial insufficiency - Answer-- Claudication - Pain with activity - Weak or absent pulses - Bruits - Pallor/ cyanosis/cool - Thin skin/atrophy, shiny skin - Loss of hair - Nails thick - Ulcer - Allen test .Atrioventricular Valves - Answer-- Rt. Atrium/Ventricle (Tricuspid valve) - Lt. Atrium/Ventricle (Mitral valve) .Atrophic Scar - Answer-Pitted or sunken scars .Balantitis - Answer-A swelling of the foreskin, or head of the penis. .Basal Cell Carcinoma - Answer-- most common form of skin cancer - Basal layer of epidermis - Deeply pigmented, central red ulcer, pearly edges-may look like an open pore (face, ears and neck, scalp shoulders are common sites) - Warning signs 1) Open sore 2) Bleeding 3) Wont heal 4) Older age 5) Toxin exposure 6) Repeated trauma .Biot/ ataxic - Answer-- Irregular episodes of tachypnea and apnea - Not compatible with long term of life .Blumberg Sign - Answer-- Peritoneal inflammation, possible appendicitis - Rebound tenderness .Borborygmi sounds are: - Answer-High-pitched tinkling sounds .Borborygmus - Answer-- Hyperactive bowel sounds - The sound of hyper peristalsis (stomach growling )