HESI EXIT EXAM !!
The nurse hears a snoring and rattling sound during inspiration and expiration. What does
this assessment finding suggest to the nurse?
a. Rhonchi
b. Stridor
c. Crackles
d. Vesicular breath sounds - ANSRhonchi is the snoring rattling sound heard on inspiration
and expiration
Stridor sound is described as? Where is it heard? Is it heard on inspiration or expiration? -
ANSHigh pitched, wheezing heard on inspiration over the trachea
Crackes are described as what type of sounds? - ANSPopping, non-musical sounds, like
cellophane being crumpled
What are vesicular breath sounds described as? When are they loudest, during inspiration or
expiration? - ANSlow pitched sounds, like wind blowing through the trees. They are loudest
during inspiration and fade during expiration.
Symptoms of sleep deprivation? - ANSSlurred speech, flat facial affect, and red conjuctiva
Phalens maneuver is what? - ANSTHe maneuver used to assess for carpal tunnel
syndrome. The presence of parasthesias when placing the back of the hands together and
flexing the wrists is an indication of this disorder as the median nerve gets compressed.
Normal ranges for cholesterol - ANS<200
Prothrombin time normal ranges
Prothrombin time with anticoagulant therapy ranges - ANSPT Normal: 11-13.5 seconds
PT with Anticoagulant therapy: > or equal to 1.5-2.5
Normal aPTT
With Anticoagulant therapy - ANSNormal aPTT 25-40
Anticoag therapy- >or equal to 2
Normal INR, what is it used for? - ANS0.8-1.1, Warfarin
Lithium serum level - ANS0.8-1.2 mEq/L
Normal Digoxin serum level - ANS0.5-2ng/mL >2ng/L indicates toxicity
Medications to avoid taking prior to surgery - ANS-Anticoagulants (warfarin, coumadin,
plavix, NSAIDS etc)
, -Non-perscription over the counter anticoagulants (vitamin E, ginger, ginkgo aspirin,
NSAIDS)
-MAOIS
Which fetal positions require a Cesarean section delivery? - ANSFrank Breech
Transverse Lie
Complete Breech
Maslows hierarchy of Needs - ANSBasic Needs: 1. Physiological needs such as air, water,
rest
2. Security: Safety and security
Physycological Needs: 3. Love and belonging
4. Esteem
Self fulfillment: 5. Self actualization: Achieving ones full potential
Normal Phosphorous level and what does it indicate? - ANSNormal phosphorous level is
between 2.5 to 4.5. Elevation of phosphorous indicates RENAL FAILURE
With adrenocortical issues what lab value would we look at? - ANSNA+ Sodium.
What type of acid/base imbalance would we see in kussmal respirations. What condition is it
associated with? - ANSKussmal Respirations are seen in DKA (hyperglycemia) and are
associated with metabolic acidosis
Explanation of the conduction system of the heart
SIA BRP
List in order
Bundle of His
AV Node
Right and left bundle branches
Purkinje Fibers
Internodal Pathways
SA node
AV node - ANS1. SA node
2. Internodal pathways
3. AV node
4. Bundle of His
5. Right and left bundle branches
6. Purkinje fibers
What part of the brain regulates swallowing and gagging reflexes as well as cardiac
function?
2. Autonomic nervous system, hormones and emotion?
3. Coordination of movement, posture and balance?
The nurse hears a snoring and rattling sound during inspiration and expiration. What does
this assessment finding suggest to the nurse?
a. Rhonchi
b. Stridor
c. Crackles
d. Vesicular breath sounds - ANSRhonchi is the snoring rattling sound heard on inspiration
and expiration
Stridor sound is described as? Where is it heard? Is it heard on inspiration or expiration? -
ANSHigh pitched, wheezing heard on inspiration over the trachea
Crackes are described as what type of sounds? - ANSPopping, non-musical sounds, like
cellophane being crumpled
What are vesicular breath sounds described as? When are they loudest, during inspiration or
expiration? - ANSlow pitched sounds, like wind blowing through the trees. They are loudest
during inspiration and fade during expiration.
Symptoms of sleep deprivation? - ANSSlurred speech, flat facial affect, and red conjuctiva
Phalens maneuver is what? - ANSTHe maneuver used to assess for carpal tunnel
syndrome. The presence of parasthesias when placing the back of the hands together and
flexing the wrists is an indication of this disorder as the median nerve gets compressed.
Normal ranges for cholesterol - ANS<200
Prothrombin time normal ranges
Prothrombin time with anticoagulant therapy ranges - ANSPT Normal: 11-13.5 seconds
PT with Anticoagulant therapy: > or equal to 1.5-2.5
Normal aPTT
With Anticoagulant therapy - ANSNormal aPTT 25-40
Anticoag therapy- >or equal to 2
Normal INR, what is it used for? - ANS0.8-1.1, Warfarin
Lithium serum level - ANS0.8-1.2 mEq/L
Normal Digoxin serum level - ANS0.5-2ng/mL >2ng/L indicates toxicity
Medications to avoid taking prior to surgery - ANS-Anticoagulants (warfarin, coumadin,
plavix, NSAIDS etc)
, -Non-perscription over the counter anticoagulants (vitamin E, ginger, ginkgo aspirin,
NSAIDS)
-MAOIS
Which fetal positions require a Cesarean section delivery? - ANSFrank Breech
Transverse Lie
Complete Breech
Maslows hierarchy of Needs - ANSBasic Needs: 1. Physiological needs such as air, water,
rest
2. Security: Safety and security
Physycological Needs: 3. Love and belonging
4. Esteem
Self fulfillment: 5. Self actualization: Achieving ones full potential
Normal Phosphorous level and what does it indicate? - ANSNormal phosphorous level is
between 2.5 to 4.5. Elevation of phosphorous indicates RENAL FAILURE
With adrenocortical issues what lab value would we look at? - ANSNA+ Sodium.
What type of acid/base imbalance would we see in kussmal respirations. What condition is it
associated with? - ANSKussmal Respirations are seen in DKA (hyperglycemia) and are
associated with metabolic acidosis
Explanation of the conduction system of the heart
SIA BRP
List in order
Bundle of His
AV Node
Right and left bundle branches
Purkinje Fibers
Internodal Pathways
SA node
AV node - ANS1. SA node
2. Internodal pathways
3. AV node
4. Bundle of His
5. Right and left bundle branches
6. Purkinje fibers
What part of the brain regulates swallowing and gagging reflexes as well as cardiac
function?
2. Autonomic nervous system, hormones and emotion?
3. Coordination of movement, posture and balance?
