Health Assessment- BSN 246 HESI REVIEW
1. Which lab test would provide informa- D.
tion about the number of megakaryoc-
tyes in a patient w/ thrombocytopenia? Bone marrow examination is per-
formed to rule out production prob-
Prothrombin time (PT) lems such as leukemia, aplas-
Peripheral blood smear tic anemia, and other myelopro-
14C serotonin release assay liferative disorders as the cause
Bone Marrow examination of thrombocytopenia. Therefore to
confirm that the absence or de-
creased number of megakaryoc-
tyes to be the cause of thrombo-
cytopenia, bone marrow examina-
tion will be done. PT will be tested
to assess secondary homeostasis.
A peripheral blood smear will be
done to distinguish immune throm-
bocytopenic pupura (ITP) from con-
genital disorders. 14C serotonin re-
lease assay assists with the diag-
nosis of ITP
2. Where are lymphocytes produced? C.
Spleen
Tonsils Lymphocytes are produced in the
Bone Marrow bone marrow. The speel is a periph-
Thymus gland eral lymph organ and is the prima-
ry site for filtering foreign antigens
from the blood. The thymus gland
is involved in the differentiation and
maturation or T lymphocytes. The
tonsils are a peripheral lymphoid
organ
3. Which functional ability would the A.
nurse anticipate for the patient who
sustained a severe spinal cord injury Together, the bladder, urethra, and
in the sacral and thoracolumbar re- pelvic floor muscles form what is
gions of the veretbral column? called the urethrovesical unit. Vol-
untary control of this unit is defined
, Health Assessment- BSN 246 HESI REVIEW
Inability to urinate as continenence. Stimulating and
ability to ambulate to the bathroom inhibiting impulses are sent from
Need to use a urinal/ bedpan to urinate the brain through the thoracolum-
Need to call for assistance when need- bar (T11-L2) and sacral (S2 to S4)
ing to void. areas of the spinal cord to control
voiding. Damage in this area will
prevent voluntary control and lead
to incontinence. W/o contol, the pt
may no be aware of the need to
go to the bathrrom, to use a urinal/
bedpan, or to call for assistance.
4. Which action by a nurse in a communi- A.
ty-based clinic can help to address po-
tential disparities with a large Hispanic Providing translators and materi-
population? als in the native language of the
providing translators and materials in population being served can best
the Spanish language address potential biases and prej-
Ensuring that child care services are udices and thus increase health
available for families during visits to care access. Ensuring that child
the clinic care services are abailable may in-
Making sure that the values of all clinic crease ease of access to care but
providers align with those of the His- does not necessarily address bias-
panic population es and prejudices. Providers must
Requiring "English as a second lan- respect and acknowledge the be-
guage" classes so that the population liefs and values of the population
can become literate in the English lan- being served, but it is not neces-
guage sary that their values align. Provid-
ing "English as a second language"
classes can assist the population
to acclimate and become more lit-
erate in the English language but
does not necessarily directly affect
bias and prejudice.
5. The nurse provides care for a patient A.
with a chest tube flutter valve in place
and recalls which information about A fluttter falve (also called the Hem-
the device? lich valve) is used to remove air
, Health Assessment- BSN 246 HESI REVIEW
it allows patient mobility from the pleural space. It allows
it is used to evacuate fluide from the for patient mobility b/c the smaller
plueral space. drainage bag can be hidden under
It is attached to the internal end of the the clothes while the patient am-
chest tube. bulates. The valve evacuates air,
It opens when the chest pressure is not fluid, from the pleural space.
less than atmospheric pressure. It is attached to the external end
of the chest tube. A flutter valve
opens whenever the pressure in
the chest is greater than the atmos-
pheric pressure.
6. which is the appropriate method for a B.
nurse to use when ascultating a pa-
tient's abdomen? Auscultation of the abdomen is
useful in detecting high-pitched
Use the bell of the stethoscope for aus- bowel sounds. The diaphragm of
cultation. the stethoscope is sensitive in pick-
Use the diaphragm of the stethoscope ing up high-pitched sounds of the
for auscultation abdomen. The bell of the stethoscip
Hold the diaphragm lightly to the skin is sensitive in detecting low-pitched
of the abdomen sounds like heart murmurs The in-
Use the inferface of the diaphragm and terface of the bell and diaphram
the bell for auscultation is less useful for clinical assess-
ment. B/c the bowel dounds are
high-pitched, the diaphragm should
be held firmly on the skin during
auscultation.
7. In the mneumonic "DELIRIUM", the M D.
represents which cause of delirium?
the letter "M" represents metabolic
Medication disorders in the mnemonic of caus-
Malnutrition es for delirum. The "R" for RX rep-
Memory Loss resents medication. The "D" for de-
Metabolic disorders mentia and dehydration represents
memory loss. Malnurtition is not
part of this mnemonic
1. Which lab test would provide informa- D.
tion about the number of megakaryoc-
tyes in a patient w/ thrombocytopenia? Bone marrow examination is per-
formed to rule out production prob-
Prothrombin time (PT) lems such as leukemia, aplas-
Peripheral blood smear tic anemia, and other myelopro-
14C serotonin release assay liferative disorders as the cause
Bone Marrow examination of thrombocytopenia. Therefore to
confirm that the absence or de-
creased number of megakaryoc-
tyes to be the cause of thrombo-
cytopenia, bone marrow examina-
tion will be done. PT will be tested
to assess secondary homeostasis.
A peripheral blood smear will be
done to distinguish immune throm-
bocytopenic pupura (ITP) from con-
genital disorders. 14C serotonin re-
lease assay assists with the diag-
nosis of ITP
2. Where are lymphocytes produced? C.
Spleen
Tonsils Lymphocytes are produced in the
Bone Marrow bone marrow. The speel is a periph-
Thymus gland eral lymph organ and is the prima-
ry site for filtering foreign antigens
from the blood. The thymus gland
is involved in the differentiation and
maturation or T lymphocytes. The
tonsils are a peripheral lymphoid
organ
3. Which functional ability would the A.
nurse anticipate for the patient who
sustained a severe spinal cord injury Together, the bladder, urethra, and
in the sacral and thoracolumbar re- pelvic floor muscles form what is
gions of the veretbral column? called the urethrovesical unit. Vol-
untary control of this unit is defined
, Health Assessment- BSN 246 HESI REVIEW
Inability to urinate as continenence. Stimulating and
ability to ambulate to the bathroom inhibiting impulses are sent from
Need to use a urinal/ bedpan to urinate the brain through the thoracolum-
Need to call for assistance when need- bar (T11-L2) and sacral (S2 to S4)
ing to void. areas of the spinal cord to control
voiding. Damage in this area will
prevent voluntary control and lead
to incontinence. W/o contol, the pt
may no be aware of the need to
go to the bathrrom, to use a urinal/
bedpan, or to call for assistance.
4. Which action by a nurse in a communi- A.
ty-based clinic can help to address po-
tential disparities with a large Hispanic Providing translators and materi-
population? als in the native language of the
providing translators and materials in population being served can best
the Spanish language address potential biases and prej-
Ensuring that child care services are udices and thus increase health
available for families during visits to care access. Ensuring that child
the clinic care services are abailable may in-
Making sure that the values of all clinic crease ease of access to care but
providers align with those of the His- does not necessarily address bias-
panic population es and prejudices. Providers must
Requiring "English as a second lan- respect and acknowledge the be-
guage" classes so that the population liefs and values of the population
can become literate in the English lan- being served, but it is not neces-
guage sary that their values align. Provid-
ing "English as a second language"
classes can assist the population
to acclimate and become more lit-
erate in the English language but
does not necessarily directly affect
bias and prejudice.
5. The nurse provides care for a patient A.
with a chest tube flutter valve in place
and recalls which information about A fluttter falve (also called the Hem-
the device? lich valve) is used to remove air
, Health Assessment- BSN 246 HESI REVIEW
it allows patient mobility from the pleural space. It allows
it is used to evacuate fluide from the for patient mobility b/c the smaller
plueral space. drainage bag can be hidden under
It is attached to the internal end of the the clothes while the patient am-
chest tube. bulates. The valve evacuates air,
It opens when the chest pressure is not fluid, from the pleural space.
less than atmospheric pressure. It is attached to the external end
of the chest tube. A flutter valve
opens whenever the pressure in
the chest is greater than the atmos-
pheric pressure.
6. which is the appropriate method for a B.
nurse to use when ascultating a pa-
tient's abdomen? Auscultation of the abdomen is
useful in detecting high-pitched
Use the bell of the stethoscope for aus- bowel sounds. The diaphragm of
cultation. the stethoscope is sensitive in pick-
Use the diaphragm of the stethoscope ing up high-pitched sounds of the
for auscultation abdomen. The bell of the stethoscip
Hold the diaphragm lightly to the skin is sensitive in detecting low-pitched
of the abdomen sounds like heart murmurs The in-
Use the inferface of the diaphragm and terface of the bell and diaphram
the bell for auscultation is less useful for clinical assess-
ment. B/c the bowel dounds are
high-pitched, the diaphragm should
be held firmly on the skin during
auscultation.
7. In the mneumonic "DELIRIUM", the M D.
represents which cause of delirium?
the letter "M" represents metabolic
Medication disorders in the mnemonic of caus-
Malnutrition es for delirum. The "R" for RX rep-
Memory Loss resents medication. The "D" for de-
Metabolic disorders mentia and dehydration represents
memory loss. Malnurtition is not
part of this mnemonic
