HESI review NUR 101 Fortis College \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
exam with correct answers \|/\\// \|/\\// \|/\\//
What equipment is used for Auscultation? - correct answer✔✔Stethoscope
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What is sleep deprivation? - correct answer✔✔decrease in the amount, consistency, or
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quality of sleep \|/\\// \|/\\//
How do you do a breast exam? - correct answer✔✔1) Inspection- should be symmetric,
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nipples should not be inverted/dimpled or creased, skin should be smooth not peel d' orange
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present. \|/\\//
2) Palpate- one side at a time, be sure to include the tail of spence, use the circular, wedged
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or vertical strip methods, then palpate the nipple last
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-If you find a lump, document location in terms of a clock, document characteristics:
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Size: in cm \|/\\// \|/\\//
Shape: round, discoid, regular, irregular\|/\\// \|/\\// \|/\\// \|/\\//
Consistency: Soft, firm, or hard \|/\\// \|/\\// \|/\\// \|/\\//
Mobility
Degree of tenderness \|/\\// \|/\\//
Location
When should a female examine her breasts for early detection of breast cancer? - correct
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answer✔✔Once a month, 7 days after her period \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
, What are lymph nodes? - correct answer✔✔Filter interstitial fluid. Swollen glands mean you
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
are fighting an infection.
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What is strep pharyngitis? - correct answer✔✔infection of the pharynx, aka strep throat
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What is pupil accommodation? - correct answer✔✔the coordinated changes that occur when
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the eye adapts itself to near vision; constriction of the pupil, convergence of the eyes, and
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increased convexity of the lens. \|/\\// \|/\\// \|/\\// \|/\\//
What is a tuning fork used for? - correct answer✔✔to assess auditory function and sensation
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of vibration.
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What does a chronic ear infection look like? - correct answer✔✔Ear Perforation, hole in the
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tympanic membrane \|/\\//
How do you assess EOM? - correct answer✔✔Cardinal positions of gaze, Ask pt to fallow pen
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light without moving their head. Move the penlight to the six cardinal positions returning to
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the mid point after each movement. This tests CN 3,4,6 and EOM
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What is the apical impulse? - correct answer✔✔pulse felt at point of maximal impulse
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cyanosis - correct answer✔✔a bluish discoloration of the skin resulting from poor circulation
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or inadequate oxygenation of the blood.
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Where do you hear the tricuspid valve? - correct answer✔✔4th intercostal space near the
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sternum on the pts left side (your right side) \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
Where do you percuss the heart? - correct answer✔✔@ the anterior axillary line and
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continue toward the sternum along the 5th intercostal space. the sound changes from
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exam with correct answers \|/\\// \|/\\// \|/\\//
What equipment is used for Auscultation? - correct answer✔✔Stethoscope
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
What is sleep deprivation? - correct answer✔✔decrease in the amount, consistency, or
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
quality of sleep \|/\\// \|/\\//
How do you do a breast exam? - correct answer✔✔1) Inspection- should be symmetric,
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
nipples should not be inverted/dimpled or creased, skin should be smooth not peel d' orange
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
present. \|/\\//
2) Palpate- one side at a time, be sure to include the tail of spence, use the circular, wedged
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
or vertical strip methods, then palpate the nipple last
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
-If you find a lump, document location in terms of a clock, document characteristics:
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
Size: in cm \|/\\// \|/\\//
Shape: round, discoid, regular, irregular\|/\\// \|/\\// \|/\\// \|/\\//
Consistency: Soft, firm, or hard \|/\\// \|/\\// \|/\\// \|/\\//
Mobility
Degree of tenderness \|/\\// \|/\\//
Location
When should a female examine her breasts for early detection of breast cancer? - correct
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
answer✔✔Once a month, 7 days after her period \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
, What are lymph nodes? - correct answer✔✔Filter interstitial fluid. Swollen glands mean you
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
are fighting an infection.
\|/\\// \|/\\// \|/\\//
What is strep pharyngitis? - correct answer✔✔infection of the pharynx, aka strep throat
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
What is pupil accommodation? - correct answer✔✔the coordinated changes that occur when
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
the eye adapts itself to near vision; constriction of the pupil, convergence of the eyes, and
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
increased convexity of the lens. \|/\\// \|/\\// \|/\\// \|/\\//
What is a tuning fork used for? - correct answer✔✔to assess auditory function and sensation
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
of vibration.
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What does a chronic ear infection look like? - correct answer✔✔Ear Perforation, hole in the
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
tympanic membrane \|/\\//
How do you assess EOM? - correct answer✔✔Cardinal positions of gaze, Ask pt to fallow pen
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
light without moving their head. Move the penlight to the six cardinal positions returning to
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
the mid point after each movement. This tests CN 3,4,6 and EOM
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
What is the apical impulse? - correct answer✔✔pulse felt at point of maximal impulse
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
cyanosis - correct answer✔✔a bluish discoloration of the skin resulting from poor circulation
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
or inadequate oxygenation of the blood.
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
Where do you hear the tricuspid valve? - correct answer✔✔4th intercostal space near the
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sternum on the pts left side (your right side) \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
Where do you percuss the heart? - correct answer✔✔@ the anterior axillary line and
\|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\// \|/\\//
continue toward the sternum along the 5th intercostal space. the sound changes from
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