FORTIS COLLEGE NUR 210 HESI RN
EXIT EXAM With Correct Verified And
Well Detailed Answers
What equipment is used for Auscultation? - ANSWERS-Stethoscope
What is sleep deprivation? - ANSWERS-decrease in the amount, consistency, or quality
of sleep
How do you do a breast exam? - ANSWERS-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? -
ANSWERS-Once a month, 7 days after her period
What are lymph nodes? - ANSWERS-Filter interstitial fluid. Swollen glands mean you
are fighting an infection.
What is strep pharyngitis? - ANSWERS-infection of the pharynx, aka strep throat
What is pupil accommodation? - ANSWERS-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? - ANSWERS-to assess auditory function and sensation
of vibration.
What does a chronic ear infection look like? - ANSWERS-Ear Perforation, hole in the
tympanic membrane
, How do you assess EOM? - ANSWERS-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? - ANSWERS-pulse felt at point of maximal impulse
cyanosis - ANSWERS-a bluish discoloration of the skin resulting from poor circulation or
inadequate oxygenation of the blood.
Where do you hear the tricuspid valve? - ANSWERS-4th intercostal space near the
sternum on the pts left side (your right side)
Where do you percuss the heart? - ANSWERS-@ the anterior axillary line and continue
toward the sternum along the 5th intercostal space. the sound changes from resonance
to dullness over the left border of the heart, normally at the midclavicular line. The right
border of the heart is usually aligned with the sternum and can't be percussed.
How do you assess JVD? - ANSWERS--Place pt in supine positon
-Elevate head 45degrees
-Turn head to one side
-Look for pulsations
-If greater than 3cm distention, positive jugular vein distention
How do you assess grade 4 systolic murmur? - ANSWERS-It would be during the first
heart sound, then determine quality: blowing, musical harsh or rumbling. Then the pitch
High, Low? Then location, where is the sound the loudest? grade on a 6 level grading
scale.
What is the S1 sound? - ANSWERS-"lub" and AV valves closing. tricuspid and mitral
valves.
What is the S2 sound? - ANSWERS-"Dub", closure of semilunar valves, aortic and
pulmonic.
What is the Allen test? - ANSWERS-Occlude both radial and ulnar arteries, release
ulnar artery only and view hand for blanching. Tests for arterial insufficiency to the
hands.
What is the point of maximal impulse? - ANSWERS-Where both heart sounds match up
What is syncope? - ANSWERS-Fainting; passing out
Where would someone experience referred pain in Acute Coronary Syndrome? -
ANSWERS-The Jaw and Teeth
EXIT EXAM With Correct Verified And
Well Detailed Answers
What equipment is used for Auscultation? - ANSWERS-Stethoscope
What is sleep deprivation? - ANSWERS-decrease in the amount, consistency, or quality
of sleep
How do you do a breast exam? - ANSWERS-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? -
ANSWERS-Once a month, 7 days after her period
What are lymph nodes? - ANSWERS-Filter interstitial fluid. Swollen glands mean you
are fighting an infection.
What is strep pharyngitis? - ANSWERS-infection of the pharynx, aka strep throat
What is pupil accommodation? - ANSWERS-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? - ANSWERS-to assess auditory function and sensation
of vibration.
What does a chronic ear infection look like? - ANSWERS-Ear Perforation, hole in the
tympanic membrane
, How do you assess EOM? - ANSWERS-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? - ANSWERS-pulse felt at point of maximal impulse
cyanosis - ANSWERS-a bluish discoloration of the skin resulting from poor circulation or
inadequate oxygenation of the blood.
Where do you hear the tricuspid valve? - ANSWERS-4th intercostal space near the
sternum on the pts left side (your right side)
Where do you percuss the heart? - ANSWERS-@ the anterior axillary line and continue
toward the sternum along the 5th intercostal space. the sound changes from resonance
to dullness over the left border of the heart, normally at the midclavicular line. The right
border of the heart is usually aligned with the sternum and can't be percussed.
How do you assess JVD? - ANSWERS--Place pt in supine positon
-Elevate head 45degrees
-Turn head to one side
-Look for pulsations
-If greater than 3cm distention, positive jugular vein distention
How do you assess grade 4 systolic murmur? - ANSWERS-It would be during the first
heart sound, then determine quality: blowing, musical harsh or rumbling. Then the pitch
High, Low? Then location, where is the sound the loudest? grade on a 6 level grading
scale.
What is the S1 sound? - ANSWERS-"lub" and AV valves closing. tricuspid and mitral
valves.
What is the S2 sound? - ANSWERS-"Dub", closure of semilunar valves, aortic and
pulmonic.
What is the Allen test? - ANSWERS-Occlude both radial and ulnar arteries, release
ulnar artery only and view hand for blanching. Tests for arterial insufficiency to the
hands.
What is the point of maximal impulse? - ANSWERS-Where both heart sounds match up
What is syncope? - ANSWERS-Fainting; passing out
Where would someone experience referred pain in Acute Coronary Syndrome? -
ANSWERS-The Jaw and Teeth
