FORTIS COLLEGE NUR 210 HESI RN EXIT EXAM COMPLETE TEST ,
PRACTICE QUESTIONS, VERIFIED ANSWER KEY, AND STUDY GUIDE FOR
(LATEST 2026 EDITION)
What equipment is used for Auscultation?
Stethoscope
What is sleep deprivation?
decrease in the amount, consistency, or quality of sleep
How do you do a breast exam?
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?
Once a month, 7 days after her period
What are lymph nodes?
Filter interstitial fluid. Swollen glands mean you are fighting an infection.
What is strep pharyngitis?
infection of the pharynx, aka strep throat
What is pupil accommodation?
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?
to assess auditory function and sensation of vibration.
What does a chronic ear infection look like?
Ear Perforation, hole in the tympanic membrane
How do you assess EOM?
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?
pulse felt at point of maximal impulse
cyanosis
a bluish discoloration of the skin resulting from poor circulation or inadequate oxygenation of
the blood.
Where do you hear the tricuspid valve?
4th intercostal space near the sternum on the pts left side (your right side)
Where do you percuss the heart?
, @ 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?
-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?
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?
"lub" and AV valves closing. tricuspid and mitral valves.
What is the S2 sound?
"Dub", closure of semilunar valves, aortic and pulmonic.
What is the Allen test?
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?
Where both heart sounds match up
What is syncope?
Fainting; passing out
Where would someone experience referred pain in Acute Coronary Syndrome?
The Jaw and Teeth
How do you assess the legs for edema?
Press finger against swollen area for 5 seconds and remove
What is pitting edema?
excess amount of fluid in absence of additional colloid (particles) AKA "edema that you can
make an imprint with your finger in"
**gravity dependent (seen in legs) to determine severity estimate the indentation in cm, 1+ 2+ 3+
4+
What is nonpitting edema?
skin feels unusually tight or firm, pressure leaves no indentation b/c fluid has coagulated in the
tissues
What is considered a low BMI?
anything below 19 is considered low BMI
How do you assess mobility? (Muscles)
Functional assessment for ADLs
How do you calculate pack year?
# of packs a day x # of years smoking= Pack Year
Older Adult Health History
The interview will likely take longer, so plan accordingly. Depending on the person's condition
you may need to break the interview into two sessions. You can gather certain health history and
PRACTICE QUESTIONS, VERIFIED ANSWER KEY, AND STUDY GUIDE FOR
(LATEST 2026 EDITION)
What equipment is used for Auscultation?
Stethoscope
What is sleep deprivation?
decrease in the amount, consistency, or quality of sleep
How do you do a breast exam?
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?
Once a month, 7 days after her period
What are lymph nodes?
Filter interstitial fluid. Swollen glands mean you are fighting an infection.
What is strep pharyngitis?
infection of the pharynx, aka strep throat
What is pupil accommodation?
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?
to assess auditory function and sensation of vibration.
What does a chronic ear infection look like?
Ear Perforation, hole in the tympanic membrane
How do you assess EOM?
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?
pulse felt at point of maximal impulse
cyanosis
a bluish discoloration of the skin resulting from poor circulation or inadequate oxygenation of
the blood.
Where do you hear the tricuspid valve?
4th intercostal space near the sternum on the pts left side (your right side)
Where do you percuss the heart?
, @ 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?
-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?
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?
"lub" and AV valves closing. tricuspid and mitral valves.
What is the S2 sound?
"Dub", closure of semilunar valves, aortic and pulmonic.
What is the Allen test?
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?
Where both heart sounds match up
What is syncope?
Fainting; passing out
Where would someone experience referred pain in Acute Coronary Syndrome?
The Jaw and Teeth
How do you assess the legs for edema?
Press finger against swollen area for 5 seconds and remove
What is pitting edema?
excess amount of fluid in absence of additional colloid (particles) AKA "edema that you can
make an imprint with your finger in"
**gravity dependent (seen in legs) to determine severity estimate the indentation in cm, 1+ 2+ 3+
4+
What is nonpitting edema?
skin feels unusually tight or firm, pressure leaves no indentation b/c fluid has coagulated in the
tissues
What is considered a low BMI?
anything below 19 is considered low BMI
How do you assess mobility? (Muscles)
Functional assessment for ADLs
How do you calculate pack year?
# of packs a day x # of years smoking= Pack Year
Older Adult Health History
The interview will likely take longer, so plan accordingly. Depending on the person's condition
you may need to break the interview into two sessions. You can gather certain health history and
