HESI Review NUR 101 Fortis College |
100% Correct Answers | Verified | Latest
2024 Version
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.
100% Correct Answers | Verified | Latest
2024 Version
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.
