HESI EXIT FAMILY NURSE PRACTIONER FINAL EXAMS A
& B ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS||COMBINED FINAL EXAMS (MAY 2023
UPDATE) ||AGRADE
Airway occlusion - ANSWER: Complete occlusion indicated by holding throat with
both hands; incomplete occlusion allows coughing, talking, or crying.
Acute otitis media - ANSWER: Expected objective finding: Tympanic membrane
immobility, hallmark of AOM.
Erythema infectious rash - ANSWER: Young adults may present with a reddened
exanthema on hands and feet with distinct margins at wrist and ankle joints.
Skin cancer risk - ANSWER: High risk factor: Work on a crew that paves highways due
to exposure to ultraviolet light.
Peritoneal irritation - ANSWER: Expected physical finding: Abdominal guarding and
possible rebound tenderness; decreased bowel sounds may be present.
Pincer grasp - ANSWER: Developmental milestone at 9 months for a child to use a
pincer grasp.
Valsalva maneuver - ANSWER: Technique to detect abnormal heart sounds,
particularly in hypertrophic cardiomyopathy.
Type 2 diabetes control - ANSWER: Target value indication: HS glucose levels
between 100 and 140 mg/dL.
Appropriate developmental task - ANSWER: Married with two sons and an active
social life at age 31 reflects meeting the Intimacy versus Isolation task.
Osgood-Schlatter disease - ANSWER: Consistent symptom: Knee pain with running,
jumping, going up steps, and kneeling due to overuse syndrome.
Bell's palsy - ANSWER: Physical exam finding: Inability to puff out cheek due to
unilateral facial nerve paresis or paralysis.
Deep vein thrombosis - ANSWER: Factor in patient's history: Oral contraceptive pill
use among other risk factors like pregnancy, smoking, older age, or clotting
disorders.
PTSD traits - ANSWER: Hypersomnia is not a trait found in PTSD, which consists of
reexperiencing, avoidance, and hyperarousal symptoms.
, Kidney stone indicator - ANSWER: Besides pain, hematuria is a key indicator in
patients with kidney stones.
Infectious mononucleosis - ANSWER: Pathognomonic finding: Lymphadenopathy,
almost always present; absence questions the diagnosis.
Tender points vs. trigger points - ANSWER: Difference: Palpation of trigger points
causes pain radiation, while tender points do not.
Visual acuity 20/40 - ANSWER: Interpretation: Ability to see at 20 feet what a normal
eye sees at 40 feet; Snellen chart assessment.
Dementia assessment - ANSWER: Sign of complex cognitive tasks: Difficulty balancing
the checkbook indicates reasoning ability problem, a sign of dementia.
Annular lesions - ANSWER: Expected arrangement: Circular or ring shape; different
from reticular, clustered, or gyrate patterns.
Child abuse suspicion - ANSWER: Increased suspicion: Multiple bruises on arms and
face in varying colors indicate repeated trauma, not typical play injuries.
Circle copying age - ANSWER: Developmental milestone: Child can copy a circle at 3
years of age.
Pinworm symptoms in children - ANSWER: After rectal itching, typical symptom:
Intense rectal itching followed by symptoms like perianal itching and irritability.
Perianal excoriation - ANSWER: Common in children due to itching in the perianal
area.
Prostate cancer - ANSWER: Suspected with a firm, distinct palpable lesion.
Posterior nosebleed - ANSWER: Blood seen running down the oropharynx.
Amenorrhea - ANSWER: Associated with excessive exercise and nutritional deficits.
Asthma diagnosis - ANSWER: Supported by a history of recurrent skin problems since
infancy.
Risky drinking in pregnancy - ANSWER: Detected best by questions about tolerance
in history.
Hyperlipidemia suspicion - ANSWER: Raised by soft, yellowish plaques in the medial
canthal area.
Amblyopia diagnosis - ANSWER: Indicated by tilting head to one side for better
vision.
& B ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS||COMBINED FINAL EXAMS (MAY 2023
UPDATE) ||AGRADE
Airway occlusion - ANSWER: Complete occlusion indicated by holding throat with
both hands; incomplete occlusion allows coughing, talking, or crying.
Acute otitis media - ANSWER: Expected objective finding: Tympanic membrane
immobility, hallmark of AOM.
Erythema infectious rash - ANSWER: Young adults may present with a reddened
exanthema on hands and feet with distinct margins at wrist and ankle joints.
Skin cancer risk - ANSWER: High risk factor: Work on a crew that paves highways due
to exposure to ultraviolet light.
Peritoneal irritation - ANSWER: Expected physical finding: Abdominal guarding and
possible rebound tenderness; decreased bowel sounds may be present.
Pincer grasp - ANSWER: Developmental milestone at 9 months for a child to use a
pincer grasp.
Valsalva maneuver - ANSWER: Technique to detect abnormal heart sounds,
particularly in hypertrophic cardiomyopathy.
Type 2 diabetes control - ANSWER: Target value indication: HS glucose levels
between 100 and 140 mg/dL.
Appropriate developmental task - ANSWER: Married with two sons and an active
social life at age 31 reflects meeting the Intimacy versus Isolation task.
Osgood-Schlatter disease - ANSWER: Consistent symptom: Knee pain with running,
jumping, going up steps, and kneeling due to overuse syndrome.
Bell's palsy - ANSWER: Physical exam finding: Inability to puff out cheek due to
unilateral facial nerve paresis or paralysis.
Deep vein thrombosis - ANSWER: Factor in patient's history: Oral contraceptive pill
use among other risk factors like pregnancy, smoking, older age, or clotting
disorders.
PTSD traits - ANSWER: Hypersomnia is not a trait found in PTSD, which consists of
reexperiencing, avoidance, and hyperarousal symptoms.
, Kidney stone indicator - ANSWER: Besides pain, hematuria is a key indicator in
patients with kidney stones.
Infectious mononucleosis - ANSWER: Pathognomonic finding: Lymphadenopathy,
almost always present; absence questions the diagnosis.
Tender points vs. trigger points - ANSWER: Difference: Palpation of trigger points
causes pain radiation, while tender points do not.
Visual acuity 20/40 - ANSWER: Interpretation: Ability to see at 20 feet what a normal
eye sees at 40 feet; Snellen chart assessment.
Dementia assessment - ANSWER: Sign of complex cognitive tasks: Difficulty balancing
the checkbook indicates reasoning ability problem, a sign of dementia.
Annular lesions - ANSWER: Expected arrangement: Circular or ring shape; different
from reticular, clustered, or gyrate patterns.
Child abuse suspicion - ANSWER: Increased suspicion: Multiple bruises on arms and
face in varying colors indicate repeated trauma, not typical play injuries.
Circle copying age - ANSWER: Developmental milestone: Child can copy a circle at 3
years of age.
Pinworm symptoms in children - ANSWER: After rectal itching, typical symptom:
Intense rectal itching followed by symptoms like perianal itching and irritability.
Perianal excoriation - ANSWER: Common in children due to itching in the perianal
area.
Prostate cancer - ANSWER: Suspected with a firm, distinct palpable lesion.
Posterior nosebleed - ANSWER: Blood seen running down the oropharynx.
Amenorrhea - ANSWER: Associated with excessive exercise and nutritional deficits.
Asthma diagnosis - ANSWER: Supported by a history of recurrent skin problems since
infancy.
Risky drinking in pregnancy - ANSWER: Detected best by questions about tolerance
in history.
Hyperlipidemia suspicion - ANSWER: Raised by soft, yellowish plaques in the medial
canthal area.
Amblyopia diagnosis - ANSWER: Indicated by tilting head to one side for better
vision.
