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MSN 570 HESI Exam Questions and Answers
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MSN 570 HESI Exam Questions and Answers
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MSN 570 HESI Exam Questions andAnswers
Romberg test - Answer -used to evaluate cerebellar function and balance
mitral valve prolapse - Answer -systolic click heard at apical area, pt asymptomatic,
need echo w/ doppler to confirm dx
Treatment for patient w/ HF - Answer -ACE & ARBS in combination w/ beta blocker &
diuretic
paroxysmal atrial tachycardia - Answer -rapid, regular contractions of the atria that
begins and ends quickly
Side effect of Calcium Channel Blockers - Answer -headache, heart blocks, bradycardia
apical pulse difference - Answer -done when both radial and apical pulses are checked
at same time
For pt w/ emphysema - Answer -do not give beta blockers because it decreases
response to bronchodilators
pluses paradoxus - Answer -Decrease in systolic blood pressure (by 10mmHG) during
inspiration
S2 sounds - Answer -caused by closure of semilunar valve
aortic stenosis murmur - Answer -harsh and high pitched, best heard at the 2nd right
intercostal space w/ radiation to carotid arteries
Addisson's disease - Answer -findings: hyperpigmentation , hyperkalemia, hyponatremia
and decrease serum cortisol levels
Hashimoto's disease - Answer -an autoimmune disease in which the body's own
antibodies attack and destroy the cells of the thyroid gland; an enlarged thyroid is first
sign of disease
Somogyi phenomenon - Answer -A rebound phenomenon that occurs in clients with
type 1 diabetes mellitus. Normal or elevated blood glucose levels are present at
, bedtime; hypoglycemia occurs at about 2 to 3 am. Counterregulatory hormones,
glucagon (converted to glucose )produced to prevent further hypoglycemia, result in
hyperglycemia Treatment includes decreasing the evening (predinner or bedtime) dose
of intermediate acting insulin or increasing the bedtime snack.
Regular insulin - Answer -short acting; onset 15-20 mins peak 1.5 hrs duration 3-4
hours
NPH insulin - Answer -intermediate acting insulin; onset 1.5-3 hrs, peak 4-12 hours,
duration 18-24 hours
low free T4 - Answer -requires start of Synthroid
TSH (thyroid stimulating hormone) - Answer -stimulates thyroid gland; best screening
for hypothyroidism
Meniere's disease - Answer -disorder of inner ear causing episodic vertigo, tinnitus, and
hearing loss, sense of ear fullness
Hemoglobin A1c - Answer -4-6% = good glucose control > 6.6 =DM 2 Tretment goal <7
Cushing's syndrome - Answer -a condition caused by prolonged exposure to high levels
of cortisol
newly diagnosed DM 2 - Answer -strenuous exercise is contraindicated because of risk
of hypoglycemia
Hashimoto's thyroiditis - Answer -an autoimmune disease in which the body's own
antibodies attack and destroy the cells of the thyroid gland; test w anti-thyroid
peroxidase
myxedema - Answer -caused by extreme deficiency of thyroid secretion; also known as
adult hypothyroidism
Obturator sign - Answer -RLQ pain on internal rotation of right thigh indicative of
appendicitis
Diverticulitis Treatment - Answer -rest, liquid or low-fiber diet, and antibiotics. Severe
cases may need hospital care and surgery. Doctors may recommend a high-fiber diet
after recovery to prevent future episodes
iliopsosas muscle test - Answer -active flexion of thigh at hip, if pain = appendicitis
Celiac Sprue Disease - Answer -diet= avoid wheat, rye & barley; may have rice
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