HESI EXAM COMPLETE GUIDE QUESTIONS
WITH VERIFIED ANSWERS
.5 segments of the breast - ANSWER-- Divided into 5 segments
- 4 Quadrants
1) Upper Inner Quadrant
2) Lower Inner Quadrant
3) Upper Outer Quadrant
4) Lower Outer Quadrant
- Axillary tail of Spence
.A palpable rushing vibration over the base of the heart is called a: - ANSWER-Thrill;
Rationale: A thrill is a fine, palpable, rushing vibration; a palpable murmur.
.ABCDE - ANSWER-A - Asymmetry
B - Border irregularity
C - Color nonuniform
D - Diameter greater than 6 mm
E - Evolving size and shape
.Abdomen Physical Exam - ANSWER-- Empty bladder!
- Inspect
- Auscultate
- Palpate
- Percuss
,- Assess tender areas last
.Accommodation - ANSWER-- Adaptation of eye for near vision
- Although lens cannot be observed directly, the following components of accommodation can be
observed:
- Convergence (motion toward) of the axes of the eyeballs
- Pupillary constriction
.Acromegaly - ANSWER-Head enlargement
.Acute pain - ANSWER-- Less than 6 mos
.Adolescents - ANSWER-- Secretions from apocrine sweat glands increase
- Subcutaneous fat deposits increase
- Secondary sex characteristics
.Adolescents Breast Growth - ANSWER-- Beginning of breast development precedes menarche by about
2 years
- Menarche occurs in breast development stage 3 or 4, usually just after peak of adolescent growth
spurt around age 12
- Breasts of nonpregnant woman change with ebb and flow of hormones during monthly menstrual
cycle
- Nodularity increases from midcycle up to menstruation
- During the 3 to 4 days before menstruation, breasts feel full, tight, heavy, and occasionally sore; breast
volume is smallest on days 4 to 7 of menstrual cycle
.Afebrile - ANSWER-Without fever
.Age to begin mammograms - ANSWER-45 (get them annually until 55)
,.Aging adult skin inspection - ANSWER-- Pale (deceased melanin), thin skin, less elasticity
- Senile Lentigines often called "Liver Spots"
- Keratoses
rough, crusty, elevated, often on dorsal surface of hand or on face.
.Allen Test - ANSWER-- Constrict blood in arm
- Release ulnar artery first to see if blood flow returns- avoid radial cannulation
.Anasarca - ANSWER-heart failure, organ failure
.Annular or circular lesions - ANSWER-Round
.AP/T diameter - ANSWER-- Normal is 1:2
- AP should be less than T or lateral diameter
- If AP becomes larger than T it could mean long standing lung problems
.Approaching Sensitive Issues - ANSWER-- Use language that is understandable.
- Do not apologize for broaching the issue.
- Ensure privacy.
- Be direct and firm.
- Do not preach.
- Do not push too hard.
.Assessing Neck Alignment - ANSWER-- Midline
- Ask patient to swallow
- Movement of thyroid cartilage /gland
- Palpate with thumbs bilaterally
.Assessment of Thyroid gland - ANSWER-- Posterior approach
.Balantitis - ANSWER-A swelling of the foreskin, or head of the penis.
.Basal Cell Carcinoma - ANSWER-- most common form of skin cancer
- Basal layer of epidermis
- Deeply pigmented, central red ulcer, pearly edges-may look like an open pore (face, ears and neck,
scalp shoulders are common sites)
- Warning signs
1) Open sore
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