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Finial HESI NSG 121 Exam with correct answers.
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Finial HESI NSG 121 Exam with correct answers.
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Finial HESI NSG 121 Exam with correctanswers
Comprehensive Exam - ANSWER -history takes place during an annual physical
examination, for sports participation screenings, and during a hospital admission.
Focused Exam - ANSWER -involves questions that relate to the current situation.
Emergency Exam - ANSWER -Nurses collect the most important information and defer
obtaining details until patients are stable. They elicit the reason for seeking care along
with current health problems, medications, and allergies.
Primary Source - ANSWER -The individual patient is considered the
Secondary Source - ANSWER -Charts and information from family members are
considered
demographic data - ANSWER -including name, date of birth, address, and billing
information, Occupation and insurance.
OLDCARTS - ANSWER -Onset,
Location,
Duration,
Character,
Aggravating factors,
Relieving Factors,
Treatment,
Severity
PQRSTU - ANSWER -*P*rovocative or palliative,
*Q*uality or quantity,
*R*egion or radiation,
*S*everity scale,
*T*iming,
*U*nderstanding the patient's perception of the problem.
Assisted living self ADLs - ANSWER -Bathing, dressing, grooming, eating, continence,
transferring
LOW BMI - ANSWER -Adults with a BMI less than 17.5 or children and adolescents
with a BMI less than the 5th percentile meet the criteria for an eating disorder.
Rectal findings - ANSWER --Diarrhea
Finial HESI NSG 121 Exam with correct
answers
,-Constipation
Ataxia Assessment - ANSWER -Gait (0 to 8)
Stance (0 to 6)
Sitting (0 to 4)
Speech disturbance(0 to 6)
Finger chase (0 to 4)
Nose-finger test (0 to 4)
Fast alternating hand movements (0 to 4)
Heel-shin slide (0 to 4)
Ataxia - ANSWER -irregular uncoordinated movements) or loss of balance may be due
to cerebellar disorders, Parkinson's disease, multiple sclerosis, strokes, brain tumors,
inner ear problems, or medications.
Nutrition assess - ANSWER --measuring waist circumference, -triceps skinfold,
- mid-upper arm muscle circumference
-Serum albumin
carotene rich foods - ANSWER -carrots, spinach, lettuce, tomatoes, sweet potatoes,
broccoli, cantaloupe, and winter squash
Abdomen palpate GERI - ANSWER -The liver decreases in size and liver function
declines, making it harder for older adults to process medications. Renal function also
declines, which decreases the ability to eliminate medications.
stomach acid is reduced and gastric motility and peristalsis slow.
Nail ridges-GERI - ANSWER --are smooth, nontender, and firmly adherent to the
___bed. Lateral and proximal folds are nontender and nonswollen.
-Swelling, redness, or tenderness in the lateral or proximal folds may indicate
paronychia (bacterial or fungal infection). Sponginess of the _____bed may indicate
clubbing.
-Dietary deficiencies lead to splitting of nail tips. Thickened nails may be from fungal
infection. Discoloration of the nail bed may indicate trauma, fungal infection, or
melanoma.
-____ pits are common in patients with psoriasis. Longitudinal ridging is common in
aging patients. Longitudinal pigmentation in dark-skinned patients is normal.
Newborn temperature - ANSWER --Axillary
-After the first month of life, either axillary or tympanic
-First bath is delayed until stable.
-Taken again after the first bath
Newborn-flaring nares - ANSWER --sign of respiratory distress
Finial HESI NSG 121 Exam with correct
answers
, Lymphatics assessment - ANSWER -evaluation of external and palpable internal lymph
nodes. Commonly palpable external lymph nodes include the intermandibular, parotid,
retropharyngeal, superficial cervical, subiliac, mammary, and scrotal lymph nodes.
Morning sickness treatment - ANSWER -Ginger in water helps
Pregnancy weight gain - ANSWER --12,500g
-27lb 8 oz
Apgar 3 - ANSWER -Done at the 1st minute of life. 3 is a sign of emergency. Indicates
severe respiratory depression and requires observation and care in a NICU.
Backache 32 weeks - ANSWER -are common during the second and third trimesters,
partly from lumbar lordosis of pregnancy and partly from poor back support when lifting
or sleeping. Increased weight from the fetus and breast tissue, with the accompanying
change in the center of gravity, places increased strain on the abdominal muscles.
Backache treatment - ANSWER -exercises to strengthen her abdominal muscles (pelvic
tilts), and suggest a support band,
Ovulation occurs - ANSWER -14 days before the next menstrual period
Goiter Assessment - ANSWER --By touching your neck, your health care provider may
detect an enlargement of the thyroid, an individual nodule or multiple nodules
-Toxic _____may feel softer than normal thyroid tissue during palpation
referred pain of appendicitis - ANSWER -Pain around naval associated with appendix
Poor skin turgor - ANSWER -A persistent pinch, or tenting, indicates dehydration is also
associated with aging.
Skin turgor - ANSWER -Gently grasp a fold of the patient's ____between your fingers
and pull up, then release. This is most easily performed on the dorsal surface of the
patient's hand or lower arm, but the most accurate reflection of turgor in the adult is on
the anterior chest, just below the midclavicular area
Assess muscle strength - ANSWER --5/5 (100%) Normal
Complete ROM against gravity and full resistance
-4/5 (75%) Good
Complete ROM against gravity and moderate resistance
-3/5 (50%)Fair
Complete ROM against gravity
-2/5 (25%) Poor
Complete ROM with the joint supported; cannot perform ROM against gravity
-1/5 (10%) Trace
Finial HESI NSG 121 Exam with correct
answers
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