2023 [NGN] HESI Exit
Exam-Updated
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Health assessment final exam, Health
Assessment Final Exam: Review
Questions, Jarvis Health Assessment
Chapter 1-7, health assessment final -
jarvis test bank, Health Assessment
Final Exam, Health Assessment Final
Exam-Latest Update
hypospadias(p703) - CORRECT ANSWERS-urethral meatus opens on the VENTRAL
side of the glans or shaft . a groove extends from the meatus to the normal location at
the tip this is a congential defect that is important to recognize at birth newborn should
NOT be circumcised because it can cause further harm
phimosis(702) - CORRECT ANSWERS-nonretractable foreskin forming a pointy tip with
a tiny orifice
may be congeal or acquired
carcinoma(p 702) - CORRECT ANSWERS-begins as red raised WARTY GROWTH or
as an ulcer with watery discharge
as it grows it may necrose and slough
usually painless
almsot always on glans or inner lip of foreskin and enlarged lymph nodes are common
genital herpes--HSV2 Infection - CORRECT ANSWERS-clusters of small vesicles with
surrounding erythema, which are often PAINFUL erupt on the glans or foreskin these
RUPTURE to form superficial ulcers a STI lasts 7-10 days. remains dormant indefinitely.
recurrent infections last 3-10 days with milder symptoms
genital warts(701) - CORRECT ANSWERS-soft pointed moist fleshy painless papules
may be single or multiple in a CAULIFLOWER like patch
gray yellow pink in white males
black or gray in black males
occur in GRAPELIKE CLUSTERS
caused by HPV
syphilitic chancre - CORRECT ANSWERS-begins within 2-4 weeks of infection as small
SOLITARY SILVERY papule that erodes into a red round or oval superficial ulcer with
YELLOW discharge
,nontender; treated with pen G
untreated leads to cardiac and neurologic problems
normal testes - CORRECT ANSWERS-egg-shaped and movable, feels rubbery with a
smooth surface, like a peeled hard-boiled egg
left lower than right
Peyronies disease - CORRECT ANSWERS-hard nontender subcutaneous plaques
palpated on dorsal or lateral surface of penis
may be single or multiple
painful BENDING of the penis during erection
hegar sign - CORRECT ANSWERS-Softening of the lower uterine segment that allows
it to be easily compressed at 6 to 8 weeks of pregnancy.
goodell sign - CORRECT ANSWERS-Softening of the cervix that occurs during the
second month(4-6 weeks) of pregnancy.
chadwick sign - CORRECT ANSWERS-bluish discoloration of the mucosa occurs
normally in preganany(8-12 weeks )and with any other condition causing hypoxia or
venous congestion
Papanicolaou smear - CORRECT ANSWERS-Cytologic study of smears of cervical and
endocervical tissue obtained by scrapings to diagnose the presence of abnormal tissue
pelvic inflammatory disease - CORRECT ANSWERS-fallopian tube mass--Acute
salpinitis
sudden fever(100.4) subrapubic pain and tenderness
acute rigid boardlike abdomen may have purulent discharge from cervix
endometriosis - CORRECT ANSWERS-cyclic or chronic pelvic pain occurring as
dysmenorrhea or dyspareunia low backache
irregular uterine bleeding or hypermenorrhea or may be asymptomatic
may cause infertility from decreased ovarian function
ectopic pregnancy - CORRECT ANSWERS-fallopian tube mass
amenorrhea or irregular vaginal bleeding
softening of the cervix and fundus movement of cervix and uterus causes pain palpable
tender pelvic mass, which is solid mobile unilateral
has potential for serious sequelae go to doc immediately bfore mass ruptures!
uterine fibroids - CORRECT ANSWERS-myoma leiomyomas
various symptoms depending on size and location
discomfort bloating heaviness pelvic pressure frequency hypermenorrhea
uterus irregularly enlarged firm mobile and nodular with hard painless nodules in the
uterine wall
,usually benign most common= 30-45 blacks
pediculosis pubis - CORRECT ANSWERS-crab lice severe perineal itching
excoriations and erthematous areas
may see little dark spots lice are small nits(eggs) adherent to pubic hair near roots
usually localized in pubic hair occasionally in eyebrows or eyelashes
gonorrhea - CORRECT ANSWERS-symptoms variable vaginal discharge dysuria
abnormal uterine bleeding abscess in batholins or skenes glands; the majority of cases
are asymp
often no signs present may be purulent vaginal discharge diagnose by positive culture
of organism if the condition is untreated it may progress to acute salpingitis(PID)
syphillis - CORRECT ANSWERS-sexually transmitted infection caused by a spirochete,
which may involve any organ or tissue over time; usually manifests first on the skin with
the appearance of small, painless papules that erod and form bloodless ulcers called
chancres
chlamydia - CORRECT ANSWERS-minimal or no symptoms
may have urinary frequency dysuria or vaginal discharge post coital bleeding
may have yellow green mucopurulent discharge friable cervix cervical motion
tenderness
trichomoniasis - CORRECT ANSWERS-Signs pruitis water and often malaodorous
vaginal discharge urinary frequecny terminal dysuria itching
Symptoms are worse during menstration when pH becomes optimal for organism
growth
human papilloma virus - CORRECT ANSWERS-a group of viruses that can cause
genital warts in males and females and can cause cervical cancer in females
HPV condylomata - CORRECT ANSWERS-virus can appear in various forms when
affecting vervical epithelium. here warty growth appears as abnormal thickened white
epithelium. visibility of lesion is enhanced by acetic acid wash which dissolves mucus
temporarily causes intracellular dehydration and coagulation of protein
distal - CORRECT ANSWERS-situated farthest from point of attachment or origin, as of
a limb or bone
proximal - CORRECT ANSWERS-closer to the origin of the body part or the point of
attachment of a limb to the body trunk
infant exam sequence - CORRECT ANSWERS-• Seize the opportunity with a sleeping
baby to listen to heart, lung, and abdomen sounds first.
• Perform least distressing steps first. Save the invasive steps of examination of the eye,
ear, nose, and throat until last.
, • Elicit the Moro or "startle" reflex at the end of the examination because it may cause
the baby to cry
gray stools may be a sign of - CORRECT ANSWERS-hepatitis
malignant melanoma - CORRECT ANSWERS-half arise from preexisitng nevi
ABCDE. may have scaling or oozing legs in women and on plams soles of feet in blacks
menarche occurs in breast development stage - CORRECT ANSWERS-3-4
when are the breasts the largest and most tender?
smallest and least tender? - CORRECT ANSWERS-3-4 days before menstration
4th-7th day of menstral cycle
The nurse is caring for patients on the surgical floor and has just received report from
the previous shift. Which of the following patients should the nurse see FIRST?
A. A 35-year-old admitted three hours ago with a gunshot would; 1.5 cm area of dark
drainage noted on the dressing
B. A 43-year-old who had a masectomy tow days ago; 23 cc of serosanguinous fluid
noted in the Jackson-Pratt drain
C. A 59-year-old with a collapsed lung due to an accident; no drainage noted in the
previous eight hours
D. A 62-year-old who had an abdominal-perineal resection three days ago; patient
complains of chills - CORRECT ANSWERS-D
The nurse is caring for patients in the outpatient clinic. Which of the following phone
calls should the nurse return first?
A. A client with hepatitis A who states "My arms and legs are itching."
B. A client with a cast on the right leg who states, " I have a funny feeling in my right
leg."
C. A client with osteomylitis of the spine who states, " I am so nauseous that I can't
eat."
D. A client with rheumatoid arthritis who states, " I am having trouble sleeping." -
CORRECT ANSWERS-B
high priority - CORRECT ANSWERS-Airway
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