fnp hesi
SETS
After talking w/ the HCP, a male pt con…
A 26 yr old male client w/ Hodgkin's di…
The nurse hears short, high-pitched sou…
A client is admitted to the ER w/ a ten…
As the prostate gland enlarges, its cells contribute more PSA…
Permanent sterility occurs in the male client who receive radi…
Crackles in the right and left lower lobes... Fine crackles - sh…
A deviation of the trachea toward the side opposite of the pne…
After talking w/ the HCP, a male pt con…
As the prostate gland enlarges, its cells contribute more PSA…
A 26 yr old male client w/ Hodgkin's di…
Permanent sterility occurs in the male client who receive radi…
The nurse hears short, high-pitched sou…
The nurse is assessing an older client…
A client's family asks why their mother…
Several hours after surgical repair of…
B ... Fine crackles are short, high pitched sounds heard just bef…
A... Ptosis is the term used to describe an eyelid droop that cov…
B... Pulmonary artery catheters are used to measure central press…
D... Postoperative complications of surgical repair of AAA are re…
The nurse hears short, high-pitched sou…
B ... Fine crackles are short, high pitched sounds heard just bef…
The nurse is assessing an older client…
A... Ptosis is the term used to describe an eyelid droop that cov…
a. positive feedback
b. gums
d. there is less thirst perception in t…
c. Women have a lower hemoglobin than m…
An initial disturbance in a system sets off a chain of events…
What organ shrinks with age?... a. Prostate... b. Gums... c. Heart... d. A…
Which of the following is true?... a. An infant will have a slowe…
Which of the following is true?... a. Women snore more than men... b…
a. positive feedback
An initial disturbance in a system sets off a chain of events…
b. gums
What organ shrinks with age?... a. Prostate... b. Gums... c. Heart... d. A…
peyronie disease
when should a complete heath data base…
signs of hyperthyroidism
nuchal rigidity
the presence of hard, nontender, subcutaneous plaques on the d…
during an initial home visit, in a primary health care setting…
tachycardia, weight loss, bulging eyeballs, nervousness, fatig…
occurs with inflammation of the brain; due to increased neck m…
peyronie disease
the presence of hard, nontender, subcutaneous plaques on the d…
when should a complete heath data base…
during an initial home visit, in a primary health care setting…
Hgb
Hct
RBC
WBC
14-18 (men)... 12-16 (women)
42-52 (men)... 37-47 (women)
4.7-6.1 (men)... 4.2-5.4 (women)
4.5-11 (4,500-11,000)... Neutrophils: 1800-7800
Hgb
14-18 (men)... 12-16 (women)
Hct
42-52 (men)... 37-47 (women)
QRS interval of 0.14 second
A febrile transfusion reaction
Adenocarcinoma (only lung cancer not re…
Ptosis on the left eyelid
Upon analysis of an electrocardiogram, what finding indicates…
Client recieving whole blood transfusion develops chills, feve…
Male client has never smoked but has had COPD for the past 5 y…
The RN assessing an older client determines the left upper eye…
QRS interval of 0.14 second
Upon analysis of an electrocardiogram, what finding indicates…
A febrile transfusion reaction
Client recieving whole blood transfusion develops chills, feve…
A nurse conducting a physical assessmen…
A nurse performing a neurological asses…
A nurse performing an abdominal assessm…
A nurse performing a physical assessmen…
4. Cranial nerve VIII... Cranial nerve VIII is the acoustic nerv…
1. Placing an object in the client's hand and asking the clien…
4. Right lower quadrant... To auscultate for bowel sounds, the n…
3. Stick out the tongue... To assess the function of cranial ner…
A nurse conducting a physical assessmen…
4. Cranial nerve VIII... Cranial nerve VIII is the acoustic nerv…
A nurse performing a neurological asses…
1. Placing an object in the client's hand and asking the clien…
Tetracycline: may cause permanent disco…
Tetracycline: adverse effect
Mild acne
Tetracycline first -line for moderate t…
Doxycycline PO BID first line chlamydial and atypical bacteria…
Photosensitivity, Esophageal ulceration
use topical benzamycin, Retin-A
if not better after 2-3 month of topical benzamycin, Retin-A u…
Tetracycline: may cause permanent disco…
Doxycycline PO BID first line chlamydial and atypical bacteria…
Tetracycline: adverse effect
Photosensitivity, Esophageal ulceration
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis
low pH, low HCO3
high pH, high HCO3
low pH, high CO2
high pH, low CO2
metabolic acidosis
low pH, low HCO3
metabolic alkalosis
high pH, high HCO3
when maintained well, maintains skin an…
pts with advanced cancer are often ____
involves the administration of a nutrie…
asymptomatic disease with mild discomfo…
nutrition
malnourished
total parenteral nutrition
diverticulosis
when maintained well, maintains skin an…
nutrition
pts with advanced cancer are often ____
malnourished
Inflammation
Signs of Inflammation
Interleukins
Interferons
Vasodilation (Drop in BP)... Increased Vascular permeability & le…
Redness... Heat... Swelling... Pain
Produced by macrophages & lymphocytes... Enhances the adaptive im…
Proteins that primarily protect against viral infection and mo…
Inflammation
Vasodilation (Drop in BP)... Increased Vascular permeability & le…
Signs of Inflammation
Redness... Heat... Swelling... Pain
Erickson Psychosocial Development 8
Pigaet.. 4 stages of cognitive developm…
Kohlberg Moral Development
Infant (Birth to 1 Year) Developmental…
Trust vs Mistrust... Autonomy vs. Shame and Doubt. ... Initiative vs…
-Sensorimotor Stage: Birth through about 2 years... -Pre operatio…
understand that morality starts from the early childhood years…
1-posterior fontanels close by 8 weeks ... 2-social smile occurs…
Erickson Psychosocial Development 8
Trust vs Mistrust... Autonomy vs. Shame and Doubt. ... Initiative vs…
Pigaet.. 4 stages of cognitive developm…
-Sensorimotor Stage: Birth through about 2 years... -Pre operatio…
when maintained well, maintains skin an…
pts with advanced cancer are often ____
involves the administration of a nutrie…
asymptomatic disease with mild discomfo…
nutrition
malnourished
total parenteral nutrition
diverticulosis
when maintained well, maintains skin an…
nutrition
pts with advanced cancer are often ____
malnourished
Cord protruding out vagina
COPD pt lying flat
Pt taking medicine precose, how to know…
Inflate blood pressure cuff
Lift pressure of cord
Elevate pt
A1c < 7%
Teach about HTN
Cord protruding out vagina
Lift pressure of cord
COPD pt lying flat
Elevate pt
2
1
3
4
While measuring a patient's blood pressure, which set of Korot…
What should the nurse document as a normal finding when auscul…
What is the shape of the uterus of a patient who is 24 weeks p…
While assessing a child with knee injury, the nurse shows the…
2
While measuring a patient's blood pressure, which set of Korot…
1
What should the nurse document as a normal finding when auscul…
The registered nurse (RN) notifies the…
The registered nurse (RN) places an ice…
The registered nurse (RN) palpates a we…
Twenty four hours after a client return…
B. Denial... The spouse is exhibiting the first stage of denial (…
A.... Cold applications produce a topical anesthetic effect to re…
A. Diminished hair on legs... C. Skin cool to touch.... Diminished h…
C. Lethargy... Changes in the level of consciousness occur in the…
The registered nurse (RN) notifies the…
B. Denial... The spouse is exhibiting the first stage of denial (…
The registered nurse (RN) places an ice…
A.... Cold applications produce a topical anesthetic effect to re…
What does Assessment entail?
Use the Bell when listening for?
Use the Diaphragm when listening for?
How often should Wellness exams(breast…
●Inspection=observation of appearance, behavior, movement... ●Pal…
Low pitched sounds
High pitched sounds
Annually in a physician's office, and... Monthly at home
What does Assessment entail?
●Inspection=observation of appearance, behavior, movement... ●Pal…
Use the Bell when listening for?
Low pitched sounds
How do you pose a pregnant woman when l…
Why do we lay women on her left side?
Immediately after delivery where is the…
Contractions occur ___-___ hours post d…
Lay her on her left side
This takes pressure off desending abdominal aorta and it provi…
immediately after delivery the fundus is several inches below…
12-24 hours post delivery due to the high oxytocin levels so e…
How do you pose a pregnant woman when l…
Lay her on her left side
Why do we lay women on her left side?
This takes pressure off desending abdominal aorta and it provi…
1. In an interview, the nurse may find…
2. During an interview, the nurse state…
3. A nurse is taking complete health hi…
4. During an interview, a parent of a h…
A) Note-taking may impede the nurse's observation of the patie…
D) Open-ended question... Page: 32 The open-ended question asks…
C) using biased or leading questions.... Page: 36 This is an exa…
D) uncomfortable talking about his son's treatment.... Page: 37…
1. In an interview, the nurse may find…
A) Note-taking may impede the nurse's observation of the patie…
2. During an interview, the nurse state…
D) Open-ended question... Page: 32 The open-ended question asks…
what are the five elements of evidence-…
what is ASHA's definition of evidence-b…
what are some scope of practice issues?
under what was therapy caps instituted?
1. research... 2. integrated with practice... 3. client preferences…
the term evidence-based practice refers to an approach in whic…
1. expansion and contraction of services... 2. technological adva…
the balanced budget amendment of 1997
what are the five elements of evidence-…
1. research... 2. integrated with practice... 3. client preferences…
what is ASHA's definition of evidence-b…
the term evidence-based practice refers to an approach in whic…
What type of necrosis results from isch…
What type of necrosis is often associat…
What type of necrosis is associated wit…
The abnormal proliferation of cells in…
b.Liquefactive
b.Caseous
b.Liquefactive
d.Pathologic hyperplasia
What type of necrosis results from isch…
b.Liquefactive
What type of necrosis is often associat…
b.Caseous
Serum Creatinine
Blood urea nitrogen... BUN
Urine Specific Gravity
Urine Osmolality
Men: 0.85-1.5 mg/dl... Women: 0.7-1.25 mg/dl... Indicates ability t…
5-20 mg/dl... test indicates ability of kidneys to excrete nitrog…
1.003-1.029... Measures ability of kidneys to concentrate urine.
250-900 mOsm/L ... Excellent indication of renal function. Osmola…
Serum Creatinine
Men: 0.85-1.5 mg/dl... Women: 0.7-1.25 mg/dl... Indicates ability t…
Blood urea nitrogen... BUN
5-20 mg/dl... test indicates ability of kidneys to excrete nitrog…
Pulse Oximetry
Marfan's Syndrome
Acromegaly
Cachexia
Measures O2 saturation
think Abe Lincoln
Hyperpituitarism- occurs during adulthood.
wasting syndrome (cancer patients)
Pulse Oximetry
Measures O2 saturation
Marfan's Syndrome
think Abe Lincoln
When assessing a patient's orientation,…
During the mental status examination, w…
Which of the following questions assess…
During your assessment, the patient rep…
Lethargy
"What is similar about a tree and a bush?"
"How would you explain the proverb 'A rolling stone gathers no…
Mood.
When assessing a patient's orientation,…
Lethargy
During the mental status examination, w…
"What is similar about a tree and a bush?"
birth weight doubles
birth weight triples
birth length increases by 50%
posterior fontanel closes
by 6 months
by 12 months
at 12 months
by 8 weeks
birth weight doubles
by 6 months
birth weight triples
by 12 months