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MSN 570 HESI EXAM QUESTIONS WITH CORRECT ANSWERS
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MSN 570 HESI EXAM QUESTIONS WITH CORRECT ANSWERS
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MSN 570 HESI EXAM QUESTIONS WITHCORRECT ANSWERS
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
MSN 570 HESI EXAM QUESTIONS WITH CORRECT ANSWERS
, 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
MSN 570 HESI EXAM QUESTIONS WITH CORRECT ANSWERS
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