Exam (elaborations)
Milestone HESI Retake Exam/130 Questions and Answers
Milestone HESI Retake Exam/130 Questions and Answers
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Milestone HESI Retake Exam/130Questions and Answers
Abdominal Assessment - -Inspect, auscultate, percuss, palpate. Feel for
lumps, masses or tenderness
-Abdominal Assessment - -Inspect, palpate, auscultate. Nurse assess lumps,
masses or tenderness
-Abnormal lung sounds: Crackles - -coarse(low pitch, wet sound)
fine (high pitch, doesnt clear w/cough, crackling of fire sound)
CONDITION:RESPIRATORY EDEMA/OBSTRUCTIVE DISEASE
-Abnormal lung sounds: Pleural Friction Rub - -Pleural friction rub (low pitch,
harsh grating sound)
-Abnormal lung sounds: Rhonchi - -low- heard mainly in expiration when pt
is breathing out (made up of one sound- whistle or whine and high pitch,
musical instrument sound MULTIPLE sounds- mainly heard in expiration
CONDITION: PNEUMONIA
-abnormal lung sounds: stridor - -airway obstruction, high pitch whispering
or gas (CROUP, EMERGENCY, EPIGLOTTIS)
-Acid Base Balance - Arterial Blood Gas Examples - -determines pressure
exerted by O2 and CO2 in blood and blood pH.
Blood pH- 7.35-7.45
PCO2: 35-45,
PO2: 80-100 mmHg,
HCO3- 22-26
-Acute wounds - -such as surgical incisions, usually heal within days to
weeks. Acute wounds usually progress through the healing process without
interruption.
-Adults - -aortic stenosis, mitral insufficiency
-Albuterol (Bronchodilator)-Indications/Use - -bronchitis, prevention of
exercise induced asthma.
-Alzheimer's Agents - Drugs, Use & Actions - -Cholinesterase Inhibitors-
Donepezil [Aricept]
NMDA Receptor Antagonists- Memantine [Namenda]
, -antianxiety drugs - -Diazepam (for anxiety) [Valium]
Triazolam (for insomnia) [Halcion]
-Antiseizure Agents - Drugs, Use, Adverse Effects
Phenytoin [Dilantin] - -use: tonic clonic seizures, partial seizures, migraines
Adverse effects: gingival hyperplasia, rash, pregnancy: cause cleft palate,
heart malformations, and fetal hydantoin syndrome, characterized by growth
deficiency.
Other adverse effects: sedation, ataxia (staggering gait), diplopia (double
vision), and cognitive impairment.
-Application Examples of Levels of Promotion - -primary- weight loss, diet,
smoking cessation
Secondary- papsmears, mammograms, testicular exams
Tertiary- medication therapy, surgical treatment, physical therapy, teaching
foot care education to diabetic care
-Assessing Lung Sounds - Technique - -IPPA- inspect, palpate, percuss,
auscultate
-Assessing Pain - Documentation - -Acute vs. Chronic-Location
-Assessing the Chest - -inspect, palpate, percuss, auscultate
-Assessment of Bowel Elimination - Technique - -volume, color, odor,
consistency, shape, constituents
-Assessment of the Ear - Techniques - -Adults: up and back
Children: down and back
-Assessment of the Ear - Techniques Part 2 - -observe behavioral responses
to speech, inspect ear formation (size, shape & any malformation to the
auricle, condition)
Perform whisper test & Rinne test. Pt plug one ear at a time
Perform weber test (evaluate unilateral hearing loss
-Assessment of the Head and Neck - -Inspect, palpate, auscultate
-Assessment of the Respiratory System - -tachypnea- rapid breathing
bradypnea- slow breathing
Normally, respirations are quiet and nonlabored, and occur at a rate of 12 to
20 times each minute in healthy adults. Note any flaring of the nostrils,
muscular retractions,
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