HESI prep Health Assessment Already Passed

HESI prep Health Assessment Already Passed Which glands are located immediately surrounding the urethral meatus on a woman? ✔✔Skene's glands Which glands are posterior to the vaginal orifice? ✔✔Bartholin's (vestibula ...

HESI prep Health Assessment Already Passed Which glands are located immediately surrounding the urethral meatus on a woman? ✔✔Skene's glands Which glands are posterior to the vaginal orifice? ✔✔Bartholin's (vestibular) glands Which ligament suspends the breasts? ✔✔Coopers ligament Which glands are responsible for keeping areola lubricated? ✔✔Montgomery's gland Breast development precedes menarche? ✔✔True Breasts are smallest days 5-8 of the menstrual cycle? ✔✔False Which quadrant is the most common site of breast tumors? ✔✔Upper outer What us another name for the upper quadrant of the breast? ✔✔Tail of Spence Best position to do a breast exam? ✔✔sitting first, then supine with the ipsilateral arm overhead with a small pillow under the shoulder This breast condition is a non-malignant inflammatory process ✔✔Mastitis List 5 risk factors for breast cancer ✔✔1. family history 2. age 70-74 3. Menarche < 12 4. Menopause > 55 5. Prolonged use of OCP, HRT 6. > 2 ETOH per day 7. BRCA 1,2 genetic 8. Breast density on mammogram when younger Which strains of HPV are most commonly the causative agents in cervical cancer? ✔✔16, 18, 31, 33 The scrotum needs to be kept cooler than the rest of the body? ✔✔True Signs and symptoms of HPV vs. HSV ✔✔HPV: Warty growths, painless papular lesions, cervical cancer. HSV: Lymphadenopathy, painful testicles These structure, located inside the testicles, serve as the main storage site of sperm? ✔✔Epididymus Which scrotum hangs lower than the other, typically? ✔✔Left How often and where is the best place to do testicular self exams? ✔✔Monthly, in the shower This is the second most common STI and is often asymptomatic ✔✔Gonorrhea This stage of syphilis often goes undetected due to its painless presentation? ✔✔Primary (stage 1) Persistent erection of the penis ✔✔Priapism Foreskin retracted behind the glans, cannot put in usual position ✔✔Paraphimosis Testes that have never descended, absent testis ✔✔Cryptorchidism Urethral meatus located under the glans penis ✔✔Hypospadias Non-retractable foreskin that forms a point ✔✔Phimosis This type of cyst is commonly found in the sacral area on men and contains a tuft of hair ✔✔Pilonidal What is an example of an appropriate response when a male patient gets an erection during physical exam? ✔✔be matter of fact, tell him it is normal. List all of the cranial nerves in order ✔✔olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial, vestibulocochlear, glossopharyngeal, vagus, accessory, hypoglossal. Bells palsy is a dysfunction of which cranial nerve? ✔✔Cranial nerve 7- facial This type of nervous sensation often comes with a sensation of "pins and needles" and occurs in stocking-glove pattern from the feet upward ✔✔Paresthesia The romberg test, as well as heel-to-shin and finger-to-nose tests all test the function of which part of the brain? ✔✔Cerebellum Very brisk and hyperactive DTRs would receive a rating of what? ✔✔4+ Overstimulation of this nerve is the most common cause of fainting ✔✔CN X- vagus nerve Describe the pathway of blood of the heart ✔✔IVC/SVC- right atrium- triscupid valve- right ventricle- pulmonary artery- lungs- pulmonary vein- left atrium- mitral valve- left ventricleaorta- body Where can the tricuspid valve be located for auscultation? ✔✔Left sternal border 4th ICS What does S1 represent? ✔✔Closure of the AV valves, beginning of systole. What does S2 represent? ✔✔Closure of the pulmonic/aortic valves, end of systole Heart rate stays the same during inspiration and expiration? ✔✔False- is higher during inspiration because of increase intrathoracic pressure What can you ask your patient to do in order to better heart heart sounds? ✔✔Take a deep breath, exhale, inhale and hold it. Which lymphatic duct drain the majority of the body's lymph vessels? ✔✔Thoracic duct How is the modified allen test performed and what does it assess for? ✔✔Arterial occlusion, depress radial and ulnar arteries Differences between arterial and venous insufficiencies? ✔✔Arterial- pallor, hair loss, intermittent claudication, punched out appearance. Venous: Brown coloration, irregular edges. Which part of the heart is heard when auscultating the PMI? ✔✔Mitral valve/ left ventricle What is the best way to palpate the precordium for pulsations? ✔✔palmar surface of the fingers When inspecting for JVD, at which angle should the head be turned? ✔✔45 degress The right middle lung can be auscultated at the 5th ICS midclavicular line? True or false? ✔✔False What is another name for central cyanosis? ✔✔Circumoral Approximately how much air do we breath with each breath? ✔✔500ml or 6-8L/min Under which conditions would we expect to hear dull percussion sounds over lung fields? ✔✔obesity, athletes (increased muscle), pleural effusion, atelectasis. Normal AP ratio ✔✔1:2 The head of the pancreas and duodenum are located in this quadrant? ✔✔RUQ The splenic flexure of the colon is found in this quadrant? ✔✔LUQ Your patient has steatorrhea. A dysfunction of which organ causes this? ✔✔Pancreas List some assessments for ascites? ✔✔-fluid wave test -shifting dullness - ultrasound What is the normal count for bowel sounds? ✔✔5-30/min When is it considered acceptable for bowl sounds to be hypoactive? ✔✔Following abdominal surgery or peritoneal inflammation Describe the normal pattern of bowel sounds in early and late obstruction ✔✔hyperactive-- >hypoactive Describe the ileopsoas test ✔✔Supine, lift leg straight up, flexing hip; push down on right thick as they try to hold leg up What does the ileopsoas test test for? ✔✔Non-specific for appendicitis Describe Murphy's sign, what is this testing for? ✔✔-Palpate liver border, person take a deep breath--> will have pain on inspiration. - Assesses for cholecystitis What is another name for the murphy test? ✔✔Inspiratory Arrest How enlarged does the spleen need to be in order for it to be palpable? ✔✔3x Marked separation in the rectus abdominis muscle is called ✔✔Diastasis recti During a physical exam, a client tells the nurse about black dots that appear periodically in her field of vision. What should the nurse respond to the client? ✔✔The black dots are floater and are normal Presence of loud long continuous gurgling present in all four abdominal quadrants upon auscultation ✔✔Borborygmi Snoring or rattling sounds that can be heard during inspiration and expiration ✔✔Rhonchi Symptoms of sleep deprivation ✔✔slurred speech, flat facial affect, and red conjunctiva Signs of dehydration in babies ✔✔Rapid pulse, dry mucous membrane, a sunken fontanel, decreased capillary refill time, and increase respiratory rate. Thin, depressed, concave nails ✔✔Koilonychia infection of the skin adjacent to the nail ✔✔Paronychia Fungal infection of the nail and nail bed ✔✔Onychomycosis Constant repetition of words or phrases that a client heres people say ✔✔Echolalia Severe gnawing epigastric pain that radiates to the back; client assumes fetal position. Describes what condition? ✔✔acute pancreatitis Burning pain in the upper abdomen that is worse at night and after eating. Describes what condition? ✔✔gastric ulcer disease Waves of sharp right upper quadrant pain that radiates to the back and shoulder. Describes what condition? ✔✔cholecystitis Cramping abdominal pain in the left abdomen with guarding, bloating and flatulence. Describes what condition? ✔✔diverticulitis