HESI EXIT EXAM 1
1. Which of the following signs would indicate to the FNP that a patient might have an airway
occlusion and needs assistance?
A.
... [Show More] Holding throat with both hands
B. Coughing
C. Crying
D. Whispery, soft voice
The ability to cough, talk, or cry indicates an incomplete occlusion of the airway. Holding the throat with
both hands indicates a complete occlusion (Thomas et al, 2006).
*Assessment/Emergencies Category
Points Earned: 1/1
Correct Answer: A
Your Response: A
2. Expected objective findings in acute otitis media include:
A. Submental lymphadenopathy
B. Prominent bony landmarks on tympanic membrane
C. Itchiness and cracking in the affected ear
D. Tympanic membrane immobility
An immobile TM is the hallmark of AOM. Itching and crackling in the ear is common in patients with
serous otitis. The bony landmarks usually appear prominent when the TM is retracted, a condition
usually seen with eustachian tube dysfunction. Usually the nodes in the anterior cervical chain are
enlarged and painful (Ruckenstein, 2004).
*Assessment/Ears Category
Points Earned: 1/1
Correct Answer: D
Your Response: D
3. Young adults may develop which kind of rash when they are infected with erythema
infectiosum?
A. Skin around the neck is thickened and dark brown-black
B. Erythematous rash in a butterfly distribution on the face
C. 2 mm to 5 mm red macules on the trunk and proximal extremities
D. Reddened exanthema on hands and feet with distinct margins at wrist and ankle joints
Young adults may have papular-pruritic “gloves and socks” syndrome (Cunningham, 2005).
*Assessment/Infectious Disease Category
Points Earned: 0/1
Correct Answer: D
Your Response: C
4. Which factor in a patient’s history places him at high risk for skin cancer?
A. Job-related exposure to coal tar
B. Repairman for x-ray equipment
C. Work on a crew that paves highways
D. Janitorial service
The factor that places a patient at greatest risk for skin cancer is exposure to ultraviolet light; because
of sun exposure, the man who works on a highway crew would be at greatest risk (Fitzpatrick et al,
2001).
*Assessment/Dermatology Category
Points Earned: 1/1
Correct Answer: C
Your Response: C [Show Less]