{"id":132781,"date":"2024-07-29T18:59:04","date_gmt":"2024-07-29T18:59:04","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=132781"},"modified":"2024-07-29T18:59:14","modified_gmt":"2024-07-29T18:59:14","slug":"2024-hesi-health-assessment-exam-v1-v4-guaranteed-a-actual-questions-and-answers-complete-100","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/07\/29\/2024-hesi-health-assessment-exam-v1-v4-guaranteed-a-actual-questions-and-answers-complete-100\/","title":{"rendered":"2024 HESI Health Assessment Exam V1 – V4 | Guaranteed A+ Actual Questions and Answers, Complete 100%"},"content":{"rendered":"\n

2024 HESI Health Assessment Exam V1 – V4 | Guaranteed A+ Actual Questions and Answers, Complete 100%<\/p>\n\n\n\n

2024 Health Assessment Hesi Exam
Guaranteed A+ Actual Questions and Answers, Complete 100%<\/p>\n\n\n\n

    \n
  1. Which of the following statements from a patient’s history is it most
    important to investigate further?
    a. “I have an allergy to peanuts.”
    b. “I have lost 30 pounds over the last 4 months.”
    c. “I don’t like many vegetables so I take multivitamins.”
    d. “I drink 2 cups of coffee each morning.”:
    Answer:
    ANS: B
    The statement in option “b is most important to investigate further because any
    significant weight loss may indicate a serious problem. The statement about an
    allergy to peanuts is not the most important piece of information, although the
    nurse would want to investigate and document any food allergies. Option “c” is not
    the most significant statement; however, the nurse should investigate the types
    and amounts of vegetables the patient eats. Two cups of coffee is considered fairly
    typical and the patient is not consuming an excessive amount of caffeine.<\/li>\n\n\n\n
  2. Your patient complains of pruritus. You should examine the patient for
    which of the following associated signs and symptoms?
    a. rash and edema
    b. coolness and pallor
    c. cyanosis and coolness
    d. ecchymosis and purpura:
    Answer:
    ANS: A
    Pruritus or itching of the skin is associated with the following manifestations:
    rashes, lesions, edema, angioedema, anaphylaxis, excoriation or ulcers as a result
    of scratching, lichenification or thickening of the skin, and systemic disease. As a
    result of scratching the skin due to pruritus, the skin would most likely be warm
    and red, not pale, cool, or cyanotic. Ecchymosis is a violaceous discoloration, also
    called a black-and-blue mark. Purpura is a condition characterized by the presence
    of confluent petechiae or confluent ecchymosis. Neither of these is associated with
    pruritus.<\/li>\n\n\n\n
  3. 3. Your patient asks you about the small, reddish purple discolorations
    of the skin, less than 0.5 cm in diameter. You inform the patient that this is known
    as which of the following?
    a. ecchymoses c. purpura
    b. petechiae d. spider telangiectasia:<\/li>\n<\/ol>\n\n\n\n

    Answer:
    ANS: B
    Petechiae are violaceous (red-purple) discolorations of less than 0.5 cm in
    diameter.
    Petechiae do not blanch. They can indicate an increased bleeding tendency
    or embolism; causes include intravascular defects and infections. Ecchymosis is
    a violaceous discoloration of varying size, also called a black-and-blue mark. It is
    caused by extravasation of blood into the skin as a result of trauma; heparin or
    Coumadin use; or liver dysfunction. Purpura is a condition characterized by the
    presence of confluent petechiae or confluent ecchymosis over any part of the body.
    Purpura is caused by hemorrhage into the skin and can be the result of decreased
    platelet formation. Spider angiomas, a type of telangiectasia, are bright red and
    star-shaped. Most often these lesions are found on the face, neck, and chest. There
    is often a central pulsation noted with pressure, and this results in blanching in the
    extensions.<\/p>\n\n\n\n

      \n
    1. Your patient expresses concern about a mole on her right leg that has
      recently started itching. Which accompanying finding most likely indicates
      a developing cancerous lesion?
      a. regular and distinct border c. edema in both feet
      b. multiple colorations d. inflammation of periungual tissue:
      Answer:
      ANS: B
      Developing cancerous lesions may have multiple colorations such as brownish,
      tan, red, white, blue, pink, purple, or gray. Other signs in potentially cancerous
      lesions include the following: 1) rapid change in size; 2) change in coloration; 3)
      irregular or butterfly-shaped border; 4) elevation in a previously flat mole; 5)
      multiple colorations in a lesion; 6) change in surface characteristics, such as
      oozing; 7) change in sensation, such as pain, itching, or tenderness; 8) change in
      surrounding skin, such as inflammation or induration; and 9) bleeding or ulcerative
      appearance in a mole. These lesions are not associated with edema or inflammation
      of the area around the fingernails or the toenails.<\/li>\n\n\n\n
    2. After releasing the pressure of your thumb on your patient’s lower legs,
      ankles, and feet, you observe a 4 mm depression of the skin that disappears
      in 10 to 15 seconds. You would report this finding as which of the following?
      a. 1+ pitting edema c. 3+ pitting edema
      b. 2+ pitting edema d. 4+ pitting edema:
      Answer:
      ANS: B<\/li>\n<\/ol>\n\n\n\n

      Edema is the accumulation of fluid in the intercellular spaces. Pitting edema is
      rated on a 4-point scale:
      0+ = no pitting edema.
      1+ = mild pitting edema; 2 mm depression that disappears rapidly.
      2+ = moderate pitting edema; 4 mm depression that disappears in 10 to 15
      seconds.
      3+ = moderately severe pitting edema; 6 mm depression that can last more than
      1 minute.
      4+ = severe pitting edema; 8 mm depression that can last more than 2 minutes.<\/p>\n\n\n\n

        \n
      1. The nurse checks the capillary refill of a new patient. The amount of time
        for the nail color to return after the pressure is released on the patient’s nail
        should not exceed which of the following?
        a. 1-2 seconds c. 3-4 seconds
        b. 2-3 seconds d. 4-5 seconds:
        Answer:
        ANS: B
        Capillary refill time is a measure used to examine arterial flow to the extremities
        and is an indicator of peripheral circulation. Normal capillary refill varies with age,
        but color should return to normal within 2-3 seconds. Options “c” and “d” indicate
        prolonged capillary refill time and may indicate cardiovascular or respiratory
        dysfunction.
        Option “a” would be considered within normal limits.<\/li>\n\n\n\n
      2. To locate the temporomandibular joint, the nurse would palpate with both
        index and middle fingers on both sides of the face
        a. anterior to the tragus of the ear. c. over the temporalis muscles.
        b. inferior to the external meatus of the ear. d. posterior to the tragus of the
        ear.:
        Answer:
        ANS: A
        The temporomandibular joint is just below the temporal artery and anterior to the
        tragus of the ear. The tragus is a small extension of the auricular cartilage of the
        ear, anterior to the external meatus of the ear. The temporomandibular joint is not
        over the temporalis muscles. The nurse can examine this joint by palpating it as the
        patient opens and closes the mouth and notes normally smooth movement with
        no limitation or tenderness. Crepitation, limited range of motion, or tenderness are
        abnormal findings.<\/li>\n\n\n\n
      3. To perform auscultation of a patient’s thyroid gland, you would place the
        bell of your stethoscope over the
        get pdf at https:\/\/learnexams.com\/search\/study?query=hesi<\/a><\/li>\n<\/ol>\n\n\n\n

        2024 HESI Exam Health Assessment Exam
        Guaranteed A+ Actual Questions and Answers, Complete 100%
        Answer:<\/p>\n\n\n\n

          \n
        1. pt taking ipratropium reports nausea, blurred vision, has, insominia after
          using the inhaler. RN action to implement:
          Answer:
          withhold med and report symptoms<\/li>\n\n\n\n
        2. primary reason for teahing pt pursed lip breathing:
          Answer:
          promote CO2 elimination<\/li>\n\n\n\n
        3. additional finding that RN should assess for bronchitis:
          Answer:
          phlegm production and wheezing<\/li>\n\n\n\n
        4. lung cancer s\/sx:
          Answer:
          hypoptysis (new cough) or changes in persistent cough<\/li>\n\n\n\n
        5. tuberculosis s\/sx:
          Answer:
          night sweats<\/li>\n\n\n\n
        6. s\/sx of PUD:
          Answer:<\/li>\n<\/ol>\n\n\n\n