BSN 246 HESI HEALTH ASSESSMENT V1 EXAM QUESTIONS

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BSN 246 HESI HEALTH ASSESSMENT V1 EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -88 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: The nurse is conducting a family history as part of the assessment interview.Which action should the nurse take to ensure that sufficient information about the client's blood relatives is obtained?

Answer:

Document at least 3 generations of the client's family medical history.Question 2: As a part of a routine health assessment, the nurse assesses the kidneys as part of the abdominal assessment. Which assessment finding should the nurse conclude is normal when palpating the client's right kidney?

Answer:

A round smooth mass that slides between the fingers.Question 3: The nurse is assessing a client's range of motion as the client bends the right knee up to the chest while keeping the left leg straight, but is unable to keep the left thigh on the table. The assessment is repeated for the left knee, and the client is unable to keep the right thigh on the table. How should the nurse document this finding?

Answer:

A flexion deformity referred to as a positive Thomas test.Question 4: Which part of the body should the nurse examine when assessing for peripheral edema in a client with heart failure?

Answer:

Ankles.

Question 5: Which technique should the nurse use to assess a client for scoliosis?

Answer:

Observe spine while the client is erect and bent forward Question 6: While performing a mental status exam (MSE), the nurse asks a client to remember three unrelated words and repeat them later. The client was able to repeat the words as directed.Which computer documentation is accurate?

Answer:

"Short-term memory is intact." Question 7: The client is experiencing severe pruritus and small papules and burrows on areas over one hand and the inner thighs. Which assessment data best explains the condition the client is experiencing?

Answer:

The client works in a daycare setting that has had a scabies outbreak.Question 8: The nurse is assessing a postmenopausal client who has a BMI of 32. The client has a chest measurement of 42 inches, waist measurement of 45 inches, and hip measurement of 50 inches. What important message should the nurse explain to the client to promote health promotion?

Answer:

A waist circumference is greater than 35 inches in women puts you at higher risk for type 2 diabetes and heart disease." Question 9: The nurse is assessing a client with liver disease who is jaundice and exhibits scleral edema. During the health assessment, the nurse should implement which technique to determine evidence of hepatomegaly?

Answer:

Use a bouncing motion to tap the middle finger placed within boundaries of the liver.Question 10: Which information should the nurse obtain to identify the client's self-perception of health status?

Answer:

Health history

Question 11: The nurse is assessing a client who reports having shoulder pain. Which sign is the best indicator of a rotator cuff tear?

Answer:

Inability to slowly lower the arm when abducted.Question 12: The nurse is performing a routine physical examination on an adult client. When gathering a health history, which question is included in the CAGE questionnaire?

Answer:

Have you ever felt guilty about your drinking?*CAGE is the acronym for Cut down, Annoyed, Guilty, and Eye-opener. Nurse can use it to assess for possible alcohol abuse.Question 13: A client reports lower abdominal pain and a feeling of pressure in the bladder.Which assessment finding indicates acute urinary retention?

Answer:

Dull sound percussed over bladder.*Clients with acute urinary retention may present with lower abdominal pain and bladder distension.Percussion (tapping on the body wall) is performed to detect differences in pitch. A dull sound produced when percussing a distended urinary bladder is an indication of urinary retention.Question 14: A client reports feeling increasingly fatigued for several months, and the nurse observes that the client's lips are pale. Which additional data should the nurse collect based on this presentation?

Answer:

Use of vitamin and iron supplements.Question 15: An adult client is in the clinic for a regular physical examination. The nurse is assessing the client's hydration status by pinching then releasing the client's skin. Which finding is indicative of good hydration status?

Answer:

The skin immediately returns to normal position.Question 16: When performing range of motion exercises on the joints of an older adult client, the nurse notes that joint range is greater with passive ranging than with active ranging. A goniometer indicates that this difference is as much as 15% in some joints. How should this finding be documented?

Answer:

Abnormal.

Question 17: The nurse is assessing a client for a hip flexion contracture. Which finding indicates a negative Thomas test when the client's right knee is brought toward the chest?

Answer:

The left leg remains on the table *The Thomas test is performed by having the client bring one knee toward the chest while the other leg remains extended on the table. A positive Thomas test is elicited when the extended leg rises off the table when the opposite leg's knee is brought up to the client's chest, indicating hip flexor contracture. If the extended leg (the left leg, in this example) remains on the table, the test is negative.Question 18: Which question should the nurse ask in order to test a client's remote memory?

Answer:

What is your date of birth?Question 19: A client has just returned from the recovery room and asks to get out of bed to go to the bathroom. The nurse decides to obtain orthostatic vital signs first. How will the nurse position the client to begin this procedure?

Answer:

Lying.Question 20: The nurse palpates a weak pedal pulse in the client's right foot. Which assessment findings should the RN document that are consistent with diminished peripheral circulation?(Select all that apply.)

Answer:

Diminished hair on legs.Skin cool to touch.Question 21: The nurse is assessing a healthy young adult during an annual physical examination. Which assessment technique should the nurse implement when palpating the abdominal aorta?

Answer:

Deep palpation above and to the left of the umbilicus.Question 22: During an external examination of the eyes, the nurse gently palpates the eyes while the client's eyelids are closed. The eyes are both very firm and resist movement back into the orbit. How should the nurse document this finding?

Answer:

Abnormal finding.