HEALTH ASSESSMENT- BSN 246 HESI REVIEW EXAM

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HEALTH ASSESSMENT- BSN 246 HESI REVIEW EXAM

QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -63 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: A client with progressive hearing loss appears distressed when the registered nurse (RN) asks open-ended questions about the client's health history. Which forms of communication should the RN use?Select all that apply Face the client so the client can see the RN's mouth.Increase one's speech volume when interacting with the client.Repeat information to the client if misunderstood.Check if the client's hearing aides are working properly.Reduce environmental noise surrounding the client.

Answer:

A, D, E.A client with hearing loss can develop the ability to read "lips," so facing the client during conversation allows visualization of the lips and directs the sound towards the client. Inspection of the hearing aide device's functionality is a vital step in communication. Hearing aides magnify all surrounding noise, so it is imperative to reduce outside environmental noise during the interview process. Speaking clearly with enunciation and in a regular tone is easier for a client to understand than increasing the volume of speech. If a client shows signs of confusion, rephrasing the question, instead of repeating, should be done to decrease client anxiety and facilitate understanding.

Question 2: Which action by a nurse in a community-based clinic can help to address potential disparities with a large Hispanic population?providing translators and materials in the Spanish language Ensuring that child care services are available for families during visits to the clinic Making sure that the values of all clinic providers align with those of the Hispanic population Requiring "English as a second language" classes so that the population can become literate in the English language

Answer:

A.Providing translators and materials in the native language of the population being served can best address potential biases and prejudices and thus increase health care access. Ensuring that child care services are abailable may increase ease of access to care but does not necessarily address biases and prejudices. Providers must respect and acknowledge the beliefs and values of the population being served, but it is not necessary that their values align. Providing "English as a second language" classes can assist the population to acclimate and become more literate in the English language but does not necessarily directly affect bias and prejudice.Question 3: The registered nurse (RN) is assessing a male client who arrives at the clinic with severe abdominal cramping, pain, tenesmus, and dehydration. The RN discovers that the client has had 14 to 20 loose stools with rectal bleeding. Which condition should the RN ask the client about his medical history?Irritable bowel syndrome.Diverticulitis.Crohn's disease.Ulcerative colitis.

Answer:

D.The RN should ask the client if he has a history of ulcerative colitis, which is characterized by severe abdominal cramping, pain, tenesmus, and dehydration .Question 4: A chest x-ray report states that the client has a left apical pneumothorax. The nurse caring for the clinet monitors the status of breath sounds in that area by placing a stehoscope at which location?

• near the lateral 12th rib
• Just under the left clavicle
• in the fifth intercostal space
• Posteriorly under the left scapula

Answer:

• Just under the left clavicle.

Rationale:

the apex of the lung is the rounded, uppermost part of the lung. The nurse would place the stethoscope just under the left clavicle.Question 5: The nurse is assessing a client w/ a hx of cardiac valve problems. Where would the nurse place the stehoscope to hear the first heart sound (S1) the loudest?

• Over the 2nd ICS at the left sternal border
• Over the 4th ICS space at the right sternal border
• Over the 2nd ICS at the right sternal border
• Over the 5th ICS in the left midclavicular line

Answer:

• Over the 5th ICS in the left midclavicular line

Rationale:

the 1st heart sound (S1) is heard loudest at the lower left sternal border of the apex of the heart. The apex is located at the 5th ICS in the left midclaviular line.Question 6: the clinic nurse is preparing to perform a Romberg test on a client being seen in the clinic. The nurse would perform this test for the purpose of determining which status?

• the client's ability to ambulate
• the intactness of the tympanic membrane
• the intactness of the retinal structure of the eye

D the functional status of the vestibular apparatus in the inner ear.

Answer:

• the functional status of the vestibular apparatus in the inner ear

Rationale:

the Romberg test assesses the ability of the vestibular apparatus in the inner ear to help maintain standing balance. The Romberg test also assesses intactness of the cerebellum and proprioception Question 7: The nurse has obtained a personal and family history from a client with a neurological disorder. Which factors in the clients history are associated with added risk for neurological problems? Select all that apply

• allergy to pollen

• hx of headaches
• previous back injurty
• hx of HTN
• hx of diabets mellitus

Answer:

• hx of headaches

• previous back injurty

• hx of HTN

• hx of diabets mellitus

Rationale:

previous neurological probelms such as headache or back injury place the client at greater risk for development of neurological disorder. Chronic diseases such as HTN and diabetes also place the client at greater risk.Question 8: the nurse is making an initial home visit to a client who was recently discharged from the hospital after treatment for a myocardial infarction. the nurse would use which type of database initially to obtain information from the client?

• An episodic database
• A follow-up database
• An emergency database
• A complete health database

Answer:

• a complete health database.

Rationale:

a complete health database is the framework for a complete health hx and full physcial examination. the informatino thus obtained descibes the current and past health state and forms a baseline against which all future changes can be measured.The complete health database is used in a primary care setting.