Health Assessment V1 EXAM
3
Nightingale College
Actual Qs & Verified Ans to Pass the Exam
,This document consists of the
following:
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX
(NGN) and Case scenarios questions
Expert-Verified Explanations & Solutions
, BSN 246 HESI HEALTH ASSESSMENT V1 EXAM 003
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1. A client states that she had a mastectomy of her left breast last year and now experiences
lymphedema. What should the nurse expect to find when examining the client?
Answer Choices:
- A. Swelling of the left arm and non-pitting edema.
- B. Swelling in the right arm with pitting edema.
- C. Bilateral arm swelling and hard texture.
- D. No swelling, as lymphedema is not common post-mastectomy.
Expert Rationale: Lymphedema following a mastectomy is common and typically presents with swelling in
the affected arm (left arm in this case) with non-pitting edema due to lymphatic fluid accumulation.
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2. 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 Choices:
- A. Sitting.
- B. Lying.
- C. Standing.
- D. Semi-Fowler's.
Expert Rationale: To correctly perform orthostatic vital signs, the initial reading should be taken with the
client lying down to establish a baseline before moving to sitting and standing positions.
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