MED SURG NUR 1211 HEALTH ASSESSMENT HESI EXAM - Latest Version, Complete Solutions

HEALTH ASSESSMENT HESI EXAM 1) The nurse hears bilateral louder, longer, and lower tones when percussing over the lungs of a 4-year old child. What should the nurse do next? 2) A patient has suddenly developed shortness of breath and appears to be in significant respiratory distress. After putting a call in to the physician and placing the patient on oxygen, which of these is the best action for the nurse to take when assessing the patient further? 3) The nurse is teaching a class on basic assessment skills. Which of these statements is true regarding the stethoscope and its use? 4) The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding the diaphragm of the stethoscope? 5) Before auscultating the abdomen for the presence of bowel sounds on a patient, the nurse should: 6) The nurse will use which technique of assessment to determine the presence of crepitus, swelling, and pulsations? 7) The nurse is preparing to use an otoscope for an examination. Which statement is true regarding the otoscope? 8) An examiner is using an ophthalmoscope to examine a patient’s eyes. The patient has astigmatism and is nearsighted. The use of which of these techniques would indicate that the examination is being performed correctly? 9) The nurse is unable to palpate the right radial pulse on a patient. The best action would be to: 10) The nurse is preparing to perform a physical assessment. The correct action by the nurse is reflected by which statement? 11) A man is at the clinic for a physical examination. He states that he is “very anxious” about the physical examination. What steps can the nurse take to make him more comfortable? 12) When performing a physical examination, safety must be considered to protect the examiner and the patient against the spread of infection. Which of these statements describes the most appropriate action the nurse should take when performing a physical examination? 13) The nurse is examining a patient’s lower leg and notices a draining ulceration. Which of these actions is most appropriate in this situation? 14) During the examination, it is often appropriate to offer some brief teaching about the patient’s body or the examiner’s findings. Which of these statements by the nurse is most appropriate? 15) The nurse keeps in mind that the most important reason to share information and offer brief teaching while performing the physical examination is to help: 16) The nurse is examining an infant and prepares to elicit the Moro reflex at which time during the examination? 17) When preparing to perform a physical examination on an infant, the nurse should: 18) A 6-month-old infant has been brought to the well-child clinic for a check-up. She is currently sleeping. What should the nurse do first when beginning the examination? 19) A 2-year-old child has been brought to the clinic for a well-child check-up. The best way for the nurse to begin the assessment is reflected by which statement? 20) The nurse is examining a 2-year-old child and asks, “May I listen to your heart now?” Which critique of the nurse’s technique is most accurate? 21) A woman brings her husband to the clinic for an examination. She is particularly worried because after a recent fall, he seems to have lost a great deal of his memory of recent events. Which statement reflects the nurse’s best course of action? The nurse is conducting a patient interview. Which statement made by the patient should the nurse explore more fully during the interview? The patient states that he: 22) A patient is admitted to the unit after an automobile accident. The nurse begins the mental status examination and finds that the patient's speech is dysarthric and that she is lethargic. The nurse’s best approach regarding this examination is to: ............................................CONTINUED...................