Health Assessment HESI Practice Questions

A 9-year old child tells his school nurse that his eye itches and tears much more than usual. When the nurse examines his eye, his sclera is reddened. Which eye abnormality do these signs and symptoms most suggest? A. Cataracts B. Ptosis C. Glaucoma D. Conjunctivitis - D Conjunctivitis causes redness of the eye as well as itching and increased tearing. A child would be unlikely to develop a cataract or glaucoma. Ptosis refers to a drooping eyelid. A 19-year-old client is admitted to the coronary care unit after experiencing a syncopal episode while playing basketball. When auscultating his heart sounds, the nurse hears a "lub-dub" sound. What mechanical event in the heart is associated with the "lub" sound? A. Closure of the mitral and aortic valves B. Closure of the tricuspid and aortic valves C. Closure of the aortic and pulmonic valves D. Closure of the mitral and tricuspid valves - D The first heart sound, S1, which produces the "lub" sound, is associated with closure of the mitral and tricuspid valves. The second heart sound, S2, or the "dub" sound, is a result of closure of the aortic and pulmonic valves. A 19-year-old college student is brought to the emergency department with dyspnea and asymmetrical breathing patterns after falling down a flight of steps at a party. His admission chest X-ray shows right-sided pneumothorax. During inspection, what other characteristic of pneumothorax might the nurse observe? A. Funnel chest B. Barrel chest C. Intercostal retractions D. Tracheal deviation - D With pneumothorax, the nurse may observe intercostal retractions; with right-sided pneumothorax, deviation to the left may also be present. Funnel chest is a chest deformity. Barrel chest occurs with chronic obstructive lung disease. A 23-year-old client is admitted to an inpatient psychiatric unit with severe depression. To develop rapport with the client, the nurse initiates a contract. What should the contract include?