HESI HEALTH ASSESSMENT NURSING QUESTION BANK - QUESTIONS WITH CORRECT ANSWERS (RATED A+ 2023/2024)

The nurse is reviewing the principles of pain. Which type of pain is due to an abnormal processing of the pain impulse through the peripheral or central nervous system? Neuropathic • The nurse hears bilateral loud, long, and low tones when percussing over the lungs of a 4-year-old child. The nurse should: Consider this finding as normal for a child this age, and proceed with the examination. • When assessing the quality of a patient’s pain, the nurse should ask which question? “What does your pain feel like?” • When assessing a patient’s pain, the nurse knows that an example of visceral pain would be: Cholecystitis. • A 75-year-old woman who has a history of diabetes and peripheral vascular disease has been trying to remove a corn on the bottom of her foot with a pair of scissors. The nurse will encourage her to stop trying to remove the corn with scissors because: The woman could be at increased risk for infection and lesions because of her chronic disease. • The nurse keeps in mind that a thorough skin assessment is extremely important because the skin holds information about a person’s: Circulatory status. • A patient comes in for a physical examination and complains of “freezing to death” while waiting for her examination. The nurse notes that her skin is pale and cool and attributes this finding to: Peripheral vasoconstriction. • A patient comes to the clinic and tells the nurse that he has been confined to his recliner chair for approximately 3 days with his feet down and he asks the nurse to evaluate his feet. During the assessment, the nurse might expect to find: Caused by the complete absence of melanin pigment • The nurse will perform a palpated pressure before auscultating blood pressure. The reason for this is to: Detect the presence of an auscultatory gap. • A patient tells the nurse that he has noticed that one of his moles has started to burn and bleed. When assessing his skin, the nurse pays special attention to the danger signs for pigmented lesions and is concerned with which additional finding? Color variation • sarcoidosis - autoimmune inflammatory disease affecting multiple organs - improved pulse oximetry values • A 19-year-old college student is brought to the emergency department with a severe headache he describes as, “Like nothing I’ve ever had before.” His temperature is 40° C, and he has a stiff neck. The nurse looks for other signs and symptoms of which problem? Meningeal inflammation • During a well-baby checkup, the nurse notices that a 1-week-old infant’s face looks small compared with his cranium, which seems enlarged. On further examination, the nurse also notices dilated scalp veins and downcast or “setting sun” eyes. The nurse suspects which condition? Hydrocephalus • The nurse needs to palpate the temporomandibular joint for crepitation. This joint is located just below the temporal artery and anterior to the: Tragus. • A patient has come in for an examination and states, “I have this spot in front of my ear lobe on my cheek that seems to be getting bigger and is tender. What do you think it is?” The nurse notes swelling below the angle of the jaw and suspects that it could be an inflammation of his: Parotid gland. • A male patient with a history of acquired immunodeficiency syndrome (AIDS) has come in for an examination and he states, “I think that I have the mumps.” The nurse would begin by examining the: Parotid gland. • In performing an examination of a 3-year-old child with a suspected ear infection, the nurse would: Perform the otoscopic examination at the end of the assessment. • The nurse is preparing to perform an otoscopic examination of a newborn infant. Which statement is true regarding this examination? The normal membrane may appear thick and opaque. • The nurse assesses the hearing of a 7-month-old by clapping hands. What is the expected response? The infant: Turns his or her head to localize the sound. • The nurse is performing an ear examination of an 80-year-old patient. Which of these findings would be considered normal? High-tone frequency loss • An assessment of a 23-year-old patient reveals the following: an auricle that is tender and reddish- blue in color with small vesicles. The nurse would need to know additional information that includes which of these? Any prolonged exposure to extreme cold • A pregnant woman states that she is concerned about her gums because she has noticed they are swollen and have started bleeding. What would be an appropriate response by the nurse? “Swollen and bleeding gums can be caused by the change in hormonal balance in your system during pregnancy.” • A 40-year-old patient who has just finished chemotherapy for breast cancer tells the nurse that she is concerned about her mouth. During the assessment the nurse finds areas of buccal mucosa that are raw and red with some bleeding, as well as other areas that have a white, cheesy coating. The nurse recognizes that this abnormality is: Candidiasis.