HESI HEALTH ASSESSMENT NURSING RN V1 100 Questions With Answers | Latest Update 2023/2024 (Graded)

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.  The nurse is assessing a patient in the hospital who has received numerous antibiotics and notices that his tongue appears to be black and hairy. In response to his concern, what would the nurse say? “Black, hairy tongue is a fungal infection caused by all the antibiotics you have received.”  The nurse is assessing a patient with a history of intravenous drug abuse. In assessing his mouth, the nurse notices a dark red confluent macule on the hard palate. This could be an early sign of: Acquired immunodeficiency syndrome (AIDS).  A mother brings her 4-month-old infant to the clinic with concerns regarding a small pad in the middle of the upper lip that has been there since 1 month of age. The infant has no health problems. On physical examination, the nurse notices a 0.5-cm, fleshy, elevated area in the middle of the upper lip. No evidence of inflammation or drainage is observed. What would the nurse tell this mother? “This elevated area is a sucking tubercle caused from the friction of breastfeeding or bottle- feeding and is normal.”  which finding should RN assess for a pt for a risk of DI (diabetes insipidus) – polydipsia  During percussion, the nurse knows that a dull percussion note elicited over a lung lobe most likely results from: . Increased density of lung tissue.  The nurse is observing the auscultation technique of another nurse. The correct method to use when progressing from one auscultatory site on the thorax to another is comparison. Side-to-side  When auscultating the lungs of an adult patient, the nurse notes that lowpitched, soft breath sounds are heard over the posterior lower lobes, with inspiration being longer than expiration. The nurse interprets that these sounds are: Vesicular breath sounds and normal in that location.  The nurse is auscultating the chest in an adult. Which technique is correct? Firmly holding the diaphragm of the stethoscope against the chest  The nurse is percussing over the lungs of a patient with pneumonia. The nurse knows that percussion over an area of atelectasis in the lungs will reveal: Dullness.  During the precordial assessment on an patient who is 8 months pregnant, the nurse palpates the apical impulse at the fourth left intercostal space lateral to the midclavicular line. This finding would indicate: Displacement of the heart from elevation of the diaphragm.  In assessing for an S4 heart sound with a stethoscope, the nurse would listen with the: Bell of the stethoscope at the apex with the patient in the lef t lateral position.  A 70-year-old patient with a history of hypertension has a blood pressure of 180/100 mm Hg and a heart rate of 90 beats per minute. The nurse hears an extra heart sound at the apex immediately before the S1. The sound is heard only with the bell of the stethoscope while the patient is in the left lateral position. With these findings and the patient’s history, the nurse knows that this extra heart sound is most likely a(n): Atrial gallop.  The nurse is performing a cardiac assessment on a 65-year-old patient 3 days after her myocardial infarction (MI). Heart sounds are normal when she is supine, but when she is sitting and leaning forward, the nurse hears a highpitched, scratchy sound with the diaphragm of the stethoscope at the apex. It disappears on inspiration. The nurse suspects: Inflammation of the precordium.  When the nurse is testing the triceps reflex, what is the expected response Extension of the forearm  The nurse is testing superficial reflexes on an adult patient. When stroking up the lateral side of the sole and across the ball of the foot, the nurse notices the plantar flexion of the toes. How should the nurse document this finding? Plantar reflex present