HESI Health Assessment Test Bank Latest UPDATE 2023/2024 Graded A+

HESI HEALTH ASSESSMENT Question 1: A 29 year old male client informs the nurse that he came to the clinic to see if, “Maybe I have lung cancer or something,” and wants to get checked out since, “I can’t seem to get rid of this body-wracking dry cough that has been hanging around for the last six weeks.” Which computer documentation of this client’s concerns should the nurse enter? A. Presents with a hacking non-productive cough of 6 weeks duration. B. Describe having a “body-wracking dry cough” of 6 weeks duration. C. Expresses concern of “lung cancer” symptoms for last 6 weeks. D. Young adult male presents with fears that he has “lung cancer” Correct answer is B, as assessment process includes chief complaint which is how the patient describe why he is here in the hospital or clinic and can’t include diagnosis. Question 2: A 75-year-old client with a recent history of a cerebrovascular accident (CVA) presents with right hemiparesis. The nurse tests the deep tendon reflexes on the right side and elicits a brisk 4+ response. Which interpretation of this finding is accurate? A. A normal reflex response. B. Absent or sluggish response consistent with a lower motor neuron lesion. C. Flaccid paralysis. D. Hyperactive response consistent with an upper motor neuron disorder. Correct answer is D, brisk 4+ response is correlated with hyperactive response. Question 3: The nurse examines a client’s abdomen. Which finding indicates an abnormal response when palpating the spleen? A. Pain notes when palpating McBurney’s point. B. Tip of spleen palpable when client is asked to forcefully exhale. C. Rebound tenderness with compression over right upper quadrant. D. Firm mass palpated at bottom of left rib cage. Correct answer is D. McBurney’s point is related to appendicitis and not spleen.