Hesi Health Assessment 25+
Questions And Answers
2024 Graded A
, 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 " - ans B
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 .
- ans D
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 . - ans D
In auscultating for the presence of a carotid artery bruit , the nurse places
the bell of the stethoscope at which location ?
A. On the left sidd of the chest
Questions And Answers
2024 Graded A
, 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 " - ans B
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 .
- ans D
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 . - ans D
In auscultating for the presence of a carotid artery bruit , the nurse places
the bell of the stethoscope at which location ?
A. On the left sidd of the chest
