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Health Assessment Remediation - HESI Comprehensive Questions and Answers 100% Accuracy |Updated 2024

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In assessing the flexion of a client's neck, which action should the nurse instruct the client to perform? Tilt the chin toward the ceiling. Move the chin toward each shoulder. Press the chin against the chest. Direct one ear toward the shoulder., During a physical exam, the nurse observes the external genitalia of an older adult female. The nurse notes that the client's pubic hair is thin and sparse. What follow-up action should the nurse take in response to this finding? Review the client's metabolic profile. Conduct a nutritional assessment. Document the finding in the medical record. Determine if the client uses estrogen cream., During a routine assessment, the nurse plans to assess a client for vertigo. Which assessment technique should the nurse use? Listen for changes in speech patterns. Measure blood pressure while standing. Assess orientation to person, place, and time. Ask about sensations of spinning around., The nurse listens for a client's heart sounds by firmly pressing the diaphragm of the stethoscope against the client's chest. After hearing normal heart sounds, the nurse wants to listen for extra heart sounds. What action should the nurse take first? Rotate the endpiece of the stethoscope. Release the amount of pressure used to hold the stethoscope. Re-adjust the earpieces of the stethoscope. Continue to hold the stethoscope firmly in place with one hand., The nurse inspects a client's mouth and throat. Which finding warrants the most immediate action by the nurse? Dorsal surface of the tongue is rough with a white coating. Tonsils are observable and covered with a white membrane. Ventral surface of the tongue appears smooth and glistening. Teeth are yellowed and crooked with debris collected in the gaps., The nurse assesses the skin of an older adult client. Which finding warrants the most immediate follow-up by the nurse? Multiple cherry angiomas on the trunk. Bruises of several different colors. Thin, flakey appearance of the skin. Several small, round symmetric moles., During assessment of the thorax and lungs, which technique should the nurse use to assess the client's AP diameter? Inspection. Percussion. Palpation. Auscultation., The nurse learns in report that a client has developed ascites. Which action best confirms the presence of ascites? Check for an abdominal fluid wave. Palpate for lower flank edema. Measure the abdominal girth. Assess skin color for jaundice., During the health history, a client describes a symptom to the nurse. Which information about the symptom is best obtained by use of a numeric scale? Radiation. Quality. Timing. Severity., The nurse plans to assess function of a client's Cranial Nerve XI, the Spinal Accessory nerve. The nurse instructs the client to shrug both shoulders. What action should the nurse take while the client shrugs the shoulders? Apply pressure on both shoulders. Observe accessory muscle movement. Visually compare shoulder movement. Listen for crepitation in the joint.,....

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Recent door jou bekeken

Waarom studenten kiezen voor Stuvia

Gemaakt door medestudenten, geverifieerd door reviews

Kwaliteit die je kunt vertrouwen: geschreven door studenten die slaagden en beoordeeld door anderen die dit document gebruikten.

Niet tevreden? Kies een ander document

Geen zorgen! Je kunt voor hetzelfde geld direct een ander document kiezen dat beter past bij wat je zoekt.

Betaal zoals je wilt, start meteen met leren

Geen abonnement, geen verplichtingen. Betaal zoals je gewend bent via iDeal of creditcard en download je PDF-document meteen.

Student with book image

“Gekocht, gedownload en geslaagd. Zo makkelijk kan het dus zijn.”

Alisha Student

Bezig met je bronvermelding?

Maak nauwkeurige citaten in APA, MLA en Harvard met onze gratis bronnengenerator.

Bezig met je bronvermelding?

Veelgestelde vragen