BSN 246 HESI HEALTH ASSESSMENT
FINAL EXAM | NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+ | 100%
PASS | 2025 UPDATE!
Which term is defined as the action of saying something that can eith
intentionally or unintentionally belittle or alienate a person, especially
of a different race or ethinc group?
Racism
Ethnocentrism
Microaggression
Cultural diversity
C.
A microaggression is a social exchange in which a person says or does
something that can either intentionally or unintentionally belittle or
alienate a person, especially someone of a different race or ethnic
group. Racism is a belief that differences among the various
racial/ethnic groups determine cultural or individual achievement.
Cultural diversity is the existence of a variety of culutral or ethnic
groups within a society. Ethnoventrism refers to the relief that one's
,own culture and worldview are superior to those of others from
different cultural, ethnic, or racial backgrounds.
A chest x-ray report states that the client has a left apical
pneumothorax. The nurse caring for the clinet monitors the status of
breath sounds in that area by placing a stehoscope at which location?
A. near the lateral 12th rib
B. Just under the left clavicle
C. in the fifth intercostal space
D. Posteriorly under the left scapula
B. Just under the left clavicle.
Rationale:
the apex of the lung is the rounded, uppermost part of the lung. The
nurse would place the stethoscope just under the left clavicle.
The "K" in the acronym "Speak Up" addresses the importance of the
patients knowing about of which aspect of care?
,Illness
Medications
Decisions regarding treatment
Voicing questions or concerns
B.
The nurse is performing a neurological assessment on a client and
elicits a postive Romberg's sign. The nurse makes this determinationa
based on which observation?
A. an involuntary rhythmic, rapid twitching of the eyeballs
B. a dorsiflexion of the ankle and great toe with fanning of the other
toes
C. A significant sway when the client stands erect with feet together,
arms at the side, and the eyes closed.
D. A lack of normal sense of position when the client is unable to return
extended fingers to a point of reference.
C. A significant sway when the client stands erect w/ feet together,
arms at the side, and the eyes closed
Rationale:
, Romberg's test, the client is asked to stand w/ the feet together and
the arms at the sides, and to close the eyes and hold the position;
normally the client can maintain posture and balance. A positive
Romberg's sign is a vestibular nerological sign that is found when a
client exhibits a loss of balance when closing the eye. This may occur
w/ cerebellar ataxia, loss of proprioception, and loss of vestibular
function.
The nurse is instructing a client in breast self-examination (BSE). The
nurse tells the client to lie down and examine the left breast. The nurse
would instruct the client that while examining the left breast she would
place a pillow under which area?
A. Left shoulder
B. Right scapula
C. Right shoulder
D. Small of the back
A. Left shoulder
Rationale:The nurse would instruct the client to lie down and place a
towel or pillow under the shoulder on the side of the breast to be
examined. If the left breast is to be examined, the pillow would be
placed under the left shoulder; therefore, all other options are
incorrect.
FINAL EXAM | NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+ | 100%
PASS | 2025 UPDATE!
Which term is defined as the action of saying something that can eith
intentionally or unintentionally belittle or alienate a person, especially
of a different race or ethinc group?
Racism
Ethnocentrism
Microaggression
Cultural diversity
C.
A microaggression is a social exchange in which a person says or does
something that can either intentionally or unintentionally belittle or
alienate a person, especially someone of a different race or ethnic
group. Racism is a belief that differences among the various
racial/ethnic groups determine cultural or individual achievement.
Cultural diversity is the existence of a variety of culutral or ethnic
groups within a society. Ethnoventrism refers to the relief that one's
,own culture and worldview are superior to those of others from
different cultural, ethnic, or racial backgrounds.
A chest x-ray report states that the client has a left apical
pneumothorax. The nurse caring for the clinet monitors the status of
breath sounds in that area by placing a stehoscope at which location?
A. near the lateral 12th rib
B. Just under the left clavicle
C. in the fifth intercostal space
D. Posteriorly under the left scapula
B. Just under the left clavicle.
Rationale:
the apex of the lung is the rounded, uppermost part of the lung. The
nurse would place the stethoscope just under the left clavicle.
The "K" in the acronym "Speak Up" addresses the importance of the
patients knowing about of which aspect of care?
,Illness
Medications
Decisions regarding treatment
Voicing questions or concerns
B.
The nurse is performing a neurological assessment on a client and
elicits a postive Romberg's sign. The nurse makes this determinationa
based on which observation?
A. an involuntary rhythmic, rapid twitching of the eyeballs
B. a dorsiflexion of the ankle and great toe with fanning of the other
toes
C. A significant sway when the client stands erect with feet together,
arms at the side, and the eyes closed.
D. A lack of normal sense of position when the client is unable to return
extended fingers to a point of reference.
C. A significant sway when the client stands erect w/ feet together,
arms at the side, and the eyes closed
Rationale:
, Romberg's test, the client is asked to stand w/ the feet together and
the arms at the sides, and to close the eyes and hold the position;
normally the client can maintain posture and balance. A positive
Romberg's sign is a vestibular nerological sign that is found when a
client exhibits a loss of balance when closing the eye. This may occur
w/ cerebellar ataxia, loss of proprioception, and loss of vestibular
function.
The nurse is instructing a client in breast self-examination (BSE). The
nurse tells the client to lie down and examine the left breast. The nurse
would instruct the client that while examining the left breast she would
place a pillow under which area?
A. Left shoulder
B. Right scapula
C. Right shoulder
D. Small of the back
A. Left shoulder
Rationale:The nurse would instruct the client to lie down and place a
towel or pillow under the shoulder on the side of the breast to be
examined. If the left breast is to be examined, the pillow would be
placed under the left shoulder; therefore, all other options are
incorrect.
