HESI Health Assignment Final Exam Latest 2025 Questions and Answers 100% Correct

An Asian-American woman is experiencing diarrhea, which is believed to be "cold" or "yin." The nurse expects that the woman - Hispanic In the majority culture of America, coughing, sweating, and diarrhea are symptoms of an illness. For some individuals of Mexican-American origin, however, these symptoms are a normal part of living. The nurse recognizes that this difference is true, probably because Mexican-Americans: - Consider these symptoms part of normal living, not symptoms of ill health. An Asian-American woman is experiencing diarrhea, which is believed to be "cold" or "yin." The nurse expects that the woman is likely to try to treat it with: - Foods that are "hot" or "yang." If an American Indian woman has come to the clinic to seek help with regulating her diabetes, then the nurse can expect that she: - May also be seeking the assistance of a shaman or medicine man. A woman brings her husband to the clinic for an examination. She is particularly worried because after a recent fall, he seems to have lost a great deal of his memory of recent events. Which statement reflects the nurse's best course of action? - Plan to perform a complete mental status examination A patient has been in the intensive care unit for 10 days. He has just been moved to the medical-surgical unit, and the admitting nurse is planning to perform a mental status examination. During the tests of cognitive function, the nurse would expect that he: - will be oriented to place and person but may not be certain of the date During a mental status assessment, which question by the nurse would best assess a person's judgment? - Tell me about what you plan to do once you are discharged from the hospital Which of these individuals would the nurse consider at highest risk for a suicide attempt? - Elderly man who tells the nurse that he is going to "join his wife in heaven" tomorrow and plans to use a gun A patient drifts off to sleep when she is not being stimulated. The nurse can easily arouse her by calling her name, but the patient remains drowsy during the conversation. The best description of this patient's level of consciousness would be: - lethargic During reporting, the nurse hears that a patient is experiencing hallucinations. Which is an example of a hallucination? - A man believes that his dead wife is talking to him. HESI Health Assignment Final Exam Latest 2025 Questions and Answers 100% Correct A 20-year-old construction worker has been brought into the emergency department with heat stroke. He has delirium as a result of a fluid and electrolyte imbalance. For the mental status examination, the nurse should first assess the patient's - Level of consciousness and cognitive abilities A 30-year-old female patient is describing feelings of hopelessness and depression. She has attempted self-mutilation and has a history of suicide attempts. She describes difficulty sleeping at night and has lost 10 pounds in the past month. Which of these statements or questions is the nurse's best response in this situation? - Are you feeling so hopeless that you feel like hurting yourself now?" When performing a physical assessment, the first technique the nurse will always use is: - Inspection. The nurse is assessing a patient's skin during an office visit. What part of the hand and technique should be used to best assess the patient's skin temperature? - Dorsal surface of the hand; the skin is thinner on this surface than on the palms. Which of these techniques uses the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient? - Palpation The nurse is teaching a class on basic assessment skills. Which of these statements is true regarding the stethoscope and its use? - Although the stethoscope does not magnify sound, it does block out extraneous room noise. The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding the diaphragm of the stethoscope? The diaphragm: - Is used to listen for highpitched sounds. b.Is used to listen for low-pitched sounds. Before auscultating the abdomen for the presence of bowel sounds on a patient, the nurse should: - Check the temperature of the room, and offer blankets to the patient if he or she feels cold. The nurse will use which technique of assessment to determine the presence of crepitus, swelling, and pulsations? - Palpation The nurse is preparing to use an otoscope for an examination. Which statement is true regarding the otoscope? The otoscope: - Directs light into the ear canal and onto the tympanic membrane. The nurse is unable to palpate the right radial pulse on a patient. The best action would be to: - Use a Doppler device to check for pulsations over the area. When performing a physical examination, safety must be considered to protect the examiner and the patient against the spread of infection. Which of these statements describes the most appropriate action the nurse should take when performing a physical examination? - Hands are washed before and after every physical patient encounter. During the examination, offering some brief teaching about the patient's body or the examiner's findings is often appropriate. Which one of these statements by the nurse is most appropriate? - Your pulse is 80 beats per minute, which is within the normal range." A 2-year-old child has been brought to the clinic for a well-child checkup. The best way for the nurse to begin the assessment is to: - Allow the child to keep a security object such as a toy or blanket during the examination. Which of these statements is true regarding the use of Standard Precautions in the health care setting? - Standard Precautions are intended for use with all patients, regardless of their risk or presumed infection status. While auscultating heart sounds, the nurse hears a murmur. Which of these instruments should be used to assess this murmur? - Bell of the stethoscope During auscultation of a patient's heart sounds, the nurse hears an unfamiliar sound. The nurse should: - Ask another nurse to double check the finding. When measuring a patient's weight, the nurse is aware of which of these guidelines? - Attempt to weigh the patient at approximately the same time of day, if a sequence of weights is necessary. During an examination of a child, the nurse considers that physical growth is the best index of a child's: - General Health The nurse is assessing an 80-year-old male patient. Which assessment findings would be considered normal? - Presence of kyphosis and flexion in the knees and hips The nurse should measure rectal temperatures in which of these patients? - Comatose adult The nurse is examining a patient who is complaining of "feeling cold." Which is a mechanism of heat loss in the body? - Radiation A 60-year-old male patient has been treated for pneumonia for the past 6 weeks. He is seen today in the clinic for an "unexplained" weight loss of 10 pounds over the last 6 weeks. The nurse knows that: - Unexplained weight loss often accompanies short-term illnesses The nurse is taking temperatures in a clinic with a TMT. Which statement is true regarding use of the TMT? - The risk of cross-contamination is reduced, compared with the rectal route When assessing a patient's pulse, the nurse should also notice which of these characteristics? - Force When assessing the force, or strength, of a pulse, the nurse recalls that the pulse: - Is a reflection of the heart's stroke volume A patient's blood pressure is 118/82 mm Hg. He asks the nurse, "What do the numbers mean?" The nurse's best reply is: - The top number is the systolic pressure and reflects the pressure of the blood against the arteries when the heart contracts. The nurse notices a colleague is preparing to check the blood pressure of a patient who is obese by using a standard-sized blood pressure cuff. The nurse should expect the reading to: - yield a falsely high blood pressure. The nurse is taking an initial blood pressure reading on a 72-year-old patient with documented hypertension. How should the nurse proceed? - Cuff should be inflated 30 mm Hg above the point at which the palpated pulse disappears During an examination, the nurse finds that a patient has excessive dryness of the skin. The best term to describe this condition is: - Xerosis A patient comes in for a physical examination and complains of "freezing to death" while waiting for her examination. The nurse notes that her skin is pale and cool and attributes this finding to: - Peripheral vasoconstriction. An older adult woman is brought to the emergency department after being found lying on the kitchen floor for 2 days; she is extremely dehydrated. What would the nurse expect to see during the examination? - Dry mucous membranes and cracked lips A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up appointment. On assessment, the nurse might expect to see which finding? - Clubbing of the nails A patient's laboratory data reveal an elevated thyroxine (T4) level. The nurse would proceed with an examination of the gland. - thyroid During ocular examinations, the nurse keeps in mind that movement of the extraocular muscles is: - stimulated by cranial nerves III, IV, and VI. The nurse is testing a patient's visual accommodation, which refers to which action? - Pupillary constriction when looking at a near object The nurse is preparing to assess the visual acuity of a 16-year-old patient. How should the nurse proceed? - Use the Snellen chart positioned 20 feet away from the patient.