HESI HEALTH ASSESSMENT NURSING RN V1 100 Questions with answers.pdf

RNSG 2231 HESI Extra Credit Modul
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e 2 Exam HESI Module 2 Health Promotion and Diseas
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e Prevention Q & As LATEST UPDATE 2022/2023 RATED
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1. Questions

1. 1.ID: 9477077870
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A nurse assessing a client's eyes notes that the pupils g
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et larger when the client looks at an object in the distanc
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e and become smaller when the clientlooks at a nearby
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object. How does the nurse document this finding?
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A. Myopia

B. Hyperopia

C. Photophobia

D. Accommodation Correct k




RNSG 2231 HESI Extra Credit Modul
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e 2 Exam HESI Module 2 Health Promotion and Diseas
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e Prevention Q & As LATEST UPDATE 2022/2023 RATED
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A+

, RNSG 2231 HESI Extra Credit Modul
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e 2 Exam HESI Module 2 Health Promotion and Diseas
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e Prevention Q & As LATEST UPDATE 2022/2023 RATED
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Rationale:kAccommodationkiskadaptationkofkthekeyekforknearkvision.kMovementkofk
thekciliarykmuscleskincreaseskthekcurvaturekofktheklens.kTokobservekaccommodat
ion,kthekexaminerknoteskconvergencek(motionktoward)kofkthekaxeskofkthekeyeballsk
andkpupillarykconstriction.kMyopiakisknearsightedness.
Hyperopiakiskfarsightedness.kPhotophobiakiskabnormalksensitivityktoklight,kespecia
llykofkthekeyes.
Test-
TakingkStrategy:kFocuskonkthekdatakinkthekquestion.kNotekthekrelationshipkbetwe
enkthekdatak“pupilskgetklarger”kandk“becomeksmaller”kinkthekquestionkandkthekcor
rectkoption.kReview:kthekdescriptionkofkaccommodationk.
Reference:kIgnatavicius,kD.,k&kWorkman,kM.k(2010).kMedical-
surgicalknursing:kPatient-
centeredkcollaborativekcarek(6thked.,kp.k1074).kSt.kLouis:kSaunders.
CognitivekAbility:kApplying
ClientkNeeds:kHealthkPromotionkandkMaintenancekIntegr
atedkProcess:kCommunicationkandkDocumentationkConte
ntkArea:kAdultkHealth/Eye
PrioritykConcepts:kClinicalkJudgment,kSensorykPerceptionkHES
IkConcepts:kClinicalkDecision-Making/ClinicalkJudgment,
Awardedk1.0kpointskoutkofk1.0kpossiblekpoints.
Sensory/Perception




2. 2.ID: 9477073956
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A nurse is reviewing the findings of a physical examinati
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on that have been documented in a client's record. Which
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piece of information does the nurserecognize as objectiv
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e data?
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A. The client is allergic to strawberries.
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RNSG 2231 HESI Extra Credit Modul
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e 2 Exam HESI Module 2 Health Promotion and Diseas
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e Prevention Q & As LATEST UPDATE 2022/2023 RATED
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A+

, RNSG 2231 HESI Extra Credit Modul
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e 2 Exam HESI Module 2 Health Promotion and Diseas
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e Prevention Q & As LATEST UPDATE 2022/2023 RATED
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A+

B. The last menstrual period was 30 days ago.
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C. The client takes acetaminophen (Tylenol) for
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headaches.

D. A 1 × 2-
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inch (5 cm) scar is present on the lower right po
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rtion ofthe abdomen.
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Correct
Rationale:kSubjectivekdata,kcollectedkduringkthekhealthkhistory,kconsistkofkinforma
tionkthatkthekclientkgiveskaboutkhimselfkorkherself.kObjectivekdatakarekobtainedkthr
oughkphysicalkexaminationkandkvitalksignskmeasurements,kwhatkthe




RNSG 2231 HESI Extra Credit Modul
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e 2 Exam HESI Module 2 Health Promotion and Diseas
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e Prevention Q & As LATEST UPDATE 2022/2023 RATED
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A+

, RNSG 2231 HESI Extra Credit Modul
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e 2 Exam HESI Module 2 Health Promotion and Diseas
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e Prevention Q & As LATEST UPDATE 2022/2023 RATED
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nursekobserves,kandklaboratorykstudykandkdiagnosticktestkresults.kAllergies,kthekd
atekofkthekclient’sklastkmenstrualkperiod,kandkthekreportedkusekofkmedicationkforkhe
adacheskarekallksubjectivekdata.
Test-
TakingkStrategy:kEliminatekthekoptionskthatkarekcomparablekorkalikekandkincludekd
atakthatktheknursekwouldkobtainkfromkthekclientkduringkthekhealthkhistory.kReview:k
thekdifferencekbetweenksubjectivekandkobjectivekdatak.
Reference:kJarvis,kC.k(2008).kPhysicalkexaminationkandkhealthkassessmentk(5thk
ed.,kpp.k2,k55).kSt.kLouis:kSaunders.
CognitivekAbility:kUnderstanding
ClientkNeeds:kHealthkPromotionkandkMaintenancek
IntegratedkProcess:kNursingkProcess/Assessmentk
ContentkArea:kHealthkAssessment/PhysicalkExamk
PrioritykConcepts:kClinicalkJudgment,kEvidence
HESIkConcepts:kClinicalkDecision-Making/ClinicalkJudgment,kEvidence-Based
Practice/Evidence
Awarded 1.0 points out of 1.0 possible points.
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3. 3.ID: 9477071188
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A nurse is auscultating for vesicular breath sounds in a cl
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ient. Of which qualitywould the nurse expect these norma
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l breath sounds to be?
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A. Harsh

B. Hollow

C. Tubular

D. Rustling Correct k




RNSG 2231 HESI Extra Credit Modul
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e 2 Exam HESI Module 2 Health Promotion and Diseas
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e Prevention Q & As LATEST UPDATE 2022/2023 RATED
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A+