BSN 246 HESI Health Assessment V1
latest updated version with expert
curated questions and answers |
GUARANTEED SUCCESS
The nurse is performing a thoracic assessment on a client with chronic
asthma and hyperinflation of the lungs. Which finding should be
expected for this client? - answer Barrel chest
The nurse is assessing bowel sounds for a hospitalized client. The nurse
has heard bowel sounds in the right upper quadrant. What action
should the nurse take next? - answer Note the character and frequency
of bowel sounds
During inspection of a client's mouth and pharynx, the nurse places a
tongue blade on the back of the tongue which causes the client to gag.
After removing the tongue blade, what action should the nurse take? -
answer Document an intact gag reflex.
When teaching a client how to perform a monthly breast self-
assessment, the nurse should tell the client that it is most important to
assess which part of the breast more closely for changes? - answer
Upper outer quadrant.
,The nurse is assessing a postmenopausal client who has a BMI of 32.
The client has a chest measurement of 42 inches, waist measurement
of 45 inches, and hip measurement of 50 inches. What important
message should the nurse explain to the client to promote health
promotion? - answer A waist circumference is greater than 35 inches in
women puts you at higher risk for type 2 diabetes and heart disease."
The nurse performs a physical assessment on an older female client.
Which change from the prior exam may be an indication of
osteoporosis? - answer Height reduction of 1.5 inches.
While conducting an interview to obtain a health history, the nurse
notices that the client pauses frequently and looks at the nurse
expectantly. Which response is best for the nurse to provide? - answer
Sit quietly to allow the client to respond comfortably.
A client is in the clinical for a yearly physical examination. Which action
should the nurse take when preparing to examine the client's
abdomen? - answer Ask the client to urinate before beginning the
examination.
Which respiratory condition should the nurse document after
measuring a respiratory rate of 8 breaths/minute? - answer Bradypnea.
, Which procedure should the nurse use to assessfor a pulse deficit? -
answer Measure the apical pulse and compare it to the peripheral
pulse.
*A pulse deficit is a palpable difference between the apical pulse at the
point of maximal impulse and the radial pulse palpated at the wrist.
A client has been diagnosed with bilateral lower lobe atelectasis. What
percussion sound should the nurse expect to hear when percussing
over the client's lower lobes? - answer Dull, thud-like.
A client is being assessed upon admission to the medical-surgical unit.
The nurse is preparing to complete a head-to-toe assessment and will
begin at the head of the client. Which technique should the nurse use
to begin the assessment? - answer Inspect the hair and skin.
The nurse is assessing a healthy young adult during an annual physical
examination. Which assessment technique should the nurse implement
when palpating the abdominal aorta? - answer Deep palpation above
and to the left of the umbilicus.
The nurse is conducting a family history as part of the assessment
interview. Which action should the nurse take to ensure that sufficient
information about the client's blood relatives is obtained? - answer
Document at least 3 generations of the client's family medical history.
latest updated version with expert
curated questions and answers |
GUARANTEED SUCCESS
The nurse is performing a thoracic assessment on a client with chronic
asthma and hyperinflation of the lungs. Which finding should be
expected for this client? - answer Barrel chest
The nurse is assessing bowel sounds for a hospitalized client. The nurse
has heard bowel sounds in the right upper quadrant. What action
should the nurse take next? - answer Note the character and frequency
of bowel sounds
During inspection of a client's mouth and pharynx, the nurse places a
tongue blade on the back of the tongue which causes the client to gag.
After removing the tongue blade, what action should the nurse take? -
answer Document an intact gag reflex.
When teaching a client how to perform a monthly breast self-
assessment, the nurse should tell the client that it is most important to
assess which part of the breast more closely for changes? - answer
Upper outer quadrant.
,The nurse is assessing a postmenopausal client who has a BMI of 32.
The client has a chest measurement of 42 inches, waist measurement
of 45 inches, and hip measurement of 50 inches. What important
message should the nurse explain to the client to promote health
promotion? - answer A waist circumference is greater than 35 inches in
women puts you at higher risk for type 2 diabetes and heart disease."
The nurse performs a physical assessment on an older female client.
Which change from the prior exam may be an indication of
osteoporosis? - answer Height reduction of 1.5 inches.
While conducting an interview to obtain a health history, the nurse
notices that the client pauses frequently and looks at the nurse
expectantly. Which response is best for the nurse to provide? - answer
Sit quietly to allow the client to respond comfortably.
A client is in the clinical for a yearly physical examination. Which action
should the nurse take when preparing to examine the client's
abdomen? - answer Ask the client to urinate before beginning the
examination.
Which respiratory condition should the nurse document after
measuring a respiratory rate of 8 breaths/minute? - answer Bradypnea.
, Which procedure should the nurse use to assessfor a pulse deficit? -
answer Measure the apical pulse and compare it to the peripheral
pulse.
*A pulse deficit is a palpable difference between the apical pulse at the
point of maximal impulse and the radial pulse palpated at the wrist.
A client has been diagnosed with bilateral lower lobe atelectasis. What
percussion sound should the nurse expect to hear when percussing
over the client's lower lobes? - answer Dull, thud-like.
A client is being assessed upon admission to the medical-surgical unit.
The nurse is preparing to complete a head-to-toe assessment and will
begin at the head of the client. Which technique should the nurse use
to begin the assessment? - answer Inspect the hair and skin.
The nurse is assessing a healthy young adult during an annual physical
examination. Which assessment technique should the nurse implement
when palpating the abdominal aorta? - answer Deep palpation above
and to the left of the umbilicus.
The nurse is conducting a family history as part of the assessment
interview. Which action should the nurse take to ensure that sufficient
information about the client's blood relatives is obtained? - answer
Document at least 3 generations of the client's family medical history.
