B SN 246 w eek1 HESI Pr ep
questions w ith ver ifi ed
solu tions
The nurse is setting up the physical environment for an interview
with a client and plans to obtain subjective data regarding the
client's health. Which interventions are appropriate? Select all
that apply.
A.Set the room temperature at a comfortable level.
B.Remove distracting objects from the interviewing area.
C.Place a chair for the client across from the nurse’s desk.
D.Ensure comfortable seating at eye level for the client and nurse.
E.Provide seating for the so that the faces a strong light.
F.Ensure that the distance between the client and the nurse is at
least 7 feet.
- Set the room temperature at a comfortable level.
- Remove distracting objects from the interviewing area.
- Ensure comfortable seating at eye level for the client and nurse.
After performing an initial abdominal assessment on a client with
nausea and vomiting, the nurse would expect to note which
finding?
A.Waves of loud gurgles auscultated in all four quadrants.
, B.Low-pitched swishing auscultated in one or two quadrants.
C.Relatively high-pitched clicks or gurgles auscultated in one or
two quadrants.
D.Very high pitched, loud rushes auscultated in especially in one
or two quadrants.
Waves of loud gurgles auscultated in all four quadrants.
The nurse is performing a neurological assessment on a client and
elicits a positive Romberg's sign. The nurse makes this
determination 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 sense of position when the client is unable to return
extended fingers to a point of reference.
A significant sway when the client stands erect with feet together,
arms at the side and the eyes closed.
A client with pneumonia is admitted to the hospital with difficulty
breathing. Which is the best approach for the nurse to use in
obtaining the client's health history?
A.Focus only on the physical assessment.
B.Obtain all history information from the family members.
C.Plan short sessions with the client to obtain data.
questions w ith ver ifi ed
solu tions
The nurse is setting up the physical environment for an interview
with a client and plans to obtain subjective data regarding the
client's health. Which interventions are appropriate? Select all
that apply.
A.Set the room temperature at a comfortable level.
B.Remove distracting objects from the interviewing area.
C.Place a chair for the client across from the nurse’s desk.
D.Ensure comfortable seating at eye level for the client and nurse.
E.Provide seating for the so that the faces a strong light.
F.Ensure that the distance between the client and the nurse is at
least 7 feet.
- Set the room temperature at a comfortable level.
- Remove distracting objects from the interviewing area.
- Ensure comfortable seating at eye level for the client and nurse.
After performing an initial abdominal assessment on a client with
nausea and vomiting, the nurse would expect to note which
finding?
A.Waves of loud gurgles auscultated in all four quadrants.
, B.Low-pitched swishing auscultated in one or two quadrants.
C.Relatively high-pitched clicks or gurgles auscultated in one or
two quadrants.
D.Very high pitched, loud rushes auscultated in especially in one
or two quadrants.
Waves of loud gurgles auscultated in all four quadrants.
The nurse is performing a neurological assessment on a client and
elicits a positive Romberg's sign. The nurse makes this
determination 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 sense of position when the client is unable to return
extended fingers to a point of reference.
A significant sway when the client stands erect with feet together,
arms at the side and the eyes closed.
A client with pneumonia is admitted to the hospital with difficulty
breathing. Which is the best approach for the nurse to use in
obtaining the client's health history?
A.Focus only on the physical assessment.
B.Obtain all history information from the family members.
C.Plan short sessions with the client to obtain data.
