BSN 246 HESI HEALTH ASSESSMENT V1 EXAM
QUESTIONS WITH 100% VERIFIED SOLUTIONS
A postmenopausal female client is undergoing a routine physical examination. She
has reported nothing out of the ordinary. When performing the examination of the
genitourinary system, the nurse finds an irregularly enlarged uterus with firm,
mobile, painless nodules in the uterine wall. How should the nurse explain this
finding to the client? - ANSWER -You have benign fibroid tumors, a common
occurrence in women your age.
A client is reporting chest pain. What statement made by the client, helps the nurse
to understand this client has a naturalistic belief in the cause of illness? - ANSWER
-"My life is really out of balance."
The nurse is preparing to assess the hearing of a client with a history of prolonged
exposure to occupational noise. Which hearing test provides the most reliable
assessment of hearing status? - ANSWER -Audiometry.
The nurse is performing a routine physical examination on an adult client. When
gathering a health history, which question is included in the CAGE questionnaire?
- ANSWER -Have you ever felt guilty about your drinking?
*CAGE is the acronym for Cut down, Annoyed, Guilty, and Eye-opener. Nurse
can use it to assess for possible alcohol abuse.
The nurse is examining the hip joint of a client who reports hip pain. Which other
assessment is most helpful in determining the cause of the client's pain? -
ANSWER -Knee joint evaluation.
The nurse performs a series of cranial nerve tests on a client with a head injury.
Which test should the nurse use to assess damage to the first cranial nerve? -
ANSWER -Occlude one nostril and have the client identify various odors.
The client reports to the nurse a recent exposure to the mumps. Which assessment
finding suggests the client has contracted the mumps? - ANSWER -Swelling
anterior to the ear lobe on one side of the face
, A nurse is working in a healthcare facility that serves a diverse population. What
action(s) by the nurse will allow the nurse to empathize with and understand this
population? (Select all that apply.) - ANSWER -Be open to people who are
different.
Have a curiosity about people.
Become culturally competent.
Which findings can the nurse determine by palpating a client's skin? (Select all
that apply.) - ANSWER -Diaphoresis.
Scaling.
Which question should the nurse ask in order to test a client's remote memory? -
ANSWER -What is your date of birth?
While assessing level of consciousness, the nurse finds that a client localizes to
pain, is confused during conversation, and opens the eyes to sound. How should
the nurse document the Glasgow score of this client? - ANSWER -12.
The Glasgow Coma Scale is used to establish baseline data based on eye opening,
motor response, and verbal response. The lowest possible score is 3 and thehighest
is 15. This client's Glasgow Coma Scale (GCS) score is 12: Opening eyes to sound
is a score of 3, localizing to pain is a 5, and confusion during a conversation is a 4
(3 + 5 + 4 = 12).
A client is in the clinic and is reporting lower abdominal pain and constipation.
Which information is of greatest concern to the nurse when obtaining the health
history from this client? - ANSWER -Family history of colon cancer on mother's
side.
An adult client is in the clinic for a regular physical examination. The nurse is
assessing the client's hydration status by pinching then releasing the client's skin.
Which finding is indicative of good hydration status? - ANSWER -The skin
immediately returns to normal position.
A client comes to the clinic with a report of fever and a recent exposure to
someone who was diagnosed with meningitis. Which nursing assessment should be
completed during the initial examination of this client? - ANSWER -Level of
consciousness.
, While palpating a client's breasts, the nurse detects a nontender, solitary, round
lobular mass that is solid and firm and slides easily through the breast tissue . The
findings of this breast exam are consistent with which condition? - ANSWER -
Fibroadenoma.
The client is experiencing severe pruritus and small papules and burrows on areas
over one hand and the inner thighs. Which assessment data best explains the
condition the client is experiencing? - ANSWER -The client works in a daycare
setting that has had a scabies outbreak.
When assessing facial nerve function of a 96-year-old, the nurse asks the client to
smile in an exaggerated manner. Which finding is most important for the nurse to
further asses? - ANSWER -Only one side of the mouth moves when smiling.
When performing range of motion exercises on the joints of an older adult client,
the nurse notes that joint range is greater with passive ranging than with active
ranging. A goniometer indicates that this difference is as much as 15% in some
joints. How should this finding be documented? - ANSWER -Abnormal.
Which action should the registered nurse (RN) implement to complete an
assessment for a client while using an interpreter? - ANSWER -Maintain eye
contact with the client while listening to the translation.
A client is in the clinic for a routine health examination. The nurse notices the
client appears underweight. Which question is most important for the nurse to ask
when completing the health history of this client? - ANSWER -Have you
experienced sudden weight loss?
A male executive is seen in the primary care clinic for a physical examination.
While obtaining the client's health history, the nurse inquires about his drug and
alcohol use. The executive denies drug use, but reports that he has "two glasses of
wine" per night. Which response is best for the nurse to provide? - ANSWER -
"What effect do you think your use of alcohol may have on you?"
Which part of the body should the nurse examine when assessing for peripheral
edema in a client with heart failure? - ANSWER -Ankles.
A client reports feeling increasingly fatigued for several months, and the nurse
observes that the client's lips are pale. Which additional data should the nurse
QUESTIONS WITH 100% VERIFIED SOLUTIONS
A postmenopausal female client is undergoing a routine physical examination. She
has reported nothing out of the ordinary. When performing the examination of the
genitourinary system, the nurse finds an irregularly enlarged uterus with firm,
mobile, painless nodules in the uterine wall. How should the nurse explain this
finding to the client? - ANSWER -You have benign fibroid tumors, a common
occurrence in women your age.
A client is reporting chest pain. What statement made by the client, helps the nurse
to understand this client has a naturalistic belief in the cause of illness? - ANSWER
-"My life is really out of balance."
The nurse is preparing to assess the hearing of a client with a history of prolonged
exposure to occupational noise. Which hearing test provides the most reliable
assessment of hearing status? - ANSWER -Audiometry.
The nurse is performing a routine physical examination on an adult client. When
gathering a health history, which question is included in the CAGE questionnaire?
- ANSWER -Have you ever felt guilty about your drinking?
*CAGE is the acronym for Cut down, Annoyed, Guilty, and Eye-opener. Nurse
can use it to assess for possible alcohol abuse.
The nurse is examining the hip joint of a client who reports hip pain. Which other
assessment is most helpful in determining the cause of the client's pain? -
ANSWER -Knee joint evaluation.
The nurse performs a series of cranial nerve tests on a client with a head injury.
Which test should the nurse use to assess damage to the first cranial nerve? -
ANSWER -Occlude one nostril and have the client identify various odors.
The client reports to the nurse a recent exposure to the mumps. Which assessment
finding suggests the client has contracted the mumps? - ANSWER -Swelling
anterior to the ear lobe on one side of the face
, A nurse is working in a healthcare facility that serves a diverse population. What
action(s) by the nurse will allow the nurse to empathize with and understand this
population? (Select all that apply.) - ANSWER -Be open to people who are
different.
Have a curiosity about people.
Become culturally competent.
Which findings can the nurse determine by palpating a client's skin? (Select all
that apply.) - ANSWER -Diaphoresis.
Scaling.
Which question should the nurse ask in order to test a client's remote memory? -
ANSWER -What is your date of birth?
While assessing level of consciousness, the nurse finds that a client localizes to
pain, is confused during conversation, and opens the eyes to sound. How should
the nurse document the Glasgow score of this client? - ANSWER -12.
The Glasgow Coma Scale is used to establish baseline data based on eye opening,
motor response, and verbal response. The lowest possible score is 3 and thehighest
is 15. This client's Glasgow Coma Scale (GCS) score is 12: Opening eyes to sound
is a score of 3, localizing to pain is a 5, and confusion during a conversation is a 4
(3 + 5 + 4 = 12).
A client is in the clinic and is reporting lower abdominal pain and constipation.
Which information is of greatest concern to the nurse when obtaining the health
history from this client? - ANSWER -Family history of colon cancer on mother's
side.
An adult client is in the clinic for a regular physical examination. The nurse is
assessing the client's hydration status by pinching then releasing the client's skin.
Which finding is indicative of good hydration status? - ANSWER -The skin
immediately returns to normal position.
A client comes to the clinic with a report of fever and a recent exposure to
someone who was diagnosed with meningitis. Which nursing assessment should be
completed during the initial examination of this client? - ANSWER -Level of
consciousness.
, While palpating a client's breasts, the nurse detects a nontender, solitary, round
lobular mass that is solid and firm and slides easily through the breast tissue . The
findings of this breast exam are consistent with which condition? - ANSWER -
Fibroadenoma.
The client is experiencing severe pruritus and small papules and burrows on areas
over one hand and the inner thighs. Which assessment data best explains the
condition the client is experiencing? - ANSWER -The client works in a daycare
setting that has had a scabies outbreak.
When assessing facial nerve function of a 96-year-old, the nurse asks the client to
smile in an exaggerated manner. Which finding is most important for the nurse to
further asses? - ANSWER -Only one side of the mouth moves when smiling.
When performing range of motion exercises on the joints of an older adult client,
the nurse notes that joint range is greater with passive ranging than with active
ranging. A goniometer indicates that this difference is as much as 15% in some
joints. How should this finding be documented? - ANSWER -Abnormal.
Which action should the registered nurse (RN) implement to complete an
assessment for a client while using an interpreter? - ANSWER -Maintain eye
contact with the client while listening to the translation.
A client is in the clinic for a routine health examination. The nurse notices the
client appears underweight. Which question is most important for the nurse to ask
when completing the health history of this client? - ANSWER -Have you
experienced sudden weight loss?
A male executive is seen in the primary care clinic for a physical examination.
While obtaining the client's health history, the nurse inquires about his drug and
alcohol use. The executive denies drug use, but reports that he has "two glasses of
wine" per night. Which response is best for the nurse to provide? - ANSWER -
"What effect do you think your use of alcohol may have on you?"
Which part of the body should the nurse examine when assessing for peripheral
edema in a client with heart failure? - ANSWER -Ankles.
A client reports feeling increasingly fatigued for several months, and the nurse
observes that the client's lips are pale. Which additional data should the nurse
