HESI HEALTH ASSESSMENT EXAM 3
The nurse plans primary prevention activities for a client. Which of the following measures
are primary prevention activities? SELECT ALL THAT APPLY
1. Immunizations
2. Pollution Control
3. An exercise regimen
4. Cardiac Rehabilitation
5. Self-Examination Practices
6. Diabetes Mellitus Management - 1. Immunizations
2. Pollution Control
3. An exercise regimen
A nurse gathering subjective data from a client asks about the client's family history for the
purpose of:
1. Formulating client goals
2. Developing a plan of care
3. Developing nursing diagnoses
4. Determining whether any genetic factors will affect the client's health status - 4.
Determining whether any genetic factors will affect the client's health status
A nurse at a health fair is conducting sessions on dietary measures to help prevent cancer.
Which of the following foods should the nurse encourage clients attending the teaching
sessions to eat as a means of preventing cancer? SELECT ALL THAT APPLY
1. Fruits
2. Red Meats
3. Vegetables
4. Food low in fiber
5. High-Nitrate Foods - 1. Fruits
3. Vegetables
A nurse is teaching a young adult male about testicular self-examination. Which of the
following instructions should the nurse give the client?
1. Perform the self-examination at least every 2 weeks.
2. Use both hands and palpate both testes at the same time
3. Contact the physician immediately if any lumps are felt
4. Perform the self-examination just before getting into the shower - 3. Contact the
physician immediately if any lumps are felt
,A nurse has collected subjective and objective data from an African-American client who is
at risk for cardiovascular disease. The client tell the nurse that he is a cigarette smoker,
drinks "a beer or two" every day, and enjoys sitting around watching sports on television.
Which piece of data does the nurse identify as an unmodifiable risk factor?
1. The client is African-American
2. The client is a cigarette smoker
3. The client drinks beer everyday
4. The client sits around watching television - 1. The client is African-American
A nurse has provided information to a client about measures to prevent cardiovascular
disease. Which statement by the client indicates a need for further information?
1. " I need to reduce my salt intake"
2. "I need to cut down on my smoking"
3. " I need to start a regular exercise program"
4. " I need to watch my weight and cut down on my saturated fat" - 2. "I need to cut down
on my smoking"
A nurse provides information to a client about measures to prevent infection with West
Nile virus. Which statement by the client indicates a need for further information?
1. "I need to avoid wooded or swampy areas when I'm outdoors"
2. " I don't need to use insect repellent if my clothes are covering my skin"
3. " I should wear clothing that covers all of my skin, and I should wear a hat"
4. " I should stay indoors at dusk and dawn, when mosquitoes are most active" - 2. " I don't
need to use insect repellent if my clothes are covering my skin"
A nurse is administering the hepatitis B vaccine to a newborn. Which anatomic site should
the nurse select for the injection?
1. Deltoid
2. Dorsogluteal
3. Rectus femoris
4. Vastus lateralis - 4. Vastus lateralis
A nurse is preparing to administer the diptheria/teatnus/acellular pertussis vaccine
(DTaP) to a 6-month-old infant. Which action should the nurse take to minimize the
potential for a local reaction to the vaccine?
1. Use a 1.5-inch needle for injection
2. Administer the injection in the deltoid muscle
3. Using an air bubble to clear the needle after injection
4. Changing the needle on the syringe after drawing up the vaccine. - 3. Using an air bubble
to clear the needle after injection
, A nurse has taught a client's wife how to change the client's foot dressing. Which of the
following actions should the nurse take to best confirm that the spouse understands the
procedure?
1. Ask the wife to perform the dressing change
2. Asking the wife whether she has any questions about the procedure
3. Asking the wife whether she feels comfortable performing the procedure
4. Asking the wife whether she understands what items need to be obtained from the
surgical supply store - 1. Ask the wife to perform the dressing change
The nurse helps the physician perform a Pap Smear. After the test has been completed, the
nurse provides information on follow-up testing and says the test should be repeated:
1. Yearly
2. Every 2 years
3. Every 3 years
4. Every 6 months - 1. Yearly
When is the best time to perform a BSE?
1. On the first day of each month
2. On the 10th day of each month
3. 7 days after the start of menstruation
4. 14 days after the start of menstruation - 3. 7 days after the start of menstruation
The nurses teaches the patient how to perform BSE. What is the best way for the nurse to
confirm that the patient understands how to perform the BSE?
1. Asking the patient to verbalize how to perform the examination
2. Asking the patient to perform BSE and observing her performance
3. Asking the patient to read the pamphlet on performing BSE and to write down any
questions she might have
4. Asking the patient to view a computer tutorial on performing BSE and write down any
questions she might have - 2. Asking the patient to perform BSE and observing her
performance
A patient tells the nurse she has never had a mammogram and asks whether she needs one.
On the basis of American Cancer Society (ACS) recommendations, the nurse should tell her
that:
1. She will need to start having a yearly mammogram at age 40
2. Her healthcare provider will recommend that she have a mammogram done now
3. She will have a baseline mammogram now and another one every 3 years thereafter
4. She will have a baseline mammogram now and then will have one every year thereafter -
1. She will need to start having a yearly
The nurse plans primary prevention activities for a client. Which of the following measures
are primary prevention activities? SELECT ALL THAT APPLY
1. Immunizations
2. Pollution Control
3. An exercise regimen
4. Cardiac Rehabilitation
5. Self-Examination Practices
6. Diabetes Mellitus Management - 1. Immunizations
2. Pollution Control
3. An exercise regimen
A nurse gathering subjective data from a client asks about the client's family history for the
purpose of:
1. Formulating client goals
2. Developing a plan of care
3. Developing nursing diagnoses
4. Determining whether any genetic factors will affect the client's health status - 4.
Determining whether any genetic factors will affect the client's health status
A nurse at a health fair is conducting sessions on dietary measures to help prevent cancer.
Which of the following foods should the nurse encourage clients attending the teaching
sessions to eat as a means of preventing cancer? SELECT ALL THAT APPLY
1. Fruits
2. Red Meats
3. Vegetables
4. Food low in fiber
5. High-Nitrate Foods - 1. Fruits
3. Vegetables
A nurse is teaching a young adult male about testicular self-examination. Which of the
following instructions should the nurse give the client?
1. Perform the self-examination at least every 2 weeks.
2. Use both hands and palpate both testes at the same time
3. Contact the physician immediately if any lumps are felt
4. Perform the self-examination just before getting into the shower - 3. Contact the
physician immediately if any lumps are felt
,A nurse has collected subjective and objective data from an African-American client who is
at risk for cardiovascular disease. The client tell the nurse that he is a cigarette smoker,
drinks "a beer or two" every day, and enjoys sitting around watching sports on television.
Which piece of data does the nurse identify as an unmodifiable risk factor?
1. The client is African-American
2. The client is a cigarette smoker
3. The client drinks beer everyday
4. The client sits around watching television - 1. The client is African-American
A nurse has provided information to a client about measures to prevent cardiovascular
disease. Which statement by the client indicates a need for further information?
1. " I need to reduce my salt intake"
2. "I need to cut down on my smoking"
3. " I need to start a regular exercise program"
4. " I need to watch my weight and cut down on my saturated fat" - 2. "I need to cut down
on my smoking"
A nurse provides information to a client about measures to prevent infection with West
Nile virus. Which statement by the client indicates a need for further information?
1. "I need to avoid wooded or swampy areas when I'm outdoors"
2. " I don't need to use insect repellent if my clothes are covering my skin"
3. " I should wear clothing that covers all of my skin, and I should wear a hat"
4. " I should stay indoors at dusk and dawn, when mosquitoes are most active" - 2. " I don't
need to use insect repellent if my clothes are covering my skin"
A nurse is administering the hepatitis B vaccine to a newborn. Which anatomic site should
the nurse select for the injection?
1. Deltoid
2. Dorsogluteal
3. Rectus femoris
4. Vastus lateralis - 4. Vastus lateralis
A nurse is preparing to administer the diptheria/teatnus/acellular pertussis vaccine
(DTaP) to a 6-month-old infant. Which action should the nurse take to minimize the
potential for a local reaction to the vaccine?
1. Use a 1.5-inch needle for injection
2. Administer the injection in the deltoid muscle
3. Using an air bubble to clear the needle after injection
4. Changing the needle on the syringe after drawing up the vaccine. - 3. Using an air bubble
to clear the needle after injection
, A nurse has taught a client's wife how to change the client's foot dressing. Which of the
following actions should the nurse take to best confirm that the spouse understands the
procedure?
1. Ask the wife to perform the dressing change
2. Asking the wife whether she has any questions about the procedure
3. Asking the wife whether she feels comfortable performing the procedure
4. Asking the wife whether she understands what items need to be obtained from the
surgical supply store - 1. Ask the wife to perform the dressing change
The nurse helps the physician perform a Pap Smear. After the test has been completed, the
nurse provides information on follow-up testing and says the test should be repeated:
1. Yearly
2. Every 2 years
3. Every 3 years
4. Every 6 months - 1. Yearly
When is the best time to perform a BSE?
1. On the first day of each month
2. On the 10th day of each month
3. 7 days after the start of menstruation
4. 14 days after the start of menstruation - 3. 7 days after the start of menstruation
The nurses teaches the patient how to perform BSE. What is the best way for the nurse to
confirm that the patient understands how to perform the BSE?
1. Asking the patient to verbalize how to perform the examination
2. Asking the patient to perform BSE and observing her performance
3. Asking the patient to read the pamphlet on performing BSE and to write down any
questions she might have
4. Asking the patient to view a computer tutorial on performing BSE and write down any
questions she might have - 2. Asking the patient to perform BSE and observing her
performance
A patient tells the nurse she has never had a mammogram and asks whether she needs one.
On the basis of American Cancer Society (ACS) recommendations, the nurse should tell her
that:
1. She will need to start having a yearly mammogram at age 40
2. Her healthcare provider will recommend that she have a mammogram done now
3. She will have a baseline mammogram now and another one every 3 years thereafter
4. She will have a baseline mammogram now and then will have one every year thereafter -
1. She will need to start having a yearly
