Exam (elaborations)
HESI HEALTH ASSESSMENT NURSING RN V1 100 QUESTIONS AND ANSWERS
- Course
- Institution
HESI HEALTH ASSESSMENT NURSING RN V1 100 QUESTIONS AND ANSWERS
[Show more]
Seller
Follow
Hosmerit
Reviews received
Content preview
2021/2022 HESI HEALTH ASSESSMENT NURSING RN V1 100QUESTIONS AND ANSWERS
• During a mental status examination, the nurse wants to assess a patient’s affect. The nurse should
askthe patient which question?
“How do you feel today?”
• The nurse is planning to assess new memory with a patient. The best way for the nurse to do
thiswould be to:
Give him the Four Unrelated Words Test.
• A 45-year-old woman is at the clinic for a mental status assessment. In giving her the Four
UnrelatedWords Test, the nurse would be concerned if she could not four
unrelated words .
Recall; after a 30-minute delay
• During a mental status assessment, which question by the nurse would best assess a
person’sjudgment?
“Tell me what you plan to do once you are discharged from the hospital.”
• Which of these individuals would the nurse consider at highest risk for a suicide attempt?
Older adult man who tells the nurse that he is going to “join his wife in heaven” tomorrow and
plans to use a gun
• When reviewing the use of alcohol by older adults, the nurse notes that older adults have
several characteristics that can increase the risk of alcohol use. Which would increase the
bioavailability ofalcohol in the blood for longer periods in the older adult?
Decreased liver and kidney functioning
• During an assessment, the nurse asks a female patient, “How many alcoholic drinks do you have
aweek?” Which answer by the patient would indicate at-risk drinking?
“I have seven or eight drinks a week, but I never get drunk.”
• The nurse is asking an adolescent about illicit substance abuse. The adolescent answers, “Yes,
I’veused marijuana at parties with my friends.” What is the next question the nurse should ask?
“When was the last time you used marijuana?”
• The nurse has completed an assessment on a patient who came to the clinic for a leg injury. As a
resultof the assessment, the nurse has determined that the patient has at-risk alcohol use. Which
action by the nurse is most appropriate at this time?
State, “You are drinking more than is medically safe. I strongly recommend that you quit
drinking, and I’m willing to help you.”
, • A patient is brought to the emergency department. He is restless, has dilated pupils, is sweating,
hasa runny nose and tearing eyes, and complains of muscle and joint pains. His girlfriend thinks he
has influenza, but she became concerned when his temperature went up to 39.4° C. She admits that
he has been a heavy drug user, but he has been trying to stop on his own. The nurse suspects that the
patient is experiencing withdrawal symptoms from which substance?
Heroin
• Patient taking ipratropium reports nausea, blurred vision, has, insomnia after using the inhaler.
RNaction to implement
- withhold med and report symptoms
• A patient has suddenly developed shortness of breath and appears to be in significant
respiratory distress. After calling the physician and placing the patient on oxygen, which of these
actions is the bestfor the nurse to take when further assessing the patient?
Bilaterally percuss the thorax, noting any differences in percussion tones.
• The nurse is teaching a class on basic assessment skills. Which of these statements is true
regardingthe stethoscope and its use?
Although the stethoscope does not magnify sound, it does block out extraneous room noise.
• The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding
thediaphragm of the stethoscope? The diaphragm:
Is used to listen for high-pitched sounds.
• Before auscultating the abdomen for the presence of bowel sounds on a patient, the nurse should:
Check the temperature of the room, and offer blankets to the patient if he or she feels cold.
• While measuring a patient’s blood pressure, the nurse recalls that certain factors, such as
, help determine blood pressure.
Peripheral vascular resistance
• A nurse is helping at a health fair at a local mall. When taking blood pressures on a variety of
people,the nurse keeps in mind that:
The blood pressure of a Black adult is usually higher than that of a White adult of the same age.
8. The nurse notices a colleague is preparing to check the blood pressure of a patient who is obese by
using a standard-sized blood pressure cuff. The nurse should expect the reading to:
Yield a falsely high blood pressure.
• A student is late for his appointment and has rushed across campus to the health clinic. The
nurseshould:
Allow 5 minutes for him to relax and rest before checking his vital signs.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Hosmerit. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83637 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now