Exam (elaborations)
HESI V2 health assessment Fall 2024 Questions With Complete Solutions
- Course
- Hesi
- Institution
- Herzing University
HESI V2 health assessment Fall 2024 Questions With Complete Solutions
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HESI V2 health assessment Fall 2024 Questions WithComplete Solutions
A 29 year old male client informs the nurse that he came to the
clinic to see if, "Maybe I have lung cancer or something," and
wants to get checked out since, "I can't seem to get rid of this
body-wracking dry cough that has been hanging around for the
last six weeks." Which computer documentation of this client's
concerns should the nurse enter?
B. Describe having a "body-wracking dry cough" of 6 weeks
duration. Correct Answers Correct answer is B, as assessment
process includes chief complaint which is how the patient
describe why he is here in the hospital or clinic and can't include
diagnosis.
A 75-year-old client with a recent history of a cerebrovascular
accident (CVA) presents with right hemiparesis. The nurse tests
the deep tendon reflexes on the right side and elicits a brisk 4+
response. Which interpretation of this finding is accurate?
D. Hyperactive response consistent with an upper motor neuron
disorder. Correct Answers Correct answer is D, brisk 4+
response is correlated with hyperactive response.
A client comes to the clinic due to shoulder discomfort and
intermittent pain while swimming today. To assist normal range
of motion (ROM) of the client's shoulder, which assessment
techniques should the nurse ask the client to perform?
,D. Hold arms up at 90 degree while arms are pushed downward
Correct Answers Correct answer is D.
A client is being evaluated for environmental allergies. While
examining the client's nasal passage, which finding suggests to
the nurse that the client is experiencing allergic rhinitis?
D. Intranasal edema and swelling of turbinates. Correct
Answers Correct answer is D.
A client reports to the healthcare provider's office for a routine
post-surgical evaluation six weeks after a hysterectomy. Which
history-taking approach should the nurse use to gather the
needed information?
D. Collect information about the client's activities since surgery.
Correct Answers Correct answer is D.
A client states that he is legally blind. Which assessment
techniques should the nurse use to obtain data to support the
client's statement?
B. Assess the client's ability to read a Snellen chart from a
distance of 20 feet. Correct Answers correct answer B.
A client sustained a subconjunctival hemorrhage. The presence
of which set of symptoms indicate that the client needs to be
seen for further evaluation by an ophthalmologist?
D. Diminished ability to focus on close work and excessive
illumination required. Correct Answers Correct answer is D.
, Diminished ability to focus on close work could be a sign of
cranial nerve damage and could lead to reduced visual acuity,
due to a reduced ability of the lens in the eye to focus light on
the retina, results in images that appear blurry.
A client with streptococcus pharyngitis reports high fever,
difficulty swallowing and a muffled voice. Which complication
should the nurse suspect?
.
C. Peritonsillar abscess. Correct Answers Correct answer is C.
Since infections are associated with abscesses and pus.
A homeless male client with a history of alcohol abuse had a
cerebrovascular accident (CVA) 10 years ago that resulted in
left hemiparesis. Today he is complaining of pain in his left leg,
is afebrile, has 4+ pitting edema in the lower left leg, and
minimal swelling of the right leg. Which action should the nurse
implement first?
A. Inspect legs for infection of trauma. Correct Answers
Correct answer is A. Since it is a single leg, the nurse has to rule
out any trauma of infection especially the left side for the patient
is awakened.
A male client arrives at the clinic for follow-up health
assessment after recent antibiotic treatment for pneumonia
without hospitalization. Which technique should the nurse
implement to assess for adventitious lung sounds?
C. Press the stethoscope's diaphragm firmly on the skin over
each lung field. Correct Answers Correct answer is C. The
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