HESI Health Assessment Q&A Exam Bundle

steps in the nursing process Assessment Diagnosis Planning Implementation Evaluation (nursing process) Assessment - 1st step - COLLECT DATA - review of clinical record - interview - health history - physical exams - functional assessment - cultural and spiritual assessment - consu...

What is gamma globulin and when is it used? Gamma globulin, which is an immune globulin, contains most of the antibodies circulating in the blood. When injected into an individual, it prevents a specific antigen from entering a host cell. So the antigen is neutralized by the antibodies gamma g...

A tuning fork would be used to assess cranial nerve VIII (the acoustic nerve). Cheyne-Stokes Cheyne-Stokes respirations are rhythmic respirations with periods of apnea and can indicate a metabolic dysfunction in the cerebral hemisphere or basal ganglia The nurse is setting up the physical envi...

What is the ABC rule of prioritization? 1. Airway 2. Breathing 3. Circulation What is the Two-Point Discrimination Exam The nurse will touch two points and continue to make the distance between the two points smaller until the patient declares that they only feel 1 point. Where should the nu...

Each culture has its own healers who usually: a. speak at least two languages. b. own and operate specialty community clinics. c. cost less than traditional or biomedical providers. d. recommend folk practices that are dangerous c. cost less than traditional or biomedical providers While eval...

A family is concerned about their fathers recent memory loss, what do you do? Ask him to recall what he ate for breakfast An elderly woman has longitudinal ridges on her nailbeds, what is this likely indicative of? Expected variation An older adult reports gradual hearing loss over the past ye...

The nurse is performing a neurological assessment on a client and notes a positive Romberg's test. The nurse makes this determination based on which observation? An involuntary rhythmic, rapid, twitching of the eyeballs A dorsiflexion of the great toe with fanning of the other toes A significa...

While discussing the science of nursing, the nurse identifies the domain of nursing theory. Which linkages should the nurse provide to describe nursing's paradigm? A. The person, the environment or situation, and health B. Stress reduction, self-care, and a systems model C. Curative care, rest...

A patient is being assessed for range of joint movement. The nurse asks him to move his arm in toward the center of his body. This movement is called: adduction A patient tells the nurse that she is having a hard time bringing her hand to her mouth when she eats or tries to brush her teeth. The...

aneurysm visible, prominent pulsation or dialation diastole ventricular relaxation, ventricular filling from atria. erythema redness of skin murmur harsh, blowing sounds caused by disruption of blood flow myocardial ischemia oxygen needs heightened so heart has to work harder systole ventricula...

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 docu...

The registered nurse (RN) recognizes which client group is at the greatest risk for developing a urinary tract infection (UTI)? (Rank from highest risk to lowest risk.) - School-aged females - Older males - Older females - Adolescent males 1. older females 2. school-aged females 3. older mal...

"My life is really out of balance." 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? Be open to people who are different Have a curiosity about people. Become culturally competen...

1. In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which statement is true regarding note-taking? A) Note-taking may impede the nurse's observation of the patient's nonverbal behaviors. B) Note-taking allows the patient to continue at his or he...