HESI Health Assessment V1 and V2 Exam Review Latest Update 2023/2024
2 views 0 purchase
Course
Health Assessment
Institution
Health Assessment
HESI Health Assessment V1 and V2 Exam Review Latest Update 2023/2024
The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Which finding should be expected for this client?
Barrel chest
The nurse is assessing bowel sounds for a hospita...
hesi health assessment v1 and v2 exam review lates
Written for
Health Assessment
All documents for this subject (1098)
Seller
Follow
ACADEMICAIDSTORE
Reviews received
Content preview
HESI Health Assessment V1 and V2 Exam
Review Latest Update 2023/2024
The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of
the lungs. Which finding should be expected for this client?
Barrel chest
The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in the
right upper quadrant. What action should the nurse take next?
Note the character and frequency of bowel sounds
During inspection of a client's mouth and pharynx, the nurse places a tongue blade on the back of the
tongue which causes the client to gag. After removing the tongue blade, what action should the nurse
take?
Document an intact gag reflex.
When teaching a client how to perform a monthly breast self-assessment, the nurse should tell the
client that it is most important to assess which part of the breast more closely for changes?
Upper outer quadrant.
The nurse is assessing a postmenopausal client who has a BMI of 32. The client has a chest
measurement of 42 inches, waist measurement of 45 inches, and hip measurement of 50 inches.
What important message should the nurse explain to the client to promote health promotion?
A waist circumference is greater than 35 inches in women puts you at higher risk for type 2 diabetes
and heart disease."
The nurse performs a physical assessment on an older female client. Which change from the prior
exam may be an indication of osteoporosis?
Height reduction of 1.5 inches.
While conducting an interview to obtain a health history, the nurse notices that the client pauses
frequently and looks at the nurse expectantly. Which response is best for the nurse to provide?
Sit quietly to allow the client to respond comfortably.
A client is in the clinical for a yearly physical examination. Which action should the nurse take when
preparing to examine the client's abdomen?
Ask the client to urinate before beginning the examination.
Which respiratory condition should the nurse document after measuring a respiratory rate of 8
breaths/minute?
Bradypnea.
Which procedure should the nurse use to assessfor a pulse deficit?
Measure the apical pulse and compare it to the peripheral pulse.
*A pulse deficit is a palpable difference between the apical pulse at the point of maximal impulse and
the radial pulse palpated at the wrist.
, A client has been diagnosed with bilateral lower lobe atelectasis. What percussion sound should the
nurse expect to hear when percussing over the client's lower lobes?
Dull, thud-like.
A client is being assessed upon admission to the medical-surgical unit. The nurse is preparing to
complete a head-to-toe assessment and will begin at the head of the client. Which technique should
the nurse use to begin the assessment?
Inspect the hair and skin.
The nurse is assessing a healthy young adult during an annual physical examination. Which
assessment technique should the nurse implement when palpating the abdominal aorta?
Deep palpation above and to the left of the umbilicus.
The nurse is conducting a family history as part of the assessment interview. Which action should the
nurse take to ensure that sufficient information about the client's blood relatives is obtained?
Document at least 3 generations of the client's family medical history.
The nurse is testing the client's shoulders for range of motion. What should the nurse document to
record normal internal rotation?
Range of 90 degrees when the hands are placed at the small of the back.
A client presents with a rash along the occipital area of the hairline and reports intense itching. How
should the nurse begin the objective part of the examination?
Inspect the scalp looking for nits.
The nurse is assessing a client's range of motion as the client bends the right knee up to the chest
while keeping the left leg straight, but is unable to keep the left thigh on the table. The assessment is
repeated for the left knee, and the client is unable to keep the right thigh on the table. How should
the nurse document this finding?
A flexion deformity referred to as a positive Thomas test.
During a skin asssessment, the nurse notes, round and discrete lesions that are dark red in color and
will not blanch. The lesions range from 1 to 3 mm in size. What is the first question the nurse should
ask the client?
Have you notice any irregular bleeding
A client with progressive hearing loss appears distressed when the registered nurse (RN) asks open-
ended questions about the client's health history. Which forms of communication should the RN use?
Face the client so the client can see the RN's mouth.
Check if the client's hearing aides are working properly.
Reduce environmental noise surrounding the client.
A client states that she had a mastectomy of her left breast last year and now experiences
lymphedema. What should the nurse expect to find when examining the client?
Swelling of the left arm and non-pitting edema.
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 ACADEMICAIDSTORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
