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Exam (elaborations)

HESI Adaptive Exam Latest Updated 2024

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HESI Adaptive Exam Latest Updated 2024 Which action performed by the nursing student during the chest examination of a client needs correction? - ANSWER-Placing the stethoscope over bony prominences During chest examination in a healthy client, the APN percusses and hears a low-pitched sound...

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  • September 6, 2024
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HESI Adaptive Exam Latest Updated 2024


Which action performed by the nursing student during the chest examination of a client needs
correction? - ANSWER-Placing the stethoscope over bony prominences



During chest examination in a healthy client, the APN percusses and hears a low-pitched sound over the
lungs. Which sound should the nurse document in the medical record? - ANSWER-Resonance



The nurse places a pulse oximetry probe on the finger and toe of a client with a respiratory disorder to
determine the oxygen saturation of hemoglobin (SpO2). Which other parameter can be determined
using this technique? - ANSWER-Arterial oxygen saturation



The nurse finds that a client with a urinary disorder has very pale-yellow-colored urine. What is the
significance of this abnormal finding? - ANSWER-It indicates dilute urine.



What should the nurse do when the defining characteristics of assessment data for a client can apply to
more than one diagnosis? Select all that apply. - ANSWER-1) gather more information

2) identify related factors

3) review all defining characteristics



The nurse is assessing a client following abdominal surgery. Which assessment findings should the nurse
use to form a data cluster? Select all that apply. - ANSWER-1) the patient reports pain with movement

2) the patient has pain over the surgical area

3) the client rates the pain as 8 on the scale



Which related factor is appropriate for a nursing diagnosis? - ANSWER-Trauma of incision

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