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HESI HEALTH ASSESSMENT TEST BANK EXAM QUESTIONS and ANSWERS
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HESI HEALTH ASSESSMENT TEST BANK EXAM QUESTIONS and ANSWERS
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HESI HEALTH ASSESSMENT TEST BANK EXAM 2024-2025 QUESTIONSand ANSWERS
While performing a physical assessment, the nurse is unable to palpate the client's pedal
pulses. Which action should the nurse take? - ANSWER--Doppler ultrasonic stethoscope
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? - ANSWER--Inspect legs for infection of trauma
The nurse is assessing a client for goiter and is unable to observe the thyroid gland. Which
action should the nurse take? - ANSWER--Ask the client to swallow while palpating along the
sides of the trachea
While completing an admission assessment for a client with gastrointestinal bleeding, the nurse
inspects the perineal area and anus. Which findings indicates a normal appearance of the anus?
- ANSWER--Increased pigmentation and coarse skin.
Which focused assessment technique should the nurse use for a client admitted with possible
dehydration? - ANSWER--Grasp skin fold of the posterior forearm
- ANSWER--Kyphosis, Atrophy, Contracture
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? - ANSWER--Hold arms up at 90 degree
while arms are pushed downward
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? - ANSWER--Collect information about the client's activities since surgery.
, In assessing a male client's level of consciousness, the nurse determines that the client does not
open his eyes spontaneously. What should the nurse do next? - ANSWER--Check the pupillary
response to light.
- ANSWER--Cover the client with a warmed blanket.
The nurse is obtaining a health history for a client during an annual physical examination. When
evaluating the client for menopausal symptoms, which finding indicates the client is
perimenopausal? - ANSWER--Drenching night sweats.
A client states that he is legally blind. Which assessment techniques should the nurse use to
obtain data to support the client's statement? - ANSWER--Assess the client's ability to read a
Snellen chart from a distance of 20 feet
Which question by the nurse is likely to elicit the most information regarding a client's use of
medications to treat a chronic cough? - ANSWER--What medications are you currently taking?
After a young adult woman describes feeling palpitations when she lies on her left side it is
most important for the nurse to auscultate heart sounds at which anatomical location? -
ANSWER--Apex of the heart at the left fifth intercostal space at the midclavicular line
While assessing the legs of a female client, the nurse observes leathery-looking skin. The client
reports aching tired legs that swell if she stands for long periods of time. To screen for venous
insufficiency, the nurse should ask the client if she has experienced which subject finding? -
ANSWER--Decreased pain when legs are elevated.
During an abdominal assessment, a client with a temperature of 103 F (39.4 C) experiences pain
and abruptly stops inhaling during deep palpation. Which prescription is most important for the
nurse to implement? - ANSWER--Nothing by mouth
After placing a client in a supine position, the nurse uses the diaphragm of the stethoscope to
auscultate bowel sounds and hears a loud, high pitched almost continuous gurgling in two
quadrants. What action should the nurse implement? - ANSWER--Auscultate the remaining two
quadrants.
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