BSN 246 HESI Health Assessment Comprehensive Resource To Help You Ace Exams Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!!

BSN 246 HESI Health Assessment Comprehensive Resource To Help You Ace Exams Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!! 1. The registered nurse (RN) is evaluating a client who presents with symptoms of viral gastroenteritis. Which assessment finding should the RN report to the healthcare provider? a) Dry mucous membranes and lips. b) Rebound abdominal tenderness over right lower quadrant. c) Dizziness when client ambulates from a sitting position. d) Poor skin turgor over client's wrist. B. RLQ rebound abdominal tenderness may be related to acute appendicitis and should be reported to the healthcare provider. 2. The registered nurse (RN) is administering haloperidol 0.5 mg IM PRN to a client for the first time. What side effects should the RN assess the client for during the initial dose? a) Bradykinesia. b) Dystonia. c) Somatization. d) Akathisia. B. Dystonia can be a sudden adverse reaction to this psychotropic medication which should be discontinued to resolve dystonia, and the healthcare provider notified immediately. 3. The registered nurse (RN) places an ice pack on a middle school student who comes to the school clinic complaining of a sprained ankle. Which therapeutic response should the RN anticipate? a) Reduced pain and minimized brusing. b) Lowering of body core temperature. c) Increased circulation around injury. d) Reabsorption of edema at injury. A. Cold applications produce a topical anesthetic effect to reduce pain as well as constricts blood vessels to minimize bruising. 4. The registered nurse (RN) is assisting the healthcare provider (HCP) with the removal of a chest tube. Which intervention has the highest priority and should be anticipated by the RN after the removal of the chest tube? a) Prepare the client for chest x-ray at the bedside. b) Review arterial blood gases after removal. c) Elevate the head of bed to 45 degrees. d) Assist with disassembling the drainage system A. A chest x-ray should be performed immediately after the removal of a chest tube to ensure lung expansion has been maintained after its removal. 5. An older client is admitted to the hospital with severe diarrhea. The registered nurse (RN) is completing an assessment and notes the client has dry mucous membranes and poor skin turgor. Which assessment data should the RN gather to determine if the client has a fluid volume deficit? a) Lower extremity edema. b) Orthostatic hypotension. c) Elevated blood pressure. d) Cheyne-Stokes respirations. B. Orthostatic hypotension can be a sign of fluid volume deficit in an older client who has experienced severe diarrhea 6. The registered nurse (RN) is teaching a client who is being discharged after treatment of tuberculosis (TB). Which cultural issues should the RN assess when preparing the client for discharge? (Select all that apply.) Select all that apply a) Native language. b) Education level. c) Type of lifestyle. d) Financial resources. e) Previous medical history. A. B. C. D. To ensure compliance the client's native language, education level, lifestyle, and financial resources should be considered when preparing the client's discharge instructions about the continuation of treatment for TB. 7. A male client is admitted after falling from his bed. The healthcare provider (HCP) tells the family that he has an incomplete fracture of the humerus. The family ask the RN what this means. Which type of fracture should the RN explain from these findings? a) Straight fracture line that is also a simple, closed fracture. b) Nondisplaced fracture line that wraps around the bone. c) A complete fracture that also punctures the skin. d) A fracture that bends or splinters part of the bone. D. An incomplete fracture occurs when part of the bone is splintered (broken) and it has not gone completely through the thickness of the bone 8. The registered nurse (RN) is caring for a client with acute pancreatitis and assesses the admission laboratory results. What laboratory value should the RN anticipate being elevated with this diagnosis? a) Triglycerides. b) Amylase. c) Creatinine. d) Uric acid. B. An elevated amylase level is associated with acute pancreatitis. 9. Twenty four hours after a client returns from surgical gastric bypass, the registered nurse (RN) observes large amounts of blood in the nasogastric tube (NGT) cannister. Which assessment finding should the RN report as early signs of hypovolemic shock? a) Faint pedal pulses. b) Decrease in blood pressure. c) Lethargy. d) Slow breathing. C. One of the early signs of hypovolemic shock is changes in the client's level of consciousness due to the decrease perfusion to the brain which can manifests as lethargy or confusion. 10. 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? Select all that apply a) Face the client so the client can see the RN's mouth. b) Increase one's speech volume when interacting with the client. c) Repeat information to the client if misunderstood. d) Check if the client's hearing aides are working properly. e) Reduce environmental noise surrounding the client. A, D, E. A client with hearing loss can develop the ability to read "lips," so facing the client during conversation allows visualization of the lips and directs the sound towards the client. Inspection of the hearing aide device's functionality is a vital step in communication. Hearing aides magnify all surrounding noise, so it is imperative to reduce outside environmental noise during the interview process. Speaking clearly with enunciation and in a regular tone is easier for a client to understand than increasing the volume of speech. If a client shows signs of confusion, rephrasing the question, instead of repeating, should be done to decrease client anxiety and facilitate understanding.