Health Assessment- HESI REVIEW

1. The nurse is assessing the jugular pulse of a patient. Which jugular pulse component reflects ventricular contraction? a. A wave b. C wave c. V wave d. X wave 2. The nurse is caring for a patient with peripheral vascular disorder. Whatshould the nurse monitor in this patient frequently? Select all that apply. a. Intensity of abdominal pain b. c. d. Thyroid stimulating hormone levels e. Presence of canker sores in mouth 3. Which intervention does the nurse perform while examining the axillae of a patient? a. Assist the patient to a supine position b. Palpate the axillae with both hands c. Raise the patients arm over the head d. Move the arm through the range of motion 4. During the assessment of a pregnant patient the nurse observes that the patient has slumped posture and a flat, expressionless face. On reviewing the medical history, the nurse finds that the patient has missed several regular checkups. Which problem is this patient at highest risk for developing? a. Preeclampsia b. Postpartum depression c. Hyperemesis gravidarum d. Carpal tunnel syndrome 5. The health care provider has instructed the nurse to start ambulation for a bedridden patient. What should be the first step while helping the patient to ambulate? a. Assisting the patient into the sitting position b. Asking the patient to stand up independently c. Checking if the patient needs any assistance while standing up d. Ensuring that the patient is on a sequential compression lower limb device 6. A patient reports, “I have difficulty breathing, and so I can’t sleep at night.” How should the nurse record the patient’s reason for seeking care? a. “Dyspnea and insomnia” b. “The patient has dyspnea and insomnia” c. “Difficulty in breathing and sleepless nights” d. “The patient has difficulty breathing and is sleepless