NursingHero® Health and Physical Assessment HESI REVIEW (69 Questions with important points)EXAM REAL EXAM 70 QUESTINS AND CORRECT ANSWERS|AGRADE Question1: A 29year old male clientinformsthenursethathe cametothe clinicto see if,“Maybe Ihave lu
NursingHero® Health and Physical Assessment HESI REVIEW (69 Questions with important points)EXAM REAL EXAM 70 QUESTINS AND CORRECT ANSWERS|AGRADE Question1: A 29year old male clientinformsthenursethathe cametothe clinicto see if,“Maybe Ihave lungcancerorsomething,”andwantstogetcheckedoutsince,“Ican’tseemtogetridofthis body-wracking dry cough that has been hanging around for the last six weeks.” Which computerdocumentationofthisclient’sconcernsshouldthenurseenter? A.Presentswithahackingnon-productivecoughof6weeksduration. B.Describehavinga“body-wrackingdrycough”of6weeksduration. C.Expressesconcernof“lungcancer”symptomsforlast6weeks. D.Youngadultmalepresentswithfearsthathehas“lungcancer” CorrectanswerisB,asassessmentprocessincludeschiefcomplaintwhichishowthepatient describewhyheishereinthehospitalorclinicandcan’tincludediagnosis. Question2: A 75-year-old client with a recent history of a cerebrovascular accident (CVA) presents with righthemiparesis.Thenurseteststhedeeptendonreflexesontherightsideandelicitsabrisk 4+ response. Which interpretation of this finding is accurate? A.Anormalreflexresponse. B.Absentorsluggishresponseconsistentwithalowermotorneuronlesion. C.Flaccidparaysis. D.Hyperactiveresponseconsistentwithanuppermotorneurondisorder. CorrectanswerisD,brisk4+responseiscorrelatedwithhyperactiveresponse. Question3: Thenurseexaminesaclient’sabdomen.Whichfindingindicatesanabnormalresponsewhen palpatingthespleen? A.PainnoteswhenpalpatingMcBurney’spoint. B.Tipofspleenpalpablewhenclientisaskedtoforcefullyexhale. C.Reboundtendernesswithcompressionoverrightupperquadrant. D.Firmmasspalpatedatbottomofleftribcage. CorrectanswerisD.McBurney’spointisrelatedtoappendicitisandnot speen.
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