ADVANCED HEALTH ASSESSMENT HESI RN QUESTIONS AND ANSWERS UPDATED VERSION LATEST GUARANTEED PASS HEALTH ASSESSMENT HESI RN

ADVANCED HEALTH ASSESSMENT HESI RN QUESTIONS AND ANSWERS UPDATED VERSION LATEST GUARANTEED PASS HEALTH ASSESSMENT HESI RN The nurse is assessing a client with liver disease who is jaundiced and exhibits scleral edema. During the health assessment, the nurse should implement which technique to determine evidence of hepatomegaly? A. Tap the liver's boundaries lightly with a percussion hammer to produce a sound. B. Push gently using fingers of both hands to determine the boundaries of the liver. C. Use a bouncing motion to tap the middle finger placed within boundaries of the liver. D. Cup hands and clap with alternating contact with the skin over regions of the liver. - Correct Answer-C. Use a bouncing motion to tap the middle finger placed within boundaries of the liver. When assessing facial nerve function of a 96-year-old, the nurse asks the client to smile in an exaggerated manner. Which finding is most important for the nurse to further assess? A. Only one side of the mouth moves when smiling. B. The client's teeth have a yellowed appearance. C. The client smiles broadly but appears anxious. D. The client asks the nurse to repeat the directions. - Correct Answer-A. Only one side of the mouth moves when smiling. A male executive is seen in the primary care clinic for a physical examination. While obtaining the client's health history, the nurse inquires about his drug and 2 | P a g e alcohol use. The executive denies drug use, but reports that he has "two glasses of wine" per night. Which response is best for the nurse to provide? A. "Your alcohol intake should be reduced by 8 ounces daily." B. "Does your use of alcohol concern any of your family members?" C. "What effect do you think your use of alcohol may have on you?" D. "The amount of alcohol you are drinking concerns me." - Correct Answer-C. "What effect do you think your use of alcohol may have on you?" When performing range of motion exercises on the joints of an older adult client, the nurse notes that joint range is greater with passive ranging than with active ranging. A goniometer indicates that this difference is as much as 15% in some joints. How should this finding be documented? A. Normal B. Expected in older adults C. Minor deviation D. Abnormal - Correct Answer-D. Abnormal During an external examination of the eyes, the nurse gently palpates the eyes while the client's eyelids are closed. The eyes are both very firm and resist movement back into the orbit. How should the nurse document this finding? A. Abnormal finding B. Expected finding C. Normal variation D. Sign of aging - Correct Answer-A. Abnormal finding The nurse enters an examination room to conduct a routine health assessment on an adolescent female client, who is accompanied by her mother. Which action by the nurse is likely to facilitate accurate responses to personal and social history questions? A. Include the mother in the interviewing process. B. Request that the mother leave the exam room C. Allow the client to broach discussion of any sensitive topics. 3 | P a g e D. Use highly structured and directed questions to explore sensitive topics. - Correct Answer-B. Request that the mother leave the exam room While performing a mental status exam, the nurse asks a client to remember three unrelated words and repeat them later. The client was able to repeat the words as directed. Which computer documentation is accurate? A. "Exhibits an above average intelligence." B. "Reflects no apparent lapses in concentration." C. "Demonstrates appropriate judgement in everyday scenario." D. "Short-term memory is intact." - Correct Answer-D. "Short-term memory is intact A client is reporting chest pain. What statement made by the client helps the nurse to understand the client has a naturalistic belief in the cause of illness? A. "My life is really out of balance." B. "I knew I should have changed my diet." C. "I should have gone to church last week." D. "I forgot to take my medicines last night." - Correct Answer-A. "My life is really out of balance." A nurse is working in a healthcare facility that serves a diverse population. What action(s) by the nurse will allow the nurse to empathize with and understand this population? (Select all that apply.) A. Be open to people who are different. B. Have a curiosity about people. C. Become culturally competent. D. Interact with each person in the same way. E. Request nurses take care of patients with the same ethnicity. F. Always request an interpreter for people from other countries. - Correct Answer-A. Be open to people who are different. B. Have a curiosity about people. C. Become culturally competent.