HESI RN PRACTICE TEST
1. A client comes to the clinic with a report of fever and a recent exposure
to someone who was diagnosed with meningitis. Which nursing assessment
should be completed during the initial examination of this client?
A) Level of consciousness.
B) Gait characteristics.
C) Presence of trauma.
D) Bladder control ability.
ANS : A) Level of consciousness
Initial symptoms of meningitis include headache, fatigue, stiff neck, and
changes in level of consciousness. It is necessary to determine if the
client is demonstrating signs of meningitis before planning immediate
care.
2. The nurse is assessing the posterior pharynx during a physical
examina- tion. Which technique should the nurse use?
A) Press the tongue down one side at a time with a tongue depressor.
,B) Ask the client to open the mouth and say "ah."
C) Listen for hoarseness after asking the client to speak.
D) Palpate the neck and ask the client to swallow.
ANS : A) Press the tongue down one side at a time with a tongue
depressor.
When assessing the posterior pharynx, a tongue depressor should be
used to press down one side of the tongue at a time to avoid
stimulating the gag reflex.
3. Which findings can the nurse determine by palpating a client's skin?
(Select all that apply.)
A) Pruritus.
B) Diaphoresis.
C) Pallor.
D) Jaundice.
E) Scaling.
ANS : B) Diaphoresis.
E) Scaling.
,Palpation, or touch, can provide information about skin texture,
including the pres- ence of scaling and skin moisture, including
diaphoresis, or perspiration. Pruritus, or itching, is a subjective finding
reported by the client, and pallor and jaundice describe skin color,
assessed through observation.
4. The nurse is completing a physical assessment of a client who feel
from a tree. The client's abdomen is soft with hyperactive bowel sounds in
all four quadrants. Which assessment technique should the nurse
implement when evaluating the client's spleen?
A) Elevate head of bed 30 degrees to percuss the spleen.
, B) Palpate the splenic borders before percussing.
C) Percuss the splenic area as the client takes a deep breath.
D) Place client in a Trendelenburg position to isolate the spleen.
ANS : C) Percuss the splenic area as the client takes a deep breath
If the spleen is enlarged due to an infection or trauma, tympany
changes are noted with dullness upon inspiration.
5. Which information should the nurse obtain to identify the client's self-
per- ception of health status?
A) Vital signs.
B) Health history.
C) Informed consent.
D) Genetic predisposition.
ANS : B) Health history.
A health history is a collection of subjective data. Obtaining a detailed
health history is a good way for the nurse to assess the client's
perception of current health status.
6. Which action should the registered nurse (RN) implement to complete
1. A client comes to the clinic with a report of fever and a recent exposure
to someone who was diagnosed with meningitis. Which nursing assessment
should be completed during the initial examination of this client?
A) Level of consciousness.
B) Gait characteristics.
C) Presence of trauma.
D) Bladder control ability.
ANS : A) Level of consciousness
Initial symptoms of meningitis include headache, fatigue, stiff neck, and
changes in level of consciousness. It is necessary to determine if the
client is demonstrating signs of meningitis before planning immediate
care.
2. The nurse is assessing the posterior pharynx during a physical
examina- tion. Which technique should the nurse use?
A) Press the tongue down one side at a time with a tongue depressor.
,B) Ask the client to open the mouth and say "ah."
C) Listen for hoarseness after asking the client to speak.
D) Palpate the neck and ask the client to swallow.
ANS : A) Press the tongue down one side at a time with a tongue
depressor.
When assessing the posterior pharynx, a tongue depressor should be
used to press down one side of the tongue at a time to avoid
stimulating the gag reflex.
3. Which findings can the nurse determine by palpating a client's skin?
(Select all that apply.)
A) Pruritus.
B) Diaphoresis.
C) Pallor.
D) Jaundice.
E) Scaling.
ANS : B) Diaphoresis.
E) Scaling.
,Palpation, or touch, can provide information about skin texture,
including the pres- ence of scaling and skin moisture, including
diaphoresis, or perspiration. Pruritus, or itching, is a subjective finding
reported by the client, and pallor and jaundice describe skin color,
assessed through observation.
4. The nurse is completing a physical assessment of a client who feel
from a tree. The client's abdomen is soft with hyperactive bowel sounds in
all four quadrants. Which assessment technique should the nurse
implement when evaluating the client's spleen?
A) Elevate head of bed 30 degrees to percuss the spleen.
, B) Palpate the splenic borders before percussing.
C) Percuss the splenic area as the client takes a deep breath.
D) Place client in a Trendelenburg position to isolate the spleen.
ANS : C) Percuss the splenic area as the client takes a deep breath
If the spleen is enlarged due to an infection or trauma, tympany
changes are noted with dullness upon inspiration.
5. Which information should the nurse obtain to identify the client's self-
per- ception of health status?
A) Vital signs.
B) Health history.
C) Informed consent.
D) Genetic predisposition.
ANS : B) Health history.
A health history is a collection of subjective data. Obtaining a detailed
health history is a good way for the nurse to assess the client's
perception of current health status.
6. Which action should the registered nurse (RN) implement to complete
