BSN 246 HESI Health Assessment Exam V2 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 Exam V2 Comprehensive Resource To Help You Ace Exams Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!! 1. A homeless male client with a history of alcohol abuse had a cerebrovascular accident (CVA) 10 years ago that resulted in left hemiparesis. Today he is complaining of pain in his left leg, is afebrile, has 4+ pitting edema in the lower left leg, and minimal swelling of the right leg. Which action should the nurse implement first? A. Inspect legs for infection or trauma. B. Measure capillary refill time. C. Palpate for bilateral femoral pulses. D. Assess for signs of muscle atrophy. - Correct Answer: A. Inspect legs for infection of trauma. 2. The nurse is assessing a client for goiter and is unable to observe the thyroid gland. Which action should the nurse take? A. Ask the client to swallow while palpating along the sides of the trachea. B. Measure the client's neck circumference. C. Auscultate for bruits using the bell of the stethoscope. D. Inspect the neck for any visible masses or asymmetry. - Correct Answer: A. Ask the client to swallow while palpating along the sides of the trachea 3. While completing an admission assessment for a client with gastrointestinal bleeding, the nurse inspects the perineal area and anus. Which findings indicates a normal appearance of the anus? A. Smooth, even skin tone and texture. B. Pale skin with cool temperature. C. Flushed skin and moist texture. D. Increased pigmentation and coarse skin. - Correct Answer: D. Increased pigmentation and coarse skin. 4. Which focused assessment technique should the nurse use for a client admitted with possible dehydration? A. Grasp skin fold of the posterior forearm. B. Measure the circumference of the upper arm. C. Assess skin turgor on the neck. D. Palpate for edema on the forearm. - Correct Answer: A. Grasp skin fold of the posterior forearm. 5. The nurse begins a client's musculoskeletal assessment. While using the technique of inspection, the nurse assesses for which possible findings? (Select all that apply) A. Kyphosis. B. Scoliosis. C. Atrophy. D. Contracture. E. Lordosis. - Correct Answer: A. Kyphosis. C. Atrophy. D. Contracture. 6. A client comes to the clinic due to shoulder discomfort and intermittent pain while swim ming today. To assist normal range of motion (ROM) of the client's shoulder, which assessment techniques should the nurse ask the client to perform? A. Hold arms up at 90 degrees while arms are pushed downward. B. Place arms at the sides and then lift them overhead. C. Flex the arms at the elbows and rotate the shoulders. D. Extend arms forward while resisting downward pressure. - Correct Answer: A. Hold arms up at 90 degree while arms are pushed downward. 7. A client reports to the healthcare provider's office for a routine post-surgical evaluation six weeks after a hysterectomy. Which history-taking approach should the nurse use to gather the needed information? A. Assess the client's pain level and response to pain management. B. Monitor vital signs and check for signs of infection. C. Collect information about the client's activities since surgery. D. Evaluate the incision site for signs of healing or complications. - Correct Answer: C. Collect information about the client's activities since surgery. 8. In assessing a male client's level of consciousness, the nurse determines that the client do es not open his eyes spontaneously. What should the nurse do next? A. Observe for eye opening to a painful stimulus. B. Assess for verbal response to questions. C. Check for motor response to commands. D. Measure pupillary reaction to light. - Correct Answer: A. Observe for eye opening to a painful stimulus. 9. In assessing a client's sensory nerve function, the nurse prepares to assess the client's response to temperature. What action should the nurse include during this assessment? A. Cover the client with a warmed blanket. B. Increase the room temperature. C. Administer antipyretic medication. D. Offer the client warm fluids to drink. - Correct Answer: A. Cover the client with a warmed blanket. 10. The nurse is obtaining a health history for a client during an annual physical examination. When evaluating the client for menopausal symptoms, which finding indicates the client is perimenopausal? A. Loss of appetite. B. Drenching night sweats. C. Unexplained weight gain. D. Persistent dry cough. - Correct Answer: B. Drenching night sweats.