HESI Health Assessment Nightingale College Fall 2023 Questions With Complete Solutions

A 29 year old male client informs the nurse that he came to the clinic to see if, "Maybe I have lung cancer or something," and wants to get checked out since, "I can't seem to get rid of this body-wracking dry cough that has been hanging around for the last six weeks." Which computer documentation of this client's concerns should the nurse enter? correct answer: Describe having a "body-wracking dry cough" of 6 weeks duration. A 75-year-old client with a recent history of a cerebrovascular accident (CVA) presents with right hemiparesis. The nurse tests the deep tendon reflexes on the right side and elicits a brisk 4+ response. Which interpretation of this finding is accurate? correct answer: Hyperactive response consistent with an upper motor neuron disorder. The nurse examines a client's abdomen. Which finding indicates an abnormal response when palpating the spleen? correct answer: Firm mass palpated at bottom of left rib cage. In auscultating for the presence of a carotid artery bruit, the nurse places the bell of the stethoscope at which location? correct answer: Place bell of stethoscope over carotid artery A male client arrives at the clinic for follow-up health assessment after recent antibiotic treatment for pneumonia without hospitalization. Which technique should the nurse implement to assess for adventitious lung sounds? correct answer: Press the stethoscope's diaphragm firmly on the skin over each lung field. A client with streptococcus pharyngitis reports high fever, difficulty swallowing and a muffled voice. Which complication should the nurse suspect? correct answer: Peritonsillar abscess. The nurse is obtaining a health history for a client prior to a scheduled cholecystectomy. While interviewing the client, which assessment technique should the nurse use when asking about the client's use of illegal drugs and alcohol? correct answer: Ask specifically about alcohol, marijuana, cocaine, heroin, and amounts. The nurse applies pressure over an area of the lower abdomen where the client reports pain. The client denies pain upon palpation, but reports pain when the pressure is released. What action should the nurse implement? correct answer: Notify the healthcare provider of the rebound tenderness. The nurse is assessing an ulcer on a client's lower extremity, which is likely the result of either venous or arterial insufficiency. Which assessment technique should the nurse use to differentiate the pathophysiology causing the