HESI RN HEALTH ASSESSMENT
QUESTIONS AND ANSWERS
Asclientsissreportingschestspain.sWhatsstatementsmadesbysthesclientshelpssthesnursestosunde
rstandsthesclientshassasnaturalisticsbeliefsinsthescausesofsillness?
A.s"Myslifesissreallysoutsofsbalance."
B.s"IsknewsIsshouldshaveschangedsmysdiet."
C.s"Isshouldshavesgonestoschurchslastsweek."
D.s"Isforgotstostakesmysmedicinesslastsnight."s-sans--A.s"Myslifesissreallysoutsofsbalance."
Asnursesissworkingsinsashealthcaresfacilitysthatsservessasdiversespopulation.sWhatsaction(s)s
bysthesnurseswillsallowsthesnursestosempathizeswithsandsunderstandsthisspopulation?s(Selec
tsallsthatsapply.)
A.sBesopenstospeopleswhosaresdifferent.
B.sHavesascuriositysaboutspeople.
C.sBecomesculturallyscompetent.
D.sInteractswithseachspersonsinsthessamesway.
E.sRequestsnursesstakescaresofspatientsswithsthessamesethnicity.
F.sAlwayssrequestsansinterpretersforspeoplesfromsotherscountries.s-sans--
A.sBesopenstospeopleswhosaresdifferent.
B.sHavesascuriositysaboutspeople.
C.sBecomesculturallyscompetent.
Whichsstatementsissaccuratesaboutsassessingsthesspleen?
A.sItsmustsbesenlargedsatsleaststhreestimessnormalssizesforsitstosbespalpable
B.sItsisseasilysfeltsbysreachingsthesleftshandsbehindsthes11thsands12thsribs.
C.sItsissnormallysfeltsbysrollingsthesclientsonsthesrightssidesandspalpating.s
D.sItsissasfirmsmassspalpatedsslightlysleftsofsmidlinesinsthesuppersabdomen.s-sans--
A.sItsmustsbesenlargedsatsleaststhreestimessnormalssizesforsitstosbespalpable
Whatsissthesbestsplacesforsthesnursestoshearslowerslobeslungssoundsswithsasstethoscope?
A.sPosteriorschestsbelowsthes3rdsintercostalsspace
B.sPosterior-axillaryslinesatsthes4thsintercostalsspace
C.sAnteriorschestsatstheslevelsofsthes4thsintercostalsspace.
D.sAnterior-axillaryslinesatsthes5thsintercostalsspace.s-sans--
A.sPosteriorschestsbelowsthes3rdsintercostalsspace
Thesnursesissassessingsasclientswhoshassashistorysofsmitralsstenosis.sHowsshouldsthesnurses
assesssthissclientswithsasstethoscopestoslistensforsthisscondition?
, A.sPlacesthesbellsonsthes5thsintercostalsspace,sleftsmidclavicularsline.
B.sPlacesthesbellsonsthes2ndsintercostalsspace,sleftsmidclavicularsline.
C.sPutsthesdiaphragmsonsthes5thsintercostalsspace,sleftssternalsborder.
D.sPutsthesdiaphragmsonsthes2ndsintercostalsspace,sleftssternalsborder.s-sans--
A.sPlacesthesbellsonsthes5thsintercostalsspace,sleftsmidclavicularsline.
Thesnursesissassessingsasclientswhoshassashistorysofsaorticsregurgitation.sWheresshouldsthes
nursesplacesthesstethoscopesdiaphragmstoslistensforsthisscondition?
A.s2ndsintercostalsspacesalongsthesrightssternalsborder
B.s2ndsintercostalsspacesalongsthesleftssternalsborder.
C.s3rdsintercostalsspacesonsthesrightsmidclavicularsline
D.s5thsintercostalsspacesonsthesleftsmidclavicularslines-sans--
A.s2ndsintercostalsspacesalongsthesrightssternalsborder
Thesclientsissexperiencingsseverespruritissandssmallspapulessandsburrowssonsareassoverson
eshandsandsthesinnersthighs.sWhichsassessmentsdatasbestsexplainssthesconditionsthesclients
issexperiencing?
A.sThesclientsworkssinsasdaycaressettingsthatshasshadsasscabiessoutbreak.
B.sThesclientshassbeensusingsaschemicalsstrippingsagentsforshomesremodeling.
C.sThesclientshassasfamilyshistorysofspsoriasissinsbothsparentssandsassibling.
D.sThesclientsroutinelysworksswithsclaysandspaintsassashobby.s-sans--
A.sThesclientsworkssinsasdaycaressettingsthatshasshadsasscabiessoutbreak.
Asclientscomesstosthesclinicswithsasreportsofsfeversandsasrecentsexposurestossomeoneswhosw
assdiagnosedswithsmeningitis.sWhichsnursingsassessmentsshouldsbescompletedsduringsthes
initialsexaminationsofsthissclient?
A.sLevelsofsconsciousness
B.sGaitscharacteristics
C.sPresencesofstrauma
D.sBladderscontrolsability.s-sans--A.sLevelsofsconsciousness
Asclientsreportssfeelingsincreasinglysfatiguedsforsseveralsmonths,sandsthesnursesobservesst
hatsthesclient'sslipssarespale.sWhichsadditionalsdatasshouldsthesnursescollectsbasedsonsthissp
resentation?
A.sCurrentsalcoholsandstobaccosuse
B.sAs24-hoursdietarysrecall
C.sUsesofsvitaminsandsironssupplements
D.sDailyspatternsofsoralshygienespracticess-sans--C.sUsesofsvitaminsandsironssupplements
QUESTIONS AND ANSWERS
Asclientsissreportingschestspain.sWhatsstatementsmadesbysthesclientshelpssthesnursestosunde
rstandsthesclientshassasnaturalisticsbeliefsinsthescausesofsillness?
A.s"Myslifesissreallysoutsofsbalance."
B.s"IsknewsIsshouldshaveschangedsmysdiet."
C.s"Isshouldshavesgonestoschurchslastsweek."
D.s"Isforgotstostakesmysmedicinesslastsnight."s-sans--A.s"Myslifesissreallysoutsofsbalance."
Asnursesissworkingsinsashealthcaresfacilitysthatsservessasdiversespopulation.sWhatsaction(s)s
bysthesnurseswillsallowsthesnursestosempathizeswithsandsunderstandsthisspopulation?s(Selec
tsallsthatsapply.)
A.sBesopenstospeopleswhosaresdifferent.
B.sHavesascuriositysaboutspeople.
C.sBecomesculturallyscompetent.
D.sInteractswithseachspersonsinsthessamesway.
E.sRequestsnursesstakescaresofspatientsswithsthessamesethnicity.
F.sAlwayssrequestsansinterpretersforspeoplesfromsotherscountries.s-sans--
A.sBesopenstospeopleswhosaresdifferent.
B.sHavesascuriositysaboutspeople.
C.sBecomesculturallyscompetent.
Whichsstatementsissaccuratesaboutsassessingsthesspleen?
A.sItsmustsbesenlargedsatsleaststhreestimessnormalssizesforsitstosbespalpable
B.sItsisseasilysfeltsbysreachingsthesleftshandsbehindsthes11thsands12thsribs.
C.sItsissnormallysfeltsbysrollingsthesclientsonsthesrightssidesandspalpating.s
D.sItsissasfirmsmassspalpatedsslightlysleftsofsmidlinesinsthesuppersabdomen.s-sans--
A.sItsmustsbesenlargedsatsleaststhreestimessnormalssizesforsitstosbespalpable
Whatsissthesbestsplacesforsthesnursestoshearslowerslobeslungssoundsswithsasstethoscope?
A.sPosteriorschestsbelowsthes3rdsintercostalsspace
B.sPosterior-axillaryslinesatsthes4thsintercostalsspace
C.sAnteriorschestsatstheslevelsofsthes4thsintercostalsspace.
D.sAnterior-axillaryslinesatsthes5thsintercostalsspace.s-sans--
A.sPosteriorschestsbelowsthes3rdsintercostalsspace
Thesnursesissassessingsasclientswhoshassashistorysofsmitralsstenosis.sHowsshouldsthesnurses
assesssthissclientswithsasstethoscopestoslistensforsthisscondition?
, A.sPlacesthesbellsonsthes5thsintercostalsspace,sleftsmidclavicularsline.
B.sPlacesthesbellsonsthes2ndsintercostalsspace,sleftsmidclavicularsline.
C.sPutsthesdiaphragmsonsthes5thsintercostalsspace,sleftssternalsborder.
D.sPutsthesdiaphragmsonsthes2ndsintercostalsspace,sleftssternalsborder.s-sans--
A.sPlacesthesbellsonsthes5thsintercostalsspace,sleftsmidclavicularsline.
Thesnursesissassessingsasclientswhoshassashistorysofsaorticsregurgitation.sWheresshouldsthes
nursesplacesthesstethoscopesdiaphragmstoslistensforsthisscondition?
A.s2ndsintercostalsspacesalongsthesrightssternalsborder
B.s2ndsintercostalsspacesalongsthesleftssternalsborder.
C.s3rdsintercostalsspacesonsthesrightsmidclavicularsline
D.s5thsintercostalsspacesonsthesleftsmidclavicularslines-sans--
A.s2ndsintercostalsspacesalongsthesrightssternalsborder
Thesclientsissexperiencingsseverespruritissandssmallspapulessandsburrowssonsareassoverson
eshandsandsthesinnersthighs.sWhichsassessmentsdatasbestsexplainssthesconditionsthesclients
issexperiencing?
A.sThesclientsworkssinsasdaycaressettingsthatshasshadsasscabiessoutbreak.
B.sThesclientshassbeensusingsaschemicalsstrippingsagentsforshomesremodeling.
C.sThesclientshassasfamilyshistorysofspsoriasissinsbothsparentssandsassibling.
D.sThesclientsroutinelysworksswithsclaysandspaintsassashobby.s-sans--
A.sThesclientsworkssinsasdaycaressettingsthatshasshadsasscabiessoutbreak.
Asclientscomesstosthesclinicswithsasreportsofsfeversandsasrecentsexposurestossomeoneswhosw
assdiagnosedswithsmeningitis.sWhichsnursingsassessmentsshouldsbescompletedsduringsthes
initialsexaminationsofsthissclient?
A.sLevelsofsconsciousness
B.sGaitscharacteristics
C.sPresencesofstrauma
D.sBladderscontrolsability.s-sans--A.sLevelsofsconsciousness
Asclientsreportssfeelingsincreasinglysfatiguedsforsseveralsmonths,sandsthesnursesobservesst
hatsthesclient'sslipssarespale.sWhichsadditionalsdatasshouldsthesnursescollectsbasedsonsthissp
resentation?
A.sCurrentsalcoholsandstobaccosuse
B.sAs24-hoursdietarysrecall
C.sUsesofsvitaminsandsironssupplements
D.sDailyspatternsofsoralshygienespracticess-sans--C.sUsesofsvitaminsandsironssupplements
