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Exam (elaborations)

BSN 246 HESI HEALTH ASSESSMENT V1 |100% CORRECT| GRADE A

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BSN 246 HESI HEALTH ASSESSMENT V1 |100% CORRECT| GRADE A











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Uploaded on
March 20, 2025
Number of pages
27
Written in
2024/2025
Type
Exam (elaborations)
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The nurse is testing the client's shoulders for range of motion. What should the nurse
document to record normal internal rotation?


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Range of 90 degrees when the hands are placed at the small of the back.

,During a skin asssessment, the nurse notes, round and discrete lesions that are dark
red in color and will not blanch. The lesions range from 1 to 3 mm in size. What is the
first question the nurse should ask the client?


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Have you notice any irregular bleeding




The nurse is conducting a family history as part of the assessment interview. Which
action should the nurse take to ensure that sufficient information about the client's
blood relatives is obtained?


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Document at least 3 generations of the client's family medical history.




The nurse is assessing a healthy young adult during an annual physical examination.
Which assessment technique should the nurse implement when palpating the
abdominal aorta?


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Deep palpation above and to the left of the umbilicus.




The client reports to the nurse a recent exposure to the mumps. Which assessment
finding suggests the client has contracted the mumps?


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, Swelling anterior to the ear lobe on one side of the face




The client is experiencing severe pruritus and small papules and burrows on areas
over one hand and the inner thighs. Which assessment data best explains the
condition the client is experiencing?


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The client works in a daycare setting that has had a scabies outbreak.




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 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?


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"What effect do you think your use of alcohol may have on you?"




A client has come to the clinic for a routine health assessment. What is the best
assessment question for the nurse to ask a client after observing tophi on the client's
ear cartilage?


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Have you had sudden and severe pain in the toes or feet?

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