HESI Health Assessment Nightingale College Fall 2
p4 p4 p4 p4 p4 p4
022
1. A 29 Study
year
p4
onlineold
at https://quizlet.com/_cc81hb
male client informs the nurse that he came to the clinic to s
p4
p4
p4
p4 p4
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
ee if, "Maybe I have lung cancer or something," and wants to get checked
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
out since, "I can't seem to get rid of this body-
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
wracking dry cough that has been hanging around for the last six weeks."
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
Which computer documentation of this client's concerns should the nurse enter?:
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p
4 Describe having a "body-wracking dry cough" of 6 weeks duration.
p4 p4 p4 p4 p4 p4 p4 p4 p4
2. A 75-year-
p4
old client with a recent history of a cerebrovascular accident (CVA) presents
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p
4with right hemiparesis. The nurse tests the deep tendon reflexes
p4 p4 p4 p4 p4 p4 p4 p4 p4
on the right side and elicits a brisk 4+ response. Which interpretation of
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p
his finding is accurate?: Hyperactive response consistent with an upper motor neuron disorder.
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
3. The nurse examines a client's abdomen. Which finding indicates an abn
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
ormal response when palpating the spleen?: Firm mass palpated at bottom of left rib cage.
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
4. In auscultating for the presence of a carotid artery bruit, the n laces the
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
urse p bell of the stethoscope at which location?: Place bell of stethoscope ov rtery
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
er carotid a
p4 p4
5. A male client arrives at the clinic for follow-
p4 p4 p4 p4 p4 p4 p4 p4
up health assessment after recent antibiotic treatment for pneumonia wit
p4 p4 p4 p4 p4 p4 p4 p4 p4
hout hospitalization. Which technique should the nurse implement to asses
p4 p4 p4 p 4 p4 p4 p4 p4 p4
s for adventitious lung sounds?: Press the stethoscope's diaphragm firmly on the skin over ea
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
ch lung field.
p4 p4
6. A client with streptococcus pharyngitis reports high fever, difficulty swall
p4 p4 p4 p4 p4 p4 p4 p4 p4
ow-
p4ing and a muffled voice. Which complication should the nurse suspect?: Perit
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
on- sillar abscess.
p4 p4
7. The nurse is obtaining a health history for a client prior to a schedul
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
ed cholecystectomy. While interviewing the client, which assessment tech
p4 p4 p4 p4 p4 p4 p4 p4
nique should the nurse use when asking about the client's use of ille
p 4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
gal drugs and alcohol?: Ask specifically about alcohol, marijuana, cocaine, heroin, and amounts.
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
1
p4/p4
13
, HESI Health Assessment Nightingale College Fall 2
p4 p4 p4 p4 p4 p4
022
8. The Study
nurseonline applies
p4 p4 p4
p4 pressure over an area of the lower abdomen where
at https://quizlet.com/_cc81hb
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p
4the client reports pain. The client denies pain upon palpation, but reports
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
p4 pain when the pressure is released. What action should the nurse implemen
p 4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
t?: Notify the healthcare provider of the rebound tenderness.
p4 p 4 p4 p4 p4 p4 p4 p4
2
p4/p4
13
p4 p4 p4 p4 p4 p4
022
1. A 29 Study
year
p4
onlineold
at https://quizlet.com/_cc81hb
male client informs the nurse that he came to the clinic to s
p4
p4
p4
p4 p4
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
ee if, "Maybe I have lung cancer or something," and wants to get checked
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
out since, "I can't seem to get rid of this body-
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
wracking dry cough that has been hanging around for the last six weeks."
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
Which computer documentation of this client's concerns should the nurse enter?:
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p
4 Describe having a "body-wracking dry cough" of 6 weeks duration.
p4 p4 p4 p4 p4 p4 p4 p4 p4
2. A 75-year-
p4
old client with a recent history of a cerebrovascular accident (CVA) presents
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p
4with right hemiparesis. The nurse tests the deep tendon reflexes
p4 p4 p4 p4 p4 p4 p4 p4 p4
on the right side and elicits a brisk 4+ response. Which interpretation of
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p
his finding is accurate?: Hyperactive response consistent with an upper motor neuron disorder.
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
3. The nurse examines a client's abdomen. Which finding indicates an abn
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
ormal response when palpating the spleen?: Firm mass palpated at bottom of left rib cage.
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
4. In auscultating for the presence of a carotid artery bruit, the n laces the
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
urse p bell of the stethoscope at which location?: Place bell of stethoscope ov rtery
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
er carotid a
p4 p4
5. A male client arrives at the clinic for follow-
p4 p4 p4 p4 p4 p4 p4 p4
up health assessment after recent antibiotic treatment for pneumonia wit
p4 p4 p4 p4 p4 p4 p4 p4 p4
hout hospitalization. Which technique should the nurse implement to asses
p4 p4 p4 p 4 p4 p4 p4 p4 p4
s for adventitious lung sounds?: Press the stethoscope's diaphragm firmly on the skin over ea
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
ch lung field.
p4 p4
6. A client with streptococcus pharyngitis reports high fever, difficulty swall
p4 p4 p4 p4 p4 p4 p4 p4 p4
ow-
p4ing and a muffled voice. Which complication should the nurse suspect?: Perit
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
on- sillar abscess.
p4 p4
7. The nurse is obtaining a health history for a client prior to a schedul
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
ed cholecystectomy. While interviewing the client, which assessment tech
p4 p4 p4 p4 p4 p4 p4 p4
nique should the nurse use when asking about the client's use of ille
p 4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
gal drugs and alcohol?: Ask specifically about alcohol, marijuana, cocaine, heroin, and amounts.
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
1
p4/p4
13
, HESI Health Assessment Nightingale College Fall 2
p4 p4 p4 p4 p4 p4
022
8. The Study
nurseonline applies
p4 p4 p4
p4 pressure over an area of the lower abdomen where
at https://quizlet.com/_cc81hb
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p
4the client reports pain. The client denies pain upon palpation, but reports
p4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
p4 pain when the pressure is released. What action should the nurse implemen
p 4 p4 p4 p4 p4 p4 p4 p4 p4 p4 p4
t?: Notify the healthcare provider of the rebound tenderness.
p4 p 4 p4 p4 p4 p4 p4 p4
2
p4/p4
13