HESI
Health
Assessment
Exam
2
Questions
&
Answers
Verified
Answers
A+
Guaranteed!!
Objective.
-
ANSWER
During
the
interview
portio
of
the
health
assessment,
a
nurse
notes
the
person's
posture,
physical
appearance,
and
ability
to
converse.
How
should
the
nurse
document
these
findings?
A
round
smooth
mass
that
slides
between
the
fingers
-
ANSWER
As
a
part
of
a
routine
health
assessment,
the
nurse
assesses
the
kidneys
as
part
of
the
abdominal
assessment.
Which
assessment
finding
should
the
nurse
conclude
is
normal
when
palpating
the
client's
right
kidney?
Upper
outer
quadrant.
-
ANSWER
When
teaching
a
client
how
to
perform
a
monthly
breast
self-assessment,
the
nurse
should
tell
the
client
that
it
is
most
important
to
assess
which
part
of
the
breast
more
closely
for
changes?
Gland
is
not
palpable
-
ANSWER
The
nurse
is
completing
a
physical
exam
on
an
adult
client.
Which
thyroid
finding
is
considered
normal?
4th
intercostal
space,
right
midclavicular
line.
Correct
-
ANSWER
The
nurse
is
assessing
a
client's
middle
lung
lobe.
What
is
the
best
location
for
the
nurse
to
place
a
stethoscope
diaphragm
to
hear
normal
lung
sounds
in
this
lobe?
Document
a
normal
finding.
-
ANSWER
While
performing
a
head-to-toe
assessment,
the
nurse
assesses
the
client's
pupillary
accommodation.
During
the
second
portion
of
the
test,
the
nurse
notes
that
the
client's
pupils
constrict
and
there
is
convergence
of
the
axes
of
the
eyes.
What
action
should
the
nurse
implement
next?
A
consensual
response
in
the
opposite
eye.
-
ANSWER
The
nurse
is
performing
a
head-to-toe
assessment
on
a
client.
The
nurse
is
assessing
the
client's
pupillary
light reflex
by
first
darkening
the
room
and
asking
the
person
to
gaze
into
the
distance.
Then,
the
nurse
advances
a
light
toward
one
eye
from
the
client's
side.
What
would
the
nurse
expect
to
see
at
this
time?
Inspect
the
scalp
looking
for
nits
-
ANSWER
A
client
presents
with
a
rash
along
the
occipital
area
of
the
hairline
and
reports
intense
itching.
How
should
the
nurse
begin
the
objective
part
of
the
examination?
Have
you
had
sudden
and
severe
pain
in
the
toes
or
feet?
-
ANSWER
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?
Measure
bilateral
ankle
circumference
with
a
non-stretchable
tape
measure.
-
ANSWER
How
should
the
nurse
assess
for
lower
extremity
edema
in
a
client
who
has
been
diagnosed
with
heart
failure?
Seek
the
assistance
of
a
healthcare
team
member
who
speaks
the
client's
preferred
language.
-
ANSWER
The
nurse
is
conducting
an
interview
with
a
client
who
speaks
limited
English.
What
action
should
the
nurse
implement?
Ask
whether
the
client
has
been
in
a
foreign
country
recently.
-
ANSWER
A
client
reports
a
recent
onset
of
nausea
and
vomiting.
What
subjective
information
is
important
for
the
nurse
to
ascertain?
Document
at
least
3
generations
of
the
client's
family
medical
history.
Correct
-
ANSWER
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?
Verbal
descriptor
scale.
-
ANSWER
An
older
client
has
just
returned
to
the
room
following
a
surgical
procedure.
Which
pain
scale
should
the
nurse
use
when
assessing
the
client's
pain
level?
Dull
sound
percussed
over
bladder.
-
ANSWER
A
client
reports
lower
abdominal
pain
and
a
feeling
of
pressure
in
the
bladder.
Which
assessment
finding
indicates
acute
urinary
retention?
Nocturia.
-
ANSWER
Which
term
should
the
nurse
use
to
document
the
condition
of
a
client
who
reports
waking
up
frequently
during
the
night
to
urinate?
Health
Assessment
Exam
2
Questions
&
Answers
Verified
Answers
A+
Guaranteed!!
Objective.
-
ANSWER
During
the
interview
portio
of
the
health
assessment,
a
nurse
notes
the
person's
posture,
physical
appearance,
and
ability
to
converse.
How
should
the
nurse
document
these
findings?
A
round
smooth
mass
that
slides
between
the
fingers
-
ANSWER
As
a
part
of
a
routine
health
assessment,
the
nurse
assesses
the
kidneys
as
part
of
the
abdominal
assessment.
Which
assessment
finding
should
the
nurse
conclude
is
normal
when
palpating
the
client's
right
kidney?
Upper
outer
quadrant.
-
ANSWER
When
teaching
a
client
how
to
perform
a
monthly
breast
self-assessment,
the
nurse
should
tell
the
client
that
it
is
most
important
to
assess
which
part
of
the
breast
more
closely
for
changes?
Gland
is
not
palpable
-
ANSWER
The
nurse
is
completing
a
physical
exam
on
an
adult
client.
Which
thyroid
finding
is
considered
normal?
4th
intercostal
space,
right
midclavicular
line.
Correct
-
ANSWER
The
nurse
is
assessing
a
client's
middle
lung
lobe.
What
is
the
best
location
for
the
nurse
to
place
a
stethoscope
diaphragm
to
hear
normal
lung
sounds
in
this
lobe?
Document
a
normal
finding.
-
ANSWER
While
performing
a
head-to-toe
assessment,
the
nurse
assesses
the
client's
pupillary
accommodation.
During
the
second
portion
of
the
test,
the
nurse
notes
that
the
client's
pupils
constrict
and
there
is
convergence
of
the
axes
of
the
eyes.
What
action
should
the
nurse
implement
next?
A
consensual
response
in
the
opposite
eye.
-
ANSWER
The
nurse
is
performing
a
head-to-toe
assessment
on
a
client.
The
nurse
is
assessing
the
client's
pupillary
light reflex
by
first
darkening
the
room
and
asking
the
person
to
gaze
into
the
distance.
Then,
the
nurse
advances
a
light
toward
one
eye
from
the
client's
side.
What
would
the
nurse
expect
to
see
at
this
time?
Inspect
the
scalp
looking
for
nits
-
ANSWER
A
client
presents
with
a
rash
along
the
occipital
area
of
the
hairline
and
reports
intense
itching.
How
should
the
nurse
begin
the
objective
part
of
the
examination?
Have
you
had
sudden
and
severe
pain
in
the
toes
or
feet?
-
ANSWER
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?
Measure
bilateral
ankle
circumference
with
a
non-stretchable
tape
measure.
-
ANSWER
How
should
the
nurse
assess
for
lower
extremity
edema
in
a
client
who
has
been
diagnosed
with
heart
failure?
Seek
the
assistance
of
a
healthcare
team
member
who
speaks
the
client's
preferred
language.
-
ANSWER
The
nurse
is
conducting
an
interview
with
a
client
who
speaks
limited
English.
What
action
should
the
nurse
implement?
Ask
whether
the
client
has
been
in
a
foreign
country
recently.
-
ANSWER
A
client
reports
a
recent
onset
of
nausea
and
vomiting.
What
subjective
information
is
important
for
the
nurse
to
ascertain?
Document
at
least
3
generations
of
the
client's
family
medical
history.
Correct
-
ANSWER
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?
Verbal
descriptor
scale.
-
ANSWER
An
older
client
has
just
returned
to
the
room
following
a
surgical
procedure.
Which
pain
scale
should
the
nurse
use
when
assessing
the
client's
pain
level?
Dull
sound
percussed
over
bladder.
-
ANSWER
A
client
reports
lower
abdominal
pain
and
a
feeling
of
pressure
in
the
bladder.
Which
assessment
finding
indicates
acute
urinary
retention?
Nocturia.
-
ANSWER
Which
term
should
the
nurse
use
to
document
the
condition
of
a
client
who
reports
waking
up
frequently
during
the
night
to
urinate?
