BSN 246 HESI Exam with Questions and Solutions

BSN 246 HESI Exam with Questions and Solutions The nurse notes an enlarged, visible lymph node on the client's neck. Which action should the nurse take next? A Cover the inflamed area and notify the healthcare provider. B Auscultate the lymph node for the presence of a bruit. C Ask the client about any localized tenderness at the site. D Record this normal finding in the assessment record. ANSWER C: Ask the client about any localized tenderness at the site. An adult client exhibits an allergic reaction to an insect bite. The nurse should observe the client's skin for which finding? A Excoriation. B Papules. C Wheals. D Fissuring. ANSWER C: Wheals. The nurse inspects the client's fingernails. Which differentiating characteristics are observed in this assessment finding? A Longitudinal pigmented bands and red brown linear streaks of recent onset. B Thinned depressed nails with lateral edges tilting up to form a concave profile and proximal subungual fungal infection. C Transverse furrows and nail plate white spots that move forward with nail growth. D A nail base angle greater than 180 degrees and nail plate loosened at the distal-lateral ANSWER D: A nail base angle greater than 180 degrees and nail plate loosened at the distal-lateral edge, progressing proximally. A nail base angle greater than 180 degrees and nail plate loosened at the distal-lateral edge, progressing proximally. This description fits the characteristics of finger clubbing, where there's an increased nail base angle (greater than 180 degrees) and the nail plate is loosened at the distal-lateral edge, progressing proximally. This choice aligns with the assessment finding.