HESI Assessment All Answers Correct 2024

HESI Assessment All Answers Correct 2024 Which assessment technique should the nurse use to confirm the presence of papilledema in a client with a rapidly decreasing level of consciousness? A. Percussion B. Palpation C. Inspection D. Auscultation C. Inspection Nurse notes an enlarged, visible lymph node on the client's neck. What action should the nurse take next? A. Record this normal finding in the assessment record. B. Auscultate the lymph node for the presence of a bruit. C. Cover the inflamed area and notify the healthcare provider. D. Ask the client about any localized tenderness at the site. tenderness at the site. D. Ask the client about any localized The nurse is interviewing a male client who is admitted for chest pain. With each question, the client answers in broken English that is mixed with French phrases and looks to his wife. Frequently his wife anxiously speaks up and contradicts each of the client's responses. What should the nurse do? A. Attempt to calm the spouse before progressing with the health history B. Alternate questions between the two and gather as much data as possible C. Ask the spouse to leave the room during the interview D. Request an interpreter to communicate focused questions communicate focused questions D. Request an interpreter to The nurse is performing an initial assessment of a client who has an expressionless facial affect, slurred speech, and red conjunctivae. What question should the nurse ask first? A. Been depressed lately? B. Been sleeping well? C. Ever had problems with your blood sugar? D. Had anything to eat in the last 24 hours? B. Been sleeping well? The nurse completes percussion of the abdomen on an adult client. Which finding is considered normal for this client? A. Absent sounds B. Absolute dullness C. Musical and drum like D. Pain C. Musical and drum like The nurse is performing an admission assessment for a client with pyelonephritis who has urgency and burning while urinating. Which finding indicates an expected response when the nurse percusses the costovertebral angle? A. Audible thud without pain B. Rigidity and firmness C. Rebound tenderness D. Sharp, severe pain. D. Sharp, severe pain. The nurse performs a peripheral vascular assessment for a client who has swelling of the lower legs. Which finding should the nurse document that is indicated of an abnormality? A. An equal Ankle-Brachial Index (ABI) B. Bruit with turbulent blood flow C. Distal capillary refill is 3 seconds. D. 2+ palpable pedal pulses. B. Bruit with turbulent blood flow 8. A nurse is completing the health history for a 25-year-old male client who reports that he is allege to penicillin. Which question should the nurse ask after receiving this information? A. What happens to you when you take penicillin? B. How often have you taken penicillin in the past? C. Are you allergic to any other medications? D. Is anyone else in your family allergic to penicillin. penicillin? A. What happens to you when you take 9. While assessing a client, the nurse notes an audible expiratory wheeze and a respiratory rate of 30 breaths per minute. What action should the nurse implement? A. Administer a respiratory aerosol treatment. B. Provide oxygen at 2 liters per face mask. C. Place the client in low Fowler's position. D. Auscultate all lobes of the client's lungs. A. Administer a respiratory aerosol treatment. The nurse is assessing a healthy adult male during an annual physical examination. The nurse auscultates the client's abdomen and hears a gurgling sound every ten seconds What action should the nurse take in response to this finding? A. Observe the next bowel movement for signs of bleeding B. Encourage increased consumption of fiber in the diet. C. Document this normal bowel sound activity in the record. D. Report the hyperactivity to the healthcare provider activity in the record. C. Document this normal bowel sound A client who recently underwent a routine surgical procedure made a clinic appointment. To elicit the most information, which question is best for the nurse to ask this client? A. What type of surgery did you have?" B. When did your surgery take place?" C. What brought you to the clinic?" D. "Are you having any pain?" B. When did your surgery take place?" During the admission of an older adult female, the nurse notes the presence of kyphosis. The client tells the nurse that she has a history of osteoporosis. To obtain additional information related to this f inding, the nurse should question the client about what additional information in her history? A. Weight gain B. Painful swallowing C. Loss of appetite D. Decreased height D. Decreased height To assess a female client for hirsutism, which action should the nurse take? A. Lightly palpate over the client's entire scalp. B. Apply and release light pressure to the skin. C. Observe the hair shafts on the client's scalp. D. Assess the appearance of the client's face. D. Assess the appearance of the client's face. During a nursing assessment, a male client reports severe burning when urinating. After obtaining a urine sample, which technique should the nurse perform to further evaluate the client's symptoms? A. Compress the pennis to evaluate discharge B. Palpate the scrotum for asymmetry C. Measure the pennis for urethral length. D. Examine the inguinal region for swelling D. Examine the inguinal region for swelling While interviewing an elderly client, the nurse observes that the client's hands tremble ollably while reaching for a glass of water. How should the nurse document this finding? A. Sensory dysfunction B. Muscle flaccidity C. Intention tremor D. Transient ischemic attack C. Intention tremor During assessment of a client's abdomen, the nurse observes that the client's umbilicus is depressed