2024 HESI HEALTH ASSESSMENT EXAM
VERSION COMPLETE EXAM QUESTIONS AND
CORRECT ANSWERS LATEST UPDATE
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,A 56-year-old client with Correct Answers: B
heart failure is taking
digoxin for treatment of Rationale:The normal heart rate is 60 to 100 beats/min
the health problem. The in an adult. On auscultating a heart rate that is less
nurse auscultates the than 60 beats/min, the nurse would not administer the
client's apical heart rate digoxin and would report the finding to the primary
before administering health care provider for further instruction. The
digoxin and notes that the remaining options are incorrect interpretations
heart rate is 52 beats/min. because the heart rate of 52 beats/min is not normal.
The nurse would make
which interpretation of this
information?
A.Normal, because of the
client's age
B.Abnormal, requiring
further assessment
C.Normal, as a result of
the effects of digoxin
D.Normal, because this is
the reason the client is
receiving digoxin
,After performing an initial Correct Answer: A
abdominal assessment on
a client with nausea and Rationale:Although frequency and intensity of bowel
vomiting, the nurse would sounds vary, depending on the phase of digestion,
expect to note which normal bowel sounds are relatively high-pitched
finding? clicks or gurgles. Loud gurgles (borborygmi) indicate
hyperperistalsis and are commonly associated with
A. Waves of loud gurgles nausea and vomiting. A swishing or buzzing sound
auscultated in all four represents turbulent blood flow associated with a
quadrants. bruit. Bruits are not normal sounds. Bowel sounds are
B. Low-pitched swishing very high-pitched and loud (hyperresonance) when
auscultated in one or two the intestines are under tension, such as in intestinal
quadrants. obstruction. Therefore, options 2, 3, and 4 are
C. Relatively high-pitched incorrect.
clicks or gurgles
auscultated in one or two
quadrants.
D. Very high pitched, loud
rushes auscultated in
especially in one or two
quadrants.
, A chest x-ray report states Correct Answer: B
that the client has a left
apical pneumothorax. The Rationale:The apex of the lung is the rounded,
nurse caring for the client uppermost part of the lung. The nurse would place
monitors the status of the stethoscope just under the left clavicle. The other
breath sounds in that area options are incorrect locations.
by placing the
stethoscope at which
location?
A.Near the lateral 12th rib
B.Just under the left
clavicle
C.In the fifth intercostal
space
D.Posteriorly under the
left scapula
VERSION COMPLETE EXAM QUESTIONS AND
CORRECT ANSWERS LATEST UPDATE
Practice questions for this set
Learn
Studied 7 terms
Nice work, you're crushing it
Continue studying in Learn
Terms in this set (109)
,A 56-year-old client with Correct Answers: B
heart failure is taking
digoxin for treatment of Rationale:The normal heart rate is 60 to 100 beats/min
the health problem. The in an adult. On auscultating a heart rate that is less
nurse auscultates the than 60 beats/min, the nurse would not administer the
client's apical heart rate digoxin and would report the finding to the primary
before administering health care provider for further instruction. The
digoxin and notes that the remaining options are incorrect interpretations
heart rate is 52 beats/min. because the heart rate of 52 beats/min is not normal.
The nurse would make
which interpretation of this
information?
A.Normal, because of the
client's age
B.Abnormal, requiring
further assessment
C.Normal, as a result of
the effects of digoxin
D.Normal, because this is
the reason the client is
receiving digoxin
,After performing an initial Correct Answer: A
abdominal assessment on
a client with nausea and Rationale:Although frequency and intensity of bowel
vomiting, the nurse would sounds vary, depending on the phase of digestion,
expect to note which normal bowel sounds are relatively high-pitched
finding? clicks or gurgles. Loud gurgles (borborygmi) indicate
hyperperistalsis and are commonly associated with
A. Waves of loud gurgles nausea and vomiting. A swishing or buzzing sound
auscultated in all four represents turbulent blood flow associated with a
quadrants. bruit. Bruits are not normal sounds. Bowel sounds are
B. Low-pitched swishing very high-pitched and loud (hyperresonance) when
auscultated in one or two the intestines are under tension, such as in intestinal
quadrants. obstruction. Therefore, options 2, 3, and 4 are
C. Relatively high-pitched incorrect.
clicks or gurgles
auscultated in one or two
quadrants.
D. Very high pitched, loud
rushes auscultated in
especially in one or two
quadrants.
, A chest x-ray report states Correct Answer: B
that the client has a left
apical pneumothorax. The Rationale:The apex of the lung is the rounded,
nurse caring for the client uppermost part of the lung. The nurse would place
monitors the status of the stethoscope just under the left clavicle. The other
breath sounds in that area options are incorrect locations.
by placing the
stethoscope at which
location?
A.Near the lateral 12th rib
B.Just under the left
clavicle
C.In the fifth intercostal
space
D.Posteriorly under the
left scapula
