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Examen

2025 HESI Physical Assessment Practice Exam with 120 Detailed Questions , Answers and Rationales for Nursing Student Success

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Vista previa 4 fuera de 92 páginas

2025 HESI Physical Assessment Practice Exam with 120 Detailed Questions , Answers and Rationales for Nursing Student Success

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2025 HESI Physical Assessment Practice Exam
with 120 Detailed Questions , Answers and
Rationales for Nursing Student Success




Which client's body temperature indicates moderate hypothermia?
Select all that apply.
One, some, or all responses may be correct.
Some correct answers were not selected


80°F (26.7°C)
84°F (28.9°C)
88°F (31.1°C)
92ºF (33.3°C)
96°F (35.6°C) <<<<correct answer>>>88°F (31.1°C)
92ºF (33.3°C)


Rationale
Moderate hypothermia is a body temperature between 86°F and 93.2°F
(30°C-34°C). Clients with body temperatures between 88°F and 92°F

,(31.1°C-33.3°C) have moderate hypothermia. Mild hypothermia is a
body temperature between 93.2°F and 96.8°F (34°C-36°C). Clients with
body temperatures of 96°F (35.6°C) have mild hypothermia. Body
temperature below 86°F (30°C) indicates severe hypothermia.


While performing a physical assessment of a female client, the nurse
positions the client in a left lateral recumbent position. Which body
system would the nurse assess in this position? Select all that apply.
One, some, or all responses may be correct.
Some correct answers were not selected


Heart
Vagina
Rectum
Female genitalia
Musculoskeletal system <<<<correct answer>>>Vagina
Rectum


Rationale
Left prone recumbent position is indicated to examine vagina and
rectum. Lithotomy is used to check female genitalia. Lateral recumbent
position will aid in detecting murmurs of the heart. Prone position is
indicated while assessing the musculoskeletal system.

,After the nurse teaches a client about various measures to protect
against food-borne illness, which client statement reflects ineffective
learning?


"I'll clean the inside of my refrigerator and microwave regularly!"
"I'll wash my cooking utensils and cutting boards with tap water."
"I'll wash my hands with warm, soapy water before touching or eating
food."
"I won't eat leftovers in my refrigerator after they've been there for 5
days." <<<<correct answer>>>"I'll wash my cooking utensils and cutting
boards with tap water."


Rationale
Eating leftovers that have been kept in a refrigerator for more than 2
days may result in a food-borne illness caused by microbial growth in
the food. Cleaning the inside of the refrigerator and microwave
regularly will help prevent microbial growth. Cooking utensils and
cutting boards should be washed with hot, soapy tap water as a means
of preventing food-borne illness. Washing the hands with warm, soapy
water before touching or eating food is one technique for preventing
food-borne illness.

, After the nurse teaches a client, who is obese, measures to calculate
the body mass index, which client statement indicates effective
learning? Select all that apply. One, some, or all responses may be
correct.


"I should include sugared beverages in my diet."
"I should lose at least half a pound to a pound each week."
"My daily nutritional fat intake should be more than 30%."
"I'll make sure to eat foods meeting my daily nutritional requirement."
"I should stay away from unhealthy foods between meals and after
dinner." <<<<correct answer>>>"I should lose at least half a pound to a
pound each week."
"I'II make sure to eat foods meeting my daily nutritional requirement."
"I should stay away from unhealthy foods between meals and after
dinner."


Rationale
A client's body mass index (BMI) height-weight range is appropriate
when it is within 10% of the ideal body weight. To achieve this, the
client should lose at least 0.5 to 1 lb (0.2-0.45 kg) per week. The client's
daily nutritional intake should meet the minimal dietary reference
index. Refraining from eating unhealthy foods between meals and after
dinner will help the client achieve an appropriate BMI. The client should

Información del documento

Subido en
27 de mayo de 2025
Número de páginas
92
Escrito en
2024/2025
Tipo
Examen
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