Hesi V2 Health Assessment Exam | Questions & Answers (Verified) | Latest Update | Graded A+

HESI V2 HEALTH ASSESSMENT
EXAM | QUESTIONS & ANSWERS (VERIFIED) |
LATEST UPDATE | GRADED A+




A 29 year old male client informs the nurse that he came to the clinic to see if, "Maybe I
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj




have lung cancer or something," and wants to get checked out since, "I can't seem to
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj




get rid of this body-wracking dry cough that has been hanging around for the last six
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj




weeks."Which computer documentationof this client's concerns should the nurse
hj hj hj hj hj hj hj hj hj hj




enter?

A. Presents with ahacking non-productive cough of 6 weeksduration.
hj hj hj hj hj hj hj hj hj hj




B. Describe having a "body-wracking dry cough" of 6 weeks duration.
hj hj hj hj hj hj hj hj hj hj




C. Expresses concern of "lung cancer" symptoms for last 6 weeks.
hj hj hj hj hj hj hj hj hj hj




D. Young adult male presents with fears that he has "lung cancer"
hj hj hj hj hj hj hj hj hj hj hj




Correct Answer isB, as assessment process includes chief complaint which is how the
hj hj hj hj hj hj hj hj hj hj hj hj hj




patient describe whyhe is herein the hospital or clinic and can't include diagnosis.
hj hj hj hj hj hj hj hj hj hj hj hj hj hj

,A75-year-oldclientwitharecenthistoryofacerebrovascularaccident(CVA)presents
hj j
h j
h j
h hj j
h hj j
h j
h hj j
h j
h




withright hemiparesis. The nurse tests the deep tendon reflexes on the right sideand
hj hj hj hj hj hj hj hj hj hj hj hj hj hj




elicits a brisk 4+ response. Which interpretation of thisfinding is accurate?
hj hj hj hj hj hj hj hj hj hj hj




A. A normal reflex response.
hj hj hj hj




B.Absent or sluggish response consistent with a lower motor neuron lesion.
hj hj hj hj hj hj hj hj hj hj hj




C. Flaccid paralysis.
hj hj




1

, D. Hyperactive response consistent with an uppermotor neuron disorder.
hj hj hj hj hj hj hj hj hj




Correct Answer is D,brisk 4+ response is correlated with hyperactive response.
hj hj hj hj hj hj hj hj hj hj hj




Thenurse examines aclient's abdomen. Which finding indicates anabnormal response
hj hj hj hj hj hj hj hj hj hj hj




when palpatingthe spleen? hj hj hj




A. Pain notes when palpating McBurney's point.
hj hj hj hj hj hj




B. Tip of spleen palpable when client isasked to forcefully exhale.
hj hj hj hj hj hj hj hj hj hj hj




C. Reboundtenderness with compression over right upperquadrant. D. Firm mass
hj hj hj hj hj hj hj hj hj hj hj




palpated at bottom of left rib cage. hj hj hj hj hj hj




Correct Answer is D.McBurney's point is related to appendicitis and not spleen.
hj hj hj hj hj hj hj hj hj hj hj hj




In auscultating for the presence of a carotid artery bruit, thenurseplaces the bell of the
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj




stethoscope at which location? hj hj hj




*under mandible towards lymph nodes. transverse to trachea
hj hj hj hj hj hj hj




A male client arrives at the clinic for follow-up health assessment after recent antibiotic
hj hj hj hj hj hj hj hj hj hj hj hj hj




treatmentforpneumonia withouthospitalization.Whichtechnique shouldthenurse hj hj hj hj hj hj hj hj hj




implement to assessfor adventitious lung sounds? hj hj hj hj hj hj




A. Use the bell of the stethoscope to listen to the lung fields over lower lobes. B. Have
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj




the client layflat while listening to theanterior surface of the chest.
hj hj hj hj hj hj hj hj hj hj hj hj




C. Press the stethoscope's diaphragm firmlyon the skin over each lung field.
hj hj hj hj hj hj hj hj hj hj hj hj




D. Shave all chest hair that may distort sounds heard through the diaphragm.
hj hj hj hj hj hj hj hj hj hj hj hj




2