HESI V2 HEALTH ASSESSMENT
EXAM | QUESTIONS & ANSWERS (VERIFIED) |
LATEST UPDATE | GRADED A+
A gf29 gfyear gfold gfmale gfclient gfinforms gfthe gfnurse gfthat gfhe gfcame gfto gfthe
gfclinic gfto gfsee gfif, gf"Maybe gfI
have gflung gfcancer gfor gfsomething," gfand gfwants gfto gfget gfchecked gfout gfsince,
gf"I gfcan't gfseem gfto
get gfrid gfof gfthis gfbody-wracking gfdry gfcough gfthat gfhas gfbeen gfhanging gfaround
gffor gfthe gflast gfsix
weeks." gfWhich gfcomputer gfdocumentation gfof gfthis gfclient's gfconcerns gfshould
gfthe gfnurse
enter?
A. gfPresents gfwith gfa gfhacking gfnon-productive gfcough gfof gf6 gfweeks gfduration.
B. gfDescribe gfhaving gfa gf"body-wracking gfdry gfcough" gfof gf6 gfweeks gfduration.
C. gfExpresses gfconcern gfof gf"lung gfcancer" gfsymptoms gffor gflast gf6 gfweeks.
D. gfYoung gfadult gfmale gfpresents gfwith gffears gfthat gfhe gfhas gf"lung gfcancer"
Correct gfAnswer gfis gfB, gfas gfassessment gfprocess gfincludes gfchief gfcomplaint
,gfwhich gfis gfhow gfthe
patient gfdescribe gfwhy gfhe gfis gfhere gfin gfthe gfhospital gfor gfclinic gfand gfcan't
gfinclude gfdiagnosis.
A gf75-year-old gfclient gfwith gfa gfrecent gfhistory gfof gfa gfcerebrovascular gfaccident
gf(CVA) gfpresents
with gfright gfhemiparesis. gfThe gfnurse gftests gfthe gfdeep gftendon gfreflexes gfon
gfthe gfright gfside gfand
elicits gfa gfbrisk gf4+ gfresponse. gfWhich gfinterpretation gfof gfthis gffinding gfis
gfaccurate?
A. gfA gfnormal gfreflex gfresponse.
B. gfAbsent gfor gfsluggish gfresponse gfconsistent gfwith gfa gflower gfmotor gfneuron
gflesion.
C. gfFlaccid gfparalysis.
1
, D. gfHyperactive gfresponse gfconsistent gfwith gfan gfupper gfmotor gfneuron gfdisorder.
Correct gfAnswer gfis gfD, gfbrisk gf4+ gfresponse gfis gfcorrelated gfwith gfhyperactive
gfresponse.
The gfnurse gfexamines gfa gfclient's gfabdomen. gfWhich gffinding gfindicates gfan
gfabnormal gfresponse
when gfpalpating gfthe gfspleen?
A. gfPain gfnotes gfwhen gfpalpating gfMcBurney's gfpoint.
B. gfTip gfof gfspleen gfpalpable gfwhen gfclient gfis gfasked gfto gfforcefully gfexhale.
C. gfRebound gftenderness gfwith gfcompression gfover gfright gfupper gfquadrant. gfD.
gfFirm gfmass
palpated gfat gfbottom gfof gfleft gfrib gfcage.
Correct gfAnswer gfis gfD. gfMcBurney's gfpoint gfis gfrelated gfto gfappendicitis gfand
gfnot gfspleen.
In gfauscultating gffor gfthe gfpresence gfof gfa gfcarotid gfartery gfbruit, gfthe gfnurse
gfplaces gfthe gfbell gfof gfthe
stethoscope gfat gfwhich gflocation?
*under gfmandible gftowards gflymph gfnodes. gftransverse gfto gftrachea
A gfmale gfclient gfarrives gfat gfthe gfclinic gffor gffollow-up gfhealth gfassessment
gfafter gfrecent gfantibiotic
treatment gffor gfpneumonia gfwithout gfhospitalization. gfWhich gftechnique gfshould
gfthe gfnurse
implement gfto gfassess gffor gfadventitious gflung gfsounds?
A. gfUse gfthe gfbell gfof gfthe gfstethoscope gfto gflisten gfto gfthe gflung gffields gfover
gflower gflobes. gfB. gfHave
the gfclient gflay gfflat gfwhile gflistening gfto gfthe gfanterior gfsurface gfof gfthe gfchest.
C. gfPress gfthe gfstethoscope's gfdiaphragm gffirmly gfon gfthe gfskin gfover gfeach
gflung gffield.
D. gfShave gfall gfchest gfhair gfthat gfmay gfdistort gfsounds gfheard gfthrough gfthe
EXAM | QUESTIONS & ANSWERS (VERIFIED) |
LATEST UPDATE | GRADED A+
A gf29 gfyear gfold gfmale gfclient gfinforms gfthe gfnurse gfthat gfhe gfcame gfto gfthe
gfclinic gfto gfsee gfif, gf"Maybe gfI
have gflung gfcancer gfor gfsomething," gfand gfwants gfto gfget gfchecked gfout gfsince,
gf"I gfcan't gfseem gfto
get gfrid gfof gfthis gfbody-wracking gfdry gfcough gfthat gfhas gfbeen gfhanging gfaround
gffor gfthe gflast gfsix
weeks." gfWhich gfcomputer gfdocumentation gfof gfthis gfclient's gfconcerns gfshould
gfthe gfnurse
enter?
A. gfPresents gfwith gfa gfhacking gfnon-productive gfcough gfof gf6 gfweeks gfduration.
B. gfDescribe gfhaving gfa gf"body-wracking gfdry gfcough" gfof gf6 gfweeks gfduration.
C. gfExpresses gfconcern gfof gf"lung gfcancer" gfsymptoms gffor gflast gf6 gfweeks.
D. gfYoung gfadult gfmale gfpresents gfwith gffears gfthat gfhe gfhas gf"lung gfcancer"
Correct gfAnswer gfis gfB, gfas gfassessment gfprocess gfincludes gfchief gfcomplaint
,gfwhich gfis gfhow gfthe
patient gfdescribe gfwhy gfhe gfis gfhere gfin gfthe gfhospital gfor gfclinic gfand gfcan't
gfinclude gfdiagnosis.
A gf75-year-old gfclient gfwith gfa gfrecent gfhistory gfof gfa gfcerebrovascular gfaccident
gf(CVA) gfpresents
with gfright gfhemiparesis. gfThe gfnurse gftests gfthe gfdeep gftendon gfreflexes gfon
gfthe gfright gfside gfand
elicits gfa gfbrisk gf4+ gfresponse. gfWhich gfinterpretation gfof gfthis gffinding gfis
gfaccurate?
A. gfA gfnormal gfreflex gfresponse.
B. gfAbsent gfor gfsluggish gfresponse gfconsistent gfwith gfa gflower gfmotor gfneuron
gflesion.
C. gfFlaccid gfparalysis.
1
, D. gfHyperactive gfresponse gfconsistent gfwith gfan gfupper gfmotor gfneuron gfdisorder.
Correct gfAnswer gfis gfD, gfbrisk gf4+ gfresponse gfis gfcorrelated gfwith gfhyperactive
gfresponse.
The gfnurse gfexamines gfa gfclient's gfabdomen. gfWhich gffinding gfindicates gfan
gfabnormal gfresponse
when gfpalpating gfthe gfspleen?
A. gfPain gfnotes gfwhen gfpalpating gfMcBurney's gfpoint.
B. gfTip gfof gfspleen gfpalpable gfwhen gfclient gfis gfasked gfto gfforcefully gfexhale.
C. gfRebound gftenderness gfwith gfcompression gfover gfright gfupper gfquadrant. gfD.
gfFirm gfmass
palpated gfat gfbottom gfof gfleft gfrib gfcage.
Correct gfAnswer gfis gfD. gfMcBurney's gfpoint gfis gfrelated gfto gfappendicitis gfand
gfnot gfspleen.
In gfauscultating gffor gfthe gfpresence gfof gfa gfcarotid gfartery gfbruit, gfthe gfnurse
gfplaces gfthe gfbell gfof gfthe
stethoscope gfat gfwhich gflocation?
*under gfmandible gftowards gflymph gfnodes. gftransverse gfto gftrachea
A gfmale gfclient gfarrives gfat gfthe gfclinic gffor gffollow-up gfhealth gfassessment
gfafter gfrecent gfantibiotic
treatment gffor gfpneumonia gfwithout gfhospitalization. gfWhich gftechnique gfshould
gfthe gfnurse
implement gfto gfassess gffor gfadventitious gflung gfsounds?
A. gfUse gfthe gfbell gfof gfthe gfstethoscope gfto gflisten gfto gfthe gflung gffields gfover
gflower gflobes. gfB. gfHave
the gfclient gflay gfflat gfwhile gflistening gfto gfthe gfanterior gfsurface gfof gfthe gfchest.
C. gfPress gfthe gfstethoscope's gfdiaphragm gffirmly gfon gfthe gfskin gfover gfeach
gflung gffield.
D. gfShave gfall gfchest gfhair gfthat gfmay gfdistort gfsounds gfheard gfthrough gfthe
