HESI Health Assessment Exam 2023 Test Bank Correct 100%

NUR2092 Section 03 Health Assessment Exam 2023. 1 out of 1 points Which of the following is an example of a first-level priority problem? Selected Answer: An individual with shortness of breath and respiratory distress Answers: A patient with postoperative pain A newly diagnosed diabetic who needs diabetic teaching An individual with a small laceration on the sole of the foot An individual with shortness of breath and respiratory distress  Question 4 1 out of 1 points A patient drifts off to sleep when she is not being stimulated. The nurse can arouse her easily when calling her name, but she remains drowsy during the conversation. The best description of this patient’s level of consciousness would be: Selected Answer: lethargi c. Answers: lethargi c. obtunde d. stuporo us. semi alert.  Question 5 1 out of 1 points A 45-year-old woman is brought to the emergency department with a head injury after her car hit a tree. A few months after recovering from her injuries, she is unable to learn new information or recall previously learned information. This is an example of: Selected Answer: amnestic disorder. Answers: mania. agnosia. dementia. amnestic disorder.  Question 6 1 out of 1 points The nurse is conducting an interview with a woman who has recently learned that she is pregnant and has come to the clinic today to begin prenatal care. The woman states that she and her husband are excited about the pregnancy but have a few questions. She looks nervously at her hands during the interview and sighs loudly. Considering the concept of communication, the nurse knows that which statement is most accurate? The woman: Selected Answer: is exhibiting verbal and nonverbal behavior that does not match. Answers: is excited about her pregnancy but nervous about labor. is exhibiting verbal and nonverbal behavior that does not match. is excited about her pregnancy but her husband is not and this is upsetting to her. is not excited about her pregnancy but believes the nurse will respond negatively to her if she states this.  Question 7 1 out of 1 points After completing an initial assessment on a patient, the nurse has charted that his respirations are eupneic and his pulse is 58. This type of data would be: Selected Answer: objective Answers: objective reflective subjective introspect ive  Question 8 1 out of 1 points Which of the following is the best definition of spirituality? Selected Answer: That which arises out of each person’s unique life experience and his or her personal effort to find purpose in life Answers: A personal search to discover a supreme being An organized system of beliefs concerning the cause, nature, and purpose of the universe A belief that each person exists forever in some form, such as a belief in reincarnation or the afterlife That which arises out of each person’s unique life experience and his or her personal effort to find purpose in life  Question 9 1 out of 1 points Which of the following examples would be a hallucination? Selected Answer: A man believes that his dead wife is talking to him. Answers: A man believes that his dead wife is talking to him. A woman hears the doorbell ring and goes to answer it, but no one is there. A child sees a man standing in his closet. When the lights are turned on it is only a dry cleaning bag. A man believes that the dog has curled up on the bed, but when he gets closer he sees that it is a blanket.  Question 10 1 out of 1 points Symptoms, such as pain, are often influenced by a person’s cultural heritage. Which of the following is a true statement in regard to pain? Selected Answer: The ethnic background of a patient is important in a nurse’s assessment of that patient’s pain. Answers: Nurses’ attitudes toward their patients’ pain are unrelated to their own experiences with pain. The ethnic background of a patient is important in a nurse’s assessment of that patient’s pain. A nurse’s area of clinical practice is most likely to determine his or her assessment of a patient’s pain. A nurse’s years of clinical experience and current position are a strong indicator of his or her response to patient pain.  Question 11 1 out of 1 points A patient tells the nurse that he is allergic to penicillin. What would be the nurse’s best response to this information? Selected Answer: “Please describe what happens to you when you take penicillin.” Answers: “Are you allergic to any other drugs?” “How often have you received penicillin?” “I’ll write your allergy on your chart so you won’t receive any.” “Please describe what happens to you when you take penicillin.”  Question 12 1 out of 1 points Which data would not be included in a client's health history? Selected Answer: Laboratory tests Answers: Laboratory tests Physical Assessment Nutritional assessment Family Medical History  Question 13 1 out of 1 points Which data would a nurse document under the category of family health history? Selected Answer: Maternal diseases Answers: Maternal diseases Present illness Allergies to Medications ClientÕs name and date of birth  Question 14 1 out of 1 points "A client with cancer says, I feel like I am getting weaker every day. I wonder if the chemotherapy is working. The nurse responds, Isn't it beautiful outside today? This interaction is an example of what specific type of communication barrier?" Selected Answer: Changing the subject or topic Answers: Changing the subject or topic Falsely reassuring statement Judgmental statement Patronizing statement  Question 15 1 out of 1 points Which scenario described below best illustrates a screening type of health assessment? Selected Answer: A hospital sponsors a health fair at a local mall and provides cholesterol and blood pressure checks to mall patrons. Answers: A client visits an obstetric clinic for the first time, and the nurse conducts a detailed history and physical examination. A hospital sponsors a health fair at a local mall and provides cholesterol and blood pressure checks to mall patrons. The nurse in the triage area of an urgent care center checks the vital signs of a client who is complaining of leg pain. A client make an appointment 1 month after today’s office visit for a follow-up test of fasting blood glucose level.  Question 16 1 out of 1 points The largest and fasting growing population in the United States is: Selected Answer: Hispanics Answers: Hispanics Blacks Asians American Indians  Question 17 1 out of 1 points The following statement could be found at which phase of the interview? “Mr. S., I would like to ask you some questions about your health and your usual daily activities so that we can better plan your stay here.” Selected Answer: Opening/introducing the interview Answers: During the summary Closing the interview During the body of the interview Opening/introducing the interview  Question 18 1 out of 1 points Culture has four basic characteristics. Which statement correctly reflects one of these characteristics? Selected Answer: Culture adapts to specific environmental factors and available natural resources. Answers: Cultures are static and unchanging despite changes around them. Cultures are never specific, which makes them hard to identify. Culture is most clearly reflected in a person’s language and behavior. Culture adapts to specific environmental factors and available natural resources.  Question 19 1 out of 1 points The nurse is assessing a new patient who has recently immigrated to the United States. Which question is appropriate to add to the health history? Selected Answer: “When did you come to the United States, and from what country?” Answers: “Why did you come to the United States?” “When did you come to the United States, and from what country?” “What made you leave your native country?” “Are you planning to return to your home?”  Question 20 1 out of 1 points Which of the following culture-bound syndromes is more common among North Americans? Selected Answer: Bulimia Answers: Bulimia Evil eye Empach o Low blood  Question 21 1 out of 1 points A female patient tells the nurse that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the nurse record this information? Selected Answer: Grav 6, Term 4, (S)Ab 2, Living 4 Answers: P-6, B-4, (S)Ab-2 Grav 6, Term 4, (S)Ab 2, Living 4 Patient has had four living babies. Patient has been pregnant six times.  Question 22 1 out of 1 points A 20-year-old construction worker has been brought into the emergency department with heat stroke. He has delirium as a result of the fluid and electrolyte imbalance. The nurse will assess his: Selected Answer: level of consciousness and cognitive abilities. Answers: affect and mood. memory and affect. thought processes and memory. level of consciousness and cognitive abilities.  Question 23 1 out of 1 points In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which of the following statements is true regarding note-taking? Selected Answer: Taking notes may impede the nurse’s observation of the patient’s nonverbal behaviors. Answers: Taking notes may impede the nurse’s observation of the patient’s nonverbal behaviors. Taking notes allows the patient to continue at his or her own pace as the nurse records what is said. Taking notes allows the nurse to shift attention away from the patient, resulting in increased comfort level. Taking notes allows the nurse to break eye contact with the patient, which may increase his or her level of comfort.  Question 24 1 out of 1 points A 90-year-old patient tells the nurse that he can’t remember the names of the drugs he is taking or what they are for. An appropriate response would be: Selected Answer: “Would you have your family bring in your medications?” Answers: “Can you tell me what they look like?” “Don’t worry about it. You are only taking two.” “How long have you been taking each of the pills?” “Would you have your family bring in your medications?”  Question 25 1 out of 1 points The nurse is assessing mental status in children. Which of the following statements is true? Selected Answer: All aspects of mental status in children are interrelated. Answers: All aspects of mental status in children are interrelated. Children are highly labile and unstable until the age of 2 years. Children’s mental status is largely a function of their parents’ level of functioning until the age of 7 years. Children’s mental status is impossible to assess until the child develops the ability to concentrate.  Question 26 1 out of 1 points Which intervention by the nurse first helps to establish a trusting nursepatient relationship? Selected Answer: greeting the patient by name whenever entering the patient’s room Answers: provoke emotional responses from the patient not listening to the patient while performing care activities performing care interventions quickly and efficiently greeting the patient by name whenever entering the patient’s room  Question 27 1 out of 1 points Many individuals embrace the hot/cold theory of health illness. Which of the following best describes the basic tenets of this theory? Selected Answer: The treatment of disease consists of adding or subtracting cold, heat, dryness, or wetness to restore the balance of the humors of the body. Answers: The causation of illness is based on supernatural forces that influence the humors of the body. Herbs and medicines are classified on their physical characteristics of hot and cold and the humors of the body. The four humors of the body consist of blood, yellow bile, spiritual connectedness, and social aspects of the individual. The treatment of disease consists of adding or subtracting cold, heat, dryness, or wetness to restore the balance of the humors of the body.  Question 28 1 out of 1 points A female patient does not speak English well, and the nurse needs to choose an interpreter. Which of the following would be the most appropriate choice? Selected Answer: A trained interpreter Answers: A trained interpreter A male family member A female family member A volunteer college student from the foreign language studies department.  Question 29 1 out of 1 points Which statement is correct regarding the development of one’s culture? Selected Answer: Culture is learned through language acquisition and socialization. Answers: Culture is genetically determined on the basis of racial background. Culture is learned through language acquisition and socialization. Culture is a nonspecific phenomenon and is adaptive but unnecessary. Culture is biologically determined on the basis of physical characteristics.  Question 30 1 out of 1 points Which of the following statements is true regarding the assessment of mental status? Selected Answer: Mental status functioning is inferred through assessment of an individual’s behaviors. Answers: Mental status assessment diagnoses specific psychiatric disorders. Mental disorders occur in response to everyday life stressors. Mental status functioning is inferred through assessment of an individual’s behaviors. Mental status can be assessed directly, just like other systems of the body (e.g., cardiac and breath sounds).  Question 31 1 out of 1 points Which data do nurses document under the category of past health history? Selected Answer: Chronic diseases Answers: Chronic diseases Present illness Allergies to Medications Name and date of birth  Question 32 1 out of 1 points A 42-year-old Asian patient is being seen at the clinic for an initial examination. The nurse knows that it is important to include cultural information in his health assessment to: Selected Answer: provide culturally sensitive and appropriate care. Answers: identify the cause of his illness make accurate disease diagnoses. provide cultural health rights for the individual provide culturally sensitive and appropriate care.  Question 33 1 out of 1 points Which of following is included in documenting a history source? Selected Answer: Reliability of informant Answers: Reliability of informant Cognition and literacy level of the client "Appearance, dress and hygiene of the client" Documented relationship of support systems of the client  Question 34 1 out of 1 points Which of the following responses might the nurse expect during a functional assessment of a patient whose leg is in a cast? Selected Answer: “I’m able to transfer myself from the wheelchair to the bed without help.” Answers: “I broke my right leg in a car accident 2 weeks ago.” “The pain is getting less, but I still need to take Tylenol.” “I check the color of my toes every evening just like I was taught.” “I’m able to transfer myself from the wheelchair to the bed without help.”  Question 35 1 out of 1 points Which of the following is an example of a folk healer? Selected Answer: curandero Answers: curandero botanica expressio nist tourista  Question 36 1 out of 1 points In response to a question regarding use of alcohol, a patient asks the nurse why the nurse needs to know. What is the reason for needing this information? Selected Answer: Alcohol can interact with all medications and make some diseases worse. Answers: This is necessary to determine the patient’s reliability. Alcohol can interact with all medications and make some diseases worse. The nurse needs to be able to teach the patient about the dangers of alcohol use. It’s not really necessary to have this information unless there is an obvious drinking problem.  Question 37