BSN 246 HESI LATEST
HEALTH
ASSESSMENT EXAM
V2
A 29 year old male client informs the nurse that he came to the clinic to
see if, "Maybe I have lung cancer or something," and wants to get
checked out since, "I can't seem to get rid of this body-
wracking dry cough that has been hanging around for the last six
weeks." Which computer do cumentation of this client's concerns should
the nurse enter?
A. Describe having a "body-wracking dry cough" of 6 weeks duration
B. Report feeling short of breath after climbing stairs
C. Mention a history of asthma since childhood
D. Experience a persistent sore throat after swallowing
A. Describe having a "body-wracking dry cough" of 6 weeks duration.
A 75-year- old client with a recent history of a cerebrovascular accident
(CVA) presents with right hemiparesis. The nurse tests the deep tendon
reflexes on the right side and elicits a brisk 4+ response. Which
interpretation of this finding is accurate?
A. Hyperactive response consistent with an upper motor neuron
disorder.
END OF
PAGE
1
, BSN 246 HESI LATEST
HEALTH
ASSESSMENT EXAM
V2
B. Diminished response suggesting peripheral nerve damage.
C. Normal response indicating no neurological impairment.
D. Hypoactive response associated with lower motor neuron damage.
A. Hyperactive response consistent with an upper motor neuron
disorder.
The nurse examines a client's abdomen. Which finding indicates an
abnormal response when palpating the spleen?
A. Hyperactive response consistent with an upper motor neuron
disorder.
B. Diminished response suggesting peripheral nerve damage.
C. Normal response indicating no neurological impairment.
D. Firm mass palpated at bottom of left rib cage.
D. Firm mass palpated at bottom of left rib cage.
In auscultating for the presence of a carotid artery bruit, the nurse places
the bell of the stethoscope at which location?
A. Place diaphragm of stethoscope over the chest.
B. Place bell of stethoscope over carotid artery.
END OF
PAGE
2
, BSN 246 HESI LATEST
HEALTH
ASSESSMENT EXAM
V2
C. Place stethoscope at the apex of the heart.
D. Place diaphragm of stethoscope over the lung fields.
B. Place bell of stethoscope over carotid artery
A male client arrives at the clinic for follow-up health assessment after
recent antibiotic treatment for pneumonia without hospitalization.
Which technique should the nurse implement to assess for adventitious
lung sounds?
A. Place the stethoscope over the client's back and listen to both lung
fields.
B. Press the stethoscope's diaphragm firmly on the skin over each lung
field.
C. Listen to lung sounds with the diaphragm placed lightly on the skin.
D. Ask the client to cough before auscultating lung sounds.
B. Press the stethoscope's diaphragm firmly on the skin over each lung
field.
A client with streptococcus pharyngitis reports high fever, difficulty
swallowing and a muffled voice. Which complication should the nurse
suspect?
END OF
PAGE
3
, BSN 246 HESI LATEST
HEALTH
ASSESSMENT EXAM
V2
A. Peritonsillar abscess.
B. Acute pharyngitis.
C. Allergic rhinitis.
D. Viral croup.
A. Peritonsillar abscess.
The nurse is obtaining a health history for a client prior to a scheduled
cholecystectomy.
While interviewing the client, which assessment technique should the
nurse use when asking about the client's use of illegal drugs and alcohol?
A. Ask about any recent changes in mood or behavior.
B. Inquire about any history of mental health disorders in the family.
C. Ask specifically about alcohol, marijuana, cocaine, heroin, and
amounts.
D. Assess for any history of chronic illnesses such as diabetes or
hypertension.
C. Ask specifically about alcohol, marijuana, cocaine, heroin, and
amounts.
END OF
PAGE
4
HEALTH
ASSESSMENT EXAM
V2
A 29 year old male client informs the nurse that he came to the clinic to
see if, "Maybe I have lung cancer or something," and wants to get
checked out since, "I can't seem to get rid of this body-
wracking dry cough that has been hanging around for the last six
weeks." Which computer do cumentation of this client's concerns should
the nurse enter?
A. Describe having a "body-wracking dry cough" of 6 weeks duration
B. Report feeling short of breath after climbing stairs
C. Mention a history of asthma since childhood
D. Experience a persistent sore throat after swallowing
A. Describe having a "body-wracking dry cough" of 6 weeks duration.
A 75-year- old client with a recent history of a cerebrovascular accident
(CVA) presents with right hemiparesis. The nurse tests the deep tendon
reflexes on the right side and elicits a brisk 4+ response. Which
interpretation of this finding is accurate?
A. Hyperactive response consistent with an upper motor neuron
disorder.
END OF
PAGE
1
, BSN 246 HESI LATEST
HEALTH
ASSESSMENT EXAM
V2
B. Diminished response suggesting peripheral nerve damage.
C. Normal response indicating no neurological impairment.
D. Hypoactive response associated with lower motor neuron damage.
A. Hyperactive response consistent with an upper motor neuron
disorder.
The nurse examines a client's abdomen. Which finding indicates an
abnormal response when palpating the spleen?
A. Hyperactive response consistent with an upper motor neuron
disorder.
B. Diminished response suggesting peripheral nerve damage.
C. Normal response indicating no neurological impairment.
D. Firm mass palpated at bottom of left rib cage.
D. Firm mass palpated at bottom of left rib cage.
In auscultating for the presence of a carotid artery bruit, the nurse places
the bell of the stethoscope at which location?
A. Place diaphragm of stethoscope over the chest.
B. Place bell of stethoscope over carotid artery.
END OF
PAGE
2
, BSN 246 HESI LATEST
HEALTH
ASSESSMENT EXAM
V2
C. Place stethoscope at the apex of the heart.
D. Place diaphragm of stethoscope over the lung fields.
B. Place bell of stethoscope over carotid artery
A male client arrives at the clinic for follow-up health assessment after
recent antibiotic treatment for pneumonia without hospitalization.
Which technique should the nurse implement to assess for adventitious
lung sounds?
A. Place the stethoscope over the client's back and listen to both lung
fields.
B. Press the stethoscope's diaphragm firmly on the skin over each lung
field.
C. Listen to lung sounds with the diaphragm placed lightly on the skin.
D. Ask the client to cough before auscultating lung sounds.
B. Press the stethoscope's diaphragm firmly on the skin over each lung
field.
A client with streptococcus pharyngitis reports high fever, difficulty
swallowing and a muffled voice. Which complication should the nurse
suspect?
END OF
PAGE
3
, BSN 246 HESI LATEST
HEALTH
ASSESSMENT EXAM
V2
A. Peritonsillar abscess.
B. Acute pharyngitis.
C. Allergic rhinitis.
D. Viral croup.
A. Peritonsillar abscess.
The nurse is obtaining a health history for a client prior to a scheduled
cholecystectomy.
While interviewing the client, which assessment technique should the
nurse use when asking about the client's use of illegal drugs and alcohol?
A. Ask about any recent changes in mood or behavior.
B. Inquire about any history of mental health disorders in the family.
C. Ask specifically about alcohol, marijuana, cocaine, heroin, and
amounts.
D. Assess for any history of chronic illnesses such as diabetes or
hypertension.
C. Ask specifically about alcohol, marijuana, cocaine, heroin, and
amounts.
END OF
PAGE
4
