HESI Health Assessment Exam 2
4th intercostal area, proper midclavicular line. Correct - ANS-The nurse is assessing a
customer's middle lung lobe. What is the quality area for the nurse to vicinity a stethoscope
diaphragm to listen everyday lung sounds in this lobe?
A consensual response inside the contrary eye. - ANS-The nurse is appearing a head-to-toe
evaluation on a consumer. The nurse is assessing the purchaser's pupillary mild reflex by
way of first darkening the room and asking the individual to gaze into the gap. Then, the
nurse advances a light in the direction of one eye from the purchaser's facet. What could the
nurse anticipate to look at the moment?
A flexion deformity known as a high quality Thomas take a look at. - ANS-The nurse is
assessing a purchaser's range of motion because the consumer bends the proper knee up
to the chest while keeping the left leg immediately, but is unable to keep the left thigh on the
desk. The evaluation is repeated for the left knee, and the patron is unable to keep the
proper thigh on the desk. How have to the nurse report this finding?
A spherical easy mass that slides among the fingers - ANS-As part of a routine fitness
assessment, the nurse assesses the kidneys as part of the abdominal evaluation. Which
evaluation finding ought to the nurse conclude is ordinary while palpating the customer's
proper kidney?
A waist circumference is greater than 35 inches in ladies puts you at better hazard for type 2
diabetes and coronary heart ailment." - ANS-The nurse is assessing a postmenopausal
purchaser who has a BMI of 32. The client has a chest size of forty two inches, waist size of
forty five inches, and hip dimension of fifty inches. What critical message need to the nurse
explain to the consumer to sell fitness merchandising?
Ask the patron to urinate before beginning the examination. - ANS-A patron is within the
clinical for a yearly physical examination. Which movement should the nurse take whilst
getting ready to take a look at the customer's stomach?
Ask whether or not the consumer has been out of the country currently. - ANS-A client
reports a latest onset of nausea and vomiting. What subjective facts is vital for the nurse to
check?
Attention to information. - ANS-The registered nurse (RN) uses the mini-mental nation
examination (MMSE) while assessing a client for admission to an assisted dwelling facility.
Which locating is the RN assessing whilst soliciting for the patron to remember with the aid
of 7s?
Bradypnea. - ANS-Which respiration circumstance should the nurse document after
measuring a breathing charge of 8 breaths/minute?
, Calculate the customer's % yr records. - ANS-During a fitness records interview, a male
customer reports that he smokes cigarettes and does not plan to quit. Which action is most
important for the nurse to take?
Changes vocal pitch when stomach is palpated. - ANS-An older client pushes the nurse's
hand away whilst palpation is initiated for the duration of bodily assessment. Which
additional objective signal aids the nurse in assessing for abdominal tenderness?
Deep palpation above and to the left of the umbilicus. Correct - ANS-The nurse is assessing
a healthy younger grownup at some stage in an annual physical examination. Which
evaluation approach should the nurse enforce when palpating the stomach aorta?
Document a everyday finding. - ANS-While acting a head-to-toe assessment, the nurse
assesses the client's pupillary lodging. During the second one part of the take a look at, the
nurse notes that the client's pupils constrict and there is convergence of the axes of the
eyes. What movement have to the nurse implement next?
Document an intact gag reflex. - ANS-During inspection of a purchaser's mouth and pharynx,
the nurse places a tongue blade at the lower back of the tongue which causes the client to
gag. After casting off the tongue blade, what action should the nurse take?
Document at the least 3 generations of the purchaser's family scientific history. Correct -
ANS-The nurse is carrying out a circle of relatives records as part of the assessment
interview. Which action have to the nurse take to make certain that sufficient facts
approximately the customer's blood relatives is obtained?
Document the ordinary locating. - ANS-The nurse is inquiring for the client to perform a
Romberg Test to evaluate neurological repute. During the test, the nurse notes that the
customer sways slightly. What is the nurses subsequent motion?
Dull sound percussed over bladder. - ANS-A consumer reports lower abdominal pain and a
sense of strain in the bladder. Which evaluation locating suggests acute urinary retention?
Dull, thud-like. - ANS-A consumer has been identified with bilateral decrease lobe
atelectasis. What percussion sound must the nurse count on to pay attention while
percussing over the client's lower lobes?
Friction rub. - ANS-Which term ought to the nurse use to report within the consumer's clinical
report for a excessive-pitched scratchy sound all through auscultation of the heart?
Gland isn't palpable - ANS-The nurse is completing a bodily exam on an adult customer.
Which thyroid locating is considered everyday?
Have you had sudden and excessive pain in the ft or toes? - ANS-A patron has come to the
medical institution for a ordinary health assessment. What is the quality evaluation question
for the nurse to invite a consumer after watching tophi at the client's ear cartilage?
4th intercostal area, proper midclavicular line. Correct - ANS-The nurse is assessing a
customer's middle lung lobe. What is the quality area for the nurse to vicinity a stethoscope
diaphragm to listen everyday lung sounds in this lobe?
A consensual response inside the contrary eye. - ANS-The nurse is appearing a head-to-toe
evaluation on a consumer. The nurse is assessing the purchaser's pupillary mild reflex by
way of first darkening the room and asking the individual to gaze into the gap. Then, the
nurse advances a light in the direction of one eye from the purchaser's facet. What could the
nurse anticipate to look at the moment?
A flexion deformity known as a high quality Thomas take a look at. - ANS-The nurse is
assessing a purchaser's range of motion because the consumer bends the proper knee up
to the chest while keeping the left leg immediately, but is unable to keep the left thigh on the
desk. The evaluation is repeated for the left knee, and the patron is unable to keep the
proper thigh on the desk. How have to the nurse report this finding?
A spherical easy mass that slides among the fingers - ANS-As part of a routine fitness
assessment, the nurse assesses the kidneys as part of the abdominal evaluation. Which
evaluation finding ought to the nurse conclude is ordinary while palpating the customer's
proper kidney?
A waist circumference is greater than 35 inches in ladies puts you at better hazard for type 2
diabetes and coronary heart ailment." - ANS-The nurse is assessing a postmenopausal
purchaser who has a BMI of 32. The client has a chest size of forty two inches, waist size of
forty five inches, and hip dimension of fifty inches. What critical message need to the nurse
explain to the consumer to sell fitness merchandising?
Ask the patron to urinate before beginning the examination. - ANS-A patron is within the
clinical for a yearly physical examination. Which movement should the nurse take whilst
getting ready to take a look at the customer's stomach?
Ask whether or not the consumer has been out of the country currently. - ANS-A client
reports a latest onset of nausea and vomiting. What subjective facts is vital for the nurse to
check?
Attention to information. - ANS-The registered nurse (RN) uses the mini-mental nation
examination (MMSE) while assessing a client for admission to an assisted dwelling facility.
Which locating is the RN assessing whilst soliciting for the patron to remember with the aid
of 7s?
Bradypnea. - ANS-Which respiration circumstance should the nurse document after
measuring a breathing charge of 8 breaths/minute?
, Calculate the customer's % yr records. - ANS-During a fitness records interview, a male
customer reports that he smokes cigarettes and does not plan to quit. Which action is most
important for the nurse to take?
Changes vocal pitch when stomach is palpated. - ANS-An older client pushes the nurse's
hand away whilst palpation is initiated for the duration of bodily assessment. Which
additional objective signal aids the nurse in assessing for abdominal tenderness?
Deep palpation above and to the left of the umbilicus. Correct - ANS-The nurse is assessing
a healthy younger grownup at some stage in an annual physical examination. Which
evaluation approach should the nurse enforce when palpating the stomach aorta?
Document a everyday finding. - ANS-While acting a head-to-toe assessment, the nurse
assesses the client's pupillary lodging. During the second one part of the take a look at, the
nurse notes that the client's pupils constrict and there is convergence of the axes of the
eyes. What movement have to the nurse implement next?
Document an intact gag reflex. - ANS-During inspection of a purchaser's mouth and pharynx,
the nurse places a tongue blade at the lower back of the tongue which causes the client to
gag. After casting off the tongue blade, what action should the nurse take?
Document at the least 3 generations of the purchaser's family scientific history. Correct -
ANS-The nurse is carrying out a circle of relatives records as part of the assessment
interview. Which action have to the nurse take to make certain that sufficient facts
approximately the customer's blood relatives is obtained?
Document the ordinary locating. - ANS-The nurse is inquiring for the client to perform a
Romberg Test to evaluate neurological repute. During the test, the nurse notes that the
customer sways slightly. What is the nurses subsequent motion?
Dull sound percussed over bladder. - ANS-A consumer reports lower abdominal pain and a
sense of strain in the bladder. Which evaluation locating suggests acute urinary retention?
Dull, thud-like. - ANS-A consumer has been identified with bilateral decrease lobe
atelectasis. What percussion sound must the nurse count on to pay attention while
percussing over the client's lower lobes?
Friction rub. - ANS-Which term ought to the nurse use to report within the consumer's clinical
report for a excessive-pitched scratchy sound all through auscultation of the heart?
Gland isn't palpable - ANS-The nurse is completing a bodily exam on an adult customer.
Which thyroid locating is considered everyday?
Have you had sudden and excessive pain in the ft or toes? - ANS-A patron has come to the
medical institution for a ordinary health assessment. What is the quality evaluation question
for the nurse to invite a consumer after watching tophi at the client's ear cartilage?
