Hesi RN practice test Guide With Answers.

A client comes to the clinic with a report of fever and a recent exposure to someone who was diagnosed with meningitis. Which nursing assessment should be completed during the initial examination of this client? A) Level of consciousness. B) Gait characteristics. C) Presence of trauma. D) Bladder control ability. - correct answer A) Level of consciousness Initial symptoms of meningitis include headache, fatigue, stiff neck, and changes in level of consciousness. It is necessary to determine if the client is demonstrating signs of meningitis before planning immediate care. The nurse is assessing the posterior pharynx during a physical examination. Which technique should the nurse use? A) Press the tongue down one side at a time with a tongue depressor. B) Ask the client to open the mouth and say "ah." C) Listen for hoarseness after asking the client to speak. D) Palpate the neck and ask the client to swallow. - correct answer A) Press the tongue down one side at a time with a tongue depressor. When assessing the posterior pharynx, a tongue depressor should be used to press down one side of the tongue at a time to avoid stimulating the gag reflex. Which findings can the nurse determine by palpating a client's skin? (Select all that apply.) A) Pruritus. B) Diaphoresis. C) Pallor. D) Jaundice.