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Exam (elaborations)

HESI Community Exam Questions With Verified Answers.

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HESI Community Exam Questions With Verified Answers. A nurse is preparing to auscultate for the presence of bowel sounds in a client who has just undergone surgery. The nurse places the stethoscope in which abdominal quadrant first? - answerright lower quadrant - use the diaphragm end piece, be...

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  • September 30, 2024
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  • 2024/2025
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  • HESI Community Health
  • HESI Community Health
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HESI Community Exam Questions With
Verified Answers.


A nurse is preparing to auscultate for the presence of bowel sounds in a client who has just
undergone surgery. The nurse places the stethoscope in which abdominal quadrant first? -
answer✔right lower quadrant - use the diaphragm end piece, because bowel sounds are relatively
high pitched

Bowel sounds are hypoactive (low-pitched) or entirely absent after - answer✔abdominal surgery
or with inflammation of the peritoneum.

Bowel sounds are high pitched, - answer✔gurgling, cascading sounds, occurring irregularly
between five and 30 times a minute.

When assessing for costovertebral angle tenderness, the nurse is checking for - answer✔kidney
tenderness.
Sharp pain that occurs on percussion of the costovertebral angle indicates -
answer✔inflammation of the kidney or paranephric area. To assess the kidney, the nurse places
one hand over the 12th rib, at the costovertebral angle, on the back.
A nurse is performing an abdominal assessment of a client with suspected cholecystitis. Which
of the following findings does the nurse expect to note if cholecystitis is present? -
answer✔Murphy Sign

The Murphy sign is an indicator of - answer✔gallbladder disease. The client is asked to inhale
while the examiner's fingers are hooked under the liver border, at the bottom of the rib cage.
Inspiration causes the gallbladder to descend onto the fingers, producing pain if the gallbladder is
inflamed.

The Homan sign is - answer✔pain in the calf area on sharp dorsiflexion of the client's foot.

The Blumberg sign is the presence of - answer✔rebound tenderness on palpation of the
abdomen. Rebound tenderness is a reliable sign of peritoneal irritation.
A nurse performing a musculoskeletal assessment of a client with suspected carpal tunnel
syndrome plans to perform the Phalen test. The nurse should ask the client to: - answer✔Hold
the hands back to back while flexing the wrists 90 degrees for 60 seconds

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