BSN 246 HESI PRACTICE EXAM | HEALTH
ASSESSMENT | QUESTIONS AND
ANSWERS | RATED A+ | NIGHTINGALE
Which term is defined as the action of saying something that can eith
intentionally or unintentionally belittle or alienate a person, especially of
a different race or ethinc group?
Racism
Ethnocentrism
Microaggression
Cultural diversity
- Correct Answer - C.
Rationale: A microaggression is a social exchange in which a person
says or does something that can either intentionally or unintentionally
belittle or alienate a person, especially someone of a different race or
ethnic group. Racism is a belief that differences among the various
racial/ethnic groups determine cultural or individual achievement.
Cultural diversity is the existence of a variety of culutral or ethnic groups
within a society. Ethnoventrism refers to the relief that one's own culture
and worldview are superior to those of others from different cultural,
ethnic, or racial backgrounds.
The "K" in the acronym "Speak Up" addresses the importance of the
patients knowing about of which aspect of care?
Illness
Medications
,Decisions regarding treatment
Voicing questions or concerns
- Correct Answer - B.
The nurse is performing a neurological assessment on a client and elicits
a positive Romberg's sign. The nurse makes this determination based
on which observation?
A. an involuntary rhythmic, rapid twitching of the eyeballs
B. a dorsiflexion of the ankle and great toe with fanning of the other toes
C. A significant sway when the client stands erect with feet together,
arms at the side, and the eyes closed.
D. A lack of normal sense of position when the client is unable to return
extended fingers to a point of reference.
- Correct Answer - C. A significant sway when the client stands erect w/
feet together, arms at the side, and the eyes closed
Rationale:
Romberg's test, the client is asked to stand w/ the feet together and the
arms at the sides, and to close the eyes and hold the position; normally
the client can maintain posture and balance. A positive Romberg's sign
is a vestibular neurological sign that is found when a client exhibits a
loss of balance when closing the eye. This may occur w/ cerebellar
ataxia, loss of proprioception, and loss of vestibular function.
The nurse is instructing a client in breast self-examination (BSE). The
nurse tells the client to lie down and examine the left breast. The nurse
would instruct the client that while examining the left breast she would
,place a pillow under which area?
A. Left shoulder
B. Right scapula
C. Right shoulder
D. Small of the back
- Correct Answer - A. Left shoulder
Rationale: The nurse would instruct the client to lie down and place a
towel or pillow under the shoulder on the side of the breast to be
examined. If the left breast is to be examined, the pillow would be placed
under the left shoulder; therefore, all other options are incorrect.
The community health nurse who is conducting a teaching session about
the risks of testicular cancer has reviewed a list of instructions regarding
testicular self-examination (TSE) with the clients attending the session.
Which statement by a client indicates a need for further instruction?
A. TSE is performed once a month.
B. TSE would be performined on th same day each month
C. It is best to do TSE first thing in the morning before a bath or shower
D. The scrotum is held in one hand and the testicle is rolled between the
thumb and forefinger of the other hand
- Correct Answer - C. it is best to do TSE first think in the morning before
a bath or shower
Rationale:
, TSE is performed once a month and needs to be done on the same day
of each month, as an aid to help the client remember to perform the
exasm. The scrotum is held in one hand and the testicle is rolled
between the tumb and forefinger of the other hand. It is best to perform
the exam during or after (not before) a warm shower or bath, when the
scrotum is most relaxed.
the clinic nurse is performing an assessment for a client who is
complaining of shortness of breath. The client admits to smoking one
pack of cigarettes perday for the past 10 years. The nurse determines
that the client has a smoking history of how many pack-years? Fill-in the
blank.
[. ] pack-years
- Correct Answer - 10 pack-years
Rationale:
the standard method for quantifying the smoking history is to multiply the
number of packs smoked perday by the number of years smoking. The
result is then recorded as the number of pack-years. The calculation for
the number of pack-years for the client in this question whos smoke one
pack per day for 10 years is 1 pack x 10 years = 10 pack-years
The nurse has obtained a personal and family history from a client with a
neurological disorder. Which factors in the clients history are associated
with added risk for neurological problems? Select all that apply
A. allergy to pollen
B. hx of headaches
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