BSN 246 HESI V2 HEALTH ASSESSMENT
EXAM | 100% CORRECTLY ANSWERED
AND GRADED A+ | 2024/2025 GUIDE |
NIGHTINGALE
A female client comes to the clinic troubled by breast tenderness before
her menstrual periods. On examination, the nurse notes generalized
lumpiness of both breasts with no discrete masses and no nipple
discharge. Which action should the nurse take?
- Correct Answer - Request a return visit after her menstrual period for a
breast exam re-check.
The nurse is examining a female client who states she has no
complaints. she has had no physical exam in years. the nurse palpates
enlarged lymph nodes in the axilla. which finding is the most important
for the nurse to report to the health care provider?
- Correct Answer - Non-tender firm lymph nodes
When family is concerned about their father's recent memory loss.
Which assessment should the nurse suggest?
- Correct Answer - Determine if the client can recall what he ate for
breakfast
, Which assessment finding supports the client statement, "my feet swell
all the time"?
- Correct Answer - 2+ pitting edema of the ankles bilaterally
An older adult male arrives at the healthcare center with lower
abdominal discomfort and frequent urination. The nurse asks the client
to provide a urine sample. After an extended period of time, the client
returns with only a few drops of urine. Which action should the nurse
implement?
- Correct Answer - Evaluate the client for bladder distention.
The nurse examines a client's right great toe. The joint is red,
edematous, and very painful with limited range of motion. The client's
serum uric acid levels are elevated. Which action should the nurse tell
the client to make?
- Correct Answer - Encourage fluid intake.
The nurse assesses a client who comes to the clinic with neck stiffness
and di....the nurse inquire further about lifestyle habits?
- Correct Answer - evaluation of the cranial nerve XI flexion
A client presents with itching and pain of the left ear that started several
days after....coming from the ear with a musty oder. How should the
nurse expect the appear?
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