100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
HEALTH ASSESSMENT HESI VERSION 2 EXAM COMPLETE GUIDE QUESTIONS WITH VERIFIED ANSWERS CA$13.78   Add to cart
Quickly navigate to
Preview
  2.  
  3. Nightingale College
  4.  
  5. HESI HEALTH ASSESSMENT NURSING RN

Exam (elaborations)

HEALTH ASSESSMENT HESI VERSION 2 EXAM COMPLETE GUIDE QUESTIONS WITH VERIFIED ANSWERS

1 review
 148 views  4 purchases
  • Course
  • HESI HEALTH ASSESSMENT NURSING RN
  • Institution
  • Nightingale College

HEALTH ASSESSMENT HESI VERSION 2 EXAM COMPLETE GUIDE QUESTIONS WITH VERIFIED ANSWERS A 29 year old male client informs the nurse that he came to the clinic to see if, "Maybe I have lung cancer or something," and wants to get checked out since, "I can't seem to get rid of this body-wracking dry co...

[Show more]

Preview 2 out of 12  pages

Document information

  • November 17, 2023
  • 12
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • hesi v2 health assessment

Written for

  • Nightingale College
  • HESI HEALTH ASSESSMENT NURSING RN
All documents for this subject (25)

1  review

review-writer-avatar

By: lauren27 • 3 months ago

reply-writer-avatar

By: Studyclock • 3 months ago

Thank you for the review and success in your Exams.

reply-writer-avatar

By: Studyclock • 3 months ago

Thank you For The Review And Success in Your Exams.

Seller

avatar-seller
Studyclock

Reviews received

Content preview

HESI
V2
health
assessment
A
2 9
y e a r
o l d
m a l e
c l i e n t
i n f o r m s
t h e
n u r s e
t h a t
h e
c a m e
t o
t h e
c l i n i c
t o
s e e
i f ,
" M a y b e
I
h a v e
l u n g
c a n c e r
o r
s o m e t h i n g , "
a n d
w a n t s
t o
g e t
c h e c k e d
o u t
s i n c e ,
" I
c a n ' t
s e e m
t o
g e t
r i d
o f
t h i s
b o d y - w r a c k i n g
d r y
c o u g h
t h a t
h a s
b e e n
h a n g i n g
a r o u n d
f o r
t h e
l a s t
s i x
w e e k s . "
W h i c h
c o m p u t e r
d o c u m e n t a t i o n
o f
t h i s
c l i e n t ' s
c o n c e r n s
s h o u l d
t h e
n u r s e
e n t e r ?
A .
P r e s e n t s
w i t h
a
h a c k i n g
n o n - p r o d u c t i v e
c o u g h
o f
6
w e e k s
d u r a t i o n .
B .
D e s c r i b e
h a v i n g
a
" b o d y - w r a c k i n g
d r y
c o u g h "
o f
6
w e e k s
d u r a t i o n .
C .
E x p r e s s e s
c o n c e r n
o f
" l u n g
c a n c e r "
s y m p t o m s
f o r
t h e
l a s t
6
w e e k s .
D .
Y o u n g
a d u l t
m a l e
p r e s e n t s
w i t h
f e a r s
t h a t
h e
h a s
" l u n g
c a n c e r "
-
A N S
C o r r e c t
a n s w e r
i s
B ,
a s
a s s e s s m e n t
p r o c e s s
i n c l u d e s
c h i e f
c o m p l a i n t
w h i c h
i s
h o w
t h e
p a t i e n t
d e s c r i b e
w h y
h e
i s
h e r e
i n
t h e
h o s p i t a l
o r
c l i n i c
a n d
c a n ' t
i n c l u d e
d i a g n o s i s .
A
7 5 - y e a r - o l d
c l i e n t
w i t h
a
r e c e n t
h i s t o r y
o f
a
c e r e b r o v a s c u l a r
a c c i d e n t
( C V A )
p r e s e n t s
w i t h
r i g h t
h e m i p a r e s i s .
T h e
n u r s e
t e s t s
t h e
d e e p
t e n d o n
r e f l e x e s
o n
t h e
r i g h t
s i d e
a n d
e l i c i t s
a
b r i s k
4 +
r e s p o n s e .
W h i c h
i n t e r p r e t a t i o n
o f
t h i s
f i n d i n g
i s
a c c u r a t e ?
A .
A
n o r m a l
r e f l e x
r e s p o n s e .
B .
A b s e n t
o r
s l u g g i s h
r e s p o n s e
c o n s i s t e n t
w i t h
a
l o w e r
m o t o r
n e u r o n
l e s i o n .
C .
F l a c c i d
p a r a l y s i s .
D .
H y p e r a c t i v e
r e s p o n s e
c o n s i s t e n t
w i t h
a n
u p p e r
m o t o r
n e u r o n
d i s o r d e r .
-
A N S
C o r r e c t
a n s w e r
i s
D ,
b r i s k
4 +
r e s p o n s e
i s
c o r r e l a t e d
w i t h
h y p e r a c t i v e
r e s p o n s e .
T h e
n u r s e
e x a m i n e s
a
c l i e n t ' s
a b d o m e n .
W h i c h
f i n d i n g
i n d i c a t e s
a n
a b n o r m a l
r e s p o n s e
w h e n
p a l p a t i n g
t h e
s p l e e n ?
A .
P a i n
n o t e s
w h e n
p a l p a t i n g
M c B u r n e y ' s
p o i n t .
B .
T i p
o f
s p l e e n
p a l p a b l e
w h e n
c l i e n t
i s
a s k e d
t o
f o r c e f u l l y
e x h a l e .
C .
R e b o u n d
t e n d e r n e s s
w i t h
c o m p r e s s i o n
o v e r
r i g h t
u p p e r
q u a d r a n t .
D .
F i r m
m a s s
p a l p a t e d
a t
b o t t o m
o f
l e f t
r i b
c a g e .
-
A N S
C o r r e c t
a n s w e r
i s
D .
M c B u r n e y ' s
p o i n t
i s
r e l a t e d
t o
a p p e n d i c i t i s
a n d
n o t
s p l e e n .
I n
a u s c u l t a t i n g
f o r
t h e
p r e s e n c e
o f
a
c a r o t i d
a r t e r y
b r u i t ,
t h e
n u r s e
p l a c e s
t h e
b e l l
o f
t h e
s t e t h o s c o p e
a t
w h i c h
l o c a t i o n ?
-
A N S
* u n d e r
m a n d i b l e
t o w a r d s
l y m p h
n o d e s .
t r a n s v e r s e
t o
t r a c h e a
A
m a l e
c l i e n t
a r r i v e s
a t
t h e
c l i n i c
f o r
f o l l o w - u p
h e a l t h
a s s e s s m e n t
a f t e r
r e c e n t
a n t i b i o t i c
t r e a t m e n t
f o r
p n e u m o n i a
w i t h o u t
h o s p i t a l i z a t i o n .
W h i c h
t e c h n i q u e
s h o u l d
t h e
n u r s e
i m p l e m e n t
t o
a s s e s s
f o r
a d v e n t i t i o u s
l u n g
s o u n d s ?
A .
U s e
t h e
b e l l
o f
t h e
s t e t h o s c o p e
t o
l i s t e n
t o
t h e
l u n g
f i e l d s
o v e r
l o w e r
l o b e s .
B .
H a v e
t h e
c l i e n t
l a y
f l a t
w h i l e
l i s t e n i n g
t o
t h e
a n t e r i o r
s u r f a c e
o f
t h e
c h e s t .
C .
P r e s s
t h e
s t e t h o s c o p e ' s
d i a p h r a g m
f i r m l y
o n
t h e
s k i n
o v e r
e a c h
l u n g
f i e l d . D .
S h a v e
a l l
c h e s t
h a i r
t h a t
m a y
d i s t o r t
s o u n d s
h e a r d
t h r o u g h
t h e
d i a p h r a g m .
-
A N S
C o r r e c t
a n s w e r
i s
C .
T h e
n u r s e
s h o u l d
l i s t e n
t o
a l l
l u n g s
f i e l d s
d u r i n g
a s s e s s m e n t
a n d
m o v e
f r o m
s i d e
t o
s i d e
d u r i n g
a u s c u l t a t i o n .
A
c l i e n t
w i t h
s t r e p t o c o c c u s
p h a r y n g i t i s
r e p o r t s
h i g h
f e v e r ,
d i f f i c u l t y
s w a l l o w i n g
a n d
a
m u f f l e d
v o i c e .
W h i c h
c o m p l i c a t i o n
s h o u l d
t h e
n u r s e
s u s p e c t ?
A .
F o r e i g n
b o d y
o b s t r u c t i o n .
B .
L a r y n g e a l
p o l y p s .
C .
P e r i t o n s i l l a r
a b s c e s s .
D .
N a s a l
p o l y p s
-
A N S
C o r r e c t
a n s w e r
i s
C .
S i n c e
i n f e c t i o n s
a r e
a s s o c i a t e d
w i t h
a b s c e s s e s
a n d
p u s .
T h e
n u r s e
i s
o b t a i n i n g
a
h e a l t h
h i s t o r y
f o r
a
c l i e n t
p r i o r
t o
a
s c h e d u l e d
c h o l e c y s t e c t o m y .
W h i l e
i n t e r v i e w i n g
t h e
c l i e n t ,
w h i c h
a s s e s s m e n t
t e c h n i q u e
s h o u l d
t h e
n u r s e
u s e
w h e n
a s k i n g
a b o u t
t h e
c l i e n t ' s
u s e
o f
i l l e g a l
d r u g s
a n d
a l c o h o l ?
A .
O b t a i n
a
d r u g
u s i n g
s c r e e n
t o
v e r i f y
l e g i t i m a c y
o f
c l i e n t ' s
s t a t e d
h i s t o r y .
B .
A l l o w
t h e
c l i e n t
t o
d e c l i n e
a n s w e r i n g
s o c i a l
q u e s t i o n s .
C .
A s k
s p e c i f i c a l l y
a b o u t
a l c o h o l ,
m a r i j u a n a ,
c o c a i n e ,
h e r
D .
U s e
t h e
t e r m
i l l e g a l
o r
i l l i c i t
t o
d e s c r i b e
s t r e e t
d r u g .
-
A N S
C o r r e c t
a n s w e r
i s
C .
W h e n
i n t e r v i e w i n g
t h e
p a t i e n t ,
q u e s t i o n s
s h o u l d
b e
c l e a r
a n d
s p e c i f i c .
T h e
n u r s e
a p p l i e s
p r e s s u r e
o v e r
a n
a r e a
o f
t h e
l o w e r
a b d o m e n
w h e r e
t h e
c l i e n t
r e p o r t s
p a i n .
T h e
c l i e n t
d e n i e s
p a i n
u p o n
p a l p a t i o n ,
b u t
r e p o r t s
p a i n
w h e n
t h e
p r e s s u r e
i s
r e l e a s e d .
W h a t
a c t i o n
s h o u l d
t h e
n u r s e
i m p l e m e n t ?
A .
O f f e r
t o
a d m i n i s t e r
a
l a x a t i v e
p r e s c r i b e d
f o r
P R N
u s e .
B .
O b t a i n
a
p r e s c r i p t i o n
t o
c a t h e t e r i z e
t h e
c l i e n t ' s
b l a d d e r .
C .
I n s t r u c t
t h e
c l i e n t
i n
d i s t r a c t i o n
a n d
r e l a t i o n
t e c h n i q u e s .
D .
N o t i f y
t h e
h e a l t h c a r e
p r o v i d e r
o f
t h e
r e b o u n d
t e n d e r n e s s .
-
A N S
C o r r e c t
a n s w e r
i s
D .
A s
t h i s
c o u l d
b e
a
s i g n
o f
a p p e n d i c i t i s .
T h e
n u r s e
i s
a s s e s s i n g
a n
u l c e r
o n
a
c l i e n t ' s
l o w e r
e x t r e m i t y ,
w h i c h
i s
l i k e l y
t h e
r e s u l t
o f
e i t h e r
v e n o u s
o r
a r t e r i a l
i n s u f f i c i e n c y .
W h i c h
a s s e s s m e n t
t e c h n i q u e
s h o u l d
t h e
n u r s e
u s e
t o
d i f f e r e n t i a t e
t h e
p a t h o p h y s i o l o g y
c a u s i n g
t h e
u l c e r ?
A .
M e a s u r e
t h e
d e g r e e
o f
j o i n
r a n g e
o f
m o t i o n
i n
t h e
e x t r e m i t y .
B .
C o m p a r e
t h e
s k i n
t u r g o r
o f
t h e
c l i e n t ' s
u p p e r
a n d
l o w e r
l e g .
C .
O b s e r v e
t h e
s p e c i f i c
l o c a t i o n
a n d
a p p e a r a n c e
o f
t h e
u l c e r a t i o n .
D .
N o t e
a n y
c h a n g e
i n
t h e
c o l o r
o f
t h e
u l c e r
w h e n
t h e
l e g
i s
m o v e d
-
A N S
C o r r e c t
a n s w e r
i s
C .
L o c a t i o n
a n d
a p p e a r a n c e
o f
t h e
u l c e r
w o u l d
g i v e
u s
t h e
t y p e
( v e n o u s
v s
a r t e r i a l )
T h e
n u r s e
i s
c o n d u c t i n g
a
p h y s i c a l
a s s e s s m e n t
o f
a
y o u n g
a d u l t .
W h i c h
i n f o r m a t i o n
p r o v i d e s
t h e
b e s t
i n d i c a t i o n
o f
t h e
i n d i v i d u a l ' s
n u t r i t i o n a l
s t a t u s ?
A .
S t a t u s
o f
c u r r e n t
a p p e t i t e .
B .
A
2 4 - h o u r
d i e t
h i s t o r y .
C .
H i s t o r y
o f
a
r e c e n t
w e i g h t
l o s s .

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Studyclock. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$13.78. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

77254 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
CA$13.78  4x  sold
  • (1)
  Add to cart