2023 HESI HEALTH ASSESSMENT EXAM 2023 |TEST BANK |QUESTIONS AND ANSWERS |GUARANTEE A+ SCORE GUIDE
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2023 HESI HEALTH ASSESSMENT EXM 2023 |TEST-BANK
Institution
2023 HESI HEALTH ASSESSMENT EXM 2023 |TEST-BANK
2023 HESI HEALTH ASSESSMENT EXAM 2023 |TEST BANK
|QUESTIONS AND ANSWERS |GUARANTEE A+ SCORE
GUIDE
An elderly patient is admitted to the hospital. While performing a skin assessment, the
nurse discovers bruises in various stages of healing all over the patient's body. Why is it
important for th...
2023 HESI HEALTH ASSESSMENT EXAM 2023 |TEST BANK
|QUESTIONS AND ANSWERS |GUARANTEE A+ SCORE
GUIDE
An elderly patient is admitted to the hospital. While performing a skin assessment, the
nurse discovers bruises in various stages of healing all over the patient's body. Why is it
important for the nurse to promptly document and report these findings?
a.The patient may have been abused.
b.The patient is elderly.
c.The patient may have peripheral vascular disease.
d.The patient may have a cognitive deficit. - CORRECT ANSWERS-a. The patient may
have been abused
When the nurse observes the patient for general characteristics including age, gender,
and level of alertness, what aspect of assessment are you performing?
The four areas to consider during the general survey include:
a. Dress, medical history, nonverbal behavior, and mobility.
b.Ethnicity, gender, age, and socioeconomic status.
c.Physical appearance, gender, ethnicity, and medical history.
d.Physical appearance, body structure, mobility, and behavior. - CORRECT
ANSWERS-d. Physical appearance, body structure, mobility, and behavior.
When reading the patient's medical record, the nurse sees the following notation:
Patient states, "I have had a cold for about a week, and I am having difficulty breathing."
This is an example of:
a.A past health history.
b.A review of systems.
c.A functioning assessment.
d.A chief compliant. - CORRECT ANSWERS-d.A chief compliant.
Normal cervical lymph nodes are:
,a.Smaller than 1 cm
b.Warm and red
c.Fixed
d.Firm - CORRECT ANSWERS-a.Smaller than 1 cm
The first step to cultural competency by a nurse is to:
a.Identify the meaning of health to the patient.
b.Understand their own heritage and its basis in cultural values.
c.Develop a frame of reference to traditional health care practices.
d.Understand how a health care delivery system works. - CORRECT ANSWERS-
b.Understand their own heritage and its basis in cultural values.
The nurse is conducting a physical assessment of a new patient. What data does the
nurse collect that are measurable?
While assessing a patient, the nurse is asking questions that help the nurse perceive
and communicate an understanding of what the patient is feeling. What is this called?
a.Caring
b.Therapeutic communication
c.Sympathy
d.Empathy - CORRECT ANSWERS-d.Empathy
Checking for skin temperature is best accomplished by using:
a.The palms of the hands.
b.The back of the hands
c.The fingertips.
d.The ventral surfaces of the hands. - CORRECT ANSWERS-b.The back of the hands
The nurse is conducting a patient interview and responds to the patient in a way that
encourages the patient to more completely describe his or her problems. What is this
called?
,a.Brown eyes
b.Darkly pigmented skin
c.Use of sunscreen products
d.Skin that freckles or burns before tanning - CORRECT ANSWERS-d.Skin that
freckles or burns before tanning
What is the nurse assessing when asking the patient, "What things seem to make it
better?"
To assess for early jaundiced, the nurse should assess:
a.The lips
b.The sclera and hard palate
c.All visible skin surfaces
d.The nail beds - CORRECT ANSWERS-b.The sclera and hard palate
While assessing a patient for allergies, the patient states being allergic to penicillin.
Which response is best?
a."Please describe what happens to you when you take penicillin?"
b."How often have you received penicillin?
c."I'll write your allergy on your chart so you will not receive any."
d."Are you allergic to any other drugs?" - CORRECT ANSWERS-a."Please describe
what happens to you when you take penicillin?"
, A patient comes to the Emergency department (ED) complaining of chest pain. This
would be considered:
a.Secondary data
b.Objective data
c.Subjective data
d.Tertiary data - CORRECT ANSWERS-c.Subjective data
The nurse is conducting an interview in the room of a newly admitted patient. Because
the nurse is expecting a phone call, the nurse stands near the door. Which would have
been a more appropriate approach?
a.Use this approach given the circumstances.
b.Arrange for a time free of interruptions after the initial physical examination is
complete.
c.Have someone else answer the phone so their full attention was focused on the
patient.
d.Arrange to have someone notify them when the call came, thus allowing the nurse to
sit on the side of the bed. - CORRECT ANSWERS-c.Have someone else answer the
phone so their full attention was focused on the patient.
While interviewing a patient, the nurse asks, "What happens when you have low blood
glucose?" This type of response to the patient is used for what purpose?
a.To promote objectivity.
b.To summarize the conversion.
c.To clarify.
d.To restate what the patient has said. - CORRECT ANSWERS-c.To clarify.
The nurse performs a head and neck assessment on an adult patient and noted that the
thyroid gland is not palpable. What is the nurse's most appropriate action?
a.Refer the patient to their primary care provider.
b.Position the patient supine and reattempt palpation.
c.Perform a focused endocrine exam.
d.Document this as an expected assessment finding. - CORRECT ANSWERS-
d.Document this as an expected assessment finding.
The nurse is admitting a 27 year old patient to the hospital's medical unit. While
performing the admission assessment, the patient tells the nurse that she is being
abused by her spouse. Which of the following is the nurse's best action?
a. Make a referral to the social worker.
b. Make a referral to the hospital chaplin.
c. Report the abuse to the hospital CEO.
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