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HESI HEALTH ASSESSMENT REVISED QUESTIONS AND ANSWERS 100% CORRECT. COMPREHENSIVE FREQUENTLY TESTED QUESTIONS AND VERIFIED SOLUTIONS / GET IT 100% ACCURATE$22.99
HESI HEALTH ASSESSMENT REVISED QUESTIONS AND ANSWERS 100% CORRECT. COMPREHENSIVE FREQUENTLY TESTED QUESTIONS AND VERIFIED SOLUTIONS / GET IT 100% ACCURATE
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HESI HEALTH ASSESSMENT
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HESI HEALTH ASSESSMENT
HESI HEALTH ASSESSMENT REVISED QUESTIONS AND ANSWERS 100% CORRECT.
COMPREHENSIVE FREQUENTLY TESTED QUESTIONS AND VERIFIED SOLUTIONS / GET IT 100% ACCURATE
1. The nurse is caring for a patient with chronic lower A
back pain. The nurse knows that the most reliable
indicator of pain in this client is:
The patient is reporting "6/10" pain.
The patient is refusing to get out of bed.
The patient is refusing to eat breakfast.
The patient's heart rate is 90 beats per minute.
2. Which of the following actions should the nurse take B
to ensure an accurate blood pressure (BP) reading? The patient's arm
should be support-
Ensure the width of the BP cuff is equal to 80% of the ed at heart level.
arm circumference. Separate BP read-
ings may need to
Ensure the client's back is supported and feet are flat be taken, but not
on the ground. one right after the
other. The length
Take two BP readings 20 seconds apart. of the BP bladder
should equal 80%
Ensure that the patient's arm is above heart level. of the arm circum-
feren
3. The nurse obtains which piece of data during the A
general survey?
Client is alert and calm.
Client's heart rate is 80 beats per minute.
Client's body mass index (BMI) is 30.
Client's lung sounds are "clear" to auscultation.
4. A man is at the clinic for a complete physical exam. A
He states that he is "very anxious". What steps can
, HESI Health Assessment
the nurse take to make him more comfortable?
Appear confident and unhurried during the exam.
Measure vital signs at the end to allow the patient
sufficient time to relax.
Let him leave his clothes on during the examination.
Obtain another nurse to examine the patient.
5. A father brings his 13 month-old child in for "fever" C
and he reports that the child has been "pulling on
his left ear". Upon entering the exam room, the child
is asleep in the father's arms. The nurse should per-
form which assessment first?
Use the otoscope to look inside the ear.
Use a penlight to check the eyes and nose.
Auscultate the lungs, heart, and abdomen.
Assess gross motor skills using the Denver II
screening tool.
6. An 18 year-old presents to the emergency depart- A- constricted
ment with "headache." Which of these assessment pupils are a sign of
findings alerts the nurse to recent opioid use? recent opioid use,
the rest are with-
Pupillary constriction drawals
Hallucinations.
Fever.
Tachypnea.
7. C
, HESI Health Assessment
While collecting the pulse on a 26 year-old client, the
nurse notes that the heart rate seems to speed up
and then slow down in accordance with respirations.
The pulse is counted at 80 beats per minute. What
should the nurse do next?
Obtain orthostatic vital signs.
Notify the physician.
Document "sinus arrhythmia."
Use a doppler to confirm the finding.
8. An elderly client with pneumonia is being treated in D
the intensive care unit (ICU). He is acutely agitated,
restless, and disoriented. The nurse documents his
level of consciousness as:
Manic.
Demented.
Drowsy.
Delirious.
9. The nurse is assessing a newborn infant. How C
should the nurse measure the heart rate (HR)?
Palpate the radial pulse for 15 seconds and multiply
by four.
Palpate the brachial pulse for 30 seconds and multi-
ply by two.
Auscultate the apical site for 60 seconds.
, HESI Health Assessment
Apply a pulse oximeter to obtain both the HR and
SpO2.
10. A 28 year-old is brought to the emergency depart- A- hallucinations
ment. He is disoriented and hallucinating, and vi- and delirium are
tal signs are elevated. The nurse suspects that the commonly seen w
patient is experiencing withdrawal symptoms from alcohol withdrawal
which substance?
Alcohol.
Cocaine.
Cannabis.
Opiates.
11. When evaluating the temperature of older adults, the D
nurse should remember which aspect about an older
adult's body temperature?
Fever is a reliable sign of infection in older adults.
The older adult's body temperature varies widely
because of the thinner subcutaneous layer.
There are no differences in temperature between a
young and old adult.
Older adults body temperature runs lower than that
of an adult.
12. Which error may result in a falsely low blood pres- B- at heart level
sure (BP) reading?
The patient has a full bladder.
The arm is held above the level of the heart.
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