10/24/24, 7:11 AM HESI EXAM HEALTH ASSESSMENT | 2024-2025 UPDATE COMPREHENSIVE MOST FREQUENTLY TESTED QUESTION…
HESI EXAM HEALTH ASSESSMENT | 2024-2025
UPDATE COMPREHENSIVE MOST FREQUENTLY
TESTED QUESTIONS AND VERIFIED ANSWERS
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Terms in this set (44)
Which of the following ANS: B
statements from a
patient's history is it most The statement in option "b is most important to
important to investigate investigate further because any significant weight
further? loss may indicate a serious problem. The statement
about an allergy to peanuts is not the most
a. "I have an allergy to important piece of information, although the nurse
peanuts." would want to investigate and document any food
allergies. Option "c" is not the most significant
b. "I have lost 30 pounds statement; however, the nurse should investigate the
over the last 4 months." types and amounts of vegetables the patient eats.
Two cups of coffee is considered fairly typical and
c. "I don't like many the patient is not consuming an excessive amount of
vegetables so I take caffeine.
multivitamins."
,10/24/24, 7:11 AM HESI EXAM HEALTH ASSESSMENT | 2024-2025 UPDATE COMPREHENSIVE MOST FREQUENTLY TESTED QUESTION…
Your patient complains of ANS: A
pruritus. You should Pruritus or itching of the skin is associated with the
examine the patient for following manifestations: rashes, lesions, edema,
which of the following angioedema, anaphylaxis, excoriation or ulcers as a
associated signs and result of scratching, lichenification or thickening of
symptoms? the skin, and systemic disease. As a result of
scratching the skin due to pruritus, the skin would
a. rash and edema most likely be warm and red, not pale, cool, or
cyanotic. Ecchymosis is a violaceous discoloration,
b. coolness and pallor also called a black-and-blue mark. Purpura is a
condition characterized by the presence of
c. cyanosis and coolness confluent petechiae or confluent ecchymosis.
Neither of these is associated with pruritus.
d. ecchymosis and
purpura
ANS: B
Petechiae are violaceous (red-purple) discolorations
of less than 0.5 cm in diameter. Petechiae do not
____ 3. Your patient asks blanch. They can indicate an increased bleeding
you about the small, tendency or embolism; causes include intravascular
reddish purple defects and infections. Ecchymosis is a violaceous
discolorations of the skin, discoloration of varying size, also called a black-
less than 0.5 cm in and-blue mark. It is caused by extravasation of
diameter. You inform the blood into the skin as a result of trauma; heparin or
patient that this is known Coumadin use; or liver dysfunction. Purpura is a
as which of the condition characterized by the presence of
following? confluent petechiae or confluent ecchymosis over
any part of the body. Purpura is caused by
a. ecchymoses c. purpura hemorrhage into the skin and can be the result of
decreased platelet formation. Spider angiomas, a
b. petechiae d. spider type of telangiectasia, are bright red and star-
telangiectasia shaped. Most often these lesions are found on the
face, neck, and chest. There is often a central
pulsation noted with pressure, and this results in
blanching in the extensions.
, 10/24/24, 7:11 AM HESI EXAM HEALTH ASSESSMENT | 2024-2025 UPDATE COMPREHENSIVE MOST FREQUENTLY TESTED QUESTION…
Your patient expresses ANS: B
concern about a mole on Developing cancerous lesions may have multiple
her right leg that has colorations such as brownish, tan, red, white, blue,
recently started itching. pink, purple, or gray. Other signs in potentially
Which accompanying cancerous lesions include the following: 1) rapid
finding most likely change in size; 2) change in coloration; 3) irregular
indicates a developing or butterfly-shaped border; 4) elevation in a
cancerous lesion? previously flat mole; 5) multiple colorations in a
lesion; 6) change in surface characteristics, such as
a. regular and distinct oozing; 7) change in sensation, such as pain, itching,
border c. edema in both or tenderness; 8) change in surrounding skin, such
feet as inflammation or induration; and 9) bleeding or
ulcerative appearance in a mole. These lesions are
b. multiple colorations d. not associated with edema or inflammation of the
inflammation of area around the fingernails or the toenails.
periungual tissue
After releasing the ANS: B
pressure of your thumb Edema is the accumulation of fluid in the
on your patient's lower intercellular spaces. Pitting edema is rated on a 4-
legs, ankles, and feet, you point scale:
observe a 4 mm
depression of the skin 0+ = no pitting edema.
that disappears in 10 to 15 1+ = mild pitting edema; 2 mm depression that
seconds. You would disappears rapidly.
report this finding as 2+ = moderate pitting edema; 4 mm depression that
which of the following? disappears in 10 to 15 seconds.
3+ = moderately severe pitting edema; 6 mm
a. 1+ pitting edema c. 3+ depression that can last more than 1 minute.
pitting edema 4+ = severe pitting edema; 8 mm depression that
can last more than 2 minutes.
b. 2+ pitting edema d. 4+
pitting edema
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