BSN 246 HESI Health Assessment Test Bank |430 Questions with 100% Correct Answers |Latest 2024/2025 - Graded A – Nightingale.
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Course
BSN 246 HESI
Institution
BSN 246 HESI
While performing a mental status exam (MSE), the nurse asks a client to remember three unrelated words and repeat them later. The client was able to repeat the words as directed. Which computer documentation is accurate?
A) "Exhibits an above average intelligence."
B) "Reflects no apparent lapses...
of a thrill over the graft site. - Capillary refill >10 seconds in the
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hand where the graft is placed.
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,The nurse performs a series of cranial nerve tests on a client
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with a head injury. Which test should the nurse use to assess
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damage to the first cranial nerve? Occlude one nostril and
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have the client identify various odors.
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The client reports to the nurse a recent exposure to the mumps.
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Which assessment finding suggests the client has contracted
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the mumps? i.- Swelling anterior to the ear lobe on one side i.-i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
of the face
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A nurse is working in a healthcare facility that serves a diverse
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population. What action(s) by the nurse will allow the nurse to i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
empathize with and understand this population? (Select all that i.- i.- i.- i.- i.- i.- i.- i.- i.-
apply.) Be open to people who are different.
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Have a curiosity about people.
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Become culturally competent. i.- i.-
Which findings can the nurse determine by palpating a client's
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skin? (Select all that apply.)
i.- Diaphoresis i.- i.- i.- i.-i.- i.- i.-
Scaling
, Which question should the nurse ask in order to test a client's
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remote memory? What is your date of birth?
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While assessing level of consciousness, the nurse finds that a
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client localizes to pain, is confused during conversation, and
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opens the eyes to sound. How should the nurse document the
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Glasgow score of this client? 12 i.- i.- i.- i.- i.-i.- i.-
A client is in the clinic and is reporting lower abdominal pain
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and constipation. Which information is of greatest concern to
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the nurse when obtaining the health history from this client?
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Family history of colon cancer on mother's side.
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An adult client is in the clinic for a regular physical examination.
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The nurse is assessing the client's hydration status by pinching
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then releasing the client's skin. Which finding is indicative of
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good hydration status? i.- Skin immediately returns to normal i.- i.-i.- i.- i.- i.- i.- i.- i.-
position
Which intervention should the nurse ensure has been include in
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the client's plan of care? (Select all that apply. One, some, or all
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options may be correct.) i.- i.- i.-
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