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ale College Fall 2022 QUESTIONS| WITH COMPLETE SOLUTIONS GRADED A+ ALEADY VERIFIED 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 sinc $10.49
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ale College Fall 2022 QUESTIONS| WITH COMPLETE SOLUTIONS GRADED A+ ALEADY VERIFIED 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 sinc
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ale College Fall 2022 QUESTIONS| WITH COMPLETE SOLUTIONS GRADED A+ ALEADY VERIFIED 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 c...

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  • November 9, 2024
  • 16
  • 2024/2025
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HESI Health Assessment Nightingale
College Fall 2022 QUESTIONS| WITH
COMPLETE SOLUTIONS GRADED A+
ALEADY VERIFIED



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 cough that has been hanging
around for the last six weeks." Which computer documentation of this client's
concerns should the nurse enter? - Ans>>Describe having a "body-wracking dry
cough" of 6 weeks duration.

The nurse is conducting a physical assessment of a young adult. Which
information provides the

best indication of the individual's nutritional status? - Ans>>Condition of hair,
nails, and skin.



The nurse is assessing a healthy adult male during an annual physical
examination. The nurse auscultates the client's abdomen and hears gurgling
sound every ten seconds. What action should the nurse take in response to this
finding? - Ans>>Document this normal bowel sound activity in the record.

,In observing a client's face, which assessment finding requires the most
immediate intervention by the nurse? - Ans>>Oral mucosa is cyanotic.



While obtaining a health history, a male client tells the nurse that he sometimes
experiences shortness of breath. The nurse determines that the client's
respirators are regular and deep, and his respiratory rate is 14 breaths/minutes.
What is the best nursing action? - Ans>>Ask the client to describe the episodes of
dyspnea in more detail.



When assessing a male client's respiratory status, which technique should the
nurse use to assess his anterior- posterior (AP) chest diameter? -
Ans>>Observation.



Which assessment finding supports the client statement, "My feet swell all the
time?" - Ans>>2+ pitting edema of ankles bilaterally.



The nurse is performing a cranial nerve exam on an 87-year-old client. The nurse
notes that the client has a reduced upward gaze, a decreased corneal reflex, a
high frequency hearing loss, and a reduced gag reflex. What action should the
nurse take next? - Ans>>Continue the assessment to the next pairs of cranial
nerves.

, When performing a neurologic assessment on an alert client, the nurse observes
that the client's pupils are both round, 3 mm in size, and respond briskly to light.
Which notation should the nurse use when documenting the assessment? -
Ans>>PERRL.



Which assessment technique provides the nurse with the best data related to the
client's level of peripheral perfusion? - Ans>>



The nurse is assessing a female client who states that her hemorrhoids are
inflamed and hurt constantly. Which intervention is best for the nurse to
complete a focused assessment? - Ans>>Position client in left lateral position to
inspect perianal area for fissures or sacs.



The nurse is performing an initial assessment of a client who has an
expressionless facial affect, slurred speech, and red conjunctivae. What question
should the nurse ask first? "Have you - Ans>>Been sleeping well?"



After checking a client's pupillary response to light, the practical nurse (PN) tells
the nurse that the client's pupils are constricted with minimal response to light.
Before verifying the PN's findings, which action should the nurse take? -
Ans>>Assess the client's visual fields.

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