BSN 246 HESI FINAL EXAM STUDY GUIDE
| QUESTIONS AND CORRECT ANSWERS |
GUARANTEED A+ | NIGHTINGALE |
2024/2025 GUIDE
A client has been diagnosed with bilateral lower lobe atelectasis. What
percussion sound should the nurse expect to hear when percussing over
the client's lower lobes? - Correct Answer - Dull, thud-like
A client is being assessed upon admission to the medical-surgical unit.
The nurse is preparing to complete a head-to-toe assessment and will
begin at the head of the client. Which technique should the nurse use to
begin the assessment? - Correct Answer - Inspect the hair and skin
The nurse is assessing a healthy young adult during an annual physical
examination. Which assessment technique should the nurse implement
when palpating the abdominal aorta? - Correct Answer - Deep palpation
above and to the left of the umbilicus
The nurse is conducting a family history as part of the assessment
interview. Which action should the nurse take to ensure that sufficient
information about the client's blood relatives is obtained? - Correct
Answer - Document at least 3 generations of the clients family health
history
,The nurse is testing the client's shoulders for range of motion. What
should the nurse document to record normal internal rotation? - Correct
Answer - Range of 90 degrees when the hands are placed at the small
of the back.
A client presents with a rash along the occipital area of the hairline and
reports intense itching. How should the nurse begin the objective part of
the examination? - Correct Answer - Inspect the scalp looking for nits
The nurse is assessing a client's range of motion as the client bends the
right knee up to the chest while keeping the left leg straight, but is
unable to keep the left thigh on the table. The assessment is repeated
for the left knee, and the client is unable to keep the right thigh on the
table. How should the nurse document this finding? - Correct Answer - A
flexion deformity referred to as a positive Thomas test.
During a skin asssessment, the nurse notes, round and discrete lesions
that are dark red in color and will not blanch. The lesions range from 1 to
3 mm in size. What is the first question the nurse should ask the client? -
Correct Answer - Have you notice any irregular bleeding
A client states that she had a mastectomy of her left breast last year and
now experiences lymphedema. What should the nurse expect to find
when examining the client? - Correct Answer - Swelling of the left arm
and non-pitting edema
A client has just returned from the recovery room and asks to get out of
bed to go to the bathroom. The nurse decides to obtain orthostatic vital
,signs first. How will the nurse position the client to begin this procedure?
- Correct Answer - Supine
A postmenopausal female client is undergoing a routine physical
examination. She has reported nothing out of the ordinary. When
performing the examination of the genitourinary system, the nurse finds
an irregularly enlarged uterus with firm, mobile, painless nodules in the
uterine wall. How should the nurse explain this finding to the client? -
Correct Answer - You have benign fibroid tumors, a common occurrence
in women your age.
A client is reporting chest pain. What statement made by the client, helps
the nurse to understand this client has a naturalistic belief in the cause
of illness? - Correct Answer - "My life is really out of balance."
The nurse is preparing to assess the hearing of a client with a history of
prolonged exposure to occupational noise. Which hearing test provides
the most reliable assessment of hearing status? - Correct Answer -
Audiometry
The nurse is performing a routine physical examination on an adult
client. When gathering a health history, which question is included in the
CAGE questionnaire? - Correct Answer - "Have you ever felt guilty about
your drinking?"
The nurse is examining the hip joint of a client who reports hip pain.
Which other assessment is most helpful in determining the cause of the
client's pain? - Correct Answer - Knee-joint eval
, The nurse performs a series of cranial nerve tests on a client with a head
injury. Which test should the nurse use to assess damage to the first
cranial nerve? - Correct Answer - Occlude one nostril and have the client
identify various odors.
The client reports to the nurse a recent exposure to the mumps. Which
assessment finding suggests the client has contracted the mumps? -
Correct Answer - Swelling anterior to the ear lobe on one side of the face
A nurse is working in a healthcare facility that serves a diverse
population. What action(s) by the nurse will allow the nurse to empathize
with and understand this population? (Select all that apply.) - Correct
Answer - Be open to people who are different.
Have a curiosity about people.
Become culturally competent.
Which findings can the nurse determine by palpating a client's skin?
(Select all that apply.) - Correct Answer - Diaphoresis
Scaling
Which question should the nurse ask in order to test a client's remote
memory? - Correct Answer - What is your date of birth?
While assessing level of consciousness, the nurse finds that a client
localizes to pain, is confused during conversation, and opens the eyes to
sound. How should the nurse document the Glasgow score of this
client? - Correct Answer - 12
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