Hesi PRACTICE HEALTHPHYSICAL ASSESSMENT WITH QUESTIONS AND WELL VERIFIED ANSWERS [GRADED A+] ACTUAL 100%
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Hesi PRACTICE HEALTH\\PHYSICAL
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Hesi PRACTICE HEALTH\\PHYSICAL
Hesi PRACTICE HEALTHPHYSICAL
ASSESSMENT WITH QUESTIONS AND WELL
VERIFIED ANSWERS [GRADED A+] ACTUAL
100%
The nurse is performing a neurological assessment on a client and notes a positive
Romberg's test. The nurse makes this determination based on which observation?
An involuntary rhythmi...
Hesi PRACTICE HEALTH\PHYSICAL
ASSESSMENT WITH QUESTIONS AND WELL
VERIFIED ANSWERS [GRADED A+] ACTUAL
100%
The nurse is performing a neurological assessment on a client and notes a positive
Romberg's test. The nurse makes this determination based on which observation?
An involuntary rhythmic, rapid, twitching of the eyeballs
A dorsiflexion of the great toe with fanning of the other toes
A significant sway when the client stands erect with feet together, arms at the side, and
the eyes closed
A lack of normal sense of position when the client is unable to return extended fingers to
a point of reference - ANS✔✔---A significant sway when the client stands erect with
feet together, arms at the side, and the eyes closed
The nurse notes documentation that a client is exhibiting Cheyne-Stokes respirations.
On assessment of the client, the nurse should expect to note which finding?
Rhythmic respirations with periods of apnea
,Regular rapid and deep, sustained respirations
Totally irregular respiration in rhythm and depth
Irregular respirations with pauses at the end of inspiration and expiration - ANS✔✔---
Rhythmic respirations with periods of apnea
While performing a cardiac assessment on a client with an incompetent heart valve, the
nurse auscultates a murmur. The nurse documents the finding and describes the sound
as which?
Lub-dub sounds
Scratchy, leathery heart noise
A blowing or swooshing noise
Abrupt, high-pitched snapping noise - ANS✔✔---A blowing or swooshing noise
The nurse is testing the extraocular movements in a client to assess for muscle
weakness in the eyes. The nurse should implement which assessment technique to
assess for muscle weakness in the eye?
Test the corneal reflexes.
Test the 6 cardinal positions of gaze.
Test visual acuity, using a Snellen eye chart.
Test sensory function by asking the client to close the eyes and then lightly touching the
forehead, cheeks, and chin. - ANS✔✔---Test the 6 cardinal positions of gaze.
A client diagnosed with conductive hearing loss asks the nurse to explain the cause of
the hearing problem. The nurse plans to explain to the client that this condition is
caused by which problem?
A defect in the cochlea
A defect in cranial nerve VIII
A physical obstruction to the transmission of sound waves
, A defect in the sensory fibers that lead to the cerebral cortex - ANS✔✔---A physical
obstruction to the transmission of sound waves
The nurse is assessing a client suspected of having meningitis for meningeal irritation
and elicits a positive Brudzinski's sign. Which finding did the nurse observe?
The client rigidly extends the arms with pronated forearms and plantar flexion of the
feet.
The client flexes a leg at the hip and knee and reports pain in the vertebral column
when the leg is extended.
The client passively flexes the hip and knee in response to neck flexion and reports pain
in the vertebral column.
The client's upper arms are flexed and held tightly to the sides of the body and the legs
are extended and internally rotated. - ANS✔✔---The client passively flexes the hip
and knee in response to neck flexion and reports pain in the vertebral column.
A client with a diagnosis of asthma is admitted to the hospital with respiratory distress.
Which type of adventitious lung sounds should the nurse expect to hear when
performing a respiratory assessment on this client?
Stridor
Crackles
Wheezes
Diminished - ANS✔✔---Wheezes
The nurse is instructing a client how to perform a testicular self-examination (TSE). The
nurse should explain that which is the best time to perform this exam?
After a shower or bath
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