HESI 1 V1$V2 REVIEW[HEALTH ASSESMENT 1 ACTUAL EXAM 100% GRADED A+

HESI 1 V1$V2
REVIEW[HEALTH
ASSESMENT 1 ACTUAL
EXAM 100% GRADED A+
The nurse is performing a thoracic assessment on a client with chronic
asthma and hyperinflation of the lungs. Which finding should be expected
for this client? - CORRECT ANSWER-Barrel chest
During inspection of a client's mouth and pharynx, the nurse places a
tongue blade on the back of the tongue which causes the client to gag.
After removing the tongue blade, what action should the nurse take? -
CORRECT ANSWER-Document an intact gag reflex.
When teaching a client how to perform a monthly breast self-assessment,
the nurse should tell the client that it is most important to assess which part
of the breast more closely for changes? - CORRECT ANSWER-Upper
outer quadrant.
The nurse is assessing bowel sounds for a hospitalized client. The nurse
has heard bowel sounds in the right upper quadrant. What action should
the nurse take next? - CORRECT ANSWER-Note the character and
frequency of bowel sounds
The nurse performs a physical assessment on an older female client.
Which change from the prior exam may be an indication of osteoporosis? -
CORRECT ANSWER-Height reduction of 1.5 inches.
While conducting an interview to obtain a health history, the nurse notices
that the client pauses frequently and looks at the nurse expectantly. Which
response is best for the nurse to provide? - CORRECT ANSWER-Sit
quietly to allow the client to respond comfortably.
A client is in the clinical for a yearly physical examination. Which action
should the nurse take when preparing to examine the client's abdomen? -
CORRECT ANSWER-Ask the client to urinate before beginning the
examination.
The nurse is assessing a postmenopausal client who has a BMI of 32. The
client has a chest measurement of 42 inches, waist measurement of 45
inches, and hip measurement of 50 inches. What important message
should the nurse explain to the client to promote health promotion? -
CORRECT ANSWER-A waist circumference is greater than 35 inches in
women puts you at higher risk for type 2 diabetes and heart disease."
Which procedure should the nurse use to assessfor a pulse deficit? -
CORRECT ANSWER-Measure the apical pulse and compare it to the
peripheral pulse.
Which respiratory condition should the nurse document after measuring a
respiratory rate of 8 breaths/minute? - CORRECT ANSWER-Bradypnea.
*A pulse deficit is a palpable difference between the apical pulse at the
point of maximal impulse and the radial pulse palpated at the wrist.
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
assessme