ADVANCED HEALTH ASSESSMENT HESI RN QUESTIONS AND ANSWERS

1. In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which statement is true regarding note-taking? A) Note-taking may impede the nurse's observation of the patient's nonverbal behaviors. B) Note-taking allows the patient to continue at his or her o...

A client is reporting chest pain. What statement made by the client helps the nurse to understand the client has a naturalistic belief in the cause of illness? A. "My life is really out of balance." B. "I knew I should have changed my diet." C. "I should have gone to church last week." D...

1. For which of the following patients would a comprehensive health history be appropriate? A) A new patient with the chief complaint of "I sprained my ankle" B) An established patient with the chief complaint of "I have an upper respiratory infection" C) A new patient with the chief compla...

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? Barrel chest The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in the right upper qua...

While measuring a patient's blood pressure, which set of Korotkoff sounds should be recorded as systolic and diastolic pressure? 1 Phase III/phase V 2 Phase I/phase V 3 Phase II/phase III 4 Phase I/phase IV 2 What should the nurse document as a normal finding when auscultating a tod...

The nurse is setting up the physical environment for an interview with a client and plans to obtain subjective data regarding the client's health. Which interventions are appropriate? Select all that apply. A.Set the room temperature at a comfortable level. B.Remove distracting objects from the...

"My life is really out of balance." 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? Be open to people who are different Have a curiosity about people. Become culturally compe...

5. The nurse is interviewing a patient who has a hearing impairment. What techniques would be most beneficial in communicating with this patient? A) Determine the communication method he prefers. B) Avoid using facial and hand gestures because most hearing-impaired people find this degrading. C...

•1. The nurse plans to auscultate the carotid arteries for bruits. Which of the following is the correct technique? •A. Places two fingers on the left carotid pulse, base of the neck •B. Places the diaphragm of the stethoscope on the location, mid-cervical area •C. Places the bell of the ...

B. Denial The spouse is exhibiting the first stage of denial (B) of Kubler-Ross's grief model by ignoring that the client's death is imminent (A, C, and D) are stages of grief that are not being displayed by the client's spouse during this observation. The registered nurse (RN) notifies the spo...

A nurse conducting a physical assessment is observing the client's balance and performing tests to determine the client's sense of equilibrium. Which cranial nerve is the nurse assessing? 1. Cranial nerve II 2. Cranial nerve IX 3. Cranial nerve VII 4. Cranial nerve VIII 4. Cranial nerve VII...

What is the nursing process? Assessment Diagnosis Planning Implementation Evaluation What are the four types of ways to collect data? -complete health data base -episodic or problem-centered database -follow up database -emergency data base What is the difference between subje...

Objective. During the interview portio of the health assessment, a nurse notes the person's posture, physical appearance, and ability to converse. How should the nurse document these findings? A round smooth mass that slides between the fingers As a part of a routine health assessment, the...