Health Assessment: HESI Review 2022

1. The nurse is assessing the jugular pulse of a patient. Which jugular pulse component reflects ventricular contraction? a. A wave b. C wave c. V wave d. X wave 2. The nurse is caring for a patient with periph ...

1. The nurse is assessing the jugular pulse of a patient. Which jugular pulse component reflects ventricular contraction? a. A wave b. C wave c. V wave d. X wave 2. The nurse is caring for a patient with peripheral vascular disorder. What should the nurse monitor in this patient frequently? Select all that apply. a. Intensity of abdominal pain b. Blood pressure and pulse rate c. Presence of gangrene in the legs d. Thyroid stimulating hormone levels e. Presence of canker sores in mouth 3. Which intervention does the nurse perform while examining the axillae of a patient? a. Assist the patient to a supine position b. Palpate the axillae with both hands c. Raise the patients arm over the head d. Move the arm through the range of motion 4. During the assessment of a pregnant patient the nurse observes that the patient has slumped posture and a flat, expressionless face. On reviewing the medical history, the nurse finds that the patient has missed several regular checkups. Which problem is this patient at highest risk for developing? a. Preeclampsia b. Postpartum depression c. Hyperemesis gravidarum d. Carpal tunnel syndrome 5. The health care provider has instructed the nurse to start ambulation for a bedridden patient. What should be the first step while helping the patient to ambulate? a. Assisting the patient into the sitting position b. Asking the patient to stand up independently c. Checking if the patient needs any assistance while standing up d. Ensuring that the patient is on a sequential compression lower limb device 6. A patient reports, “I have difficulty breathing, and so I can’t sleep at night.” How should the nurse record the patient’s reason for seeking care? This study source was downloaded by 100000823742721 from CourseHero.com on 09-18-2022 15:19:28 GMT -05:00 https://www.coursehero.com/file/23991675/Health-Assessment-HESI-REVIEWdocx/ a. “Dyspnea and insomnia” b. “The patient has dyspnea and insomnia” c. “Difficulty in breathing and sleepless nights” d. “The patient has difficulty breathing and is sleepless” 7. What is the function of the Cooper’s ligaments in the breast? a. To contain the lobules b. To support the alveoli c. To support the breast tissue d. To form reservoirs to store milk 8. The nurse finds the health care provider is gradually reducing the dose of a patient’s psychotropic medications. Which risk does the nurse hope to minimize with this intervention? a. Falls b. Nausea c. Insomnia d. Dementia 9. The nurse documents the body mass index of a 10-year old child as being in the 75th percentile. What should the nurse interpret from this finding? a. The child is considered obese b. The child is deemed overweight c. The child is labeled underweight d. The child is of a healthy weight 10. A patient experiencing alcohol withdrawal scores a 10 on the Clinical Institute Withdrawal Assessment (CIWA). What would the nurse infer about the patient’s condition from the score? a. Mild withdrawal b. Severe withdrawal c. Moderate withdrawal d. Absence of withdrawal 11. The nurse is assessing a patient with cyanosis who has numbness and bluish discoloration of the skin. Which other signs and symptoms in the patient would support the diagnosis of Raynaud’s phenomenon? Select all that apply. a. Swelling in the arms b. Paleness of the palms c. Burning pain in the arms d. Increased blood pressure e. Increased body temperature This study source was downloaded by 100000823742721 from CourseHero.com on 09-18-2022 15:19:28 GMT -05:00 https://www.coursehero.com/file/23991675/Health-Assessment-HESI-REVIEWdocx/ 12. The nurse is auscultating the breath sounds of a patient who has undergone abdominal surgery. The patient is not able to tolerate a sitting position in bed. What measure should the nurse take to auscultate the posterior lobe of the lung of the patient? a. Ask another nurse to hold the patient in a sitting position b. Ask another nurse to hold the patient in side-laying position c. Ask another nurse to position the patient in the prone position d. Ask another nurse to raise the patient’s upper back slightly from the bed 13. During an examination the nurse observes a patient’s elongated head, overgrowth of the lower jaw, heavy eyebrow ridge, and coarse facial features. What condition is indicated by this patient’s features? a. Bell’s palsy b. Acromegaly c. Brain attack d. Crushing syndrome 14. The nurse is caring for a patient who reports pain in the right side of the abdomen and right shoulder. The patient report that the pain is most severe after eating a fatty meal. What should the nurse infer from these findings? a. The patient has pancreatitis b. The patient has cholecystitis c. The patient has esophageal spasms d. The patient as gastroesophageal reflux disease 15. What are indicators of health disparities in Hispanics? Select all that apply. a. Cirrhosis death b. Physical assault c. Congenital syphilis d. Fetal alcohol syndrome e. New cases of tuberculosis