BSN 246 HESI RN Specialty Health Assessment Exam Prep (Latest Update 2024 / 2025) Questions and Verified Answers |100% Correct | Grade A - Nightingale
Question:
When assessing facial nerve function of a 96-year-old, the nurse asks the client to smile in an exaggerated manner. Which finding is most important for the nurse to further asses?
Answer:
Only one side of the mouth moves when smiling
Question:
When performing range of motion exercises on the joints of an older adult client, the nurse notes that joint range is greater with passive ranging than with active ranging. A goniometer indicates that this difference is as much as 15% in some joints. How should this finding be documented?
Answer:
Abnormal
- / 4
Question:
Which action should the registered nurse (RN) implement to complete an assessment for a client while using an interpreter?
Answer:
Maintain eye contact with pt while listening to the translation
Question:
A client is in the clinic for a routine health examination. The nurse notices the client appears underweight. Which question is most important for the nurse to ask when completing the health history of this client?
Answer:
Have you experienced sudden weight loss?
Question:
A male executive is seen in the primary care clinic for a physical examination.While obtaining the client's health history, the nurse inquires about his drug and alcohol use. The executive denies drug use, but reports that he has "two glasses of wine" per night. Which response is best for the nurse to provide?
Answer:
"What effect do you think your alcohol may have on you?"
- / 4
Question:
Which part of the body should the nurse examine when assessing for peripheral edema in a client with heart failure?
Answer:
Ankles
Question:
A client reports feeling increasingly fatigued for several months, and the nurse observes that the client's lips are pale. Which additional data should the nurse collect based on this presentation?
Answer:
Use of iron and vitamin supplements
Question:
What is the best place for the nurse to hear lower lobe lung sounds with a stethoscope?
Answer:
Posterior chest below the 3rd intercostal space
Question:
The nurse is assessing the posterior pharynx during a physical examination.Which technique should the nurse use?
Answer: 3 / 4
Press the tongue down one side at a time with a tongue depressor.
Question:
The nurse is assessing a client who has a history of mitral stenosis. How should the nurse assess this client with a stethoscope to listen for this condition?
Answer:
Place the bell on the 5th intercostal space, left midclavicular line.
Question:
Which statement is accurate about assessing the spleen?
Answer:
It must be enlarged at least three times normal size for it to be palpable.
Question:
During an external examination of the eyes, the nurse gently palpates the eyes while the client's eyelids are closed. The eyes are both very firm and resist movement back into the orbit. How should the nurse document this finding?
Answer:
Abnormal
- / 4