BSN 246 HESI RN Specialty Health Assessment Exam V1 (Latest Update 2024 / 2025) Questions and Verified Answers | 100% Correct | Grade A - Nightingale
Question:
A client with dark skin is reporting a painful and itching area on the lower left leg. What should the nurse look for when assessing this client's skin for inflammation?
Answer:
Change in consistency.
Question:
A client reports pain when taking a deep breath. Which lung auscultation sound should the nurse anticipate hearing?
Answer:
Pleural friction rub
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Question:
A nurse is completing a nutritional assessment with a client. What is the easiest method for the nurse to use to get information about the client's nutritional intake?
Answer:
24-hour dietary recall
Question:
The nurse palpates a weak pedal pulse in the client's right foot. Which assessment findings should the RN document that are consistent with diminished peripheral circulation? (Select all that apply.)
Answer:
Diminished hair on legs.Skin cool to touch.
Question:
The nurse is completing a physical assessment of a client who feel from a tree.The client's abdomen is soft with hyperactive bowel sounds in all four quadrants. Which assessment technique should the nurse implement when evaluating the client's spleen?
Answer:
Percuss the splenic area as the client takes a deep breath.
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Question:
The nurse enters an examination room to conduct a routine health assessment on an adolescent female client, who is accompanied by her mother. Which action by the nurse is likely to facilitate accurate responses to personal and social history questions?
Answer:
Request that the mother leave the exam room.
Question:
While performing a mental status exam (MSE), the nurse asks a client to remember three unrelated words and repeat them later. The client was able to repeat the words as directed. Which computer documentation is accurate?
Answer:
"Short-term memory is intact."
Question:
Which technique should the nurse implement when performing a Weber test?
Answer:
Place a vibrating tuning fork midline on top of the head
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