examination. Which assessment technique should the nurse implement when

Health Assessment HESI Assignment 2024 The nurse is assessing a client who reports having shoulder pain. Which sign is the best indicator of a rotator cuff tear?

• Inability to adduct the arm from the body.
• Inability to slowly lower the arm when abducted.
• Inability to externally rotate the arm.
• Inability to internally rotate the arm. - ANSWER B.

Inability to slowly lower the arm when abducted.The nurse is assessing a healthy young adult during an annual physical examination. Which assessment technique should the nurse implement when palpating the abdominal aorta? 1 / 4

• Deep palpation above and to the left of the umbilicus.
• Palpation of abdomen as client completes a deep breath.
• With client standing, compress the abdomen as the nurse stands behind the

client.

• With palm of one hand, compress the abdomen 2 fingerbreaths below xiphoid

process. - ANSWER A. Deep palpation above and to the left of the umbilicus.After completing the initial general assessment, the nurse is now completing a focused abdominal assessment of a client who was admitted for abdominal pain.Which assessment is most important for the nurse to implement?

• Inspect for abdominal distension then percuss for tympany.
• Palpate the abdomen after auscultating for bowel sounds.
• Measure the client's oxygen saturation. 2 / 4

• Ask if pain medication was taken - ANSWER B. Palpate

the abdomen after auscultating for bowel sounds.Which technique should the nurse use to assess a client for scoliosis?

• Watch gait while the client ambulates down the hallway.
• Observe spine while the client is erect and bent forward.
• Palpate neck while the client rotates head from side to side.
• Assess for presence of pain when the client twists the torso. - ANSWER
• Observe spine while the client is erect and bent forward.

The nurse is assessing a client's middle lung lobe. What is the best location for the nurse to place a stethoscope diaphragm to hear normal lung sounds in this lobe? 3 / 4

• 4th intercostal space, right midclavicular line.
• 5th intercostal space, left midclavicular line.
• Left mid-posterior lung field.
• Right mid-posterior lung field. - ANSWER A. 4th

intercostal space, right midclavicular line.A client has been diagnosed with bilateral lower lobe atelectasis. What percussion sound should the nurse expect to hear when percussing over the client's lower lobes?

• Dull, thud-like.
• Hyperresonant,booming.
• Tympanic,drum like.
• Flat,extremely dull. - ANSWER A. Dull, thud-like.
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